我国医疗卫生事业单位人事制度改革是在用人双轨制的背景下展开的,关于事业单位聘用关系的法律适用问题颇有争议,本文对聘用制改革的法律依据进行了深入分析,并针对如何推进人事聘用制度改革提出了一些可行性的建议.

目前我国主要采用按医疗服务项目付费的临床诊疗模式,其最大弊端在于容易促使医疗机构提供过渡的医疗服务,诱导刺激医疗消费,导致医疗费用过快增长.通过学习国外的实践经验,发现DRGs-PPS模式更能使政府、医疗机构、患者三方共赢,更有利于控制医疗费用的不合理上涨,同时对提高医疗服务质量、规范医疗行为具有更重要的意义.

探讨公立医院财务风险预警模型的构建,将沃尔评分法应用于某公立医院的财务分析之中,以盈利能力、偿债能力、营运能力和发展能力作为一级指标,并提出建议:加强风险预警意识、提高财务人员的业务素质、医院信息系统的支持、定量研究与定性研究相结合、建立报告分析处理制度.

Along with the development of medical and health services,hospital administrators gradually transferred to hospital management.Financial index is analyzed one by one through Dupont Analysis Method to know the financial condition of the hospital as soon as possible and to control the occurrence of financial risk.

Based on the primal problems of medical material inventory management in the hospital,a model,whose premise is inventory management,key point of it is inventory cost control and target is the maximization of assets income,is explored.Through using the model,the hospital can reduce the amount of fund in medical material, promote the rate of stock turnover,and strengthen the operation capability and service capability in the hospital.

In order to promote the reform of public hospitals,medical total cost accounting has important and realistic significance.In order to apply the new accounting system and financial regulations,and to improve the level of economic management,we have explored and built the accounting system of hospital total cost constructively.Using the system theory as the guiding ideology and starting with the thought of building the accounting system of hospital total cost,the thesis recommends the features of the accounting system of total cost and summarizes the current adoption scenario.The thesis come up with the guidance on behalf of brushing up this theory.

Objective: To establish a model that can estimate the financial risk in the public hospital.The model can provide the suggestion for financial management and risk management in the public hospital.Method: Using the principal component analysis to extract the financial risk index and establish the financial risk early warning model;after that,using the data of the sample hospital to check the model.Result: The financial risk early warning model has a very highly accuracy,and the value is more than 80 percent.Conclusion: The model can estimate the risk of the public hospital accurately,which is an effective management style to identify the financial risk in the public hospital.

The paper is to explore more reasonable model of cost management by applying the activity-based costing to the cost management of Light Speed VCT,so as to provide references and scientific basis for improving cost accounting systems,formulating and adjusting charging criteria of health service items in the hospital.

<正>过度医疗问题一直是公立医院难以解决的顽疾,近年来更加受到社会各界的普遍关注,应该说医疗费用的过快上涨是过度医疗的最终表现形式,也是过度医疗产生其他后果的主要原因。过度用药是过度医疗的一个最主要表现,在过度用药中,最为突出的表现就是抗生素的不合理使用。

Over-treatment,such as"exaggerated treatment for minor ailments,luxury treatment for serious illness"is common occurrences.It not only fails to improve medical efficency,but also brings a heavy burden to patients and their families.Against over-treatment as the difficult illness in public hospitals,the causes of over-treatment and the corresponding solutions have been tried to be discussed,and references to control over-treatment has been proposed.

Objective Discussing the methods and measures of medical records which are regarded as the record of medical service charges.Methods Combining the site survey with statistical analysis.Results Statistical analysis showed that charges for medical services into the management of medical evidence of satisfaction of patients discharged from hospital has a significant influence.Through the implementation of medical records confirmation management,we perfected the internal controlling system,restrained the excessive medical treatment leaded by unreasonable charge,and improved patients' satisfaction.Conclusion Medical records can be taken as the final entry of medical charge and the management of medical records confirmation medical service should be strengthened.

<正>随着医疗卫生体制改革的不断深入,医院实行医疗服务项目成本测算成为医院适应市场经济发展的必然趋势,同时也是医疗服务进入市场参与竞争的必然结果。要实现成本核

医疗行为监管是保障患者权益、约束医方行为、维持医疗卫生秩序的基本工具.但是,由于医疗行为的专业性、不确定性以及医疗市场大环境的不稳定性,使卫生行政部门与医疗机构的信息不对称,导致了卫生行政部门对医院的监管不到位,从而产生了一系列严重的医疗问题.因此,从信息不对称的角度来研究医疗行为监管问题,再度明确卫生行政部门对医疗行为监管的具体职责是十分必要的,其对保障患者权益,促进我国医疗服务行业的持续健康发展,推动社会主义和谐社会的构建都有积极的作用.

我们在手术室采取多项安全有效的医院感染管理措施,实行严格的质量管理,严格执行卫生部颁发的<医院感染管理规范(试行)>、<消毒管理办法>和<消毒技术规范>等相关法律法规,最大限度地保证了手术的安全.

高危急性心肌梗死以其高致残率及高病死率威胁着人类的健康.高危急性心肌梗死早期病死率可达58%[1].而硬膜外阻滞术是一项麻醉技术,该方法可以阻断心区交感神经,扩张冠状血管,降低血管阻力,减轻心脏前后负荷,减少心肌耗氧量;降低心肌微循环阻力,增加缺血心肌血流灌注量,保护心脏功能,改善心肌顺应性,保护心肌舒张功能,维持最佳的有效作功;抑制交感神经末梢儿茶酚胺的释放,抑制循环系统血管紧张素Ⅱ的不利作用[2].但这项技术的实施需要适当的护理措施以保证发挥良好的效益,取得治疗作用.2003年10月～2004年7月,我科对10例高危急性心肌梗死病人应用此方法已取得了迅速改善临床症状、体征,挽救患者生命,提高生活质量,延长寿命的疗效,优于常规治疗方法,现介绍如下.

加入WTO之后,对我国的医疗卫生行业提出了更多的挑战,本文从经济管理的角度提出三个方面的建议:[1]重视智力资本;[2]更新经营管理理念与管理手段;[3]增强服务意识、提高服务质量.

随着社会主义市场经济体制的确立和卫生改革的不断深入,卫生系统的学者开始了产权制度改革的理论研究,为实现改革目标做准备.党的十六大报告再次对国有资产管理作出了明示.本文就结合医院自身特点及面临的有关问题,围绕产权改革阐述以下个人见解:

随着中国加入世界贸易组织(WTO),在深层次上将对我国医疗市场产生全方位的影响,但同样也带来了发展的机遇.综观我省各大医院,大力改造医疗环境,购入医疗设备、组建医疗集团、引进优秀人才、打造特色品牌……已经拉开了应对入世后医疗市场竞争的序幕.

目的:研究细菌内毒素检测法检查复方丹参注射液热原的可行性.方法:通过干扰试验考察供试品对鲎试剂的干扰作用.结果:复方丹参稀释40倍可进行细菌内毒素检测.结论:细菌内毒检查法可替代传统热原检查法.