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Telepresence Robots and Controlling Techniques in Healthcare System
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作者 Fawad Naseer Muhammad Nasir Khan +1 位作者 Zubair Nawaz Qasim Awais 《Computers, Materials & Continua》 SCIE EI 2023年第3期6623-6639,共17页
In this era of post-COVID-19,humans are psychologically restricted to interact less with other humans.According to the world health organization(WHO),there are many scenarios where human interactions cause severe mult... In this era of post-COVID-19,humans are psychologically restricted to interact less with other humans.According to the world health organization(WHO),there are many scenarios where human interactions cause severe multiplication of viruses from human to human and spread worldwide.Most healthcare systems shifted to isolation during the pandemic and a very restricted work environment.Investigations were done to overcome the remedy,and the researcher developed different techniques and recommended solutions.Telepresence robot was the solution achieved by all industries to continue their operations but with almost zero physical interaction with other humans.It played a vital role in this perspective to help humans to perform daily routine tasks.Healthcare workers can use telepresence robots to interact with patients who visit the healthcare center for initial diagnosis for better healthcare system performance without direct interaction.The presented paper aims to compare different telepresence robots and their different controlling techniques to perform the needful in the respective scenario of healthcare environments.This paper comprehensively analyzes and reviews the applications of presented techniques to control different telepresence robots.However,our feature-wise analysis also points to specific technical,appropriate,and ethical challenges that remain to be solved.The proposed investigation summarizes the need for further multifaceted research on the design and impact of a telepresence robot for healthcare centers,building on new perceptions during the COVID-19 pandemic. 展开更多
关键词 Telepresence robot controlling techniques healthcare center unmanned ground vehicle(UGV) TELEHEALTH
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The Impact of Lean Six Sigma Practices on Physiotherapy Services Quality at UNRWA Healthcare Centers, Gaza Strip, Palestine
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作者 Nabila Mohamed Abu Sharikh Majed Mohamed El Farra +1 位作者 Samer Abuzerr Khalil Madi 《Journal of Biosciences and Medicines》 2019年第12期79-94,共16页
Integrating Lean and Six Sigma found a powerful business tool for the strategy improvement process and saving time is produced. The main aim of this study is to identify the impact of Lean Six Sigma (LSS) practices on... Integrating Lean and Six Sigma found a powerful business tool for the strategy improvement process and saving time is produced. The main aim of this study is to identify the impact of Lean Six Sigma (LSS) practices on physiotherapy service quality at healthcare centers of the United Nations Relief and Works Agency for Palestine Refugees in the Near East (UNRWA), using a descriptive-analytical approach. Data were collected using a questionnaire distributed among 49 physiotherapists working at UNRWA healthcare centers as a census sampling method between July 2016 and August 2017, following the stratified random sampling method. The Statistical Package for Social Science (SPSS) was used to analyze the collected data. The results revealed that there was a statistically significant relationship between Lean Six Sigma (LSS) dimensions and the quality of healthcare services provided in physiotherapy units at the UNRWA healthcare centers. Moreover, the application of Lean Six Sigma dimensions was adopted at 81% of UNRWA healthcare centers. Moreover, the percentage of patients’ satisfaction regarding the quality of healthcare services provided in physiotherapy units was 89%. The study emphasized the effectiveness of Lean Six Sigma dimensions application on the quality healthcare services provided in physiotherapy units at the UNRWA healthcare centers. Furthermore, employee training and reward according to a needs assessment to implement Lean Six Sigma successfully is highly recommended. 展开更多
关键词 LEAN SIX SIGMA Quality Service UNRWA healthcare center PHYSIOTHERAPY
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Quality-Oriented Climate and Service Quality Among Healthcare Providers: Evidence From a Rehabilitation Center in Italy
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作者 Anna Romiti Daria Sarti +3 位作者 Chiara Lorini Leonardo Capecchi Martina Donzellini Guglielmo Bonaccorsi 《Chinese Business Review》 2016年第9期424-436,共13页
The importance of quality in service provision is widely recognized in health service research. However, a limited number of studies have investigated antecedents of quality in healthcare service provision. This artic... The importance of quality in service provision is widely recognized in health service research. However, a limited number of studies have investigated antecedents of quality in healthcare service provision. This article tries to shed further light on this under-researched field. Specifically, the aim of this study is to verify the relationship between the quality-oriented climate and service quality as perceived by employees. The study was conducted in a private non-profit Rehabilitation Centre in Italy using a questionnaire administered to all healthcare workers. The questions focused on perceptions of quality-oriented climate (priorization of quality care, social cooperation, and exchange), four different connotations of the quality in healthcare provision (provision of high quality service, adequacy of time spent with patients, freedom in clinical decisions, and continuing relationships with patients), as well as on respondents' background. Of the 248 healthcare workers, 183 completed the questionnaire. Hierarchical regression analysis was used to study the relationship between quality-oriented climate and outcome variables (quality in healthcare provision). The results suggest that a quality-oriented climate does explain service quality in Healthcare settings: When an organization has implemented a quality-oriented climate, the service care provided by healtheare workers can determine an increase for three of the four investigated aspects of quality service provision (quality of care, freedom to make clinical decisions to meet patients' needs, and continuing relationships with patients). The paper demonstrates that the offer of quality services involves in a different way the various healthcare professionals and/or management staff. This research provides interesting findings for healthcare manager in Health Service settings regarding the management of a quality-oriented process of service provision. 展开更多
关键词 service climate service quality healthcare providers rehabilitation center prioritization of care COOPERATION
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Veterans utilizing a federally qualified health center: a clinical snapshot
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作者 Thad E.Abrams Bruce Alexander +1 位作者 Antonio Flores M.Bryant Howren 《Military Medical Research》 SCIE CAS CSCD 2023年第1期134-136,共3页
Dear Editor,Te Veterans Health Administration(VHA)provides healthcare for over 9 million enrolled veterans with approximately 2.7 million of those residing in rural areas[1].Te MISSION Act of 2018 emphasizes VHA colla... Dear Editor,Te Veterans Health Administration(VHA)provides healthcare for over 9 million enrolled veterans with approximately 2.7 million of those residing in rural areas[1].Te MISSION Act of 2018 emphasizes VHA collaboration with Federally Qualifed Healthcare Centers(FQHC)to serve rural residing veterans and nearly all existing collaborations involve arrangement of payment for community-based care by VHA to FQHCs.Unfortunately,there is a paucity of descriptive clinical data on existing cross-system collaborations which may help characterize these veterans and aid understanding of conditions for which they may receive treatment across systems.Such data has implications for workforce training,development,and resource allocation[2].Te objective of this report is to describe diferent clinical profles between two mutually exclusive samples:veterans engaged in FQHC only use,and VHA-enrolled veterans engaged in dual VHA and FQHC use. 展开更多
关键词 VETERANS Federally qualified healthcare centers healthcare utilization Dual use Mental health
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“三医”联动走向健康治理的实现机制——基于三明医改的纵向案例研究 被引量:1
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作者 庄琦 翟绍果 +1 位作者 黄春柳 徐天舒 《经济与管理研究》 北大核心 2024年第3期94-108,共15页
回顾中国新医改历程,以福建省三明市“三医”联动改革最为典型。基于“要素-结构-功能”系统理论分析框架,本文分析三明医改的行动策略与治理过程,进而揭示“三医”联动走向健康治理的实现机制。研究结果表明,医疗卫生体制改革需要以人... 回顾中国新医改历程,以福建省三明市“三医”联动改革最为典型。基于“要素-结构-功能”系统理论分析框架,本文分析三明医改的行动策略与治理过程,进而揭示“三医”联动走向健康治理的实现机制。研究结果表明,医疗卫生体制改革需要以人民健康为中心的价值导向树立政府元治理主体权威,通过健康治理引导下的目标转型推动三医统合型联动,以“法治-数治-群治”协同的行动策略促进健康事业高质量发展。在此基础上,政府要切实承担并履行保护人民健康的责任,处理好“三医”联动的动态演进性和次序性,促成健康治理社会动员,构建健康治理合作网络。 展开更多
关键词 医疗卫生体制 新医改 三明医改 “三医”联动 健康治理 以人民健康为中心
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以价值医疗为导向的大型公立医院运营数据中心建设实践
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作者 张灵 陶涛 +4 位作者 张瑞霖 龙思哲 王毅 余俊蓉 张武军 《中国数字医学》 2024年第6期10-16,共7页
目的:基于价值医疗导向,对大型公立医院运营数据中心的建设进行探索,助力医院医疗服务模式创新,促进公立医院高质量发展。方法:在价值医疗内涵下从医疗质量、医保支付调控、业财融合、患者服务、后勤医工精益管理等方面构建多维度多层... 目的:基于价值医疗导向,对大型公立医院运营数据中心的建设进行探索,助力医院医疗服务模式创新,促进公立医院高质量发展。方法:在价值医疗内涵下从医疗质量、医保支付调控、业财融合、患者服务、后勤医工精益管理等方面构建多维度多层次多模态运营数据中心的建设模式。结果:实现以价值医疗为导向的运营数据中心建设,助力医院的运营管理体系构建。结论:价值医疗理念可为医院高质量医疗服务、运行成本控制、维持可持续发展提供有效的指导,基于此建设的运营数据中心能够为医院的精细化运营提供指标数据参考。 展开更多
关键词 价值医疗 运营数据中心 医保支付 医疗服务 高质量发展
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多中心治理视域下中医医共体建设实践及完善对策
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作者 赵明明 严峥 +3 位作者 钱爱兵 宋桂萍 季晓东 黄梦达 《中国医院》 北大核心 2024年第6期45-47,共3页
县域医共体是构建优质高效医疗卫生服务体系的突破口,具有解决医疗服务体系碎片化问题、提升县域医疗卫生资源整体效能等现实意义。国家支持中医医院牵头组建县域医共体,提升基层中医药服务可及性的能力。因此,本研究在梳理中医医共体... 县域医共体是构建优质高效医疗卫生服务体系的突破口,具有解决医疗服务体系碎片化问题、提升县域医疗卫生资源整体效能等现实意义。国家支持中医医院牵头组建县域医共体,提升基层中医药服务可及性的能力。因此,本研究在梳理中医医共体建设理论研究和政策实践基础上,根据多中心治理理论的核心思想,从治理主体、治理方式、治理规则、治理目标等层面分析江苏省江阴市中医医共体发展现状及存在的问题。在多中心治理理论视域下,提出完善中医医共体建设的政策建议:加强规范中医医共体建设多中心治理主体;持续完善中医医共体建设多中心治理体系;协同构建中医医共体建设多中心治理规则;共同追求中医医共体建设多中心治理目标。 展开更多
关键词 多中心治理 中医医共体 医共体建设 基层医疗
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整合型医疗卫生服务体系下社区健康服务机构次均门诊费用结构变动度研究
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作者 李元昊 刘刚 《卫生软科学》 2024年第3期78-81,共4页
[目的]了解社区健康服务机构次均门诊费用结构及变化趋势,为优化门诊费用结构及有效控制就医成本提供参考。[方法]以深圳市2018-2021年481家社区健康服务机构次均门诊费用为例,采用结构变动度分析方法进行分析。[结果]2018-2021年社区... [目的]了解社区健康服务机构次均门诊费用结构及变化趋势,为优化门诊费用结构及有效控制就医成本提供参考。[方法]以深圳市2018-2021年481家社区健康服务机构次均门诊费用为例,采用结构变动度分析方法进行分析。[结果]2018-2021年社区健康服务机构次均门诊费用结构变动度为30.41%;计免疫苗费、中成药费、西药费、化验费、诊察费5项费用累计结构变动贡献率为94.15%,计免疫苗费、中草药费比重逐年增高,西药费、中成药费、诊察费比重逐年降低。[结论]整合型医疗服务体系对社区健康服务机构次均门诊费用结构优化具有推动作用。建议通过强化社区健康服务机构服务能力建设、加强对辅助检查项目监管、增强计免疫苗宣传力度、提高体现医务人员劳务价值费用占比等措施进一步加强门诊费用结构优化。 展开更多
关键词 社区健康服务机构 次均门诊费用 结构变动度 整合型医疗卫生服务
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社会化消毒供应心胸外科手术器械管理实践
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作者 苏鑫桐 《继续医学教育》 2024年第1期171-174,共4页
目的分析社会化消毒供应中心消毒心胸外科手术器械中的问题,探究优质护理干预措施对改进相应问题的价值。方法对天津市胸科医院手术室实施社会化消毒供应改良前后的消毒器械包的报损率进行回顾性分析。将2016年9月至2019年9月未加培训... 目的分析社会化消毒供应中心消毒心胸外科手术器械中的问题,探究优质护理干预措施对改进相应问题的价值。方法对天津市胸科医院手术室实施社会化消毒供应改良前后的消毒器械包的报损率进行回顾性分析。将2016年9月至2019年9月未加培训的各项社会消毒供应中心资料作为对照组,将2019年9月至2022年9月经过培训及沟通后收集的各项消毒供应中心资料作为干预组。比较2组医疗器械洗涤合格率、包装合格率、消毒合格率、回收发放及时率,并调查相关临床科室对消毒灭菌工作服务的满意度。结果干预组的医疗器械洗涤合格率、包装合格率、消毒合格率、回收发放及时率均明显高于对照组,差异有统计学意义(P<0.05)。此外,器械中心工作人员进行专业培训后,手术室医护人员对器械消毒感到满意。结论通过医院与社会消毒中心之间的持续沟通以及加强对消毒中心工作人员的培训,可以有效提升社会消毒中心的工作效能,并进一步提高医护人员的满意度。 展开更多
关键词 社会化 消毒供应中心 心胸外科 手术器械 质量控制 医疗效率
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分级诊疗背景下上呼吸道感染儿童的就医行为及影响因素分析 被引量:3
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作者 张利峰 张凝凝 +6 位作者 秦秀群 杨翊 钟冬梅 刘劭菲 戴雨珅 王晓丹 王明飞 《中国全科医学》 CAS 北大核心 2023年第26期3269-3275,共7页
背景推进分级诊疗是解决儿科医疗资源不合理利用的关键,但目前尚缺乏儿童分级诊疗执行现状的相关研究。目的总结上呼吸道感染儿童的就医行为,包括就诊次数和就诊机构,并探讨基层(社区卫生服务中心)首诊的主要影响因素。方法采用便利抽样... 背景推进分级诊疗是解决儿科医疗资源不合理利用的关键,但目前尚缺乏儿童分级诊疗执行现状的相关研究。目的总结上呼吸道感染儿童的就医行为,包括就诊次数和就诊机构,并探讨基层(社区卫生服务中心)首诊的主要影响因素。方法采用便利抽样法,于2019年3—7月、2022年2—7月分别在广州市中山大学附属第三医院儿科门诊及同一行政区的天河区石牌街社区卫生服务中心就诊的儿童家长进行2次问卷调查。按照调查时间将研究对象分为2019年组(n=419)和2022年组(n=307)。本研究以安德森模型为理论指导,自行设计上呼吸道感染儿童的就医行为及影响因素的调查问卷。采用单因素及多因素Logistic回归分析探讨上呼吸道感染儿童基层首诊的影响因素。结果2019年组的419例儿童,第1次(首诊)、第2次、第3/4次就诊者分别为301例(71.84%)、87例(20.76%)、31例(7.40%),首诊、第2次、第3/4次选择社区卫生服务中心就诊比例分别为47.49%、27.12%、16.13%;2022年组的307例儿童,第1次、第2次、第3次就诊者分别为219例(71.34%)、72例(23.45%)、16例(5.21%),首诊、第2次、第3/4次选择社区卫生服务中心就诊比例分别为41.04%、39.77%、43.75%。多因素Logistic回归分析结果显示,最近的医疗机构不是社区卫生服务中心[OR=0.220,95%CI(0.147,1.056),P<0.001]、父母文化程度为高中及以下[OR=0.584,95%CI(0.365,0.936),P=0.025]、家长评估疾病严重程度较轻、一般[OR(95%CI)=0.399(0.207,0.768)、0.388(0.226,0.665),P=0.006、0.001]、儿童年龄3岁以下相比7~13岁[OR=0.537,95%CI(0.309,0.930),P=0.027]时选择社区卫生服务中心首诊的可能性较低;家长对分级诊疗认知比较了解[OR=2.139,95%CI(1.284,3.564),P=0.003]及家长对分级诊疗态度比较赞同[OR=2.841,95%CI(1.937,5.779),P=0.004]时选择社区卫生服务中心首诊的可能性更高。结论儿童上呼吸道感染的多次就诊现象较普遍,基层就诊比例较低。家长的文化程度、分级诊疗的认知及态度、评估疾病严重程度,儿童年龄及最近的医疗机构是上呼吸道感染儿童基层首诊的影响因素。加强儿童常见病和分级诊疗制度的宣传教育、提高社区卫生服务中心的可及性并完善其儿科诊疗条件是促进儿童常见病基层诊治的可能途径。 展开更多
关键词 上呼吸道感染 就医行为 分级诊疗 基层首诊 儿童 社区卫生中心 安德森模型 影响因素分析
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Challenges for Nurses in Providing Patient-Centered Care in Rural Primary Health Care Clinics in Nigeria
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作者 Adepeju Lateef Euphemia M. Mhlongo 《Open Journal of Nursing》 2021年第9期772-793,共22页
Globally, patient-centered care has become the focus of the healthcare system. It is imperative to note that during a global pandemic crisis, patient-centered care principles seek to empower partnering approaches in P... Globally, patient-centered care has become the focus of the healthcare system. It is imperative to note that during a global pandemic crisis, patient-centered care principles seek to empower partnering approaches in Primary Health Care (PHC), and have recently gained prominence in nursing practice and applied nursing research. However, nurses are faced with challenges in achieving the desired results in the PHC system. Thus, the study aimed to explore the factors that influence PCC utilization in the PHC facilities in Nigeria. A qualitative exploratory-descriptive design was used for this study. Data collection was conducted with the nurses from PHC facilities through individual interviews. Data saturation was achieved with 35 participants from 30 PHC facilities in Osun State, Nigeria, using a purposive sampling technique. All interviews were audio-recorded, later transcribed verbatim, and analyzed using the thematic analysis approach. NVivo 12 software was used for data management. The results from this study were categorized into two factors: Organizational factors and individual factors. Six themes that emerged from the study include inadequate management support, insufficient opportunities for further training, work overload and time constraints, health personnel readiness to use PCC, dearth enthusiasm for change, and poor nurses’ Accountability. The study shows that nurses encountered diverse challenges in providing patient-centered care. To improve the quality of healthcare delivery in the PHC facilities, there is a need to reinforce adequate management support, education, continued training, and the internal motivation of nurses to achieve transformative health outcomes in the community. 展开更多
关键词 Patient-centered Care CHALLENGES Nurses Primary Health Care healthcare Service
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Factors Influencing Patient-Centered Care in the Primary Health Care Settings: The Impact of the Pandemic Crisis and Nurses’ Experience
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作者 Adepeju Lateef Euphemia Mbali Mhlongo 《Open Journal of Nursing》 2022年第3期220-233,共14页
Patient-centered care has over the past decades, been recognized worldwide as an important component of the health system giving a wider dimension to high-quality healthcare and service delivery. The impact on healthc... Patient-centered care has over the past decades, been recognized worldwide as an important component of the health system giving a wider dimension to high-quality healthcare and service delivery. The impact on healthcare and services to the patient is the nurses’ ability to create a friendly rapport with the patients. Yet, the majority in the rural Primary Health Care facilities are still facing many challenges in demonstrating patient-centeredness services to the community. Thus, the objective of this study is to explore and describe the factors influencing patient-centered care provision and nurses’ experience in Primary Health Care facilities. An exploratory qualitative approach with purposive sampling was used to gather data. Individual interviews with 35 nurses were conducted using a semi-structure interview guide question in the Primary Health Care settings in Nigeria. Each of the interviews with the nurses lasted for 25 minutes to one hour. All interviews were audio-taped, and transcribed verbatim using Microsoft Word. The transcripts were read and re-read, coded using NVivo version 12 software to organize the relevant information and categorized them into themes and sub-themes. Thematic analysis guided this study. The findings revealed three themes and sub-themes. The impact of environmental factors with two subthemes—suitable working environment and coordinated care;resources—shortage of staff and inadequate resources as sub-themes, and lastly, cultural sensitivity and religious influence—communication. Poor implementation of PCC strategies in most of the PHC facilities could lead to poor patient care and a lack of job satisfaction among nurses. This study identified that nurses have both negative and positive experience in providing patient-centered care health services. Providing patient-centered care in the Primary Health Care setting promotes the goal of achieving universal health coverage in Nigeria if the government would prioritize nurses’ pay, employ more staff, provide a conducive working environment, and opportunities for further training programs for nurses to enable and empower them with the necessary knowledge and skills. This, in turn, will translate into a range of outcomes that are socially valued, such as health responsiveness, health coverage and fairness. 展开更多
关键词 healthcare Service NURSING Quality Care Improvement Work Environment Patient-centered Care And Primary Health Care
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哈尔滨社区卫生服务中心可达性与公平性分析
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作者 焦红 韩靖梁 《山西建筑》 2023年第2期41-44,48,共5页
以哈尔滨市道里区、南岗区、香坊区、平房区和道外区(统称江南五区)作为研究区域,依据生活圈、公平性的理论,采用可达性空间分析、人口需求及相关性分析等方法,研究江南五区89个街道的社区卫生服务中心的空间布局特征,以及在不同需求的... 以哈尔滨市道里区、南岗区、香坊区、平房区和道外区(统称江南五区)作为研究区域,依据生活圈、公平性的理论,采用可达性空间分析、人口需求及相关性分析等方法,研究江南五区89个街道的社区卫生服务中心的空间布局特征,以及在不同需求的街道分配的公平性。 展开更多
关键词 可达性 公平性 需求指数 社区卫生服务中心 生活圈
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基于无纸化策略的胎儿医学中心信息平台改造
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作者 莫远明 乔梦薇 +1 位作者 林思阳 黎鹏安 《现代计算机》 2023年第24期103-107,共5页
阐述基于无纸化策略胎儿医学中心信息平台改造的必要性,通过利用HIE数据平台、电子签名等技术,实现信息平台的无纸化改造,并介绍改造后信息平台主要业务流程、架构、功能以及应用情况。通过无纸化改造,信息平台实现了数据闭环与互联互通... 阐述基于无纸化策略胎儿医学中心信息平台改造的必要性,通过利用HIE数据平台、电子签名等技术,实现信息平台的无纸化改造,并介绍改造后信息平台主要业务流程、架构、功能以及应用情况。通过无纸化改造,信息平台实现了数据闭环与互联互通,解决了原来纸质化单据多、容易漏收错收费用等问题,提高了医护人员工作效率,节省了科室运营成本,提高了患者服务水平,助力智慧医疗的实现。 展开更多
关键词 胎儿医学中心 无纸化 HIE数据平台 电子签名 智慧医疗
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上海市长宁区社区卫生服务中心品牌建设评价指标体系研究 被引量:1
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作者 陆婧婷 吴琼 +2 位作者 郑星 江萍 赵琦 《中国初级卫生保健》 2023年第5期30-33,共4页
目的:构建适用于评价上海市长宁区社区卫生服务中心品牌建设的指标体系,促进社区卫生服务中心的品牌建设。方法:结合已有研究和国内相关政策文件,应用德尔菲法邀请28位专家开展两轮咨询。利用层次分析法和平均权重法分析专家评分,并筛... 目的:构建适用于评价上海市长宁区社区卫生服务中心品牌建设的指标体系,促进社区卫生服务中心的品牌建设。方法:结合已有研究和国内相关政策文件,应用德尔菲法邀请28位专家开展两轮咨询。利用层次分析法和平均权重法分析专家评分,并筛选指标。结果:两轮专家咨询表有效回收率为100%,专家的权威程度为0.90,第2轮专家咨询结果的协调系数为0.205。建立的社区卫生服务中心品牌建设评价指标体系包括8个维度、19个一级指标和32个二级指标。结论:基于德尔菲法构建的社区卫生服务中心品牌建设评价指标体系具有一定科学性,但是在精简性和推广性方面还有待进一步完善。 展开更多
关键词 社区卫生服务中心 品牌建设 评价指标体系 德尔菲法
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区域中心医院与社区医院临床药师协同管理门诊糖尿病病人效果分析 被引量:4
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作者 杨涛 刘彦儒 +6 位作者 朱亚虹 徐德铎 陆怡 龚婧如 朱琦敏 赵辉 周卫英 《安徽医药》 CAS 2023年第5期1048-1053,共6页
目的通过区域中心医院临床药师与社区卫生服务中心临床药师协同管理的模式,提高门诊糖尿病病人的用药依从性、血糖达标率以及解决病人的药物相关问题。方法收集前来中心医院及社区就诊的符合纳入和排除标准的糖尿病病人信息,录入慢病管... 目的通过区域中心医院临床药师与社区卫生服务中心临床药师协同管理的模式,提高门诊糖尿病病人的用药依从性、血糖达标率以及解决病人的药物相关问题。方法收集前来中心医院及社区就诊的符合纳入和排除标准的糖尿病病人信息,录入慢病管理系统(小程序),对应的社区药师和(或)中心医院药师进入慢病管理系统,每两个月对病人进行随访、干预,全程共6个月,评估病人干预前后用药依从性(Morisky评分)、血糖达标率以及药物相关问题(欧洲药学监护联盟分类系统)。结果共入组糖尿病病人132人,失访4人。随访期间,病人的平均依从性评分依次提高0.34、0.09和0.20;第2个月随访时的血糖达标率较入组时,第4个月较第2个月都有显著提高(P<0.05);共解发现药物相关问题145例次,提出干预方案220条,最终解决或部分解决药物相关问题115例次。结论采用中心医院药师和社区药师的协同管理模式对糖尿病病人进行慢病管理,可以高效提高病人依从性、提高病人血糖达标率以及解决病人的药物相关问题,体现临床药师价值,该经验值得推广。 展开更多
关键词 药学服务 区域中心医院 社区医院 临床药师 协同管理 糖尿病 小程序
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基于以人为本整合型医疗健康服务导向的医联体三联模式的价值医疗实践
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作者 杨芳芳 杨敏 +2 位作者 郭文明 陈明 王海涛 《中国研究型医院》 2023年第6期53-56,共4页
目的基于以人为本的整合型医疗健康服务(PCIC)导向的医联体三联模式,探索实现价值医疗的具体方法。方法建立以联合家庭医师工作室、专家工作室和联合病房为主体的医联体三联模式,并以问题为导向实施医联体内互联网医院云医疗功能,以消... 目的基于以人为本的整合型医疗健康服务(PCIC)导向的医联体三联模式,探索实现价值医疗的具体方法。方法建立以联合家庭医师工作室、专家工作室和联合病房为主体的医联体三联模式,并以问题为导向实施医联体内互联网医院云医疗功能,以消化科数据为例,分析医联体内专科医疗和健康服务结果。数据来源于医院年度专科诊疗数据报表和信息系统的慢病管理数据。结果2020年3月—2022年2月,消化内科2年下派专家门诊分别96和87人次,专家查房102和89人次,开展新技术新项目7和12项,签约消化疾病预防与诊疗服务8644和13421户家庭,签约服务居民28436和42558人次,联合专家门诊服务9387和17555例次,联合病房住院患者354和689例次;2年分别新增消化疾病住院病种4和3种,完成胃(肠)镜检查677和936例次,发现消化系统恶性肿瘤21例和35例。结论PCIC导向的医联体三联模式可提升基层医疗机构诊疗能力,提高慢病签约率和肿瘤早筛率,促进分级诊疗,实现价值医疗。 展开更多
关键词 医院 卫生保健联合体 价值医疗 以人为本的整合型医疗健康服务
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价值医疗视角下早期结直肠癌症筛查服务设计研究 被引量:1
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作者 周思琦 肖东娟 《设计》 2023年第4期24-26,共3页
从服务设计角度研究居民对结直肠癌症筛查的认知、需求和体验问题,提出提高筛查率的设计策略。采用以患者为中心的定性研究方法,结合无锡市消化道疾病筛查项目,通过结构化问卷调查、深度访谈和工作坊探讨影响结直肠癌筛查率的因素。研... 从服务设计角度研究居民对结直肠癌症筛查的认知、需求和体验问题,提出提高筛查率的设计策略。采用以患者为中心的定性研究方法,结合无锡市消化道疾病筛查项目,通过结构化问卷调查、深度访谈和工作坊探讨影响结直肠癌筛查率的因素。研究发现对早筛的认识不足、可及性低和筛查体验不佳是导致筛查率低的主要因素。从价值医疗的疗效、成本和满意度出发重构筛查流程,为推动早癌筛查早诊早治工作提供借鉴和策略建议。 展开更多
关键词 早癌筛查 结直肠癌 服务设计 患者体验 价值医疗
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A Comparative Analysis of the Old Medical Structure and the ACO Vision 2030 in Saudi Arabia
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作者 Hossam Alakhrass Abdullah Al Mulla Mohammed Aldossary 《Health》 2023年第9期980-989,共10页
This article explores the progress of the healthcare sector in the Kingdom of Saudi Arabia over the past two decades. Through continuous coordination and efforts to improve the quality and quantity of health services,... This article explores the progress of the healthcare sector in the Kingdom of Saudi Arabia over the past two decades. Through continuous coordination and efforts to improve the quality and quantity of health services, the government has significantly increased the availability of health facilities across the nation. This steady growth has allowed the country to maintain an upward trajectory in healthcare sector development in comparison to other countries. The Saudi Arabian government is preparing to implement Accountable Care Organizations (ACOs) as part of their “Vision 2030.” By aligning with the goals of this visionary roadmap, the government aims to address the challenges faced by the existing healthcare system under the Ministry of Health (MOH). This strategic move is expected to transform the healthcare sector, positioning Saudi Arabia at par with its international counterparts and bolstering its economic competitiveness. This article highlights the historical context of Saudi Arabia’s healthcare system, and compares it with the forthcoming ACO implementation under “Vision 2030.” This information provides valuable insights into the trajectory of the country’s healthcare landscape and the potential impact of ACOs in shaping the Kingdom’s future in healthcare and economic development overall. 展开更多
关键词 ACO Implementation Patient-centered Care Vision 2030 Universal healthcare Finance Reform Essential Benefits Package Supplementary Health Insurance healthcare Financing E-HEALTH
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听力即服务:基于云计算的新型听力服务平台构建
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作者 陈赤榕 李彦涛 《中国听力语言康复科学杂志》 2023年第2期130-133,165,共5页
移动设备、云计算和人工智能的普及引发了听力服务新的发展空间。基于新的技术,本研究提出了听力即服务(Hearing as a Service,HaaS)的服务框架,作为传统听力医疗服务体系的补充,HaaS是一种基于云的听力服务,其架构组件包括边缘听力设... 移动设备、云计算和人工智能的普及引发了听力服务新的发展空间。基于新的技术,本研究提出了听力即服务(Hearing as a Service,HaaS)的服务框架,作为传统听力医疗服务体系的补充,HaaS是一种基于云的听力服务,其架构组件包括边缘听力设备、互联网连接的网关以及云和大数据支持。作为传统医疗服务体系的补充,HaaS将更多的听力服务通过云服务的方式实现,覆盖更多听障人士,并提高成本效益,还可以扩展听力医疗资源。HaaS可为听障人士、听力医疗人员和听力设备制造商提供多维度的听力服务,但目前仍处于发展初期,还面临很多挑战。 展开更多
关键词 听力损失 助听器 云计算 物联网 以病人为中心的医疗保健
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