2011年8月4日

hospitalist II


--------DMH Hospitalist program 说明--------
Hospitalists are fully trained Internal Medicine physicians who devote all their clinical time to the care of hospitalized patients. They serve as attending physicians for patients who are directed to inpatient care by their primary care physician.
A model for hospital care in Europe for half a century, Hospitalists are also represented some of the United States leading hospitals

Hospitalist focus on patient care, comfort
A full-time hospital-based physician has distinct benefits. For example, a Hospitalist has the ability to rapidly coordinate inpatient care and react in real-time throughout the day to clinical data and changes in a patient's medical status.
At each step, whether ordering treatments, test, or consult with specialists when appropriate, communication between the Hospitalist and your primary care physician is seamless.
Hospitalists are also available consistently throughout a patient's stay to answer questions, discuss test results and provide reassurance. The Hospitalists also are familiar with hospital staff and the latest technologies available at hospital.

2011年7月16日

EQIS1.0 for QALY

EQIS 1.0, a software allows calculating Health Related Quality of Life weights. As health economist, we often concern values for QALYs (Quality Adjusted Life Years).

USER GUIDE: www.econ.unavarra.es/~eqis/EQIS%201.0%20USER%20GUIDE.pdf

2011年7月14日

Intro to Health Outcome

I reviewed some websites and literature on health outcome and related measurements today: 

Intro:
http://www.ahrq.gov/clinic/outfact.htm  U.S. Department of Health & Human Services 下辖的 Agency for Healthcare Research and Quality (AHRQ)

List of measurement instruments (工具非常多,有个网页上说有800多种):

人体最舒适-温度-湿度-风速-设定

我国国家规定了空气调节标准,对空调温度设定做了规范性的参数:

夏季空调温度设置温度以24-28°C为宜,相对湿度40%-65%,风速在0.3米/秒以下
冬季空调温度设置 温度以18-22°C为宜,相对湿度40%-60%,风速在0—2米/秒以下


当然,这种规定是指导性的,不同场合、不同功用的房间对空调温度的设定要求也不一样,应具体分析:

青年人卧室:温度 相对湿度
夏季空调设置 25—29°C50%—65%
冬季空调设置20—25°C 50%—60%
 
病人、老人、小孩卧室: 温度相对湿度
夏季空调设置26—27°C 45%—65%
冬季空调设置 22—23°C40%—60%
 
客厅以及起居 温度相对湿度
夏季空调设置26—28°C 50%—65%
冬季空调设置 22—25°C40%—55%

source: http://www.foxiangwang.com/994.html

payment reform and a JAMA paper

麻省实施了一个a global payment system called the Alternative Quality Contract (AQC)后一年里,对费用和服务质量的影响,分析用的是individual data,采用了前后测量和DD方法。--真是漂亮啊!这是这期JAMA上宋zirui一篇文章,虽然他还没拿到PhD,但是文章级别水平那真是~~~没的说!
Last month I joined a provincial workshop which discussed how to implement payment reform by conducting a combination of "Shanzhai DRG" for inpatient care and a global payment for outpatient care, since then I was just wondering how to evaluate effects of those payment reform.

Song Z, Safran D G, Landon B E, He Y, Ellis R P, Mechanic R E, Day M P and Chernew M E 2011 Health Care Spending and Quality in Year 1 of the Alternative Quality Contract New Engl J Med  null-null