飞翔的天使——记肯尼亚的飞行医生服务队

在肯尼亚裂谷省一个边远偏僻的原野上，一位年轻姑娘和三位妇女正在帐篷内酣睡。一只鬣狗趁着茫茫夜色潜入帐篷，张开大口向姑娘的胳膊咬去，接着又将利齿转向姑娘的面部……等到鬣狗离去，姑娘早已躺在血泊之中。茫茫原野，即使最近的医院也离这里有数英里，而且没有便利...

有关现代化国家的标准之一说

最近,美国斯坦大学教授莫克尔斯提出,现代化国家的十条标准是:一、人均国民生产总值达3000美元以上(我国为300多美元);二、农业产值在国民生产总值中占12％—15％(我国占36％);三、第三产业在国民生产总值中占45％以上(我国占22％);四。

Quality indicators for the care of older adults with disabilities in longterm care facilities based on Maslow’s hierarchy of needs

Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.

Barriers to nurse-patient communication in primary healthcare centers in Bahrain:Patient perspective

Objectives:Effective and efficient communication is a core element in healthcare systems,especially between healthcare providers and patients.This study aimed to identify communication barriers be-tween nurses and patients in primary healthcare centers in Bahrain.Methods:This is a cross-sectional study conducted across primary healthcare centers in Bahrain.Four hundred and two patients were recruited using convenience sampling.A self-administered question-naire comprising 29 items on communication barriers was used.Results:A total of 402 patients consented to participate.The majority of participants reported the following statements had large effects on communication:“shortage in the number of nurses compared to the large number of patients”(254/401,63.3%),“lack of desire of nurse to communicate with patients”(246/402,61.2%),and“negative attitude of the nurse toward the patient”(238/401,59.4%).Further,“difference in language between nurses and patients,”“lack of self-confidence by nurses,”and“nurses overwhelmed by work”were ranked as top three statements with a significant influence on commu-nication between nurses and patients.Conclusions:Communication between healthcare providers and patients is pivotal for an optimal healthcare service.Based on the findings of this study and the literature,we recommend formal training of health care workers in improving communication skills and including this not only in medical cur-riculum but also in the form of continuing medical education(CMEs)1.

Data Envelopment Analysis on Evaluating the Efficiency of Public Hospitals in Tianjin,China

Public hospitals are the most important components of health systems and account for a large proportion of health resources in China. However, few researches on the efficiency assessment of public hospitals have been conducted in Tianjin, China. On the basis of the data of annual health service report in 2013 from the Ministry of Health, we measured the relative efficiency of the tertiary general public hospitals in Tianjin and estimated the magnitudes of output increase and/or input reduction by using data envelopment analysis to improve hospital efficiency. The main findings of this study indicate that more than half of the sample hospitals operate at a technical and scale efficiency, and the prevalent scale inefficiency is increasing returns to scale. Moreover, it is a prominent issue that health resource constraint and resource waste coexist. Health policy-makers and hospital administrators would need to address these problems by taking comprehensive measures such as optimizing the allocation of health resources, implementing hierarchical diagnosis and treatment, as well as innovating medical-service operating mechanism of public hospital to improve the people's wellbeing.

Efficient School Health Services and Sport Participation Among Nigerian Universities Undergraduates

Purpose： The purpose of the study was to ascertain the relationship between efficient medical services and Nigerian undergraduates＇ participation in sports. Methods and Materials： A randomly sampled population of 280 students and 12 managerial staff of sport and medical units participated in the descriptive study. Responses to a validated questionnaire provided the source of data. A test-retest reliability coefficient （r） = 0.80. Data were analyzed with simple percentages and Chi-square at 〈 0.05 alpha level. Results： All the respondents in medical centre and sport unit oriented the students on the available medical services and facilities on campus： availability of first aid services, treatment services for complicated injuries （inpatient）, referral services for specialized care, financial support during hospitalization. Complementary results from the students showed that the majority of the respondents （50%） strongly agreed that medical centre was available in the Campus, and 36% strongly affirmed to availability of first aid services. Thirty four percent of the respondents strongly agreed to the availability of treatment services, while 40% of the respondent agreed to the availability of free medical services. The study revealed that there was a significant relationship between efficient medical services and students＇ participation in sports. Conclusion： All medical services were available but students perceive the services as inefficient which implies poor or non utilization.

The Role of Clothing Patterns in the Costume of Doctors

The costume of doctors has said goodbye to the limitations of the historical times when it is simply regarded as working suit. Now, it has converted to a very significant part of a hospital＇ s image. In the minds of patients, the superficial image of doctors is the greatest focus of them, and the beautiful costume of doctors is a good embodiment to the inner beauty of doctors in work and can let them feel warm and comfortable, so it is of great significance for treating both body and mind of them. The decorative patterns on the costume of doctors are especially important, from which a clever, bright, and warm feeling can be generated from the bottom world of patients. Sequentially, the goal of reducing the tension of patients and accomplishing an excellent medical effect can be realized.

Gorgeous Transformation Analysis on Influence of Doctors＇ Clothes on Patients

Doctors＇ clothes have bidden farewell to the historical limitation of only being used as the working clothes, which have become an important part of hospital image. In the eyes of patients, the appearance image of doctors is the image which is most concerned by patients. Doctors＇ clothes beauty reflects the inner beauty of doctors in working, giving the patients the warmth and comfort, which is of great importance to both the physical and mental therapy.

The elderly problems and countermeasures of exploring rehabilitation medical services

with the rising proportion of our aging population, the prevalence of chronic diseases in the elderly has increased, but most of the elderly body aging, action inconvenience, self-care ability is poor, become the thorny problem for the treatment of chronic diseases.Medical rehabilitation is a effective way to improve the sick old man body health.But with an aging that meet the needs of the elderly health service system in the aspect of construction and rehabilitation medical resources configuration, there are still some problems to be solved. In this article, through analyzing problems existing in the old medical service recovery to further explore its countermeasures.

Mechanisms for the Application of Health Services Marketing Policies in Algeria

In this paper, we tried to give health services marketing mix and raise patients＇ interest in health services with the contribution to highlighting the possible application mechanisms of different marketing policies on health services in Algeria. Because we see that, health foundations in Algeria like other foundations live in an environment marked with constantly economic, social, politic, and cultural changes. And to respond to change requirements, especially with the appearance of health services market liberation signs, these foundations are obliged to adapt to ensure their existence and development by giving best services to meet the patients＇ needs in order to gain their satisfaction and loyalty. These ones, who became more conscious about the quality of services they are given quantitatively, qualitatively, and timely.

An epidemic of violence on medical personnel:are we prepared

The incidence of violence against doctors has been increasing, both in China and worldwide. Very often we hear doctors being molested, thrashed and abused by lay public for a trivial medical malpractice or even no fault of theirs. The once glittering halo of medical workers is being shredded thanks to the stressed health system and a lack of evaluation for risk of violence of the patients. Modem China sees a wide disparity between industry standards in rural and urban areas. People seeking health care service are often scared, can＇t get timely service and turn their anger towards those around them. To change a whole system in this giant nation is too hard a rock. Therefore, our focus is on the prompt awareness and preparation of a possible patient violence. The simplest approaches seem to be the most effective. Medical staffs should re-leam empathy on patients and be better trained on recognizing and reducing conflicts

宝宝想当小演员

表演游戏是让孩子通过模仿和想象,扮演童话或故事等文艺作品中的角色,再现文艺作品内容的游戏。这种游戏主要是运用语言、动作、表情进行表演。虽说它是按作品规定的内容进行游戏,但是它能充分激发孩子的主动性和创造性。孩子可以根据想象,自主增减改变故事的情节、角色、对话、动作等。 妈妈指导3岁孩子玩表演游戏。

现代化国家的标准

最近,美国斯坦福大学教授莫克尔斯提出,现代化国家的10条标准是: 一、人均国民生产总值达3000美元以上(我国为300美元); 二、农业产值在国民生产总值中占12—15％(我国占36％); 三。