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2010年的美国卫生保健
在美国医药集团管理协会(the Medical Group Management Association)美国开业医师主管者学会(the American College of Medical Practice Executives)流动卫生保健管理局研究中心(the Centerfor Research in Ambulatory Healthcare Administration)联合召开的年会上,曾就卫生保健的未来进行过专题座谈.听众有3000多位开业医师主管人和医界领导.就是在这次专题座谈会上,号称美国未来学研究思想库的Coates Jarrat,Inc.,的未来学家、开业医师主管者Richart Smith在报告中,重点论述了如下各种推动卫生保健变革的积极因素.
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Prof. Zhang Zhili has practised traditional medicine for more than 40 years, hence an accumulation of rich clinical experience. As we have been fortunately guided by him in medical practice we would like to share with readers his experience in treatment of eczema as follows:Analyses of PathogenesisProf. Zhang holds that eczema is often caused by both endogenic and exogenic pathogens conflicting in skin and muscles: endogenic factors refer to improper diet or over-intake of irritative foods which may hurt the spleen and stomach, resulting in dysfunction of the spleen in transport and, as a result, leading to the accumulation of dampness-heat in the body; and exogenic factors refer to the invasion of exogenic pathogenic wind, dampness and heat. Moreover, a prolonged course of the illness may exhaust yin and blood and, consequently, turn pathogenic dryness factor into wind-evil. In the case of children, it is mostly caused by pathogenic heat stagnating in the gastrointestinal region due to weak congenital resistance and improper diet.
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“medication error”定义的讨论
在哈佛医疗实践(Harvard Medical Practice)的研究中,发现 medication error(ME)是医院不良事件的重要原因,约占事件的1/5[1-2]。该结果随后在其他药物不良事件(adverse drug event,ADE)的研究中也被确认。由此引发全球对医院中 ME 的流行病学研究及防范的进一步关注。
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多点执业对现有医疗从业机制或有质变作用
一、 "执业"一词意味颇深"执业"这个词实际上非常微妙.一般情况下,人们都使用"工作"、"服务",这些更像是由中国过去的计划经济体制下沿用而来的词语.执业的概念是有内涵的,这个词语实际上有点自主营业的意味,在中国的医疗体制下,很少会用到这个词语.现在,医生的工作用了"执业",需要深刻地思考其中的意思.
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高血压性脑出血的内科康复干预
The morbidity of hypertension induced cerebral hemorrhage (HICH) has been increasing due to the total percentage increase of senile population,resulting in the ever heavier burden for the state, the society and the family as well.To increase the therapeutic efficiency of HICH is an urgent affair that needs to be addressed by rehabilitation clinics.The present paper will discuss about some measures that the author found useful in her years of medical practice.
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浅谈在查处非法行医案件中的证据收集
随着医疗卫生体制改革的不断深入,医疗市场越来越开放,全民、集体、私人、中外合资合作、股份制等多方办医,解决了人们就医难的问题.但是,一些不法分子利用管理上的疏漏,非法行医卖药,不择手段地坑人骗钱,严重扰乱了医药市场秩序,危害了人民群众的生命财产安全.虽然严厉打击非法行医专项整治行动取得了阶段性成果,但非法行医现象仍屡禁不止,本文就打击非法行医过程中如何查处和收集证据谈些看法.
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上海市闵行区非法行医情况分析及对策
非法行医是指未经卫生部门批准擅自开办医疗机构行医或非医师行医的行为.闵行区2006-2008年非法行医地点主要集中在人口密集的城郊结合部,特别是外来人口较多的地区.诊疗对象主要是外来务工人员,以及农村文化层次比较低或缺乏基本卫生常识的人群.由于这些无证游医的存在,给广大人民群众,特别是外来务工人员的生命安全与健康带来严重的威胁,需采取健全完善初级医疗服务体系、加强媒体宣传、加强出租房的管理以及加大对非法行医刑事责任追究力度等综合措施,逐步解决非法行医问题.