To attend the Patient Safety Summit of UK Presidency of the EU 2005, learn and share ideas with each other, participate in discussing and developing the vision and mission as well as goals for patients for patient safety program, seek the common interest for further cooperation so as to help promote the activities on patient safety in healthcare in China.
目的 评估国际抗癫痫联盟(ILAE)耐药癫痫定义专家共识在发展中国家、发展中地区应用的可行性及应用中存在的问题。 方法 2010年12月9日-2011年2月18日,连续登记癫痫专科门诊患者409例。共纳入183例患者,根据ILAE耐药癫痫新定义对每位纳入患者癫痫分类进行评估。 结果 耐药癫痫患者18例(8.7%),临床治愈患者29例(14.1%),不能判断为159例(77.2%)。入组患者共涉及癫痫药物治疗方案321项。根据ILAE定义步骤一分类为不确定的治疗方案共有199项(62.00%),其中数量最多的为服药剂量<50% WHO限定日剂量有157例(78.89%)。 结论 由于治疗剂量未能够达到国际统一标准,大量患者分类不明确,使得该共识应用面临巨大挑战,但目前为止该共识对于发展中地区耐药癫痫治疗有很强的指导促进意义,对未来耐药癫痫的早期识别有非常大的应用潜力。
战略联盟理论被众多的医院重视和认同,越来越多的医院通过“网络+联盟”的方式组建战略联盟;尽管企业战略联盟的理论和实践已取得了深入的发展,但医疗行业战略联盟的理论还很不完善,尤其是缺乏对医院战略联盟绩效评价方面系统和深入的研究。本文从联盟外部环境因素、成员自身特性、成员关系特征以及信息传递方式等方面对医院战略联盟绩效的影响因素进行了分析,建立了一个较为完整的理论评价模型,并在此基础上提出了相关建议。
In the context of actively coping with aging, China has introduced a series of health care integration policies. Using the advocacy coalition framework theory, this paper aims to analyze the process of health care integration policy changes in China from three dimensions: policy beliefs, external events and policy learning. The policy subsystem of health care integration in China includes two coalitions: top-down cascade promotion and bottom-up absorption and radiation. External events and policy learning triggered policy change, where policy learning included endogenous learning within the coalition and exogenous learning between the coalitions. A policy impasse occurs when the two advocacy coalitions are at odds, and policy brokers and professional forums can get rid of the policy impasse. In the process of policy change in China’s health care integration, the two major advocacy coalitions have reached a certain consensus. It is recommended to alleviate the problems in the integration of health care by strengthening the external factors in the change of health care policy, enhancing the policy learning in the change of health care policy, and making full use of the information resources in the change of health care policy, so as to promote the high-quality development of the integration of health care.