门诊

In "three first" hospitals, the quantity of the outpatients is very large; the time of blood drawing is some how centralized; the items of the laboratory sheets are complex and the time of results turning out is different. there for, how to drawing blood accurately and manage the laboratory sheets scientifically is a very important problem needed to bi resolved for the ambulant clinics and blood drawing centers in the hospitals. and how to built a suit of scientifically management method system is an important task for every hospital.

对于"三甲"级医院由于门诊病人流动量大，采血时间集中，化验单项目多而复杂、且出结果的时间长短不一的特点，因此，对于血液标本的正确采集及化验单的科学合理等问题已成为各医院门诊护理工作及中心采血室急待解决的一项重要的工作，如何建立一套科学的管理方法与制度是各医院必须要解决和研究的重要课题之一。

The study aims at examining the relationship of demography of ambulatory for high users, characteristics of visiting places and anomalistic utilization of ambulatory care in Taiwan.

有鉴於我国异常的门诊医疗利用情形，本研究目的在探讨门诊高诊次医疗耗用者之人口学特徵和医疗院所属性，及其对门诊医疗资源耗用情形。

FQNs shares the anti-infection medicine to don't greatly differ with the medicine amount of money,the application each year of frequency percentage.during the period 2000~2005,used the biggest species in the medicine amount of money were an floxacin,qurinodis,rufloxacin,rufloxacin,Gatifloxacin,lomefioxacin respectively,has 22.36%,18.05%,46.16%,22.55%,34.43%,23.8% that FQNs of that year always uses the medicine amount of money respectively.

笔者对2001年~2005年我院门诊氟喹诺酮类药物的用药情况进行较全面的分析，以期了解氟喹诺酮类药物在我院门诊用药的现状和趋势。1资料与方法1.1资料来源资料来源于我院电脑数据库。1.2方法统计2000年~2005年我院氟喹诺酮类药物的用药金额及在抗菌药

It is learnt that the community in our province of drug treatment from June 2004 has been officially launched so far, there have been 54 community drug methadone maintenance therapy clinic Kaizhen According to statistics, from four years of out-patient situation, there are Nearly 10,000 "drug addicts" access to methadone maintenance therapy.

据悉，我省社区药物维持治疗工作从2004年6月正式启动以来，到目前为止，已相继有54个美沙酮社区药物维持治疗门诊开诊，据统计，从四年的门诊情况看，目前已有近10000名"瘾君子"获得美沙酮维持治疗。

Outpatient pharmacy is an important component as well as a key link of improving service quality in outpatient department.

门诊药房是医院门诊服务系统的重要组成部分，同时也是提升医院门诊服务质量的关键环节之一。

Based on the system design blueprint, policlinic registration system is implemented gradually.

对门诊系统和挂号系统用面向对象的方法，对关键的中间层给出了门诊系统内部逻辑结构设计和挂号系统UML序列图设计本文在完成系统的设计后，以此为蓝图，逐步实现门诊挂号系统。

Policy recommendations: 1 Improve relevant policies, laws and regulations, including: the responsibility of governments at all levels, funds raise and management, program for Coordinating, the responsibility of public hospital. 2 Establish sustained and stable funding and management mechanism, emphasis fund-raising responsibilities of government at all levels, strengthen government and social organizations, set up special accounts of MAP, study the scientific and reasonable mechanism for distribution of funds. 3 Optimize Program for Coordinating MAP and NCMS, including: Free out-patient services, abolition of pay lines of out-patient and hospitalization, out-patient help including village health clinic and chronic disease; hospital help by disease, sub-object and pro-rata; increase sorts of serious disease, set reasonable pay line, cap line, and proportion in MAP; regular or occasional payment of a fixed payment or MAP cards, improve MAP coverage and benefit rates.4 Establish a new type of management for Coordinating MAP and NCMS.

政策建议：1完善相关政策法规，包括：各级政府的责任、医疗救助资金的筹集和管理、医疗救助与新农合衔接方案、管理与服务制度、公立医疗机构在医疗救助领域的职责等。2建立持续稳定的资金筹集和管理机制，强调各级政府在医疗救助资金的筹资责任，加强政府与社会组织的合作，建立医疗救助基金，研究科学合理的资金分配和管理机制。3优化新农合与医疗救助衔接方案，包括：开展免费门诊服务项目，取消门诊和住院起付线，将村卫生室纳入门诊报销范围，增加慢性病的门诊救助；按病种、分对象、按比例地给予住院救助，增加大病救助的病种，合理设定住院救助的起付线、封顶线、救助比例；定期或不定期发放定额的救助金，发放医疗救助优惠卡，提高医疗救助的覆盖面和受益率等。4建立新型的医疗救助与新农合衔接管理模式。

All the analysis was done using SAS EM 4.1 software. The prevalence of tracheobronchitis were higher in spring and autumn. Average atmospheric pressure, average temperature, highest air temperature, lowest air temperature, water-vapour pressure, degradation of visibility were positively correlated with the prevalence of tracheobronchitis. Factors that affected the incidence of tracheobronchitis were average atmospheric pressure, degradation of visibility, daily temperature difference and water-vapour pressure.

结果］湖州市气管支气管炎门诊人数存在明显的季节分布差异，夏季和冬季是此类疾病的2个高发季节，而春季和秋季门诊人数较少；其门诊人数与平均气压、平均气温、最高气温、最低气温、水汽压、大气能见度等气象条件存在较好相关性；影响气管支气管炎门诊人数的主要气象因子有平均气压、能见度、日较差和水汽压，当平均气压≥1020.33hPa且能见度＜6.2km时，气管支气管炎门诊人数最高。

At the angle of the psychology about patient's hospitalizing, the article puts forward that well-ordered, convenient, comfortable space of clinic comes into being by controlling the distance of hospitalizing, choosing the reasonable mode of organization for the space of clinic.

本文从病人就诊行为心理学出发，提出通过对病人就诊流线距离的控制，合理选择门诊空间组织模式，注重门诊功能科室在水平向与层次上的合理安排，以及有效的室内空间设计，达到创造有序、便捷、舒适的门诊就诊空间。

The study finds as follow: Under controlling the characteristics of demography and sociology, and medical resources, nationalities affect the medical utilizations of Western and Chinese clinic visitings significantly. And it affect the numbers of medical utilizations and part amount of Dental clinics visitings significantly,too.

本研究发现，在控制人口与社会学特性及医疗资源特性下，国籍别对西医门诊医疗利用之就诊次数、给药天数、药费、部份负担及申请费用，中医门诊医疗利用之就诊次数、给药天数、药费、部份负担及申请费用，牙医门诊医疗利用之就诊次数、部份负担等利用项目，均有显著性的影响。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。