县级综合性医院项目环评中的重点问题

叙述了对县级综合性医院项目进行环境影响评价时,需要重点分析的问题包括项目选址、大气、废水、医疗废物及外环境等,提出,对县级综合性医院项目环评的保证措施。     

谈精神疾病专科医院设计能一些心得

叙述了精神疾病专科医院设计的一些心得,希望能为同类建筑设计提供有价值的参考。     

大型综合医院的分院建设模式研究

在现场调研的基础上,对我国大型综合医院分院的功能、规模、布局等方面进行了考察与分析,概括了分院建设的主要模式;并通过与国外医疗设施的比较提出了分院的未来发展方向.     

Estimating the efficiency of Portuguese hospitals using an appropriate production technology

This paper investigates the production technology of Portuguese hospitals using various statistical tests and highlights the importance of technology assessment before efficiency estimates are done. Two different models were considered, one based on monetary units and another on quantities for a 4‐year period (2005–2008). An analysis involving all observations (all years) simultaneously led to the conclusion that the technologies of the Portuguese hospitals are globally nonincreasing returns to scale for a confidence interval of 95%. Based on this technology, we found significant inefficiency levels in the Portuguese hospitals. We also concluded that most groups of hospitals had improvements in the studied period and, on average, both models prove that single hospitals and those located in the North were the most efficient. An analysis of returns to scale seems to indicate that hospitals should reach an optimal scale by reducing their cost levels and increasing their assets.     

Three books on patient compliance.

Reviews the books, New directions in patient compliance edited by S. Cohen (1979); Compliance in health care edited by R. Haynes, D. Taylor, and D. Sackett (1979); and Communication and compliance in a hospital setting edited by D. Withersty, J. Stevenson, and R. Waldman (1980). In the recent spate of writings about issues of patient compliance, three 1979-80 publications (Cohen, 1979; Haynes, Taylor, & Sackett, 1979; Withersty, Stevenson, & Waldman, 1980) warrant comparison with respect to scope, purposes, and usefulness. All three are edited works, the products of conferences with invited participants. To some degree, all three works sought to review, and add to, the literature on compliance. All three books contain a mix of articles--reviews of literature, commentary and conceptualization, practical applications, and reports of research. Although all three books have merits and demerits, Haynes must stand as the most valuable and comprehensive reference work in the area of patient compliance. However, the reviewer suggests that interested readers pick through all three for the substance and brush the dross aside. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Investigating the effect of online and offline reputation on the provision of online counseling services: A case study of the Internet hospitals in China

The sustainable development of Internet hospitals and e-health platforms relies on the participation of patients and physicians, especially on the provision of health counseling services by physicians. The objective of our study is to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online and offline reputation. We collect the data of 141029 physicians from 6173 offline hospitals located in 350 cities in China. Based on the reputation theory and previous studies, we incorporate patients’ feedback as physicians’ online reputation and incorporate physicians’ offline professional status as physicians’ offline reputation. Results show that physicians’ online reputation significantly and positively influence their online counseling behaviors, whereas physicians’ offline reputation significantly and negatively influence their online counseling behaviors. We conclude that physician’s online and offline reputations show a competitive and substitute relationship rather than a complementary relationship in influencing physicians to provide online counseling services in Internet hospitals. One possible explanation for the substitute relationship could be the constraints of limited time and effort of physicians.     

以数据仓库系统提高医院财务管理水平

该文分析我国医院信息化管理与决策的现状和存在的问题,提出建立数据仓库是提高医院管理决策水平的有效途径,并着重从6个方面介绍了数据仓库系统在医疗领域的应用。     

Temporal Coordination –On Time and Coordination of CollaborativeActivities at a Surgical Department

An activity is inseparably bound up with time, and interdependentcooperative activities thus need to be coordinated in time. The nature oftime is therefore an ever-present issue in the design of computer systemssupporting coordination. Based on Activity Theory this paper defines theconcept of Temporal Coordination. Then, based on in-depth studies of thesocio-temporal aspects of coordinating cooperative work at hospitals, thepaper explores this notion of temporal coordination. This analysis identifiessome of the highly intertwined temporal problems, constraints, interests,and conflicts, which arise when work subject to temporal limits is to becoordinated. The paper then introduces the PATIENT SCHEDULER, which isa prototype designed during this project to illustrate how aspects oftemporal coordination can be supported by computer technology.     

Hospital Health Care Delivery.

This article provides an overview of the articles that compose the Public Forum section of the American Psychologist. These articles explore the roles of psychologists (past, present, and future) in hospitals and the range of services that are or might be provided by the profession. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists in State Mental Hospital Systems Resurveyed.

Five years ago the authors reported findings of a survey of certain basic features of classifications of psychologists within state mental hospital systems (Amer. Psychologist, 19S8, 13, 471-476). In an effort to make information more available regarding the contemporary status and changes within these systems, another survey was initiated in the late fall of 1962, utilizing procedures of the earlier investigation. Under the egis of the Virginia Psychological Association, letters were forwarded to the mental hospital authority of each state along with a 3-page questionnaire covering activities, qualifications, and salaries associated with established classes of psychologists. When the two surveys are compared, perhaps the most noteworthy finding is the greater refinement and differentiation in levels of psychologists. In the earlier study, psychologists' classifications were differentiated, on the average, into four levels; the median now falls at five. Positions corresponding to pre- and postdoctoral traineeships are more numerous. Five states now include individual positions using a research title or have established a supplementary system of classification primarily devoted to research activity. The salient need for comprehensive information, the diversity of state systems involved, and the difficulty of integrating relatively disparate surveys indicate that serious consideration should be given to a centralized approach to provide a nexus for stabilizing the kinds of data gathered and for their uniform public presentation. It is strongly recommended that a solution to this problem of furnishing valid information for consultation and other purposes be brought about through a systematic programing of surveys involving reciprocal action, mutual responsibility, and a coordination of efforts by the national and state psychological associations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)