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黔北地区某医学院校大学生口腔健康知信行现状调查及影响因素分析 认领
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作者 冯乔林 肖珂 +4 位作者 吴芳 邓莹燕 周文羽 陈诗卉 孔凡宇 《现代医药卫生》 2020年第7期977-981,共5页
目的了解黔北地区某医学院校学生口腔健康知信行现状及其影响因素,为该校改善学生口腔健康知信行提供依据。方法通过多阶段分层整群抽样获取样本,采用问卷调查法进行调查,共发放问卷956份,回收923份,回收率为96.5%,其中有效问卷865份,... 目的了解黔北地区某医学院校学生口腔健康知信行现状及其影响因素,为该校改善学生口腔健康知信行提供依据。方法通过多阶段分层整群抽样获取样本,采用问卷调查法进行调查,共发放问卷956份,回收923份,回收率为96.5%,其中有效问卷865份,有效回收率为93.7%。应用SPSS17.0统计软件进行数据分析。结果学生口腔健康知信行整体水平中等,维度得分由高至低依次为信念、知识、行为;男生口腔健康知信行合格率高于女生,医学专业学生口腔健康知信行合格率高于非医学专业学生,城镇生源学生口腔健康知信行合格率高于农村生源学生,少数民族学生与汉族学生口腔健康知信行合格率基本一致;2013级学生口腔健康知信行合格率最高(67.1%)。各维度合格率由高至低依次为信念、知识、行为;不同性别学生信念、行为2个维度得分比较,差异均有统计学意义(P<0.05);不同年级学生知识、行为2个维度得分及口腔健康知信行整体得分比较,差异均有统计学意义(P<0.05);性别、生源地、年级、专业类型均对学生口腔健康知识均存在影响,差异均有统计学意义[优势比(OR)=1.416、1.998、0.689、0.416,P<0.05];性别、知识对学生口腔健康信念存在影响,差异均有统计学意义(OR=1.469、0.362,P<0.05);性别、知识、信念对学生口腔健康行为均存在影响,差异均有统计学意义(OR=0.714、0.577、0.660,P<0.05);专业类型、知识、信念、行为对学生口腔健康知信行整体水平均存在影响,差异均有统计学意义(OR=0.404、0.009、0.041、0.011,P<0.05)。结论该校学生口腔健康知信行整体水平中等,应加强对学生的口腔健康教育,形成良好的口腔卫生习惯,从而逐步提高学生口腔健康知信行整体水平。 展开更多
关键词 学生 医科 口腔保健 健康教育 健康知识 态度 实践 院校 医学
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叙事反思教育与全科医学哲学 认领
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作者 罗荧荃 黄鹤英 张慧 《中国全科医学》 CAS 北大核心 2020年第1期100-104,共5页
叙事反思教学是研究生医学教育培训和临床住院医师培训的重要组成部分。通过运用叙事反思的学习方法,住院医师和研究生可以发展自我调节的学习技能,可以提高学习能力,改善人文精神和职业身份认知,其在全科医学教育方面的应用尤为重要。... 叙事反思教学是研究生医学教育培训和临床住院医师培训的重要组成部分。通过运用叙事反思的学习方法,住院医师和研究生可以发展自我调节的学习技能,可以提高学习能力,改善人文精神和职业身份认知,其在全科医学教育方面的应用尤为重要。本文拟从叙事反思方法与全科医学的哲学理念做一初步探讨,从理论上分析叙事反思方法可能对医学教育的作用,为进一步研究提供参考。 展开更多
关键词 全科医学 家庭医学 教育 医学 叙事医学 叙事反思 哲学 医学 医生病人关系
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北京市西城区月坛社区卫生服务中心医务人员继续医学教育情况分析 认领
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作者 季燕 孙艳格 +1 位作者 严春泽 丁静 《中国全科医学》 CAS 北大核心 2020年第22期2831-2836,共6页
背景继续医学教育(CME)可以不断提高医务人员的专业知识和技能水平,但存在组织形式单一、满意度低等问题,通过统计分析北京市西城区首都医科大学附属复兴医院月坛社区卫生服务中心(月坛社区)医务人员CME现状、发现CME实施过程中存在的... 背景继续医学教育(CME)可以不断提高医务人员的专业知识和技能水平,但存在组织形式单一、满意度低等问题,通过统计分析北京市西城区首都医科大学附属复兴医院月坛社区卫生服务中心(月坛社区)医务人员CME现状、发现CME实施过程中存在的主要问题,可有效提高CME效果。目的统计分析月坛社区医务人员的CME情况,探讨影响医务人员参加CME的主要原因,为促进开展在线CME项目、解决工学矛盾、提高效率和质量提供理论依据。方法对2015年11月—2018年10月月坛社区561例参加CME医务人员的情况进行分析,主要包括以下内容:必修课程(包括市级必修课、区级必修课和全员必修课)、课程项目(区级慢性病课程、区级传染病课程和单位自管课程)、培训/会议(包括培训、会议或交流,分别统计主动参加类和被动参加类)、主办或承办项目(国家级、市级、区级CME项目)。由2名研究员独立统计,并将统计结果合并,如存在不一致,则重新核对。采用非结构访谈法对参加过CME的10例医务人员进行访谈,内容为影响医务人员参加CME的主要原因。结果必修课包括市级必修课、区级必修课和全员必修课,3年共计561人次参加课程,其中市级必修课总时长为8376学时(面授课程221学时,在线课程8155学时),区级必修课3366学时(均为面授课程),全员必修课3366学时(均为在线课程)。课程项目包括区级慢性病课程、区级传染病课程和单位自管课程,全部以面授课的形式开展。共开展课程79次,平均2.2次/月,其中慢性病课程57次(72.2%),传染病课程22次(27.8%)。共计4068人次医务人员参加课程,平均52人次/次,慢性病课程34人次/次,传染病课程96人次/人。每年第三季度(5月、6月和7月)为CME黄金期,开展CME项目较多,且签到率较其他季度高。培训/会议分为被动参加类、主动参加类,均为面授项目。参加培训/会议共计104 展开更多
关键词 教育 医学 继续 社区卫生服务 医务人员 课程
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Comparative Study on the Development of Urban Basic Medical Insurance in 14 Cities of Liaoning Province 认领
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作者 Zhi Yuanyuan Wang Shuling 《亚洲社会药学》 2020年第1期44-56,共13页
Objective To put forward some suggestions for the development of urban basic medical insurance of Liaoning by comparing the development situations in 14 cities of Liaoning Province.Methods Relevant data of urban basic... Objective To put forward some suggestions for the development of urban basic medical insurance of Liaoning by comparing the development situations in 14 cities of Liaoning Province.Methods Relevant data of urban basic medical insurance from 2008 to 2018 in 14 cities were collected to make a comparative analysis,and the 5 why analysis chart was drawn to investigate the development differences in 14 cities.Results and Conclusion The average growth rate of the number of urban residents covered by urban basic medical insurance varied greatly from 2014 to 2018.The range of average growth rate of urban residents’medical insurance is 19.1%,and the range of average growth rate of urban workers’medical insurance is 9.1%.Funding standards are basically the same.It is suggested each municipal government should attach importance to this issue.They can make full use of information technology to coordinate with various authorities and ensure the smooth development of medical insurance.Besides,they must actively adapt to their conditions to better develop the urban basic medical insurance of Liaoning. 展开更多
关键词 urban basic MEDICAL INSURANCE development of LIAONING MEDICAL INSURANCE DIFFERENCE
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区块链技术在医疗领域中的应用研究 认领
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作者 付敬 刘莉 +3 位作者 弓孟春 许统亮 徐泽宇 朱宏 《医学信息学杂志》 CAS 2020年第3期2-5,29,共5页
介绍区块链技术内涵,系统梳理区块链技术在医疗领域:数据管理与存储、医疗供应链、医疗物联网中的应用情况,分析其面临的机遇与挑战,从应用和技术普及两个层面探讨未来研究方向,以期为相关研究提供参考。
关键词 区块链 医疗 数据管理 电子健康档案 供应链 医疗物联网
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Two case reports of novel syndrome of bizarre performance of gastrointestinal endoscopy due to toxic encephalopathy of endoscopists among 181767 endoscopies in a 13-year-university hospital review: Endoscopists, first do no harm! 认领
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作者 Mitchell S Cappell 《世界胃肠病学杂志:英文版》 SCIE CAS 2020年第9期984-991,共8页
BACKGROUND Although deficient procedures performed by impaired physicians have been reported for many specialists,such as surgeons and anesthesiologists,systematic literature review failed to reveal any reported cases... BACKGROUND Although deficient procedures performed by impaired physicians have been reported for many specialists,such as surgeons and anesthesiologists,systematic literature review failed to reveal any reported cases of deficient endoscopies performed by gastroenterologists due to toxic encephalopathy.Yet gastroenterologists,like any individual,can rarely suffer acute-changes-inmental-status from medical disorders,and these disorders may first manifest while performing gastrointestinal endoscopy because endoscopy comprises so much of their workday.CASE SUMMARIES Among 181767 endoscopies performed by gastroenterologists at William-Beaumont-Hospital at Royal-Oak,two endoscopies were performed by normally highly qualified endoscopists who manifested bizarre endoscopic interpretation and technique during these endoscopies due to toxic encephalopathy.Case-1-endoscopist repeatedly insisted that gastric polyps were colonic polyps,and absurdly“pressed”endoscopic steering dials to“take”endoscopic photographs;Case-2-endoscopist repeatedly insisted that had intubated duodenum when intubating antrum,and wildly turned steering dials and bumped endoscopic tip forcefully against antral wall.Endoscopy nurses recognized endoscopists as impaired and informed endoscopy-unit-nurse-manager.She called Chief-of-Gastroenterology who advised endoscopists to terminate their esophagogastroduodenoscopies(fulfilling ethical imperative of“physician,firstdo-no-harm”),and go to emergency room for medical evaluation.Both endoscopists complied.In-hospital-work-up revealed toxic encephalopathy in both from:case-1-urosepsis and left-ureteral-impacted-nephrolithiasis;and case-2-dehydration and accidental ingestion of suspected illicit drug given by unidentified stranger.Endoscopists rapidly recovered with medical therapy.CONCLUSION This rare syndrome(0.0011%of endoscopies)may manifest abruptly as bizarre endoscopic interpretation and technique due to impairment of endoscopists by toxic encephalopathy.Recommended management(followed in b 展开更多
关键词 Endoscopy IATROGENIC injury MEDICAL ethics Hippocratic OATH Quality improvement MEDICAL MALPRACTICE MORBIDITY and mortality
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医学影像学专业本科生一对一导师制实习教学 认领
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作者 谭克平 王培源 《安徽医药》 CAS 2020年第6期1261-1264,共4页
一对一本科生导师制是我国高校培养人才的新模式,是能够有效提高本科生综合素质的教学法。本研究将该教学法应用于医学影像学专业本科生实习教学中,有效提高了学生临床理论与实践工作能力、良好职业素质与医德医风、科研思维与创新意识... 一对一本科生导师制是我国高校培养人才的新模式,是能够有效提高本科生综合素质的教学法。本研究将该教学法应用于医学影像学专业本科生实习教学中,有效提高了学生临床理论与实践工作能力、良好职业素质与医德医风、科研思维与创新意识、临床沟通能力与自主学习能力等综合素质,利于学生社会角色转换。目前,导师制实施过程中还存在导师培养与考核体系不健全、导师制执行过程不完善、缺乏有效的考核评价与监督体系等不足。随着导师制进一步成熟,该教学法将培养更多优秀的实用型医学影像专业人才,促进我国医疗卫生事业健康蓬勃发展。 展开更多
关键词 导师制 教育 医学 本科 临床实习 医学影像学 教学效果 应用价值
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Subtle skills: Using objective structured clinical examinations to assess gastroenterology fellow performance in system based practice milestones 认领
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作者 Marianna Papademetriou Gabriel Perrault +4 位作者 Max Pitman Colleen Gillespie Sondra Zabar Elizabeth Weinshel Renee Williams 《世界胃肠病学杂志:英文版》 SCIE CAS 2020年第11期1221-1230,共10页
BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficu... BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficult due to high volume, high acuity inpatient care, as well as inconsistent direct supervision. Nevertheless,structured assessment is required for training programs. We hypothesized that objective structured clinical examination(OSCE) would be an effective tool for assessment of SBP.AIM To develop a novel method for SBP milestone assessment of gastroenterology fellows using the OSCE.METHODS For this observational study, we created 4 OSCE stations: Counseling an impaired colleague, handoff after overnight call, a feeding tube placement discussion, and giving feedback to a medical student on a progress note. Twentysix first year fellows from 7 programs participated. All fellows encountered identical case presentations. Checklists were completed by trained standardized patients who interacted with each fellow participant. A report with individual and composite scores was generated and forwarded to program directors to utilize in formative assessment. Fellows also received immediate feedback from a faculty observer and completed a post-session program evaluation survey.RESULTS Survey response rate was 100%. The average composite score across SBP milestones for all cases were 6.22(SBP1), 4.34(SBP2), 3.35(SBP3), and 6.42(SBP4)out of 9. The lowest composite score was in SBP 3, which asks fellows to advocate for cost effective care. This highest score was in patient care 2, which asks fellows to develop comprehensive management plans. Discrepancies were identified between the fellows’ perceived performance in their self-assessments and Standardized Patient checklist evaluations for each case. Eighty-seven percent of fellows agreed that OSCEs are an important component of their clinical training,and 83% stated that the cases were similar to actual clinical encounters. All participating fellows stated that th 展开更多
关键词 Objective structured clinical exams MEDICAL education MEDICAL error SYSTEM BASED PRACTICE MILESTONES GASTROENTEROLOGY
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关于医学硕士研究生科研写作能力的培养思考 认领
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作者 黄早早 汪朦朦 +1 位作者 李贺伟 杨盛力 《中国社会医学杂志》 2020年第2期132-134,共3页
随着国家社会经济的高速发展,各领域都需要更多高层次拔尖创新性人才。我国医药卫生事业的快速、稳定发展将会直接关系国民生命的健康,这就需要培养大量硕士研究生及以上的医学高层次人才。目前,医学硕士研究生还存在着科研能力不足的现... 随着国家社会经济的高速发展,各领域都需要更多高层次拔尖创新性人才。我国医药卫生事业的快速、稳定发展将会直接关系国民生命的健康,这就需要培养大量硕士研究生及以上的医学高层次人才。目前,医学硕士研究生还存在着科研能力不足的现状,而科研写作是科研水平和科研质量的呈现,是增强沟通、提高创新性的必然媒介。就如何培养提高医学硕士研究生写作能力内外部影响因素进行了阐述,并提出了改善方法。 展开更多
关键词 医学 硕士研究生 科研写作 培养
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Mathematical modeling and analysis of meningococcal meningitis transmission dynamics 认领
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作者 Salihu Sabiu Musa Shi Zhao +2 位作者 Nafiu Hussaini Abdulrazaq Carba Habib Daihai He 《生物数学学报:英文版》 SCIE 2020年第1期163-185,共23页
Meningococcal meningitis(MCM)is one of the serious public health threats in the tropical and sub-tropical regions.In this paper,we propose an epidemic model to study the transmission dynamics of MCM with high-and low-... Meningococcal meningitis(MCM)is one of the serious public health threats in the tropical and sub-tropical regions.In this paper,we propose an epidemic model to study the transmission dynamics of MCM with high-and low-risk susceptible populations.The model considers two different groups of susceptible individuals depending on the availability of medical resources(MR,including hospitals,health workers,etc.),which varies the infection risk.We find that the model exhibits the phenomenon of backward bifurcation(BB),which increases the difficulty of MCM control since the dynamics are not merely relying on the basic reproduction number,TZo.This study explores the effects of MR on the MCM epidemics by mathematical analysis and shows the existence of BB on MCM disease.Our findings suggest that providing adequate MR in a community is crucial in mitigating MCM incidences and deaths,especially,in the MCM endemic regions. 展开更多
关键词 Meningococcal meningitis mathematical modeling bifurcation analysis STABILITY medical resource.
Should Children of Frontline Medical Sta Get Bonus Points For School Entrance Exams? 认领
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《中国与非洲:英文版》 2020年第6期12-13,共2页
Since the outbreak of the COVID-19epidemic, countless medical workers have joined the fight against the epidemic. In order to recognize the dedication of the medical sta, some provinces and cities have introduced poli... Since the outbreak of the COVID-19epidemic, countless medical workers have joined the fight against the epidemic. In order to recognize the dedication of the medical sta, some provinces and cities have introduced policies to support the members of the medical assistance teams sent to Hubei Province,the epicenter of the outbreak in China. 展开更多
关键词 China. MEDICAL EPIDEMIC
日本食管癌外科发展简述 认领
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作者 郭旭峰 冷雪峰 +2 位作者 戴亮 大幸宏幸 渡边雅之 《中华外科杂志》 CAS CSCD 北大核心 2020年第1期61-69,共9页
食管癌外科起源于20世纪初,但真正意义的经胸入路食管癌切除并消化道重建始于20世纪30年代。几乎同一时期,日本与西方国家同步开始了食管癌的外科探索。亚洲食管癌病理学类型以鳞状细胞癌为主,其肿瘤生物学特点和治疗策略不同于以腺癌... 食管癌外科起源于20世纪初,但真正意义的经胸入路食管癌切除并消化道重建始于20世纪30年代。几乎同一时期,日本与西方国家同步开始了食管癌的外科探索。亚洲食管癌病理学类型以鳞状细胞癌为主,其肿瘤生物学特点和治疗策略不同于以腺癌为主的欧美患者。历经八十余年的发展,日本食管癌外科治疗从初始尝试、深耕实践到追求卓越,探索出一套较为先进的外科技术和诊疗规范,在国际上独树一帜。日本学者在成立日本食管学会的基础上,制订且不定期更新《日本食管癌诊疗规约》,出版学会专业学术期刊Esophagus。日本临床肿瘤协作组开展了诸多食管癌三期临床研究,为食管鳞状细胞癌的诊治提供了强有力证据。本文针对日本食管癌外科的起源、发展、现状及未来,通过文献查证、资深专家访谈及《食管癌外科治疗热点问题-日本专家问卷调查》收集信息,对日本食管癌外科发展进行简述。 展开更多
关键词 食管肿瘤 胸外科手术 学会 医学
低年级医学生作为标准化病人在模拟教学中的应用 认领
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作者 李广伦 刘丽秋 +2 位作者 陈作元 武军 马瑞霞 《青岛大学学报:医学版》 CAS 2020年第4期489-491,共3页
目的探讨低年级医学生作为标准化病人用于临床教学的可行性。方法招募低年级医学生志愿者,经培训合格后,用于诊断学病史采集技能的教学。结果低年级医学生作为标准化病人用于教学,培训时间短,使用时间长,易于沟通交流,并且不影响他们的... 目的探讨低年级医学生作为标准化病人用于临床教学的可行性。方法招募低年级医学生志愿者,经培训合格后,用于诊断学病史采集技能的教学。结果低年级医学生作为标准化病人用于教学,培训时间短,使用时间长,易于沟通交流,并且不影响他们的作息,还提高他们学习医学的兴趣。结论低年级医学生作为标准化病人应用于临床教学可行,教学效果良好。 展开更多
关键词 病人模拟 学生 医科 教学 临床工作能力
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Investigation on depression of medical students based on health belief model 认领
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作者 Hui-Quan Zhu Jia-Yan Chen +4 位作者 Jun Jiang Qiao Li Hong-Xiu Xiao Yi-Di Huang Li-Qing Wang 《海南医科大学学报:英文版》 2020年第3期66-70,共5页
Objective:Based on the health belief model,the depression status of medical students was analyzed in order to provide new ideas for the intervention of mental health problems of medical students.Methods:By using the m... Objective:Based on the health belief model,the depression status of medical students was analyzed in order to provide new ideas for the intervention of mental health problems of medical students.Methods:By using the method of stratified cluster sampling,1053 medical students in a medical college in Hainan province were investigated with self-designed general situation questionnaire,SCL-90,CSQ and emotional management health belief questionnaire.Results:The positive rate of depressive symptoms in medical students was 17.5%.Multivariate unconditional Logistic regression analysis showed that gender,coping style,"perceived obstacles","perceived severity","perceived susceptibility"and"self-efficacy"were related factors of depression in medical studengts.Conclusion:The related factors of depression in medical students include personal factors and the health belief factors such as"perceived obstacles","perceived severity","perceived susceptibility"and"self-efficacy".Psychological intervention based on Health belief model can be used for intervention of medical students. 展开更多
关键词 PREVENTIVE MEDICINE DEPRESSION HEALTH BELIEF model Medical students MENTAL HEALTH
Reducing the Internal Difference Error Rate in Hospital Pharmacies:From the Angle of Quality Control Circle 认领
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作者 Wang Shuling Lei Yingzi +2 位作者 Liu Linchuan Wang Ruili He Yalan 《亚洲社会药学》 2020年第2期73-82,共10页
Objective To improve the management level of pharmacy dispensing center,reduce dispensing errors and promote the safety of drug use.Methods Hospital pharmacies could be managed according to the theory of quality contr... Objective To improve the management level of pharmacy dispensing center,reduce dispensing errors and promote the safety of drug use.Methods Hospital pharmacies could be managed according to the theory of quality control circle(QCC).Based on the ten steps of QCC,the internal difference error rate in pharmacies could be reduced.Results and Conclusion The error rate of pharmacies was reduced from 2.74‰to 0.57‰,and the goal achievement rate was 108.466.Besides,the progress rate reached 84.82%.The abilities of circle members were improved,and the operation of pharmacy was more standardized.The activity of QCC is helpful to reduce the internal difference error rate,improve the operation level of pharmacy and ensure the safety of drug use. 展开更多
关键词 quality control circle(QCC) medical institution internal difference error rate
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Research on Social Medical Insurance of College Students in Shenyang 认领
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作者 Guo Ying 《亚洲社会药学》 2020年第2期114-119,共6页
Objective To discuss the methods of improving the social insurance of college students by taking the application of college students’social insurance in Shenyang as an example.Methods The investigation and literature... Objective To discuss the methods of improving the social insurance of college students by taking the application of college students’social insurance in Shenyang as an example.Methods The investigation and literature method were applied mainly.Results and Conclusion Through the questionnaire,the main problems for college students’medical insurance were analyzed in this paper,and proposals such as compulsory insurance,improving the level of medical services in colleges and hospitals,and strengthening commercial insurance and publicity were finally put forward. 展开更多
关键词 college student social medical insurance Shenyang
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基于全科医生胜任力的医患沟通能力培训现状及对策研究 认领
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作者 庞建欣 王永晨 《中国全科医学》 CAS 北大核心 2020年第16期2057-2061,共5页
医患沟通能力是全科医生必备的基本素质。良好的医患沟通是患者信任的基础,也是全科医生顺利开展社区医疗卫生工作的重要保障。现阶段沟通能力对医患关系的影响越来越受到重视,医患沟通能力培训也成为研究的焦点之一,但日益紧张的医患... 医患沟通能力是全科医生必备的基本素质。良好的医患沟通是患者信任的基础,也是全科医生顺利开展社区医疗卫生工作的重要保障。现阶段沟通能力对医患关系的影响越来越受到重视,医患沟通能力培训也成为研究的焦点之一,但日益紧张的医患关系表明医患沟通仍不尽如人意。本文阐述了国内外医患沟通能力培训现状,强调提升全科医生医患沟通能力的必要性,并借鉴国外相关经验探讨提升医患沟通能力的具体举措,如增设医患沟通课程、联合应用多种培训形式、加强医患沟通能力考核,以期为我国全科医生医患沟通能力的教育培训提供理论参考。 展开更多
关键词 全科医生 岗位胜任力 医生病人关系 教育 医学
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ISBAR沟通训练对全科规范化培训住院医师沟通与团队合作能力的影响研究 认领
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作者 曹萌 王涛 +1 位作者 翟倩倩 覃艳 《中国全科医学》 CAS 北大核心 2020年第16期2062-2066,共5页
背景沟通合作是住院医师规范化培训(规培)的培训目标之一,提高全科规培住院医师的沟通意识、技巧及团队合作能力具有重要意义。ISBAR沟通训练模式能够有效提高医师的临床沟通能力和团队合作能力,将其应用于规培具有可行性。目的探讨ISBA... 背景沟通合作是住院医师规范化培训(规培)的培训目标之一,提高全科规培住院医师的沟通意识、技巧及团队合作能力具有重要意义。ISBAR沟通训练模式能够有效提高医师的临床沟通能力和团队合作能力,将其应用于规培具有可行性。目的探讨ISBAR沟通训练对全科规培住院医师的人际沟通与团队合作能力的影响。方法选取于2017年9月开始于新乡医学院第一附属医院参加规培的全科学员100例,采用简单随机分组法将其分为对照组和观察组,每组50例。对照组学员采用传统临床带教方法,不进行任何沟通方式的培训;观察组学员在常规带教的基础上,进行ISBAR沟通训练。分别于培训前和培训2周后,采用“规培住院医师人际沟通能力评价量表”“规培住院医师合作能力评价量表”对两组学员进行调查;分别于培训前及培训3、6个月后,采用“医护合作态度量表”“医医合作态度量表”对两组学员进行调查,采用“医医沟通能力调查表”“医护沟通能力调查表”对两组学员的合作人员进行调查。结果培训前,两组学员人际沟通能力、合作能力得分无统计学差异(P>0.05);培训2周后,两组学员人际沟通能力、合作能力得分均高于培训前(P<0.05),且观察组学员人际沟通能力、合作能力得分高于对照组(P<0.05)。培训前后两组学员医护合作态度、医护沟通能力得分比较,差异有统计学意义(P<0.05);不同时间点比较,差异有统计学意义(P<0.05);组别和时间在医护合作态度、医护沟通能力得分上存在交互作用(P<0.05)。培训前后两组学员医医合作态度、医医沟通能力得分比较,差异有统计学意义(P<0.05);不同时间点比较,差异有统计学意义(P<0.05);组别和时间在医医合作态度、医医沟通能力得分上存在交互作用(P<0.05)。结论在规培阶段对学员进行ISBAR沟通训练,可以明显提高学员的人际沟通能力� 展开更多
关键词 全科医生 教育 医学 住院医师规范化培训 ISBAR模式 人际沟通 团队合作
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英国人工智能在医疗领域应用发展现状及其启示 认领
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作者 牛利娜 谢子衿 +2 位作者 成浩然 律琼馨 刘智勇 《医学信息学杂志》 CAS 2020年第1期1-6,共6页
阐述英国医疗人工智能发展背景,分析中英两国医疗人工智能发展现状,结合英国人工智能发展规划及经验提出,即提高数据质量、整合健康医疗数据,构建动态的医疗人工智能评价机制,采取法律手段确保信息与隐私安全,建设复合型人才培养体系。
关键词 人工智能 医疗 NHS 经验
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医用聚丙烯材料发展现状 认领
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作者 李刚健 王林 +5 位作者 袁炜 周子淳 李瑞龙 焦洪桥 李彦鹏 胡琳 《化工技术与开发》 CAS 2020年第6期66-70,82,共6页
随着现代医学技术的快速发展,高分子材料在医学领域得到了广泛的应用,成为近些年该领域的研究热点.本文主要介绍了医用聚丙烯材料的发展、研究、回收与利用的现状及标准认证,认为研发高附加值的改性废旧医用PP材料是当前的研究重点,拓... 随着现代医学技术的快速发展,高分子材料在医学领域得到了广泛的应用,成为近些年该领域的研究热点.本文主要介绍了医用聚丙烯材料的发展、研究、回收与利用的现状及标准认证,认为研发高附加值的改性废旧医用PP材料是当前的研究重点,拓宽其应用范围也值得持续关注. 展开更多
关键词 医用 聚丙烯 发展现状 标准认证
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