医院建设工程实行代建制的意义及思考

文章从医院的公益性以及建设工程的现状入手,分析了实行代建制的必要性和意义,并就医院建设工程实行代建制时需要重视的问题提出了思考和建议。     

Alarmed: sensory approaches to improving medical alarm systems

Medical alarms sound incessantly, loudly, and dissonantly, contributing to an already noisy ICU and OR soundscape, and ultimately harming both patients and staff. Sometimes triggered in error, the sheer number of alarms distracts health care professionals and results in sensory overload that contributes to hospital staff’s alarm fatigue. In turn, staff become increasingly likely to ignore alarms instead of acting on them. Furthermore, the patients’ sensitivity to alarms disturbs their hospital stay, raises their stress levels, and impedes their recovery process, with sometimes lasting effects. This article considers the sensory effects of hospital alarms and possibilities for redesigning future alarm systems, with the goal of eventually creating a more calming, less stressful, and safer hospital soundscape environment for all.     

安徽省县级公立医院住院患者满意度对忠诚度影响分析

目的：了解县级公立医院住院患者满意度及忠诚度情况,分析满意度对忠诚度的影响。方法：采取随机分层抽样方法,根据地域分布,在安徽省皖南、皖中、皖北共随机抽取12家县级公立医院,采用自行设计的调查问卷对696例住院患者的一般人口学资料、满意度和忠诚度等情况进行调查。结果：696例住院患者总体满意度得分为(4.39±0.74)分,忠诚度得分为(8.71±1.35)分;医护人员形象、医疗服务态度、医疗质量、医疗设施环境方面的满意度影响住院患者的忠诚度。结论：县级公立医院住院患者忠诚度水平较高;医院可从树立医护人员良好形象、提高医疗质量等角度,提高住院患者满意度,培养其忠诚度。     

现代医院精细化管理浅谈

目前,精细化管理已成为现代医院实现远大目标和共同愿景的关键所在.文章详述了医院精细化管理的内涵,对如何正确理解和认识医院精细化管理进行了阐述,对当前形势下医院精细化管理的主要内容进行分析,对精细化管理将引发的医院管理方式的转变进行探讨.     

对医院图书馆服务模式转变的思考

对医院图书馆服务模式特点进行了分析,探讨了如何转变观念,调整自身发展策略,实现模式转变,以适应在新形势下的发展需求。     

小康型乡镇卫生院突发公共卫生事件应急机制研究

乡镇卫生院防保科担负着卫生监督、预防保健、卫生宣教等重要任务,只有明确和充分发挥其在突发公共卫生事件应急机制中的地位与作用,实施矩阵式网络治理,提高乡镇卫生院卫生应急响应能力,改革现有的用人制度,吸引和稳定专业人才,才能加强和巩固我国乡镇卫生院应急功能,保障突发公共卫生事件应急机制的稳定运转。     

A Model for Change: Legislative Advocacy to Improving Access for the Uninsured and Underinsured in New York State 1

Advocates can successfully improve access to health care for people without health insurance. This article demonstrates the success of what began as a local advocacy effort to improve access to health care on Long Island, which later grew to become a major statewide advocacy movement. It explores the process taken by local coalition members to successfully fight for monumental public health legislation—first locally then statewide—to improve access to hospital care for the medically indigent. Using New York State as a model, it includes several approaches that could facilitate the enactment of legislation in other states. The experiences of New York advocates suggest that with focused collaborative efforts it is feasible to promote significant changes to public health laws to benefit the uninsured and underinsured.     

A Whiff of Nothing: The Atmospheric Absence of Smell

Abstract

This article uses the figure of “presence of absence” to consider the phenomenological significance of dimensions of smell that easily slip out of apprehension. The discussion highlights how not only loud smell but also absence of smell manages to exert an influence over the way people feel. Smells linked to emotions and bodily sensations are addressed as atmospheric, and facets of an atmospheric absence of smell are unfurled within the framework of “the smell of the hospital.” The case demonstrates how the atmospheric presence of absence of smell becomes of significance in the hospital as it is acted and reacted upon as a sense of (1) longing, (2) avoidance, (3) care and (4) cleanliness.     

南京大屠杀期间的鼓楼医院

南京大屠杀期间,南京成为人间地狱,在这之前能走的都已离开,鼓楼医院成为当时南京的惟一医院,几个勇敢的西方人士选择继续留在医院工作。医院面临着人员的严重不足,资金设备的紧缺,日军不断侵犯,员工随时可能有生命危险,即使在这种情况下他们还坚守着各自岗位,克服重重困难,通过与红十字会、安全区合作,尽力挽救更多的生命。     

中国古典私家园林对医院户外景观设计的启示

随着医学模式的转变和人们对就医环境要求的不断提高,户外景观设计也越来越成为医院建设和改造的重点。而作为“景观疗养”的典范,有着悠久历史的中国古典私家园林在营造理念、体现人文关怀及设计手法方面对现代医疗机构有着重要的启示意义,能激发人们强烈的心理归属感。另外,对古典私家园林成功作法的借鉴,应该建立在对现代人生活方式、行为模式深刻理解的基础之上。只有这样,才能设计出真正满足使用者需要、有中国特色的医院户外景观。