In Memoriam: Emeritus Professor Henry Oliver Lancaster, AO FAA 1 February 1913 – 2 December 2001

The death, in Sydney, of Oliver Lancaster marks the end of an era in the histories of the Statistical Society of Australia, which (in its previous existence as the Statistical Society of New South Wales) he helped found in 1947, and of the Australian Journal of Statistics of which he was founding editor (1959–1971). Oliver Lancaster was Foundation Professor of Mathematical Statistics at the University of Sydney (1959–1978), where he spent his life as student and academic. During his academic career, he achieved scholarly distinction in at least four fields: mathematical statistics, medical and public health statistics, the history of medicine and of statistics, and statistical bibliography. With E.J.G. Pitman (1897–1993), M.H. Belz (1897–1975), E.A. Cornish (1909–1973) and P.A.P. Moran (1917–1988) he was part of a cohort of renowned Australian mathematical statisticians who laid the foundation of the glory days of Australian mathematical statistics. This obituary and tribute focuses on some of these aspects, within a broader historical picture.     

HL7标准在医疗仪器通讯中的应用

介绍通过编程实现以HL7标准的检验数据在检验仪器与临床检验信息系统(clinical labora-tory information system,CLIS)之间的数据格式转换,从而解决各种检验仪器的接口软件重用性问题,并保证数据交换的准确性.国内外检验仪器的生产厂家应尽快应用HL7标准,规范仪器通讯接口的数据通讯.     

论创新人才的培养

当今时代是知识不断创新的时代,创新人才培养是时代的要求。以培养创新人才为根本任务的高等学校,必须在教育思想上和教育实践上实现四个转变,积极探索适应以培养创新人才为目标、以综合素质为特征、以能力为中心的人才培养模式,确立和实践适应新时代要求的创新型人才的培养机制,以赢得未来教育的主动权。     

新型农村合作医疗的经济学思考——山东省茌平县个案

随着市场经济的不断深化发展,目前农业和农村经济面临许多新情况、新问题。据统计茌平县70％以上的贫困人口是因病致贫或因病返贫。农民群众医疗保健得不到有效保障,已成为直接制约农村经济发展、农民生活水平提高的重要因素。前不久召开的山东省新型农村合作医疗试点工作会议上,确定茌平县为全省建立新型农村合作医疗制度试点县。由于刚刚兴起,对于其经济学以及管理学思考是由切实必要的。通过下文的一系列论述,提出了一些对于合作医疗的实施切实可行的意见以及建议。     

基于二阶段随机规划的城市医疗废弃物回收网络设计

城市医疗废弃物日益增加,且回收需求量受诸多因素的影响,难以准确预测,假定回收需求为确定值的医疗废弃物网络优化设计不能与实际需求相匹配。本文考虑了离散随机参数环境下,医疗回收网络设计中选址规划、分配计划及运输规划的协同优化问题,建立了以选址成本、运输成本最小为目标,设施与车辆能力限制为约束的二阶段随机规划模型。根据模型特点,设计了基于Benders decomposition的求解算法,同时,设计了一系列加速技术用于提高算法的求解效率。最后,以国内某城市医疗回收网络为背景设计算例,检验本文模型和求解策略的可行性和有效性。结果表明：相比确定性规划,随机规划的解能够节约总成本,结合一系列加速技术的Benders decomposition方法比CPLEX与纯的Benders decomposition更有优势。     

基于医疗质量的公立医院绩效体系构建研究

目的：运用德尔菲法构建一套科学、可操作的公立医院绩效评价体系。方法：采用文献法研究国内外绩效评价理论,结合问卷结果形成初始量表。通过德尔菲法对指标进行两轮筛选及优化。结果：初步形成由“社会效益”、“质量安全”、“运行效益与效率”为基本结构的指标体系,包括3个一级指标、13个二级指标和72个三级指标。结论：该指标体系重点关注医院公益性及内涵质量,对公立医院绩效评价具有一定参考意义。     

江苏省综合性医院临床医生对新医改认知研究

为了解江苏省综合性医院临床医生对新医改现状的看法,评价新医改在江苏省内的实施进展和效果,该研究选取了新医改部分重点问题,采用自设计问卷,调查江苏省内7家三级综合性医院和7家二级综合性医院临床医生,运用描述性分析和卡方检验辅助分析研究结果。发现66.5%的医生更希望政府医改经费投入能侧重于医务人员劳动收入;对家庭医生签约服务的认知度及成效评价低于分级诊疗及医联体建设;认为医患关系和看病难、看病贵问题略有改善的医生分别占20.3%、24.9%、27.9%。需正确认识医务人员认知差异及原因;重视医务人员权益、优化薪酬管理制度;加强家庭医生签约服务的宣传和推广;丰富医联体间活动形式;建立及时有效的临床医生反馈机制。     

立案登记制改革:理论基础、运行困境与路径优化

2015年5月1日起中国正式实施立案登记制,将案件受理制度由审查制改为登记制,这符合当事人诉权保障的趋势和需求.立案登记制具备诉权保障的功能,可以多维度地践行诉权保障理念,但同时也带来了实践中的滥诉和法院案件数剧增等现实挑战.司法权的属性决定了司法的有限性,其不能解决所有社会纠纷.当立案登记制给审判实践带来的挑战遭遇司法有限性时,势必出现一定程度的冲突.为了平衡这种冲突,需从以下方面进一步优化立案登记制的改革路径:明确立案过程中登记与审查的关系;制定和实施受案范围的负面清单;健全减少需求供给的配套措施;推进立案环节案件的甄别分流;构建滥诉的惩治与防范机制;减少非司法负担对法官职业化的影响.     

中国建设“世界制造业强国”背景下的制造业技能人才研究

处于后工业化经济时代的当代世界,技能人才对推动国家经济的发展具有举足轻重的作用,因此,确保“质优量足”的技能人才成为制造业强国广泛关注的一个焦点,这加速造成了全球技能人才的激烈争夺,进而引发世界范围内大面积的“技能荒”现象.由此,文章在中国建设“世界制造业强国”的背景下,基于对制造业中心国家——英国、美国和日本制造业技能人才短缺现状和成因探讨的基础上,深入分析三国政府和企业采取的措施以及效果,以期为中国有效应对技能人才短缺提供参考.     

Early Pregnancy Assessment Services in Australia: What psychosocial support is available? A qualitative study

ProblemWomen commonly experience emotional distress following miscarriage but do not receive the support they need from healthcare providers.BackgroundMiscarriage can result in psychological morbidity; however, appropriate support at the time of a miscarriage can lead to better psychological outcomes. Early Pregnancy Assessment Services (EPASs) are dedicated outpatient services considered the “gold standard” for miscarriage care. Little is known about the psychosocial support EPASs provide in Australia.AimsThe aim of this study was to explore the provision of psychosocial support in Australian EPASs.MethodsSemi-structured interviews were conducted with 29 purposively sampled key-informants from 13 EPASs. Interviews were audio-recorded, transcribed, and thematically analysed.FindingsConsiderable variation was found in how EPASs functioned and their provision of psychosocial support. Many services were co-located with antenatal services, run by doctors with limited experience and most did not offer any psychosocial training to staff specific to EPAS. Referrals for additional support were generally not offered for first trimester miscarriages, and follow-up typically focused on physical management rather than emotional wellbeing. All EPAS staff demonstrated a strong commitment to providing best possible care to women within their own clinical setting and acknowledged the need for improved psychosocial support.ConclusionThis study provides the first exploration of Australian EPASs’ provision of psychosocial support. It has shown that while health care professionals working in EPASs are dedicated to providing the best possible care to women within their clinical setting, psychosocial support is very limited and could be improved.