【目的】了解发热门诊医务人员对埃博拉病毒病（EVD）的掌握情况，提高医务人员对埃博拉病毒（EB‐O V ）的认知，为今后发热门诊医务人员培训工作提供依据和参考。【方法】以2014年11月10～21日上海市某区发热门诊上班的医务人员作为...
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【目的】了解发热门诊医务人员对埃博拉病毒病（EVD）的掌握情况，提高医务人员对埃博拉病毒（EB‐O V ）的认知，为今后发热门诊医务人员培训工作提供依据和参考。【方法】以2014年11月10～21日上海市某区发热门诊上班的医务人员作为研究对象，采取分层抽样方法，抽取三级医院发热门诊3家、二级医院发热门诊5家，一级医院4家。针对医务人员参加EVD培训情况以及对EBOV病原学特征和流行病学特征等知识掌握情况，采用独立自填式问卷及现场进行防护服穿脱实践进行调查。【结果】92名被调查者中，61人（66．30％）参加过EVD培训，医生的培训率高于医技人员（χ2＝24．506， P ＜0．001），护士的培训率高于医技人员（χ2＝26．542， P＜0．001）。副高以上职称人员参加培训率高于初级职称人员（χ2＝9．382，P ＝0．002），中级职称人员参加培训率高于初级职称人员（χ2＝6．582，P ＝0．01）。参加过培训的人员对EVD 的流行病学特征知晓率高于未参加过培训人员（χ2＝70．867，P ＜0．01）。参加过培训的人员对个人防护的要求知晓率高于未参加过培训的人员（χ2＝10．136， P ＝0．001）。经过培训的10名人员中，防护服穿脱顺序完全正确的仅5人，其中4名护士，1名医生，医技人员无人完全正确。【结论】需要加强发热门诊内医技人员EVD相关知识的培训，多给予初级职称人员培训机会，要做到发热门诊内医务人员全员培训，需要增加防护服的穿脱流程等实践课程作为培训内容。
In recent years there have been several attempts to develop quantitative measures of potential spatial access to health care services which, despite their limitations, offer many positive ideas that can perhaps be int...
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In recent years there have been several attempts to develop quantitative measures of potential spatial access to health care services which, despite their limitations, offer many positive ideas that can perhaps be integrated into a logically consistent and generally acceptable index. It is in this vein that the current paper presents an integrated approach, drawing partially from past contributions, to measuring potential spatial access to health care services. The final access index is derived as the culmination of a series of individual measures, starting with an initial gravity formulation and progressing through successive stages as new elements, consistent with the definition and conceptualization of potential spatial access, are introduced. Application of the proposed index to the ambulatory medical care system of the Akron, Ohio SMSA, demonstrates the validity of the measure, and its suitability as a potential health care planning tool.
Examines the alterations of ambulatory service delivery of a community hospital in Rochester, New York. Factors affecting the innovation of the service; Replacement of components of the Out Patient Department with a m...
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Examines the alterations of ambulatory service delivery of a community hospital in Rochester, New York. Factors affecting the innovation of the service; Replacement of components of the Out Patient Department with a multispecialty salaried medical group; Impact of institutionalization on patients and providers.
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