Objective:to investigate the status of clinical pharmaceutical service in Tibetan Hospital(hereinafter referred to as hospitals),understand the needs of medical staff for clinical pharmaceutical service,and make sugge...Objective:to investigate the status of clinical pharmaceutical service in Tibetan Hospital(hereinafter referred to as hospitals),understand the needs of medical staff for clinical pharmaceutical service,and make suggestions on providing clinical pharmaceutical service for hospitals.Methods:hospital doctors,pharmacists,nurses,managers and other staff(hereinafter referred to as medical staff)were surveyed by questionnaire survey,and the survey results were analyzed by descriptive statistical analysis method.Results:hospital medical staff familiar with the state and autonomous region on clinical pharmaceutical care regulations and requirements of only 13.84%,the traditional Tibetan medicine clinical pharmaceutical care regulations and requirements know not much of more than 40%,through various channels pay attention to the development of clinical pharmacy at home and abroad often pay attention to only 25.14%,attended about clinical pharmaceutical care training of only 32.49%;the three of the top three options in Tibetan medicine are in-depth clinical practice,participating in drug therapy(60.17%),collecting and organizing patient information;develop a drug calendar(37.85%)and conduct adverse drug reaction monitoring(ADR)(27.68%);medical staff supported the development of Tibetan medicine clinical medical services,accounting for 83.62%;the proportion of prescriptions or suggestions recommended by clinical pharmacists reached 74.01%.Conclusion:the hospital of Tibetan medicine clinical pharmaceutical service is still in the primary stage of dispensing drugs,urgently need to improve the hospital clinical pharmaceutical service mode,strengthen the pharmaceutical service personnel and medical staff clinical pharmaceutical service training,strengthen the clinical pharmaceutical service personnel to participate in clinical drug treatment,drug calendar and adverse drug reaction monitoring and other services.展开更多
建设区域医疗中心是国家“十四五”规划的重要内容,是协同推进公立医院医、教、研、防、管整体水平提升的重要途径。深入了解全国区域医疗中心申报和建设情况,探讨其申报和建设过程中面临的困境及解决方案,积极推动地级市三甲医院高质...建设区域医疗中心是国家“十四五”规划的重要内容,是协同推进公立医院医、教、研、防、管整体水平提升的重要途径。深入了解全国区域医疗中心申报和建设情况,探讨其申报和建设过程中面临的困境及解决方案,积极推动地级市三甲医院高质量发展。采用态势分析法(strengths,weaknesses,opportunities and threats analysis,SWTO),从4个维度分析案例医院的内部优势、劣势、外部机会、挑战,探索地级市公立医院成功申报国家区域医疗中心的路径策略。地级市三甲医院申报区域医疗中心面临诸多困难和挑战,医院申报积极性高,牵头医院在人才、技术等方面做了充分准备,但也存在申报和建设等诸多问题,层次和结构需进一步优化、运行机制有待进一步健全、医疗服务同质化水平有待进一步提高等问题。建议政府做好资源规划,引导医院重视申报工作,强化人才培养和专科诊疗能力水平,发挥信息化支撑作用,顺利实现国家区域医疗中心的成功申报。展开更多
为准确预测道路交通安全评价中微观路段的运行车速,确定了三级公路的驾驶员安全性认知模糊集,建立了基于Multi Gen Creator软件的15个路段的三维仿真模型,开发了基于Vega的虚拟仿真系统,组织了53名驾驶员,在大型三通道柱面投影仿真系统...为准确预测道路交通安全评价中微观路段的运行车速,确定了三级公路的驾驶员安全性认知模糊集,建立了基于Multi Gen Creator软件的15个路段的三维仿真模型,开发了基于Vega的虚拟仿真系统,组织了53名驾驶员,在大型三通道柱面投影仿真系统中,进行了运行车速认知因子的评价试验。应用模糊统计方法对795组有效认知试验数据进行了分析,建立了包含道路平曲线半径、纵坡度和行车视距认知因子的三级公路安全性认知评价模型。虚拟仿真试验与道路试验分析结果表明:平曲线半径、纵坡度和行车视距认知因子评判等级的平均贴近度分别为0.63、0.74和0.70,因此,虚拟仿真试验方法可行。展开更多
文摘Objective:to investigate the status of clinical pharmaceutical service in Tibetan Hospital(hereinafter referred to as hospitals),understand the needs of medical staff for clinical pharmaceutical service,and make suggestions on providing clinical pharmaceutical service for hospitals.Methods:hospital doctors,pharmacists,nurses,managers and other staff(hereinafter referred to as medical staff)were surveyed by questionnaire survey,and the survey results were analyzed by descriptive statistical analysis method.Results:hospital medical staff familiar with the state and autonomous region on clinical pharmaceutical care regulations and requirements of only 13.84%,the traditional Tibetan medicine clinical pharmaceutical care regulations and requirements know not much of more than 40%,through various channels pay attention to the development of clinical pharmacy at home and abroad often pay attention to only 25.14%,attended about clinical pharmaceutical care training of only 32.49%;the three of the top three options in Tibetan medicine are in-depth clinical practice,participating in drug therapy(60.17%),collecting and organizing patient information;develop a drug calendar(37.85%)and conduct adverse drug reaction monitoring(ADR)(27.68%);medical staff supported the development of Tibetan medicine clinical medical services,accounting for 83.62%;the proportion of prescriptions or suggestions recommended by clinical pharmacists reached 74.01%.Conclusion:the hospital of Tibetan medicine clinical pharmaceutical service is still in the primary stage of dispensing drugs,urgently need to improve the hospital clinical pharmaceutical service mode,strengthen the pharmaceutical service personnel and medical staff clinical pharmaceutical service training,strengthen the clinical pharmaceutical service personnel to participate in clinical drug treatment,drug calendar and adverse drug reaction monitoring and other services.
文摘建设区域医疗中心是国家“十四五”规划的重要内容,是协同推进公立医院医、教、研、防、管整体水平提升的重要途径。深入了解全国区域医疗中心申报和建设情况,探讨其申报和建设过程中面临的困境及解决方案,积极推动地级市三甲医院高质量发展。采用态势分析法(strengths,weaknesses,opportunities and threats analysis,SWTO),从4个维度分析案例医院的内部优势、劣势、外部机会、挑战,探索地级市公立医院成功申报国家区域医疗中心的路径策略。地级市三甲医院申报区域医疗中心面临诸多困难和挑战,医院申报积极性高,牵头医院在人才、技术等方面做了充分准备,但也存在申报和建设等诸多问题,层次和结构需进一步优化、运行机制有待进一步健全、医疗服务同质化水平有待进一步提高等问题。建议政府做好资源规划,引导医院重视申报工作,强化人才培养和专科诊疗能力水平,发挥信息化支撑作用,顺利实现国家区域医疗中心的成功申报。
文摘为准确预测道路交通安全评价中微观路段的运行车速,确定了三级公路的驾驶员安全性认知模糊集,建立了基于Multi Gen Creator软件的15个路段的三维仿真模型,开发了基于Vega的虚拟仿真系统,组织了53名驾驶员,在大型三通道柱面投影仿真系统中,进行了运行车速认知因子的评价试验。应用模糊统计方法对795组有效认知试验数据进行了分析,建立了包含道路平曲线半径、纵坡度和行车视距认知因子的三级公路安全性认知评价模型。虚拟仿真试验与道路试验分析结果表明:平曲线半径、纵坡度和行车视距认知因子评判等级的平均贴近度分别为0.63、0.74和0.70,因此,虚拟仿真试验方法可行。
