草捆密度是高密度大方捆打捆机设计的关键参数,与牧草的压缩流变特性密切相关.为了搞清楚牧草压缩流变特性对草捆密度的影响规律,自制了压缩试验装置,以牧草喂入量和含水率为影响因素,采用单因素轮换法进行了压缩试验,研究分析了牧草压缩过程的流变特性,得出了含水率15％、单次喂入量600g条件下牧草压应力变化模型.研究结果为高密度打捆机的研制提供了优化设计依据.

英国国家医疗服务体系包括初级卫生保健系统和医院系统,转诊推荐信是全科医生和专科医生间沟通的方式,其中包含的信息对于转诊质量和效率有提高的作用.研究转诊推荐信的信息有助于为我国的分级诊疗提供建议.本文通过检索有关组织机构制定的指南、规范,系统评价有关文献,得出主要关注指标,形成政策分析及建议.结果发现转诊推荐信的质量控制体系主要由英国国家卫生及医疗优化研究院制定的转诊指南、临床调试集团制定的关键绩效指标构成.英格兰地区在转诊选择、转诊期望、转诊时间、诊断等方面还有改善空间,但是患者对于现在的转诊基本满意.提示提高转诊质量需要做到规范转诊医疗行为,充分提升信息化在转诊中的作用,建立全科医生和专科医生之间的密切关系,引入非卫生技术人员作为全科医生助理等.

近年来,人类的健康管理模式逐渐被人们关注,亚健康状态逐渐成为国内外研究的热点.通过文献研究及实地调研,对物联网技术应用于健康管理进行阐述,并结合调研医院物联网技术开展情况,对现阶段医疗领域物联网技术应用特点及制约医疗物联网发展的瓶颈进行讨论,对医疗物联网下一步发展提出建议.

Objective To explore the satisfaction of tertiary hospital employees, and to offer a basis for human resources management and decision-making improvement in hospitals.Methods The total area of China was divided into eastern, central and western areas by stratification sampling, and totally 15716 employees from 104 university hospitals and provincial hospitals in the three areas were selected by convenience sampling and investigated. This study was conducted online, and the time of sample return was from October 1st to November 30th, 2015. The employees were investigated for their satisfaction with the status of hospital management with the National Monitoring of Employees' Satisfaction Scale, which took into consideration such characteristics as position, sex, age, marital status, education, income, labor relations, working years and title.Results As for the position, the employees specialized in nursing showed the highest degree of satisfaction (91.10 points), while the employees working on medical positions had the lowest degree of satisfaction (85.34 points). Female employees had a higher degree of satisfaction than male ones, and married employees had a slightly lower degree of satisfaction than unmarried employees. Medical employees at different levels showed different degrees of satisfaction. Clinical front-line employees had lower satisfaction with their give and take than the employees on other positions.Conclusions The HR department of hospitals should pay attention to the employees' real concerns, and take measures to improve medical and nursing staffs' job satisfaction.

DRGs是20世纪70年代美国学者开始研发的一种科学先进的病例组合工具[1]。其以出院病历首页信息为基础，综合考虑病例的主要诊断、治疗方法、并发症、伴随病以及年龄等个体特征，将病情程度轻重相近、治疗水平难易相似的病例分到同一个组( DRGs )中[2]。基于这样的分组结果，可以在DRGs系统的帮助下，对临床科室进行较为客观的评价。本研究通过对比湖南地区某医院眼科2013年和2014年DRGs相关指标的变化情况，分析该院眼科在收治疾病难度、广度、时间与费用资源消耗等方面的改变，评价其住院医疗绩效的改进。

Emergency triage is an important part of emergency care. And rational scoring system can make emergency triage more scientific and efficient. Based on the introduction of common critical illness scoring system at home and abroad, suggestions on establishing normalized emergency triage system are presented. It also gives evidence on applying critical illness scoring system in emergency triage system in hospital.

医院等级评审作为医院规范化管理的途径,对民营医院的健康发展具有重要导向意义.自201 1年第二周期医院等级评审启动以来,我国民营医院评审认证日益活跃.文章在回顾总结我国民营医院评审认证经验的基础上,分析了我国民营医院的发展以及医院评审的相关内容,并对民营医院评审提出建议.

Objective To evaluate the important role of information collection,exchange,and analysis in the management of healthcare-associated infection(HAI),and demonstrate the characteristics of HAI management plat-form.Methods Role of HAI management platform was demonstrated according to information fusion theory,the monitoring level ,feature level and decision level information fusion method,as well as examples and data of interna-tional/domestic and historical comparison.Results HAI management committee as a platform,and HAI manage-ment departments as the fusion system of information analysis and process department is the foundation of HAI management.Conclusion HAI monitoring system should be strengthened,multi-disciplinary integration should be developed,and HAI committee decision coordination platform should be intensified.

医院评审评价作为医院规范化管理的途径,对民营医院的健康发展具有重要导向意义.在回顾总结我国民营医院评审和认证经验的基础上,分析了我国民营医院的发展及监管等相关内容,并提出政策建议.

Divide-and-conquer management of acute and chronic disease is an important measure to improve efifciency and service quality as an international general medical model. The authors explored the current situation and problems of divide-and-conquer management, and provided policy recommendations accordingly. The divide-and-conquer management system involved medical service system construction, medical service price adjustment, medical insurance payment system reform and people's concept renewal to seek medical service, etc. The authors summarized achievements and experiences of divide-and-conquer management in different area, and tried to solve the problem of dififculty and high cost of getting medical service in common people.