目的构建适用于三级公立医院的绩效评价体系,为医院开展绩效考核与管理工作提供决策参考。方法应用文献法、个人访谈法和头脑风暴法构建评价模型和初始指标库,运用德尔菲法和层次分析法确定指标及其权重。结果运用医院质量改进的绩效评...目的构建适用于三级公立医院的绩效评价体系,为医院开展绩效考核与管理工作提供决策参考。方法应用文献法、个人访谈法和头脑风暴法构建评价模型和初始指标库,运用德尔菲法和层次分析法确定指标及其权重。结果运用医院质量改进的绩效评价工具(The Performance Assessment Tool for Quality Improvement in Hospitals,PATH)理念构建了以病人为中心、以员工为导向、医疗效果与效率、运营管理、社会责任、卓越提升6个核心维度的三级公立医院绩效评价指标体系。结论指标体系的可信程度、权威性较高,具有较好的适用性。展开更多
Climate change has altered locally singletype disasters to large-scale compound disasters because of increasing intensity and frequency of extreme rainfall events.The compound disasters can combine small-scale floods,...Climate change has altered locally singletype disasters to large-scale compound disasters because of increasing intensity and frequency of extreme rainfall events.The compound disasters can combine small-scale floods,debris flows,shallow landslides,deep-seated landslides,and landslide lakes into a large-scale single disaster event.Although simulation models and evaluation tools are available for single-type disasters,no single model is well developed for compound disasters due to the difficulty of handling the interrelationship between two successive single-type disasters.This study proposes a structure for linking available single-type simulation models to evaluate compound disasters and provides a useful tool of decision making for warning and planning of disaster reduction.展开更多
文摘目的构建适用于三级公立医院的绩效评价体系,为医院开展绩效考核与管理工作提供决策参考。方法应用文献法、个人访谈法和头脑风暴法构建评价模型和初始指标库,运用德尔菲法和层次分析法确定指标及其权重。结果运用医院质量改进的绩效评价工具(The Performance Assessment Tool for Quality Improvement in Hospitals,PATH)理念构建了以病人为中心、以员工为导向、医疗效果与效率、运营管理、社会责任、卓越提升6个核心维度的三级公立医院绩效评价指标体系。结论指标体系的可信程度、权威性较高,具有较好的适用性。
文摘针对水文模拟中参数优化问题,提出一整套合理的并行参数优化算法。改进优化算法中的相关算子,提高算法的搜索效率;结合遗传算法、模拟退火算法、粒子群算法和差分进化算法4种算法,进一步提高算法的搜索效率;使用基于MPI(message passing interface)通信子空间的双层主-从并行框架完成实现,减少算法的运行时间。通过调用SWAT(soil and water assessment tool)、HIMS(hydro informatic modeling system)两大模型的参数优化过程进行实验,实验结果表明,该方法能够有效提高Nash-Suttcliffe系数和运行速度,提升了水文模拟中参数优化过程的效率。
基金supported by National Science Council,Taiwan,China.The project name is Numerical Approach to Estimate the Stability and Deformation Response of Landslide Dams(NSC99-2625-M-006-004)and Modeling of The Compound Disaster in Hsiaolin Village(NSC99-2218-E-006-238)
文摘Climate change has altered locally singletype disasters to large-scale compound disasters because of increasing intensity and frequency of extreme rainfall events.The compound disasters can combine small-scale floods,debris flows,shallow landslides,deep-seated landslides,and landslide lakes into a large-scale single disaster event.Although simulation models and evaluation tools are available for single-type disasters,no single model is well developed for compound disasters due to the difficulty of handling the interrelationship between two successive single-type disasters.This study proposes a structure for linking available single-type simulation models to evaluate compound disasters and provides a useful tool of decision making for warning and planning of disaster reduction.
