Gastroenterology training in private hospitals:India vs South Africa

In South Africa,nurses and doctors are emigrating in significant numbers. Job satisfaction,safety and ensuring career progression are important in retaining doctors to make a career in Republic of South Africa (RSA). Due to budgetary constraints many hospitals have not been upgraded. Coming home after overseas training seems difficult. In RSA it takes a minimum of 13 years for a young specialist to become registered and 15 years for subspecialists. Career progression,creating more specialist trainees in public and private hospitals and shortening the period of professional training are potential solutions to the problem. India,which has a population of more than 1 billion people,is struggling with similar problems. For the past 10-15 years,private hospitals have assisted in manpower development for medical specialist and subspecialist careers. Currently their private sector trains 60% of their recognised (sub)specialities fellows. A national task force for specialist training in RSA should be instituted. It should discuss,based on the current status and projected specialist and subspecialist personnel requirements,thefuture structure and logistics of training needs. This is required in all subspecialities including gastroenterology,as has been done in India. It is hoped that as a consequence well-trained doctors,similar to those in India,might move to provincial hospitals in rural areas,upgrading the medical services and keeping medical power in South Africa. South Africa should become a model for Sub-Saharan Africa,as India already is for South-East Asia.

德国医院数量变化分析及对我国的启示

目的描述德国医院数量和构成变化,并进行原因探析,为我国提供启示。方法对近年来德国和我国医院数量和构成变化以及床位数据进行描述性分析,并截取2017年每千人口床位数、平均住院日和病床使用率数据进行对比分析。结果德国医院数量下降,医院体系呈现出私有化和整合趋势;我国医院数量上升,公立医院数量减少,医院规模扩大。结论医院性质、财政投入和医保支付方式改革共同推动德国医院数量和构成变化。我国医院和床位数基本满足人群的健康需要,但仍有提升空间;医改政策相继落地,医疗服务提供者面临机会与挑战;医院管理者应采取多种措施提高自身竞争力。

The Pericarditis in CHU of Point G and Luxembourg: Clinical Aspects and Etiologies

The authors bring back 70 cases of pericarditis brought together between 2012 and 2017 in the service of surgery B of the CHU Point G and to the Hospital Mother-Child, the Luxembourg in Mali. The average age of the patients is 31.5 years with extremes of 2 years and 84 years. The tubercular etiology widely comes to mind with 49 cases. The diagnostic contributions of the echocardiography are analyzed. The accent is put on good tolerance hemodynamic of the tubercular pericarditis. The forecast depends essentially on the etiology and on the diagnostic delay;indeed the tamponade pericardium can be inaugural or complicated;the evolution of the pericarditis is burdened of a heavy mortality (4.2% in our series). On the other hand the passage in the chronicity complicates essentially pericarditis seen late (8.6% in our series).

A Level Field for Private and Public Hospitals

China will encourage more private and foreign investment in hospitals and clinics The State Council on December 3 announced new policies to encourage private and foreign capital in China’s medical sector to meet the

北京和睦家医院及其耳鼻咽喉科

在开放伊始的中国各行各业中，医疗曾经是最为神圣、技术力量和服务水平最好的行业之一。30多年来医疗行业的同仁们为国家的发展做出了巨大牺牲，但因为严重投入不足、管理落后、行政垄断等因素，目前的医疗整体服务水平远不能满足患者的需要，医患纠纷明显增多。创办于1997年小规模的和睦家医院，在短短的十几年里，通过严格和相对透明的管理，充分利用中国经济发展的机会，得到了快速发展。

北京爱尔英智眼科医院开展高端医疗的管理实践

社会经济的日益发展，使得北京地区消费情况达到了新的社会发展阶段，医疗服务作为消费的一个重要环节，将会随着甚至超过一般消费升级现状，出现一个大幅提升。这个大幅提升，就是高端医疗存在的土壤。从北京医疗资源及行业现状上看，高端医疗资源不是没有而是不足，且社会倾斜不足，在北京众多的三甲医院中，很多设有特需门诊、干部病房、外宾门诊等，但是干部门诊主要面向党政军干部，一般患者无法进入；特需门诊虽然挂号费用昂贵，但资源严重不足；外宾门诊主要面向外籍高端人事，普通患者更是难以进入。

非公立医疗机构在医疗体制改革中的实践与展望

近年来，蓬勃发展的非公医疗机构已逐步成为我国医疗卫生体系的重要组成部分，管理体制和运行机制的创新探索为医疗卫生体制改革提供了新的思路，在一定程度上非公医疗机构给整个医疗卫生体制带来了竞争力和新活力。

实现自我价值 造福大众健康

1999年夏天第一批中美人带着中原的华夏文明来到燕郊，在一片荒芜的土地上开启了一个新的梦想；弹指一挥，我已成为在这片热土上战斗了8年的中美人，从稚嫩到成熟，从曾经的懵懂到现在的自信，从刚刚走出大门的青涩女生到一个孩子的母亲，和众多中美人内心的感受一样，在这里，我们哭过、笑过，但我始终坚信，中美是我们的骄傲，我们的港湾，我们的家!