浅谈基层医疗机构职代会职权行使保障机制建设

在实践中,基层医疗机构职代会职权行使往往流于形式,职代会组织不能有效发挥其应有作用。分析原因,由于基层医疗机构具有明显区别于其他事业单位的行业特殊性,单位领导尤其是一把手对职代会作用的认识程度、重视程度、支持力度,对职代会职权行使产生重要影响,因而应建立包括学习培训制度、目标考核制度、督导调研制度、集体研究会议决定制度、权力监督约束制度在内的职代会职权行使保障机制,确保职代会作用的有效发挥。     

医改的抉择:政府主导还是市场化——基于医疗卫生服务及其市场特殊性的分析

医疗卫生改革理应寻求解决民众的"看病难"、"看病贵"问题.医疗卫生服务及其市场是医改中所有问题的归结点.在对医疗卫生服务与其市场的特殊性进行分析中,表明医疗服务市场不同于一般的商品市场与服务市场,在政府与市场的分工上针对其特点进行合理界定,既否决单纯的市场主导,也否决一味的市场化,而是二者的理性结合.     

Opening up the black box: looking for a more capacious version of capacity in global health partnerships

Abstract

Some versions of capacity building construe the goal of North?South partnerships as rendering African laboratories, doctors, scientists, and universities indistinguishable from their counterparts in wealthier nations. The specificities, histories, peculiarities, or inner workings of African institutions and individuals are black-boxed ? no one needs to know about them. This article draws on research at Malawi’s College of Medicine and the work of other social scientists and historians to sketch out a more capacious model of capacity, one in which capacity building is grounded in specificity, attends to material difference, is flexible and innovative, and involves as much learning as teaching. This model of capacity building requires consideration of areas in which the Northern partners in “global health” can be brought to the level of their colleagues in Africa.     

A Census of Medicolegal Death Investigation in the United States: A Need to Determine the State of our Nation’s Toxicology Laboratories and Their Preparedness for the Current Drug Overdose Epidemic

In 2007, the Bureau of Justice Statistics reported on 2004 data collected from the Census of Medical Examiner and Coroner Offices (CMEC). The CMEC was one of the first comprehensive reports on the state of the medicolegal death investigation system in the United States and included information on administration, expenditure, workload, specialized death investigations, records and evidence retention, and resources. However, the report did not include responses on questions that were related to toxicology such as specimen retention and type of testing. The purpose of this publication is to provide the community with toxicology laboratory-specific responses from nearly 2000 medical examiner and coroner (MEC) offices. Data obtained from a BJS CMEC public use dataset for any remaining information that was not reported in the 2007 BJS report were evaluated specific to the operation of toxicology laboratories within a MEC office or specific to toxicology testing. The CMEC includes information on average operating budget for MEC offices with internal or external toxicology services, budget for toxicology/microbiology services, respondents’ routine uses of toxicology analysis, toxicology specimen retention time, average turnaround times, use of computerized information management systems, and participation in federal data collections. These historical data begin to address the present state of our nation’s toxicology laboratories within the medicolegal death investigation system and their preparedness for the current drug overdose epidemic.     

新冠肺炎疫情期间公安法医应当加强尸体甄别和个体防护

因鉴定体制特点,公安法医除参与尸体有关的现场勘查工作外,还需进行尸体检验工作。在此过程中,可能面对很多风险,受伤和中毒等事件时有发生。然而,国内公安法医对新冠肺炎等传染病流行期间死亡的尸体如何甄别进行尸体检验鉴定,对现场勘查及尸体检验工作的防护只有少量规定,且内容不够详尽。本文对法医在现场勘查中遇到的尸体及尸体检验中实验室建设、职业现状、风险评估及防范措施等进行了论述。最后,建议出台相关的制度规定等具体约束规范措施,以保障公安法医现场勘查及尸体检验工作的顺利进行,以解除基层鉴定机构和鉴定人的后顾之忧。     

A health management research on the insured group who participate in medical insurance

Taking the insured group who participate in medical insurance as the main subject, Wendeng city carries out the health management and establishes health files for the insured. Through the free health checkup for the high-risk group, the targeted health interventions are conducted according to the physical examination results of those people, and relative health education has achieved satisfying effects. The health education in different western countries has been carried out for more than 20 years, which accumulates a wealth of experiences. However, health education in China has not yet gained sufficient attentions, and to develop the domestic health education becomes an imperative task at present.     

非法行医罪与医疗事故罪辨析及立法思考

非法行医罪和医疗事故罪在主体、客体、主观方面,客观方面各犯罪构成要件上都有区别,罪数形态上亦有区分执业医师擅自脱离执业地点和不按执业类别、执业范围执业的行为应以非法行医论处,有证医疗机构的无证“医务人员”从事诊疗、护理等活动造成损害的应以非法行医论,无证人员无偿提供医疗服务的仍属非法行医行为,刑法立法上应当对此作出相应规定以资完善.     

监狱医疗困境与社会化医疗模式的构建

“全额保障”的现行服刑人员医疗体制无论在资金还是医疗技术方面都存在巨大的困难，这种制度并未得到监狱、监狱民警以及服刑人员在价值观念上的认可和行动上的支持，负性影响日趋显现。探索监狱医疗社会化模式，使其始终遵循社会公民一致性原则，将服刑人员纳入城乡居民基本医疗保险体系，使服刑人员在就医、缴费、保障上摆脱“免费困境”，无疑是解决问题的良方。     

论遗嘱受益回避简

遗嘱受益回避，即因特定角色之承担从而能对他人遗嘱的成立或生效产生重要影响的入，不得从该他人遗嘱中受益。遗嘱受益回避的适用对象，包括遗嘱订立时遗嘱人的监护人、医疗人员和参与遗嘱订立的见证人、公证人及起草人，以及前列人员的配偶、直系血亲和兄弟姐妹。遗嘱受益回避的除外情形为：前述人员与遗嘱人之间有配偶、直系血亲或兄弟姐妹关系；即使某见证人或公证人没有参与，遗嘱也能有效成立；遗嘱起草人被列为受益人时，遗嘱人已征询无利害关系律师的独立意见。     

医疗卫生信息化法治建设研究

随着我国医疗卫生信息化的纵深发展,在临床管理信息系统和远程医疗的应用正逐渐成熟而趋于智能化进程的同时,网络安全隐患、信息外泄、违法谋利及违背医学伦理和医德等问题,不同程度地降低了患者满意度和信任度,有损于在广大就医者群体才树立起的我国现代高科技医疗信息化的整体形象。因此有必要加强卫生信息化的网络安全监控,重点研究和完善国家和地方相关的卫生信息化法治建设,依法有效防范远程会诊信息被非法读取的风险;依法遏制为本医药机构谋取不当利益而外泄的信息数据;依法取缔发布虚假、带有欺诈性的医疗电子网络信息、医学图像的广告等非法行为,从而使医疗卫生信息化系统工程的建设朝着更为完善、健康和高速的方向发展。