Delayed Hospital Discharge and Mental Health: The Policy Implications of Recent Research

In 2003, the Community Care (Delayed Discharges etc.) Act introduced charges for social services departments unable to discharge patients from hospital within agreed timescales. As details of this reimbursement policy have begun to emerge, it has become apparent that the new system may also be extended to mental health services. In response, this narrative review of the literature on delayed hospital discharges and mental health reports findings from 12 studies, which raise important and timely concerns about the feasibility of reimbursement. Although a significant number of people experience delayed discharges from acute psychiatric services, the task of defining delayed discharges is complex and subjective, dependent on the professional background and seniority of the person making the judgement. Reasons behind delayed discharges are also multi‐factorial in nature and cannot be attributed to social services departments alone.     

人机工程学思想在现代医院管理中的应用

人机工程学是一门新兴交叉学科,研究人与环境,特别是人造环境间的关系和优化方法,具有系统观。将人机工程学的思想引入医院这一与生命和健康密切相关的特殊系统中,有益于解决现代医院布局和管理中的“人-机-环境”协调问题,这对医院“人性化医疗空间”的构建也具有重要意义。     

Logistic and neural network models for predicting a hospital admission

Feedforward neural networks are often used in a similar manner as logistic regression models; that is, to estimate the probability of the occurrence of an event. In this paper, a probabilistic model is developed for the purpose of estimating the probability that a patient who has been admitted to the hospital with a medical back diagnosis will be released after only a short stay or will remain hospitalized for a longer period of time. As the purpose of the analysis is to determine if hospital characteristics influence the decision to retain a patient, the inputs to this model are a set of demographic variables that describe the various hospitals. The output is the probability of either a short or long term hospital stay. In order to compare the ability of each method to model the data, a hypothesis test is performed to test for an improvement resulting from the use of the neural network model.     

医院人文管理与文化创设

现代医院管理应当顺应管理科学发展趋势,坚持以人为本,重视开发和利用医院的人文资源,实行更符合人的特点和人性要求的人文管理。由于人是文化的产物,在人文管理中必须依据文化理念和机制,达到医院管理活动中内在的协调与和谐。要在把握医院人文管理内在要求基础上进行医院文化的反思和创新,努力构建发展战略支持型的医院文化。     

医院会计报表的相关性问题

医院会计报表的外部使用者特别是那些新增的使用者,由于他们对医院财务及会计制度、医疗卫生行业的特殊性了解不够,也就无法全面把握医院会计报表体系的真实内涵.影响对医院会计报表信息理解的因素可分为三类:一是医院会计制度的特殊性、二是医院营运管理的特殊性、三是医院外部政策环境的特殊性.     

以社会主义核心价值观引领四位一体公立医院宣传工作

当前公立医院宣传工作要紧紧围绕党的十八大提出的培育和践行社会主义核心价值观这个战略任务。通过建立四位一体的宣传工作机制,提出了以社会主义核心价值观引领公立医院宣传工作模式。     

医院文化品牌化建设的意义和路径

医院文化是医院持续发展的不竭动力,也是医院在市场竞争中无处不在的软实力,贯穿于医疗活动的全过程.医院应立足实际,在贴近时代精神,弘扬优秀传统,融入地域特色的基础上不断创新文化形式,拓展文化载体,打造文化品牌.     

A Retrospective,Empirical Study of Grief-Related Beliefs in a Veterans Affairs Medical Center

This article reports on the findings of a retrospective, empirical study that explores and describes grief-related beliefs of a convenience sample of 312 persons in a Veterans hospital. These beliefs may facilitate bereaved individuals’ emotional regulation and adaptive responses to loss conceptualized in the dual process model. The study addresses the question: Do gender, employment status, and loss burden contribute to differences in grief-related beliefs? The findings reveal significant gender differences, and also that grief-related beliefs are reality rather than myth-oriented. Study limitations and implications for social work practice in bereavement care and hospice settings are discussed.     

江苏省公立医院基于数据包络法的效率评价

目的:对江苏省不同级别公立医院的效率分别进行数据包络法(DEA)评价,为医疗资源合理配置提出科学建议?方法:运用DEA计算技术效率?单纯技术效率?规模效率以及规模收益情况,着重比较不同层级公立医院的效率差异?利用Tobit回归分析技术效率的影响因素?结果:一级?二级公立医院DEA效率偏低且地区分布不均衡,三级公立医院运营效率相对较高?结论:应合理调整医院的资源配置?优化规模,从而提高各级公立医院运营效率?