维和二级医院卫生装备标准化管理模型构建

发布时间：2018-06-06 01:20

本文选题：维和 + 维和二级医院　；参考：《中国人民解放军军事医学科学院》2017年硕士论文

【摘要】：联合国维和部队是联合国维和行动的重要组成部分,是控制局部冲突,帮助受伤民众,并为解决政治冲突而创造条件的特殊队伍。我国派出的医疗分队在联合国维和任务区内为维和二级医院,担负任务区卫勤保障的整体工作,对维和任务顺利完成起至关重要的作用。维和条件下,维和二级医院开展日常工作的必要基础在于卫生装备和相关设施,这些卫生装备在由联合国设置的各个任务区中强有力的支持了各种形式的医疗行为。因此,有关卫生装备的相关操作、保养、修护等日常的管理工作成为卫勤保障工作的物质基础和前提条件。卫生设备是维和医疗队关键部分,包括急救、后送、诊疗、防疫防护以及机动医疗相关的装备。根据维和二级医院卫生保障特点和装备管理需求,本课题通过文献调研并结合逻辑法与历史法等,分析维和二级医院卫生装备的使用特殊性与管理复杂性;结合实际问题,通过研究维和二级医院卫生装备的一些特殊性,总结分析出维和二级医院卫生装备标准化管理的具体需求;在模型的建立过程中,通过专家咨询,探讨维和二级医院卫生装备标准化管理模式,建立维和二级医院卫生装备标准化管理模型,从而为维和二级医院卫生装备管理提供参考,最终目的是提高维和二级医院的卫生装备管理能力,提升我国在维和活动中的大国形象。本文的创新之处在于系统分析了标准化管理模型建立的过程,细化了各管理模型构成要素的功能,将卫生装备记录文档化,形成数据模型,并将装备管理评估方法的具体内容制定为表格形式,从而创建了维和二级医院卫生装备管理标准化模型和生命周期管理模型,便于未来卫生装备的评估与管理。本研究内容可分为以下四个部分:第一部分通过文献调研并结合逻辑法与历史法等,深度剖析联合国维和二级医院卫生装备管理特性;第二部分结合实际问题,研究维和二级医院卫生装备标准化管理需求;第三部分是研究维和二级医院卫生装备管理标准化相关问题;第四部分通过专家咨询,建立维和二级医院卫生装备标准化管理模型。本研究主要结果如下:(一)针对维和行动下维和二级医院存在的问题以及其环境特殊性,参考多方卫生装备智能化监管经验的同时,对国内外维和二级医院卫生装备的管理现状和模型进行分析,并拟参照维和卫生装备管理特点及《军队医疗设备管理规定》,建立维和条件下卫生装备应用检测和维护制度,为卫生装备的科学管理提供参考;(二)关于卫生装备的管理,本研究在对目前所存在的问题做具体分析之后,提出了针对卫生装备使用、管理以及维护的可行措施,以及针对人员选择、医疗队的构成、后勤工作和保障的组织监管等多方面的解决方案。而对于难以规避的客观条件,本研究强调不仅要做好出发前准备、充分考虑当地气候特点和供电特点、多向有维和经验的国家学习,而且要加强配备使用频繁且成本低的设备、定期维护医疗器械;同时强调利用互联网众人之智解决问题、做好卫生装备的移交工作以及培养医疗人员个人安全意识等具体改进措施。以期能使卫生装备发挥最大的作用,实现装备在维和过程的管理更加规范化,有效提高卫生装备在维和保障中的使用效能。(三)另一方面,本研究通过建立卫生装备生命周期管理模型来生成辅助决策方案,增强卫生装备管理的可靠性和经济性。总而言之,本研究通过问卷调研,结合实际情况,较完善地构建了维和二级医院卫生装备标准化管理模型,并通过图表形式对装备进行管理评估,使其能够提高维和二级医院的卫生装备管理效率和保障效能。
[Abstract]:The United Nations peacekeeping force is an important part of the United Nations peacekeeping operation. It is a special team to control local conflict, help the injured people and create conditions for the solution of the political conflict. The medical detachment sent by our country is in the United Nations peacekeeping mission area for the peacekeeping two level hospital, carrying the overall work of the mission area medical support and the peacekeeping operation. In peacekeeping conditions, the essential basis for the daily work of the two level peacekeeping hospital lies in health equipment and related facilities, which strongly support various forms of medical behavior in the various mission areas set by the United Nations. Therefore, related operations and maintenance of health equipment, Maintenance and other daily management work become the material basis and prerequisite of health service support. Health equipment is the key part of the peacekeeping medical team, including first aid, evacuation, diagnosis and treatment, anti epidemic protection and equipment related to mobile medical treatment. According to the characteristics of health protection and equipment management requirements of the two level hospital of peacekeeping, the subject through literature investigation and conclusion To analyze the particularity and management complexity of health equipment in peacekeeping two level hospital, and to analyze the specific characteristics of the health equipment in the two level hospital of peacekeeping, and analyze the requirements of the standardized management of the health equipment in the peacekeeping two level hospital. Consulting, discussing the standardized management model of health equipment in the two level hospital of peacekeeping, establishing the standardized management model of health equipment in the level two level hospital, thus providing reference for the management of health equipment in the level two level hospital. The ultimate aim is to improve the health equipment management ability of the peacekeeping two level hospital and enhance our country's image of the great power in the peacekeeping activities. The innovation of this article lies in the systematic analysis of the process of establishing the standardized management model, refining the functions of the components of each management model, documenting the records of health equipment, forming a data model, and making the specific content of the equipment management evaluation method form form, thus establishing the standardization of health equipment management in the two level hospital of peacekeeping. The model and life cycle management model are convenient for the assessment and management of future health equipment. The content of this study can be divided into four parts. The first part, through literature research, combined with logical and historical law, analyzes the health equipment management characteristics of United Nations peacekeeping two level hospitals in depth, and the second part studies peacekeeping two in combination with practical problems. The standardized management requirement of hospital health equipment; the third part is to study the related issues related to the standardization of health equipment management in the peacekeeping two level hospital; the fourth part, through expert consultation, establishes the standardized management model of health equipment in the level two level hospital. The main results of this study are as follows: (I) the problems existing in the peacekeeping and two level hospitals under peacekeeping operations are As well as its environmental particularity, the management status and model of health equipment in peacekeeping two level hospitals at home and abroad are analyzed with reference to the intelligent supervision experience of multi-party health equipment, and the characteristics of peacekeeping health equipment management and the regulations of military medical equipment management are drawn up, and the system of testing and maintenance for the application of health equipment under the condition of peacekeeping is established. The scientific management of health equipment provides reference. (two) on the management of health equipment, after analyzing the existing problems, this paper puts forward the feasible measures for the use of health equipment, management and maintenance, as well as the selection of the personnel, the composition of the medical team, the logistics work and the organization and supervision of the guarantee. The solution, and for the difficult objective conditions, the study emphasizes not only to prepare for the pre departure, to take full consideration of the local climate characteristics and power supply characteristics, to learn more to countries with peacekeeping experience, but also to strengthen equipment with frequent and low cost, maintain medical equipment regularly, and emphasize the use of the intelligence of the Internet. Solving problems, doing well the handover of health equipment and cultivating personal safety awareness of medical personnel, in order to make the health equipment play the most important role, realize the management of the equipment in the peacekeeping process more standardized, and effectively improve the use efficiency of the health equipment in the peacekeeping guarantee. (three) on the other hand, this research has passed. The life cycle management model of health equipment is set up to generate auxiliary decision-making scheme and enhance the reliability and economy of health equipment management. In a word, this study has constructed a standardized management model of health equipment in the peacekeeping two level hospital by questionnaire investigation and combined with the actual situation, and carries out management evaluation on the equipment through the chart form. It is estimated that it can improve the efficiency and effectiveness of medical equipment management in peacekeeping two grade hospitals.
【学位授予单位】：中国人民解放军军事医学科学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R82

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