公共部门规划:目标—发展重点矩阵构建及应用

公共部门相对其他部门具有特殊性,因此,该领域规划设计要求有与之特点相适应的分析工具。本文梳理了公共部门规划发展的脉络,并对常用的规划分析工具进行了综述,指出了现有工具在公共部门规划应用的有效性和局限性。笔者根据规划实践提出了目标-发展重点矩阵(Objectives-Keys Perspective Matrix),在对该矩阵进行论证、推导和构建之后,以北京市十二五卫生发展改革规划课题为例,演示了该矩阵的实际运用情况,指出了构建矩阵需要考量的问题,并对该矩阵的推广使用进行了讨论。     

变性人法律问题初探

对要求变性的人实施变性手术,带来一系列的法律问题,尤其是变性人的婚姻问题。为保证我国变性手术的健康发展,应尽早制定关于变性手术的管理办法,严格控制变性手术的适用对象和条件;设立许可证制度;制定变性手术的实施程序。     

企业医疗管理体制下大型医用设备配置的法律政策探究

本文通过对企业医疗投资环境下大型医用设备配置的相关政策分析,结合当前的国家投资体制和行政许可审批等政策进行全面剖析,认为国家对于大型医用设备的配置管理方面,是否考虑需要做出某些灵活的调整,应当更多的把力气放在设备使用监管上,资本投入管理政策应当视政府投资和非政府投资情况而异。     

民营医院现状调查及管理对策

为了解民营医院现状及存在的问题,2005年1月,作者运用现场调查的方法对宜昌市城区8所民营医院进行了调查及分析,结果表明:由于重视经济效益,忽视国家法律等原因,民营医院存在非法行医,过度医疗,发布虚假广告,违规处理医疗废物,明显医疗安全隐患等问题。并建议完善法律法规,改革现行的卫生监督体制,严格医疗市场的准人,加强民营医院的监督和管理等。     

National Vaccine Injury Compensation Program: revisions to the vaccine injury table. Final rule

On September 13, 2010, the Secretary of Health and Human Services (the Secretary) published in the Federal Register a Notice of Proposed Rulemaking (NPRM) proposing changes to the regulations governing the National Vaccine Injury Compensation Program (VICP). Specifically, the Secretary proposed revisions to the Vaccine Injury Table (Table) to create distinct listings for hepatitis A, trivalent influenza, meningococcal, and human papillomavirus vaccines. The Secretary is now making this amendment to the Table by final rule; it is technical in nature. The four categories of vaccines described in this final rule are already covered vaccines under the VICP (starting in 2004) and are currently listed in a placeholder category (box XIII) in the Table. This final rule will list these vaccines as separate categories on the Table, with no associated injuries noted at this time, in order to help the public identify clearly that these vaccines are covered by the VICP. The changes implemented here are authorized by section 2114(e) of the Public Health Service Act (the Act).     

Permanent certification program for health information technology; revisions to ONC-Approved Accreditor processes. Final rule

Under the authority granted to the National Coordinator for Health Information Technology by section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the Health Information Technology for Economic and Clinical Health (HITECH) Act, this final rule establishes a process for addressing instances where the ONC-Approved Accreditor (ONC-AA) engages in improper conduct or does not perform its responsibilities under the permanent certification program. This rule also addresses the status of ONC-Authorized Certification Bodies (ONC-ACBs) in instances where there may be a change in the accreditation organization serving as the ONC-AA and clarifies the responsibilities of the new ONC-AA.     

医疗卫生举报投诉情况分析

本文通过对北京市朝阳区2005—2007年医疗卫生举报投诉案件登记表的数据进行分析处理,掌握了近三年来医疗卫生举报投诉的分布状况。经过对案件的分类和来源进行分析和探讨,为今后的医疗卫生监督工作和举报投诉查处提供经验和借鉴。     

Health information technology: revisions to initial set of standards, implementation specifications, and certification criteria for electronic health record technology. Interim final rule with request for comments

The Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comment to remove the implementation specifications related to public health surveillance.     

Smallpox Vaccine Injury Compensation Program: Smallpox (Vaccinia) Vaccine Injury Table. Interim final rule

The Smallpox Emergency Personnel Protection Act of 2003 (SEPPA), Public Law 108-20, 117 Stat. 638, authorized the Secretary of Health and Human Services (the Secretary), through the establishment of the Smallpox Vaccine Injury Compensation Program (the Program), to provide benefits and/or compensation to certain persons who have sustained injuries as a result of the administration of smallpox covered countermeasures (including the smallpox vaccine) or as a result of vaccinia contracted through accidental vaccinia inoculations. The SEPPA directed the Secretary to establish, by interim final rule, a table identifying adverse effects (including injuries, disabilities, conditions, and deaths) that shall be presumed to result from the administration of or exposure to the smallpox vaccine, and the time interval in which the first symptom or manifestation of each listed injury must manifest in order for such presumption to apply. As mandated by law, the Secretary is establishing such a Smallpox (Vaccinia) Vaccine Injury Table (the Table) through this interim final rule. The Secretary is also establishing a set of Table Definitions and Requirements, which define the terms and conditions included on the Table and are to be read in conjunction with the Table. The Secretary is seeking public comment on the Table established through this interim final rule. At a later date, the Secretary will publish a companion final rule setting forth the administrative implementation of the Program. The public will then be afforded an additional opportunity to comment on the procedures set forth therein.