目的 探讨精益化管理在健康体检中的应用方法与效果.方法 采用精益化管理的思想,分解细化体检全过程,对其中每个工作环节进行细化管理,并对实行精益化管理前后健康体检接待量、收入、成本及服务满意度进行比较.结果 实行精益化管理后体检的接待量增加了56.0％,收入增加了39.8％,人均消耗降低了10.1％,客户满意度提高至98.5％.结论 在健康体检中实行精益化管理,能够有效提高客户接待量,降低物品消耗,提高客户满意度,增加体检收益,值得在体检工作中推广.

Objective To explore the serum lipid trends and to assess the association between the change in serum lipid level and the cumulative incidence of diabetes mellitus among occupational population in a functional community of Beijing, and to provide suggestions for health management. Methods One way repeated measures ANOVA and multiple logistic regression analysis were carried out using data from year 2010 to 2012,which was repeated measurement data of blood lipid and fasting plasma glucose from 373 occupational subjects aged 26 to 60 in a functional community of Beijing. Results From 2010 to 2012,the abnormal number of total cholesterol( TC) was accounted for 3. 49%,4. 83% and 5. 90% respectively; abnormal triglyceride( TG) 20. 91%,22. 79% and 21. 98% respectively; abnormal high density lipoprotein cholesterol( HDL- C) 13. 40%,29. 76% and 21. 72% respectively; abnormal low density lipoprotein cholesterol( LDL-C) 0. 54%,2. 41% and 3. 49% respectively; and abnormal fasting plasma glucose( FPG) 1. 07%,1. 34% and 2. 95% respectively. The average male TC increased with year and age( P 0. 01). The mean TG level was significantly higher in men in three years than that of women( P 0. 01),and the mean HDL- C level in men was lower than that of women( P 0. 01). Logistic regression analysis showed that the risk of diabetes mellitus among the elders was 1. 165 times of younger people,and the risk of diabetes mellitus among people with abnormal TG was 2. 987 times of those with normal TG. Conclusion High serum lipid level was common in occupational population. TG level is associated with cumulative incidence of diabetes,and the change of TG level in several years could predict the risk of diabetes.

目的：本文主要通过详细的调查与研究，统计并且分析了我国电力企业职工健康现状，并且探讨了企业实施健康管理的意义。阐述了提高慢性病相关因素的知晓率以及治疗率，倡导人们树立健康的生活理念，促进企业员工的健康水平。方法随机抽14792例于2013年在我院体检的患者进行相关的体检，以每个疾病为人次单位进行例数与百分数的统计及健康评估。结果在14792例与慢性病相关的体检中，8842例患者的体检出现了异常指标，占总人数的60%。分别为高血压病（2247/15）、糖尿病（721/0.5）、脂肪肝（4689/32）、冠心病（248/0.2）、肥胖（1876/13）、超重（4920/33）、高血脂（949/0.7）、高尿酸（1166/0.8），提示慢性病相关危险因素在电力企业患病率较高。结论电力企业职工进行了以慢性病相关因素为重点调查及健康评估，并对企业实施健康管理有重要意义进行讨论。

Objective To explore the relation of physical indicators to cardiovascular risk factors in occupation population of power transmission workplace to provide evidence for their health management.Methods A cross-section study was carried out in Beijing,Tangshan and Zhangjiakou.Multi-phase,stratified,unequal proportional and cluster sampling was adopted to investigate occupation population of power transmission workplace aged 18-60 years.Two sample or multiple samples were compared using x2 test.Multivariate linear regression was used for data analysis.Results In Beijing,Tangshan and Zhangjiakou,the distribution rate of overweight,obesity,high systolic blood pressure,high systolic blood pressure,high diastolic blood pressure,high diastolic blood pressure,impaired fasting glucose,fasting blood glucose,high total cholesterol,abnormal cholesterol,high triglyceride,abnormal triglyceride,high lowdensity lipoprotein,abnormal low-density lipoprotein,reduced high-density lipoprotein,abnormal interleukin,abnormal alanine transaminase and abnormal creatinine were 38.9％,9.7％,30.1％,17.4％,34.8％,24.4％,7.1％,6.6％,19.8％,7.9％,17.2％,21.8％,14.5％,3.8％,15％,2.7％,6.7％ and 4.6％,respectively.In multivariable liner regression analysis,systolic blood pressure,diastolic blood pressure,BMI,fasting blood glucose,triglyceride,total cholesterol,low density lipoprotein and alanine aminotransferase were significantly related to several risk factors of chronic disease.Conclusion The abnormal rate of physical indicators in occupation population aged 18-60 years was high.Health management for power supply occupation population should be strongly advocated.

随着健康理念逐渐深入人心,越来越多的人们选择了健康体检,健康管理的理念也逐步得到高端人群的认可,他们在进行健康体检时,需要更高更新的需求及服务,我们通过有计划的对高端体检护士进行多方面培训及管理,有针对性制定个性化体检服务项目,并逐步建立基于个人健康档案基础上的个体化健康事务管理服务,从社会、心理、生物的角度给予高端客户全面的健康保障服务。