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بسم الله الرحمن الرحيم&#= 13;

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= 575;لمستشفيات الج= 575;معية
= 221;مالها, وماعليها“

موض= 608;ع

فى أمس الحاجة إلى مناقشته=
وإلى أن نرف= 593; شعاره
عقد&= #1575;

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• لأن المؤتمرات العلمية الت= 609; تعقدها كليا= 578; الطب, = 608;أقسامهاالع&= #1604;مية, و= 603;ذا المؤتمرات التى تنظمها الجمعي= ات, = 608;المنظمات غير الحكومية, لا تعد ولا تحصى

= •ولم نسمع أن أيا من هذه المؤتمرات= , قد تبنى قضية المستشفيات الجامعية, باستثناء الق= 04;يل جدا منها والتى لم تحظى بالاهتمام ا= 604;واجب, والتغطية الإعلامية الكافية , وبالتالى المشاركة الواجبة

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&#= 8226;كما أننا نسمŸ= 3; ونرى, كل يوم, عن إستقدام عشرات من الخبراء الأجانب, فى شتى مجالات الطب العام, والتخصصى= ;, <= span lang=3DAR-SA style=3D'font-family:"Times New Roman";mso-bidi-font-family:"= Times New Roman"; font-size:133%'>والدقيق,<= /span>
وأيضا <= span lang=3DAR-EG style=3D'font-family:"Times New Roman";mso-bidi-font-family:"= Times New Roman"; font-size:133%'> فى تخصص=

= • ولم نسمع أبدا, أنه قد تم = إستقدا= م خبير واحد,
فى إدارة المستشفيات=

<= /v:shape>
= •وكأننا <= /span>على قم= 7; الهرم
فى ”الإدارة الطبية“

&= #8226;  = وفى قاŸ= 3; الجهــل

    بـ ”= ;العلوم الطبية“

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= 73;ن هذه المحاضر= 577; عن

المست= ;شفيات

الجام= ;عية

ثلاثة محاور

:

•= تقي= 10;مالأ= 83;اء

• = تقو= 10;مالأ= 83;اء

• = توك= 10;دالج= 08;دة

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•التقوي= ;م
عملية تشخيصية,
علاجي= ;ة, وقائية
هدفها= ; <= span lang=3DAR-EG style=3D'font-family:"Times New Roman";mso-bidi-font-family:"= Times New Roman"; font-size:129%'>ليس معرفة واقع الحال فقط , و<= b>إنما اقترا&#= 1581; <= span lang=3DAR-SA style=3D'font-family:"Times New Roman";mso-bidi-font-family:"= Times New Roman"; font-size:129%'>الحلول, وتطبيق الوسائل, لتدعيم جوانب القوة, <= /b>وتلافى مواطن الضعف, <= /b>بما يؤدى = فى<= b> النهاية إلى تطوير وتحسين الأداء

•Management

•التقيي= ;م
عملية تشخيصية
هد&#= 1601;ها معرفة واقع الحال, والكشف عن جوانب القوة, ومواطن الضعف في = 7; =

&= #8226;Diagnosis

•=

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•التق= ييم = =
Asse= ssment

هو أن نرى أنفسنا من الداخل
<= span style=3D'mso-spacerun:yes'> وهو المدخل الرئيسى للتقويم

•والت= قويم Evaluation
هو أن نرى مستقبلنا,
<= span style=3D'mso-spacerun:yes'> وأن نرسم له صورة أفضل

•وب= 75;لتقييم, والتقويم, معا
يصبح دائما, وأبدا
”= فى الإمكان أفض= 604; مما كان“

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•= 608;إذا كان المدخل الرئيسى للتقويم

• فإن الخطوة الأولى للتقييم
هو ما يعرف بـ

<= b>

SELF-ASSESSMENT

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والسؤال المطروح بشد= 577; هو:

•هل قام= 8; أى من المستشفيات الجامعية <= span lang=3DAR-EG style=3D'font-family:"Times New Roman";mso-bidi-font-family:"= Times New Roman"; font-size:125%;color:#FFFF66'>بإجراء أية دراسة ذاتية؟

•

•&#= 1575;لجواب: بالتأكيد ”لا“

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المستشف= 610;ات الجامعية ؟

وماذا عليها؟

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المجلس الأعلى للجامعات
قطاع الدراسات الطبية
لجنة تقوي&= #1605; الأداء وتوكيد الجودة

R= 26;درا= 87;ة عن
= 576;المستشفيات الجامعية

R= 26;إعداد

R= 26;

R= 26;ا.د/ صلاž= 1; كامل نصار    أستاذ طب الأطفال - كلية الطب        = ;   جامعة القاهـرة

R= 26;ا.د/ محمد رضا حمزة     أستاذ بمعه= 583; الأورام القــومى        = ;   جامعة القا= 607;ـرة

R= 26;ا.د/ محمž= 3; رضا بسيونى   أستاذ طب الأطفال- كلية الطب        = ;   جامعة المنصورة

R= 26;

R= 26;الق= 5;هرة – مارس 2002

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عناصر الدراسة = ;

<= span style=3D'mso-special-format:bullet;color:#FF0066;position:absolute;right:-= 4.39%; top:-.08em;font-size:110%'>•<= b>القسم الأول = : المستž= 8;فيات الجامعية. <= /span>

<= span style=3D'mso-special-format:bullet;color:#FF0066;position:absolute;right:-= 4.39%; top:-.08em;font-size:110%'>•<= b>القسم الثانى : ال= 80;ودة فى مجال الخدمات الصحية.

<= span style=3D'mso-special-format:bullet;color:#FF0066;position:absolute;right:-= 4.39%; top:-.08em;font-size:110%'>•<= b>القسم الثالث : &= #1590;مان جودة الخدما= 578; الصحية.

•<= b>القسم الرابع : تق= 08;يم الأداء وتوكيد الجودة فى المستشفيات.= 3;

<= span style=3D'mso-special-format:bullet;color:#FF0066;position:absolute;right:-= 4.39%; top:-.08em;font-size:110%'>•<= b>القسم الخامس : المشك = 4;ات والحلول. <= /div>
<= span style=3D'mso-special-format:bullet;color:#FF0066;position:absolute;right:-= 4.39%; top:-.08em;font-size:110%'>•<= b>القسم السادس: <= /span>آلي= 77; التنفيذ.

<= span style=3D'mso-special-format:bullet;color:#FF0066;position:absolute;right:-= 4.39%; top:-.08em;font-size:110%'>•<= b>القسم السابع   : مراجع الدراسة. <= /div>
<= span style=3D'mso-special-format:bullet;color:#FF0066;position:absolute;right:-= 4.39%; top:-.08em;font-size:110%'>•<= b>القسم الثامن   : <= /span>الملاحق.

= •=

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<= span lang=3DAR-SA style=3D'font-family:"Monotype Koufi";mso-bidi-font-family:"M= onotype Koufi"; mso-hansi-font-family:Tahoma;font-size:82%;color:yellow'>ال= قسم الأول
ال= ;مستشفيات الجامعية

1.= نشأة وتطور المستشفيات الجامعية. <= /span>

2.= 608;ظائف المستشفيات الجامعية. <= /span>

3.= أنشطة المستشفيات الجامعية. <= /span>

4.= 573;يجابيات المستشفيات الجامعية.

5.= سلبيات المستشفيات الجامعية. <= /span>

6.= 575;لصعوبات التى تواجه المستشفيات الجامعية.

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&#= 8226; 1827مفى عهد الزعيم العظيم- محمد على باشا الكبير- أنشأ <= /b>كلوت ”بك“= ;, أول مدرسة قومية للطب فى مصر, فى مستشفى ”أبو زعبل“ العسكرى

•1837مانتقلت مدرسة الطب إلى قصر الشيخ أحمد العينى, <= /b>وسم= 10;ت ”مدرسة طب قصر العينى“= 3;

•

•1838م
أنشئت أول مدرسة للمولدات, بمدرسة طب قصر العينى

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•1925م
أنشئ= 578; الجامعة المصرية ”جامعة فؤاد الأول“,
وأدم= 580;ت مدرسة الطب فيها,
وأطل= 602; عليها لقب ”كلي= 7; طب“, بدلا من ”= مدرسة طب“.
= ;

•1935م
تم إفتتاح مستشفى فؤاد الأول ”سابقا“
مستش= 601;ى المنيل الجامعى ”حاليا“ أو ما يعرف لدى العامة بـ ”القصر العينى الجديد“, بسع&#= 1577; 2000 سرير.
= ;

•ومنذ الخمسينات:
توالى إنشاء الجامعات, وكليات الطب, والمستشفيا= 78; الجامعي= 7;, فى كافة أرجاء الوطن العزيز.

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•<= /span>1942
ال&#= 1573;سكندرية
= ;

•<= /span>1947
عي&#= 1606; شمس
= ;

•<= /span>1960
أسيوط= ;
= ;

•<= /span>1962
طنطا =

•<= /span>1963
ال&#= 1605;نصورة =

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= •1969 معهد الأورام القومى

•1970 الزقاز= ;يق

= •1981    بنها
•1981&nbs= p; قناة السويس

= •1984 المنوفية

•1984&nbs= p; المنيا
= •1989 معهد الكبد بالمنوفية=

•1989&nbs= p; سوهاج- جنوب الوادى

<= span style=3D'mso-special-format:bullet;color:#FFFF66;position:absolute;right:-= 7.75%; top:-.15em;font-size:120%'>•1995 بنى سويف- القاهرة
•1996 الفيوم- القاهرة

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كليات الطب
= 80;امعة الأزهر

•<= /span>1964الأزهر ”<= /span>بنـــين“
•= 1969 الأزه= ;ر ”بنـــات“
•<= /span>1989 الأزه= ;ر ”أسيوط“

•<= /span>2001 الأزهر ”دميــاط“

•

R= 26;

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ومنذ ذلك الزمن البعيد
وحتى يومنا هذا

فإن المستشفيات الجامعية, كانت, وظلت, وسوف تظل, = 601;ى كافة مجالات الصحة, والطب الوقائى, والعلاجى, والتأه= يل, والتعليم, والتدريب, والبحث العلمى, وخدمة المجتم= ع, وتنمية البيئة

م = 6; سلبيات

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•وإذا كانت الآثار الفرعونية, تقف, شامخة, شاهدة, على تاريخ مصر القديم, وتحكى عظمة المصريين ال= 602;دماء
•

<= span style=3D'position:absolute;top:0%;left:0%;width:95.13%;height:100.0%'>•فإن المستشفيات الجامعية, التى تكاد= تغط= 609; أرجاء الوطن, شرقه وغربه, ومن شماله إلى جنوبه, لتقف شاهدا على عظمة الطب, وكفاح وصبر,= ومعاناة, وروعة الأطبا= ;ء, فى مصر الحديثة, بر= غم ك= 604; الت= 81;ديات والصعاب

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وإن الجامعات والكليات التى توصف ب ”الإقليميةR= 20; بحكم ” الجغرافيا والتاريخ القديم

•لهى, فى واقع الأمر, حضارات جديدة, على أرض مصر, بدأت من الصفر, وحفرت <= /b>فى الصخر, فتفوقت على نفسها, بل وعل= 09;   غير= 07;ا, من الجامعات ”الأم“, وال= 81;مد لله أنها لم تصب - بعد – بأمراض ”ال= 88;يخوخة“

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8.= التعاون الكامل, مع وزارة ال= 591;بية بالداخل <= /div>
9= .تبادل الخبرات الطبية, مع المراك= ز الخارجية

10.تحمل العبء الأكبر, أثناء وحا= 04;ات الطوارىء

11.

1= .التعليم والتدريب

2.3.ال= 582;دمات الطبية 4.5.ال= 605;ؤتمرات العلمية
6.البيئة=

7= .سياسة الباب المفتوح

إ= ن إيجابيات المستشفيات الجامعية = ;

ل&= #1575; تعد ولا تحصى

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دور&= #1577; السرير

34-37 مرة

متوسط الإقامة 7 أيام

نسبة إشغال الأسر= 577;

103<= /span>-104%= 3;

توجد قائمة إنتظا= 585;

مرضى القسم الداخلى

2162928

أكثر من 2 مليون

مرضى العيادة الخارجية

5510686=

خمسة ملايين ونصف =

عدد غرف العمليا= 578;

525=

الطا= قة السريرية

22279=

16% من جملة الأسرة

عدد المستشفيات=

53<= span style=3D'color:white;mso-color-index:3;mso-special-format:lastCR;display:n= one'>

ثلاثة وخمسون

عدد المعاهد الطبية

4

تتبع الجامعات مباشرة

عدد كليات الطب

14<= /span>

لا يشمل كليات طب الأزهر

عدد الجامعات

12<= /span>

لا يشمل جامعة الأزهر

= 75;لمستشفيات الجامعية بالأرقام

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= •فإننا نحن العاملين بالمست= ;شفيات الجامعية فى مصر<= /span>, من أعضاء هيئة تدريس, وأطباء, = وهيئة تمريض, وإداري= ;ين, وفنيين , محاصرو= ;ن بكم لا حصر = له من مشاكل العمل = اليومية, التى تحتاج <= /span>للعلاج= ;, والوقاية منها

وبرغم ذلك,
فإن الصورة
ليست وردية تماما =

كل= ;ية طب

ا.د =

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•

•&#= 1603;ما أن روتين العمل اليومى, لا يترك لنا كأطباء= ;, إلا القليل من الوقت, لمباشرة نشاطنا الأساسى, والواجب الأول علينا, <= /b>وهو ما يتعلق بما يحصل عليه المريض
من عناية, و رعاية, وخدمات

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•

= •وقد اخترنا مرغمين- أو بمحض إرادتنا- الهروب= ;
من مواجهة هذه المشكلات, وتركنا التع= 575;مل &#= 1605;عها, والتصرف فيها, لمن هم أقل منا, <= /b>خبرة <= /span>ودراية= ; , وهم الأطباء المقيمون, وأطباء الإمتي= ;از, والإداريون ,
&#= 1608;هيئة التمريض

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• وبر= 94;م أن هذا الأ= 87;لوب, قد يساهم فى حل بعض من هذه <= span lang=3DAR-SA style=3D'font-family:"Times New Roman";mso-bidi-font-family:"= Times New Roman"; font-size:129%;color:white;mso-color-index:3'>الم= 88;كلات, إلا أنه لا يقدم أية ضمانات لعدم تكر= 75;رها, أو ظهورها, غدا, أو بعد غد, وغالبا ما تعود نفس المشكلات للظ= 07;ور من جديد, مرا= 78;, ومرات, ومرات

وفى حالات الضرورة, نلجأ إلى إصدار أوامر, وحلول فورية, بسرعة الصاروخ, لمواجه= ;ة المشكلات, التى = تطرأ, بشكل حاد أو سريع

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إن ذلك كله وغيره كثير, كثير, كثير

وال= 00;واقع
= 608;هذا هو بعض الدليل=

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= •ودعونا نتكلم
&#= 1576;منتهى الصدق,
&#= 1608;الأمانة, &#= 1608;الصراحة,
&#= 1608;الوضوح, حتى    <= /span>لا يصبž= 1; أى منا
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