该研究通过比较浙江省与国内经济发达省份医疗器械行业发展现状,依据行业数据,具体分析了浙江省医疗器械企业数量及构成、拥有注册证数量及构成、生产运营情况,以及产业发展支撑情况、第三方服务情况、医疗器械产品应用推广情况,深入剖析了浙江省医疗器械产业发展面临的问题,提出浙江省医疗器械产业发展建议,为浙江省医疗器械产业发展提供参考.

目的 了解在"中国(浙江)卫生健康科技研发与转化平台"注册护理专利的现状,分析其技术领域、地域分布、每千名护理工作者专利数以及护理专利所属机构.方法 统计2012-2018年在"中国(浙江)卫生健康科技研发与转化平台"注册有转化需求的有效专利数,并在国家知识产权局专利库检索数据,使用Excel进行数据处理.结果 2012-2018年浙江省有转化需求的有效护理专利共计756件,其中实用新型专利为693件、发明专利为45件、外观设计专利为18件.护理专利集中在A类,专利主要集中在三级医院及绍兴、湖州、杭州、嘉兴、金华地区.结论 浙江省护理专利质量有待提升.

该文通过国家知识产权局专利库数据检索,收集浙江省医疗卫生机构的专利,并用Excel进行数据处理,分析了浙江省卫生健康行业现存有效专利的申请时间、地市分布、主要申请人、技术领域,为今后浙江省卫生健康行业专利现状和专利成果转化政策研究提供参考.研究显示,截至2020年12月,浙江省医疗卫生机构现存有效专利共计7,675件,其中发明专利为668件,实用新型专利为6,760件,外观设计专利为247件,总体呈上升趋势,且杭州地区有效专利数最多.浙江省医疗卫生机构有效专利从数量的变化趋势来看,取得了一定成效,但与全省有效专利情况比较还存在数量少、高价值技术含量偏低、医务人员对知识产权保护意识低等现象.

目的 了解浙江省病原微生物实验室生物安全管理现状,为相关政策的制定提供参考.方法 通过实地查看,人员访谈、备案信息倒查、实验室记录与档案随查、体系文件抽查等方法,对5家省级医疗卫生单位和11个地市的44家医疗卫生单位进行实验室生物安全专项检查,并对检查结果进行数据分析.结果 在科室层面编写体系文件25家(51.02％);存在未备案实验室或备案信息更新不及时26家(53.06％);人员培训不规范26家(53.06％);实验废物放置和分类处理不合理23家(46.94％);个人防护不到位21家(42.86％);实验室布局不合理23家(46.94％).结论 近几年浙江省实验室生物安全管理取得了快速发展,体系和制度建设不断完善,但实验室生物安全管理仍需加强,建议在实验室硬件设施上需加大投入,改善实验室布局,加强安全培训.

Teacher training for standardized resident training is the key point for improving teacher's capacity and assuring training quality. Training policy is the main basis on carrying out training. Based on the analysis of training policies of provinces, the characters and problems have been found out. Suggestions which can be described as defining training scope, unified training policy at national level, division responsibilities between national, provincial and municipal of training, standardizing training content, method and assessment have presented.

Objective To grasp the general situation of patent application and authorization of 77 medical and health institutions in Zhejaing,to provide reference and basis for promoting the patent application and conversion.Methods Patent data were searched through Bai Teng net patent database,and SPSS 19.0 was used for statistical analysis.Results The total number of patent application showed a trend of generally rise.There were 1430 valid invention patents in total,among which 264 were invention patents and 1166 utility model patents.The total number of patens as well as invention patents were positive correlated to province GDP GDP and doctors per thousand population (r=0.824,0.812,0.784,0.771 respectively,P＜0.001).The rate of collaborative patent application was 6.28％,and there was a significant difference (α=0.05/3,P＜0.001) in the collaborative patent applications around Hangzhou,provincial and other cities medical and health institutions.Conclusions The total number of patents in 77 medical and health institutions in Zhejaing has reached a certain scale,and the number of patents increase with the economic development and the number of doctors per thousand population.The effective patents present in concentrating in regions,and the proportion of invention patents was low.

小型水电站经济运行涉及主观、客观等诸多方面因素.文章从分析影响讨赖河渠道水电站经济运行的问题入手,从提高人员素质、加强上下联动、提升设备运行维护水平等方面,提出了优化经济效益的对策建议.

本文通过问卷调查及实地访谈等方式,对医疗机构高端会计人才在岗位、职务、学术科研水平、综合素质、医改落实等多层次多维度的数据进行调查分析,探讨医疗机构高端会计人才培养使用的成效及发展方向,为进一步完善医疗机构高端会计人才的培养体系提供健康方向,促进医疗机构财务管理水平与运营效率的提升.

Objective To provide references for administration and policy research through the systematic analysis on the overall situation of the Zhejiang medical science and technology awards. Methods Based on the award-winning information collection of the Zhejiang medical science and technology awards in 2007-2017, the award-winning numbers, rate, units were analyzed. The distribution and promotion of award-winning achievements were also analyzed. Results During the period of 2007 to 2017, total of 1612 achievements were awarded including the 3 special prize and the proportion of the 1st, 2nd, 3rd prize was 9.06％, 32.07％, 58.68％ respectively. The award-winning rate was 51.20％ (95％CI.48.06％-54.98％) and the award-winning units covered 10 provincial units, 4 universities, 14 university affiliated hospitals, 123 municipal and county units.29.03％ of the award-winning achievements were completed by different units in cooperation. The distribution characteristic indicated that the award-winning number in municipal units was the most, the municipal and county units accounted for 61.72％ of the total number. More than 70％ of award-winning achievements in municipal and county units were awarded the third prize. All Special prize, 91.78％ of the first prize and 51.84％ of the second prize were awarded to the universities and the provincial units in which the proportion of these prizes above was 69.57％ and 58.85％ respectively. Zhejiang medical science and technology achievements had also been awarded 405 Zhejiang science and technology awards, 20 Chinese medical science and technology awards, 19 national science and technology awards later on. Conclusion The effect of Zhejiang medical science and technology awards stimulated the different types of units to actively participate in the medical research and development. The number and level of the Zhejiang medical achievements were improved and the innovation of medical science and technology was promoted.

随着住院医师规范化培训制度实施的不断深入,师资队伍能力薄弱已制约着培训质量的有效提升.浙江省在实施5年基础性师资培训的基础上,于2016年着手探索“升级版”高级师资培训方案,按照“聚焦短板、紧绕需求、系统连贯、分层递进”的原则,紧扣师资管理与教学两大核心能力,培训内容体现系统性和递进性,培训模式突出实践与纠偏性,以切实保障住院医师规范化培训同质化目标.

Objective Analyzing the construction process and application of health appropriate technology database in Zhejiang province and proposing related considerations and recommendations for the database construction.Methods To design and construct the technology database system,and using excel software to calculate statistic data.Results Established a health appropriate technology database,which contains 826 technologies that can be selected and promoted by the demonstration bases in the whole province.Conclusions The establishment of the technology database increased the efficiency of health appropriate technology transformation at the provincial level,and also provided a reference for the national-wide generalizing of health appropriate technology.

为加强和推动全科医学发展,国务院于2011年出台了《关于建立全科医生制度的指导意见》,明确了全科医生培养培训、执业方式、使用激励等机制.浙江省近年来在全科医生培养培训、 签约服务、分级诊疗方面开展了大量探索工作,截止2016年上半年,浙江省全科医生超过了1.7万人,按照全省人口5500万计算, 达到了每万人口配备3.1名全科医生,率先完成国家预定2020年每万人口3名全科医生的目标.

Objective Establish an overall performance evaluation index system for "innovative medical devices transforming project",a major science and technology project in Zhejiang province.Methods The weight of indexes was calculated using Delphi method,analytic hierarchy process and weight of percentile method.Results A three-level performance evaluation index system was established.First level included 3 indexes,as condition index,process index and result index,with weight of 0.3401、0.4042 and 0.2557 respectively.Meanwhile,second level and third level included 13 and 38 indexes.Conclusions The index system provide a performance evaluation tool for the innovative medical devices transforming project.

<span id="ChDivSummary" name="ChDivSummary" class="abstract-text">文章从当前我国创新医疗器械产业的现状出发,运用PEST模型,从政治、经济、社会、科技四个维度对创新医疗器械发展的宏观环境进行分析,为我国医疗器械产业的创新与发展提供建议与策略。</span>

住院医师规范化培训的招录数据与医学人才队伍结构、医学人才需求、医疗服务发展等有着密切关联.文章通过对2011-2015年招录数据分析,探讨目前浙江省新进医学人才队伍的现状及存在的主要问题,为医学人才培养和政策引导提供决策参考依据.

A study of the quality assurance system building made at the training bases in Zhejiang since 2011 found the following.Five management systems on training quality have been established, covering basic clinical conditions, training management, faculty management and training, training assessment,and training incentives.PDCA is called into play for continuous improvement and perfection to develop a training quality management system of local features and continuous improvement.

实践是住院医师规范化培训的核心环节，是培养学员创造性思维能力、人际沟通能力、应变能力、综合分析能力、实践动手能力的有效途径。2011年浙江省颁布了《培训基地认定与管理办法》，通过实施量化、程序化、常态化管理，强化了培训基地建设，并对部分轮转科室设置不足的基地以联合体形式进行了优质资源协同，确保培训工作顺利实施。

This paper analyzed the current situation of key disciplines development in 72 private and county-level hospitals in Zhejiang province, and explore the key members' attitude to the development of key disciplines. The results showed that county-level hospital has better subject leader and research resources than private hospital. So political suggestions have been put forward from four aspects to the development of key disciplines in county-level and private hospitals. The first is strengthening government investment;the second is improving comprehensive level;the third is strengthen personnel training;the fourth is strengthen process management.

人才是经济社会发展的战略资源，党的十八大报告要求确立人才优先发展战略，实施重大人才工程，这为下一阶段卫生事业人才队伍建设指明了方向。卫生高层次人才建设，是卫生人才工作的重要组成部分，是提高医疗卫生服务水平，引领医学科学、技术进步，推动卫生事业发展的重要力量。本文将福利经济学理论体系引入卫生高层次人才建设中，探讨卫生高层次人才培养的最优组合与结构模型，并提出相应政策建议。<br>　　1福利经济学与卫生高层次人才建设<br>　　1.1卫生高层次人才的内涵卫生高层次人才是指具有较高的学术、技术水平和创新能力，能引领和推动区域内医学学科发展，在国内外具有一定知名度的高级人才。高层次人才是卫生人才队伍建设的重点之一，决定了单位、部门的核心竞争实力和可持续发展能力，是医学科学技术创新发展的主要推动力。

Since the implementing directed education of rural community doctors in Zhejiang, the stages of pilot, generalization and implementation had been processed, the target of “to reach, to get down, to use and to stay” was closely abounded for primary practical medical personnel, the integrated policy of key points as “recruitment, training and usage” had been designed and implemented, the ordered development of directed education for rural community doctors was secured, the varieties of health service demand from grass-roots were meted, the “bottleneck” problem of shorting primary personnel is relieved and the sustainable development of rural health enterprise were improved and supported.