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find Keyword "医疗保健" 5 results
  • A Pilot Study on Evidence-Based Pograms for Pregnant Women after Calamity

    Objective To provide evidence for establ ishing a health care system for pregnant women after disasters by evidence-based evaluation on the comparison of programs in different countries of the world. Methods We electronically searched The Cochrane Library (Issue 2, 2008), MEDLINE (1966 to June 2008), EMbase (1984 to June 2008), VIP ( 1989 to June 2008), CBM ( 1978 to June 2008), Wangfang database (1997 to June 2008), CNKI (1994 to June 2008) and handsearched Journals such as Chinese Journal of Obstetrics and Gynecology to identify l iteratures and guidel ines on pregnant women healthy care system after calamity. The qual ity of l iteratures and guidel ines was assessed. Results A total of 293 studies were searched, of which 25 studies were identified with the focuses on the consequence of pregnancy, development of fetus and first-aid of injuries of pregnant women. We found the studies on pregnant women’s health care were l imited, and most of them were retrospective and cohort studies, which was related to the paroxysmal ity, rarity and complexity of the disaster.? Conclusions The high proportion of pregnant women among displaced persons underscores the importance of examining how behavioral changes and difficulties in access to health care influencing the maternal and infant health, which needs comprehensive planning and arrangement.

    Release date:2016-09-07 02:13 Export PDF Favorites Scan
  • Strengthen Confidence of Rural People in New Cooperative Medical System

    目前,新型农村合作医疗正在我国300多个县(市)开展试点工作.然而,在农村总体经济实力不强又面临市场经济冲击的大形势下,建立新型农村合作医疗制度将是一项十分艰难、复杂的工程.本文讨论了新型农村合作医疗制度产生的历史背景及如何增强农民对新型农村合作医疗制度的信心问题.

    Release date:2016-09-07 02:28 Export PDF Favorites Scan
  • Surveys on Medical Documents Filling Status and Its Influence on Patient Satisfaction

    目的 调查医疗文书填写现状并探讨其对患者满意度之间的影响。 方法 2012年10月-12月以呼吸内科住院的患者为调查对象,调查其医疗文书完成情况,统计医疗文书缺项数目。同时参考国内外患者满意度研究,自制满意度调查表,调查患者对医务人员满意度;分析医疗文书缺项数目对患者满意度的影响。 结果 研究共纳入151例患者,共有126份医疗文书存在不同程度填写缺陷,占83.44%,平均缺项(11.58 ± 11.63)条。总体患者就医满意度为6.85分,与医疗文书缺项数目呈现负相关性(R=?0.602,P=0.001)。患者性别、年龄、文化程度、付费方式和住院天数与患者满意度无相关性。 结论 医疗文书缺项数目较多、完成质量不高。需要加强医务人员对于医疗文书完成质量的重视程度。

    Release date:2016-09-07 02:37 Export PDF Favorites Scan
  • An excerpt of AHRQ guideline for surgical complication prevention (2017)

    Release date:2019-06-25 09:56 Export PDF Favorites Scan
  • 医疗人员对心因性非痫性发作的观点研究:基于定性与定量研究的系统回顾

    近期一篇关于心因性非痫性发作(Psychogenic nonepileptic seizures,PNES)的系统分析表明,该类患者总是会有不愉快的就医经历,因此详细了解其中相互关系至关重要。文章旨在探究医疗人员对 PNES 的态度与看法。系统性检索截至到 2017 年 11 月前发表在 3 个主要数据库的文章(Web of Science、PubMed、CINAHL),并回顾 1997 年以后发表的定性或定量的方法学研究。基于扎根理论来解释数据,使用 Mixed Methods Appraisal Tool 进行质量评价。总共 30 篇独立文章,其中包含了至少 3 900 名专业人员的观点。在分析中出现了 5 个解释性概念:① 不确定性,医疗人员表示他们对 PNES 的许多方面都感到不确定,包括诊断和治疗;② 理解,医疗人员对 PNES 的理解是基于二元论,他们认为 PNES 与心理精神因素的关系极大;③ 挫折感与挑战性,对 PNES 患者的诊断治疗被认为是有挑战性的,并令人感到沮丧的;④ 责任,医疗人员对于“谁应该为 PNES 患者的治疗负责”是有争论的;⑤ 预后与残疾,与癫痫相比,医疗人员普遍认为 PNES 症状相对较轻,致残率也没有癫痫高,并且与自身的自制力有关。尽管有一些医师对 PNES 有较深刻的理解,但是仍有一部分医师的观点需要更新和提高。有一部分研究在调查中是直接询问医师“对 PNES 疾病的观点”,这样的研究存在局限性。此外,有一些学科专业的医师并没有被研究调查(如精神健康专业医师)。研究还表明,对医师们进行 PNES 额外教学训练是有必要的,但同时也需要改变医师们对 PNES 的态度。

    Release date:2019-05-21 08:51 Export PDF Favorites Scan
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