我国现行医疗救助存在的问题与改进对策——基于公共政策视角的分析

医疗救助是政府针对那些遭受疾病折磨且生活陷入困境的特殊社会公众提供的一种公共服务,医疗救助的现实运作体现为政府在医疗卫生领域和社会救助领域制定和实施的公共政策行为,因此理应符合公共政策运行的基本价值和规范。但目前,医疗救助在政策内容体系、政策对象、政策实施效果、政策资源保障等方面存在诸多问题,需通过政策设计来改进该项政策的质量和整体效果。     

Medical library services in Switzerland: catching up with EBM

The feature is a part of the series about medical library services in various countries. It gives an overview of medical library services to support research, education and clinical practice in Switzerland. Data were collected by means of an online survey and set in the wider context of the Swiss healthcare system. Key findings are that library services, including support by academic librarians, are provided to health care staff in hospitals – both university and others, while there is no information service infrastructure to serve the large number of GPs and specialists who mostly run their own practice. The authors recommend that – if the health authorities take EBM seriously – information services should be introduced for these small practices. J.M.     

从语域理论看医学英语语篇的翻译

近年来,语域理论已被越来越多地引入到翻译研究当中。文章分析了医学英语语篇中的语域特征,从语场、语旨和语式三个层面探讨语域理论对翻译实践和评论的指导作用。     

经济学视角下的医患风险管控模型研究

在医患关系迫切需要破冰的形势下,结合专家访谈、文献研究了解医患风险导致的经济损失现状,立足经济学视角,得出医患关系的特点,并构建医患风险管控模型,结合医患关系的案例,分析了医患风险管控模型的理论价值和实践作用。     

英语翻译医学学术论文题目探究

从医学论文英文题目的翻译原则、方法和要求三方面集中探究了医学科技论文英文题目的翻译规范和译法,以期引起人们对医学论文英文题目表达准确性和适宜性的重视。     

关于医学生创新能力培养的几点思考

培养具有创新能力的高素质医学人才是当今深入改革与发展社会环境下的人才培养重任,在实现创新性国家建设的道路上迫切需求具有自主创新创业意识的大学生人才。笔者根据自身工作经验,从团委工作的角度出发,就如何培养和提高医学生创新创业能力谈几点认识和思考。     

Legitimizing the Wound: Mapping the Military's Diagnostic Discourse of Traumatic Brain Injury

Following reports spanning from the beginning of the OEF (Operation Enduring Freedom) and OIF (Operation Iraqi Freedom) conflicts to the early 2010s, this rhetorical investigation analyzes the U.S. military's diagnostic practices used to identify mild traumatic brain injury (mTBI) in blast-affected troops. Considering the notion of “wound/injury” as a possible boundary object, this paper discusses how the conceptual framing of “invisible” injuries may produce interruptions of distrust that inhibit effective diagnosis.     

“共同体”的分离与重建:当代医患关系的医学哲学思考

医患关系,就其本身来看,是利益共同体和精神共同体的有机结合。当代医患关系问题的实质是医患共同体走向分离。其根源在于,在我国医学事业发展过程中,医学背离了其固有的东西,而导致了医患共同体变得不可能。医学性质的改变导致医患利益共同体分离,医学人文精神的失落导致医患情感共同体的分离,医学德性的削弱导致医患道德共同体的分离,医学局限性的弱视导致医患生命共同体的分离。重建医患共同体的过程就是医学向其本身回归的过程,对医患共同体的重建需坚持"主体间性"的原则。     

基于思维导图的“医学影像物理学”教学实践研究

“医学影像物理学”是医药院校医学影像学专业的一门专业基础课,学生普遍反映课程内容繁多且难以融会贯通。为提高“医学影像物理学”课程的教学质量,通过分析“医学影像物理学”的课程特点及学生特点,在中医药院校“医学影像物理学”的授课中应用思维导图法,融合引导式教学方法,分别从课前导学、章末总结、对比归纳学习易混淆概念等维度进行课程教学设计。结果表明,思维导图引导式教学模式,可以帮助学生提高自主学习积极性,锻炼知识整合和逻辑思维能力,学生对课程设计整体评价较高,对其他影像学专业课程教学具有一定的参考意义。     

Integration of Scientific Competence into Gross Anatomy Teaching Using Poster Presentations: Feasibility and Perception among Medical Students

Scientific competencies, as defined in the German competency framework, describe the ability to think independently and act scientifically which is a central component of medical education. This report describes integration of scientific competencies into anatomical teaching. Based on findings seen in two consecutive years of dissection courses, students worked on either a case report (n = 70) or an original research study (n = 6) in the format of a scientific poster while learning to use primary literature. Posters were evaluated by juror teams using standardized evaluation criteria. Student perception of the project was assessed by quantitative and qualitative data obtained from the faculty's course evaluation and an online-survey. Overall, students worked collaboratively and invested extra-time (median 3.0 hours) in poster creation. Primary literature was integrated in 90.8% of the posters. Overall poster quality was satisfactory (46.3 ± 8.5 [mean ± standard deviation] out of 72 points), but several insufficiencies were identified. Students integrated information gained from the donor's death certificate, post-mortem full-body computed tomography (CT) scan (22.4%), and histopathological workup (31.6%) in their case reports. Students responded positively about learning new scientific skills (median 4.0 on a six-point Likert scale), but free-text answers revealed that some students experienced the project as an extra burden in a demanding gross anatomy course. In summary, it was feasible to introduce students to scientific skills during the dissection course and to increase interest in science in approximately a third of the survey respondents. Further adjustments to ensure the posters' scientific quality might be necessary for the future.