摘要:目的:探討臨床教學(xué)的全程制度化管理及其效果。方法:通過(guò)健全組織,完善制度,加強(qiáng)教學(xué)、臨床及實(shí)習(xí)生管理、建立激勵(lì)機(jī)制等措施,進(jìn)行全程制度化的規(guī)范管理。結(jié)果:教學(xué)質(zhì)量顯著提高,不良事件鮮見(jiàn),無(wú)惡性事件發(fā)生。近來(lái)醫(yī)院已有6篇教學(xué)論文公開(kāi)發(fā)表,4個(gè)先進(jìn)集體和8名先進(jìn)個(gè)人受到醫(yī)院表彰,5名優(yōu)秀帶教教師和8名實(shí)習(xí)生受到各學(xué)院獎(jiǎng)勵(lì)。結(jié)論:臨床教學(xué)全程制度化管理是提高教學(xué)質(zhì)量的切實(shí)有效途徑。Abstract: Objective: To investigate system management during the entire clinical teaching process and its effect. Methods: To robust organization, perfect rules, strengthen management of clinical teaching and intern student, and establish encouragement mechanism,and other measures, so as to conduct standard system management during the entire process. Results: Quality of teaching improved notably, bad event was scarce, no malignant event occurred. There were six teaching articles issued publicly, four advanced collectives and eight advanced individuals had been praised by hospital, and five excellent teachers,eight intern students had been rewarded by each college. Conclusion: System management during the entire clinical teaching process is an effective way to improve teaching quality.
目的 了解榮昌縣農(nóng)村婦女孕產(chǎn)期保健服務(wù)利用現(xiàn)狀，分析其影響因素，探討進(jìn)一步改善孕產(chǎn)期保健服務(wù)利用的措施。方法 采用分層整群抽樣的方法抽取700名2008年4～12月分娩的農(nóng)村婦女，運(yùn)用SAS 8.2對(duì)資料進(jìn)行統(tǒng)計(jì)分析。結(jié)果 產(chǎn)前檢查覆蓋率為95.0%，孕早期檢查率為75.4%，5次及以上產(chǎn)檢率為69.3%，住院分娩率為98.3%，3次及以上產(chǎn)后訪視率為26.3%，孕產(chǎn)婦系統(tǒng)管理率為16.7%。影響孕產(chǎn)婦系統(tǒng)管理率的因素主要是懷孕前一年家庭收入、是否參加新型農(nóng)村合作醫(yī)療和母親懷孕次數(shù)。結(jié)論 該縣孕產(chǎn)婦系統(tǒng)管理率尚待提高，必須加強(qiáng)宣教，改善產(chǎn)前檢查和產(chǎn)后訪視狀況，引導(dǎo)更多婦女參加新型農(nóng)村合作醫(yī)療。