医疗

Some factors embarrassed the developing of the Medical Tourism in china. Such as, the Chinese traditional medicine face grimness challenges, China's entry into WTO take more pressure to Chinese medicine industry, our government isn't pay attention to the Medical Tourism now and the domestic medical treatment conditions should be improved.

我国医疗产业在世界上受到严峻挑战，医疗旅游中介行业尚未起步，我国医疗旅游的发展尚未引起国家政府的重视，以及国内居民医疗条件有待改善等因素阻碍了我国医疗旅游业的发展。

After a difficult exploration of 30 years, government of guangzhou has managed to find out a set of the medical reform of itself characteristics, making medical security system more satisfactory, and the strive to develop community health and medical community services, efficiently building up the new model of guangzhou city medical service system taking community service as the basis, having effect laxation masses of the problem of " too troublesome to go to the doctors', too expensive to come across the medicines ", providing great importance of the constructing of a harmonious society.

近日，国家发改委也正式公布了《关于深化医药卫生体制改革的意见》，经过三十年艰难的探索，广州政府逐渐摸索出了一套具有自身特色的医疗改革方案，使医疗保障制度大大地完善，大力发展社区医疗卫生服务，建立以社区医疗服务为基础的新型广州医疗服务体系，有效缓解群众"看病难、看病贵"问题，对构建和谐广州具有重大意义。

This report is analysis for actuality and subsistent problem and in face of challenge with the medico-legal autopsy. Meanwhile, some suggestions and ideas about the establishing quality management and controlling system of medicolegal autopsy are put forward. Medical tangle ; Medicolegal identification ; Medicolegal autopsy

为进一步明确法医学鉴定在医疗纠纷中的作用及面临的挑战，现将涉及医疗纠纷的法医学鉴定，特别是法医学尸检鉴定的现状、存在的问题及展望综述如下。1涉及医疗纠纷的法医学尸检鉴定的意义涉及医疗纠纷的法医学尸检，国外多定义为与医疗相关的法医学死因调查medicol电al investigation of deathdue to

Compensation for medical malpractice should take these factors into consideration, the level of medical accident, the extent of responsibility for medical misfeasance in consequences of compensation for medical malpractice, relationship between consequences of compensation for medical malpractice and sufferer s original disease.

医疗事故赔偿，应当考虑医疗事故等级，医疗过失行为在医疗事故损害后果中的责任程度，医疗事故损害后果与患者原有疾病状况之间的关系这些因素，来确定具体的赔偿数额。

In implementation of NHI, the Bureau of NHI as the role of insurer, there are few restrictions on prestation of insurance.

在健保制度下，健保局只愿承担符合健保规定「适当医疗服务」，但医疗服务绝非墨守一定的规定即可完成，因应医疗服务的「医疗契约」只存在医病间，所以真正医疗上的「适当」应是医病双方的合意，健保规定下的「适当」所指应只是财务上考量的适当，所以健保制度下的「给付规定」与「支付规定」在内容上是有不同的。

In order to take concerted action with the Ministry of Health on implement of permission policy on application of new medical technology, speed up the development of administration of application of medical technology, and reinforce the international collaboration, The First International Forum on High and New Medical Technology Application And The Second Symposium of National Medical Technology Application Management will be held at the Beijing Xiyuan Hotel on September 9th - 11th.

为更好地合卫生行政管理部门即将出台的"医疗新技术应用准入管理"政策的实施，推动我国医疗卫生技术应用管理事业的健康发展，加强国际交流与合作，特举办"首届中国国际医疗新技术应用研讨会暨第二届全国医疗卫生技术应用管理论坛"并作为卫生部国际交流与合作中心主办的"第十二届中国国际医用仪器设备展览会暨技术交流会"的系列活动之一，将于2003年9月9日至11日在北京西苑饭店隆重召开。大会将进行学术研讨，医疗新技术，新产品展示交流等活动。

If the technology and equipment of the medical institution in the city cannot satisfy the needs of treating the member, the customer service specialist will activate the domestic transfer mechanism and arrange an ambulance or other vehicle as may be necessary under the circumstance to transfer the member from the place of first visit to the nearest suitable medical institution under the escort of a physician or nurse, with ANFA bearing the expenses incurred by the transfer (including the expenses of transport from the scene to the place of first visit).

安法会员在中国境内，因为意外伤害或突发疾病时，可协助会员安排特约医疗机构；若该城市内医疗机构的技术、设备无法满足会员治疗之条件，客服专员即启动境内转送机制，安排救护车或其他交通工具，由医师或护士陪同，转送会员从初诊地至邻近适宜的医疗机构，并承担上述转送费用以及从出事地到初诊地的运送费用，医疗转送必须由《安法24小时医疗服务中心》的医师及会员的主治医师共同认定方可启动。

Firstly compares the crime of medical accident and the crimeless, including the medical accident, the unexpected medical damage, the syndrome, and the special emergency medical treatment.

首先比较了医疗事故罪与非罪的界限，包括医疗事故罪与一般医疗事故、医疗意外、医疗并发症、特别抢救行为的界限。

Firstly, the management and evaluation of the medical quality is changed from pure clinical medical view to psychological-social-clinical view, from empiristic view to systemic managing view and the standard of ISO9000-2000 is introduced into.

本文的主要创新点在于：宏观上突破医疗质量的传统范畴和观察角度：转变仅从纯医学专业角度进行医疗质量评价，仅以管理工作经验进行医疗质量管理的观念，从管理科学的高度对医疗质量的管理及评价进行系统化的考虑，在研究中引进ISO9000的系统、全面的管理理念，对医疗质量进行标准化管理。

At present,along with a new round of health care reforms be carried out in the draft,citizens give it high expectations,but the city of Guangzhou health care reform in the face of low health insurance coverage,the uneven distribution of resources,high medical expenses,"difficulty medical treatment,expensive medical treatment",the tensive relationship between doctors and patients,leading to the embarrassing situation which health care providers and those who demand are not satisfied with,because of improper government intervention and lack of responsibility, medical reform in the process of suffered various setbacks,doctors and patients have become increasingly conspicuous.

目前，随着新一轮医疗改革方案意见稿的进行，群众对医改抱以很大的期望，但广州市医疗改革面对医疗保险覆盖率低，资源分布不均，医疗费用居高不下，&看病难、看病贵&问题，医生与患者之间关系紧张，导致医疗服务供给者及需求者双方均不满意的尴尬局面，由于政府的不当干预及责任缺失使改革举步维艰，在医改过程中遭遇种种挫折，医患矛盾日益突出。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。