城市医疗集团发展远程医疗的SWOT分析

远程医疗作为一种新型医疗模式,突破了医疗资源在时间与空间上的限制,为优化医疗资源配置、实现优质医疗资源下沉、提高基层医疗服务能力提供了有效途径,具有良好的经济效益与社会效益。在国家相关政策的有力推动下,城市医疗集团结合自身发展需求开始大力发展远程医疗。文章运用文献研究法和态势分析法(SWOT analysis,SWOT分析),探讨了城市医疗集团发展远程医疗的内部优势(S)、劣势(W)以及外部机会(O)、挑战(T)。最后运用SWOT矩阵分析得出如下结论:抓住发展契机,发挥政策导向(SO策略);增加财政投入,促进多方参与(WO策略);完善政策法规,加强宣传力度(ST策略);线上线下结合,尝试差异化服务(WT策略)。     

《中国少数民族文艺理论集成》注释误漏举隅

《中国少数民族文艺理论集成》一书的出版填补了我国文艺理论研究史上的不少空白.但由于此书成于众手,错舛之处亦在所难免,按页码顺序从该书中可拣出除刘禹锡部分(刘禹锡部分有另文论之)之外的、有明显误漏的注释十二条,并有翔实的史料可为此举证.     

循证医学环境下医学高校图书馆信息服务的新探讨

因循证医学的兴起,医学高校图书馆信息工作面临新的任务,即服务模式的改变和“临床馆员制度”的实施,在此基础上文章重点探讨了循证医学信息资源建设;《中图法》应增设循证医学类目;循证医学证据的文献保障机制;循证医学资源整合利用等问题。     

Camera-Related Behaviors during Video Recorded Medical Interactions

Video recording provides an objective record of the content of medical interactions. However, there is concern that cameras may be reactive measurement devices that alter what normally transpires during interactions. This study addressed potential reactivity of cameras in medical interactions. Interactions between 45 patients and 14 medical oncologists were video recorded and coded for camera-related behaviors. Eleven of 45 patients performed none of the behaviors. Among the other patients, camera-related behaviors were infrequent and, on average, constituted about 0.1% (one-tenth of one percent) of total interaction time. Behaviors occurred most often in very early stages of interactions, and when physicians were absent from the room. Seven physicians showed camera-related behaviors, comprising less than 0.1% of the time they were in the interaction. Results suggest video recording can provide nonreactive means of studying medical interactions.

Using the Delphi Method to Classify Medical Specialties

One medical specialty classification system applicable for research and career counseling is the person‐oriented versus technique‐oriented taxonomy. Given that the model was conceptualized in the 1960s, verification based on how medical specialties are practiced and viewed today is necessary. Five specialists in medical career development and advising verified the categorization of specialties. Based on their review, 100% consensus was reached regarding grouping of specialties. This outcome validates the taxonomy of medical specialties and supports its continued use for medical career specialty advising and choice.     

中国医疗改革：道德与正义的考量

我国医疗体制改革是在中国农村和城市全面改革的大背景下进行的。中国改革取得成功的深层动因是允许个人功利的追求。这一背景也深刻影响到了医疗体制改革。医疗体制改革的重要趋向就是医院的市场化。市场化使得医院几乎成为单纯商业化运作的事业，因而市场正义成为医疗公正的取向。这是医疗改革失败的深层精神原因。走出这一困境就必须加大政府投入，使得医院从市场正义回归社会公平的正义；并在克服商业化倾向的同时，还需要有人道主义精神的重建。     

医疗纠纷可仲裁性的法理思考

在医患矛盾时常发生的今天，探求解决医疗纠纷的机制已经成为必要。针对医疗纠纷的可仲裁性展开法理分析，通过对国外医疗纠纷仲裁机制的考察，分析医疗纠纷仲裁的特殊功能，论证其可仲裁性，显得尤其重要。在我国立法现状的基础上，提出我国医疗纠纷可仲裁性采用一般模式的建议，具有一定的现实意义。     

锦州市区民营口腔医疗机构调查

目的：了解新医改背景下锦州市民营口腔医疗机构的资源状况。方法：通过调查问卷、现场采访等方式，以民营口腔医疗机构的负责人和口腔医生为调查对象，对锦州市区民营口腔医疗机构进行走访。结果：锦州市没有民营口腔医院，84个民营诊所拥有213台椅位，从业口腔专科医生186人。结论：个体诊所分布广泛，口腔业务量较大，占有一定市场份额；口腔诊所规模较小，医生素质偏低，专业化程度不高；民营口腔市场潜力较大，民营口腔机构也将成为口腔专业毕业生的一个重要就业渠道。     

医学英语中“计算机网络图式教学模式”的构建

大学医学英语教学改革的一个重要问题就是改革传统的教学模式,建立基于计算机网络的医学英语教学模式.现以图式理论为依据,结合计算机网络的教学手段,从多媒体网络视角探讨"计算机网络图式教学模式",以期对外语教学实践提供新的教学模式和思路.     

Children's response to the medical visit for allegations of sexual abuse: maternal perceptions and predicting variables

This study examined maternal perceptions of their child's response to the medical evaluation for alleged sexual abuse. A total of 50 mothers were interviewed 6 months after a visit to a Child Protection Clinic for a medical evaluation of alleged sexual abuse. The mothers answered a questionnaire on their child's reactions to the medical visit. More than 60% of children were perceived as being reassured about physical integrity. The degree of psychological distress was independent of perpetrator's identity and severity of the abuse. Mothers considered that a hypothetical second visit would generate in their child a level of anxiety that increased with perceived intensity of fear of the examination and decreased with perceived kindness of the physician. These results suggest that the physician's behaviour during the medical evaluation for alleged sexual abuse has an influence on the child's degree of distress that is independent of type and severity of abuse. Copyright © 2001 John Wiley & Sons, Ltd.