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辽宁省基层医疗机构国产医疗器械配置现状及障碍因素的现象学研究 被引量:18
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作者 都勇 王大遒 +1 位作者 冯莉 王爱平 《中国医学装备》 2019年第6期93-98,共6页
目的:分析辽宁省基层医疗机构医疗器械配置情况和国产医疗器械配置的障碍因素,为国产创新诊疗器械配置政策的制定提供科学依据。方法:采用质性研究中现象学的研究方法,对辽宁省9个地区的卫生和计划生育局及二级医疗机构从事医疗器械管理... 目的:分析辽宁省基层医疗机构医疗器械配置情况和国产医疗器械配置的障碍因素,为国产创新诊疗器械配置政策的制定提供科学依据。方法:采用质性研究中现象学的研究方法,对辽宁省9个地区的卫生和计划生育局及二级医疗机构从事医疗器械管理的27人进行半结构化访谈。结果:国产器械在基层医疗机构配置呈两极分化,即大型设备被进口品牌占据,小型设备被国产品牌占据。小型国产器械在基层医疗机构配置障碍较小,而大型国产医疗器械在基层医疗机构配置障碍较大,主要是国产医疗器械质量参差不齐、政府审批程序复杂、医疗机构与设备生产企业缺乏有效沟通,以及设备采购部门与国产器械厂商存在信息不对称的情况。结论:应从国产医疗器械企业提高产品性能、政府部门精简审批程序以及医疗机构加强与企业有效沟通三方共同作用,解决国产医疗器械在基层医疗机构配置的障碍问题,推动国产医疗器械在基层医疗机构的配置。 展开更多
关键词 国产医疗器械 配置模式 基层医疗机构 配置障碍
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Methane–air explosion characteristics with different obstacle configurations 被引量:17
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作者 Wen Xiaoping Yu Minggao +2 位作者 Ji Wentao Yue Meng Chen Junjie 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2015年第2期213-218,共6页
To investigate the flame and overpressure characteristics of methane–air explosion with different obstacle configurations,an experimental study has been conducted,taking account of the number of obstacles,obstacle di... To investigate the flame and overpressure characteristics of methane–air explosion with different obstacle configurations,an experimental study has been conducted,taking account of the number of obstacles,obstacle distance from ignition source,and stream-wise and cross-wise obstacle positions.The results show that the flame speed and peak overpressure increase with the increasing number of obstacles,while the time to reach the peak is not fully determined by it.And the configuration having the farthest obstacle produces a higher overpressure and takes a longer time to reach the peak,but a slower flame propagation speed is obtained.Similar explosion characteristics are also observed in the configurations with two obstacles fixed at different stream-wise positions.Furthermore,the experimental results demonstrate that the peak overpressures and flame speeds in configurations with central or staggered obstacles are relatively higher,which should to be avoided in practical processes to minimize the risk associated with methane–air explosion. 展开更多
关键词 Methane-air explosion Obstacle configurations Flame propagation Overpressure
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