互联网医疗服务法律监管研究

随着互联网技术的进步以及医疗改革的深入,互联网医疗服务成为新生业态.然而,我国互联网医疗服务法律监管体系还不够完善,缺乏统一规范的监管体系,多头监管、个人隐私隐患大、纠纷处理解决机制不健全等现实困境尚未解决,不利于互联网医疗服务行业的发展和人民群众身心健康.为解决上述问题,通过梳理发达国家的成功经验,如美国的移动医疗应用程序监管和个人隐私保护、欧盟的互联医疗数据管理、英国的行业协会监管等,结合我国现有国情,建议从完善立法体系、建设隐私保护机制、构建行业监管、明晰医疗服务主体责任等方面健全互联网医疗法律监管制度,以期推动互联网医疗服务行业发展,保障医患双方的合法权益.     

Overcoming Old in Age-Friendliness

In this article, we explore views on an age-friendly space in the Netherlands by analysing the responses of older individuals (N = 54) in focus groups and by examining the perspectives around an age-friendly zone in the Netherlands, Parkstad Limburg. We found that a central issue in the wishes for living at a later age are adjustments to envisioned physical limitations that come with the ageing process; this includes adjustments to ensure safety, accessibility and mobility, in order to facilitate older individuals' efforts to stay engaged with the world around them. In their wishes, the older participants constructed ideal dwelling places that closely resembled a senior home, but at the same time they rejected wishing to live in a place that was identified as a senior home. We explain this paradox by the representation of such a space as being for old people, i.e. needy older individuals, which was not how the older participants wished to be identified. We conclude that the conception of age-friendly environments will have to face the difficult challenge of overcoming the association with old age, while simultaneously taking into account adjustments that signify and relate to the ageing process and that seem inescapably tied to oldness.     

The disembedded digital economy: Social protection for new economy employment in China

This research focuses upon employment in the new economy, exploring labour protection and social protection in the digital age in China. Through an empirical survey conducted in three Chinese cities, social insurance and the labour rights of employees in the digital economic sector, such as gig employment, e-commerce, and various other forms of online employment, have been examined in-depth. This study reveals new regulatory loopholes in the digital labour market, which have substantially eroded the basis of social policy arrangements in China, “softening” participation in social insurance branches and compliance with labour regulations remarkably. Drawing upon the theoretical concepts of Polanyi on embeddedness and disembeddedness, we argue that the digital employment sector in China has been increasingly disembedded from social institutions and social control. The new configuration in the digital field of social policy requires novel conceptual models and institutional settings to cope with increasing social risks in virtual spaces.     

Childbearing and Marriage: Investigating the Importance of Context for Meaning-Making of First-Time Marriage

Previous research reveals that the temporal ordering of childbearing and marriage can have an impact on the meaning of first-time marriage. This article aims to obtain a deeper understanding of meaning-making of first-time marriage in relation to childbearing. Narrative interviews with 16 brides and grooms in 8 couples in Sweden were conducted. The material was analyzed in relation to the temporal ordering of childbearing and marriage. The study reveals that the construction of meaning of marriage does not only relate to the temporal context. Social factors such as social class or family formation might also be relevant for how meaning is constructed. This article contributes to a deeper understanding of meaning-making as a relational process constructed within particular contexts.     

Institutional evolution and abrupt change: Reforming the administration of social assistance in Finland

Historical institutionalist studies have explained institutional change as resulting from critical junctures that interrupt long periods of stability or from endogenous, incremental evolution. Building on these theories, discursive institutionalists have focused on the roles of agency, ideas and discourse as explainers of change. Combining these approaches, this article analyses Finland’s decision in 2014 to transfer the administration of basic social assistance from municipalities to the central government. This study demonstrates that institutional change can be both abrupt and evolutionary. Due to sudden, exceptional political circumstances, the decision in question was made quickly and under pressure, circumventing possible veto players. However, it was possible only because of the incremental, endogenous change that had occurred in the way in which social assistance was administered at the municipal level. It enabled a change in political discourse, which eroded the credibility of the ideational frames that policy actors had previously utilised to reject the centralised model.     

重大公共卫生事件中应如何作为:来自医学人类学哈佛学派的启示

聚焦人类学者在针对重大公共卫生事件的跨学科研究中应该有何作为这一议题,通过借鉴来自医学人类学哈佛学派的民族志洞见和研究经验,为当下2019新型冠状病毒疫情危机中所进行的田野观察和分析,以期获得灵感和启示,并探索有可行性和操作性的研究策略和方法。     

政治关联如何影响社会组织有效性？——组织自主性的中介作用和制度支持的调节作用

社会组织领域的政治关联现象日益显著，但政治关联究竟如何影响社会组织有效性，其隐藏的作用机制又是什么？这是学术界尚未明晰的重要课题。针对254家社会组织的问卷调查发现，社会组织政治关联会正向影响组织有效性，这一关系受到组织自主性的中介作用影响。更进一步的研究显示，制度支持能调节上述中介关系。具体而言，当制度支持水平较高时，这一效应将会增强；当制度支持水平较低时，政治关联通过组织自主性间接影响组织有效性的效应就会减弱。这一发现，一方面增进了我们对社会组织政治关联的理解，另一方面也为提升社会组织有效性的理论和实践提供了重要启示。     

“Who generates this city”? Socialist strategy in contemporary London

This essay, based on a “militant ethnography” of the attempts of the small radical grassroots activist group, Our London (a pseudonym), to mobilize a collective oppositional politics through activities around an election campaign, engages critically with E. Laclau and C. Mouffe's arguments on discourse and collectivity in Hegemony and Socialist Strategy (London: Verso, 1985). I argue, on the basis of my findings, that while their model does provide insights that help describe the process of building collectivity from among disparate perspectives and identities, we need to go beyond a focus on discourse alone and consider the ways politics is shaped by material contexts. This is necessary if we are to understand the continued appeal of class politics as well as the difficulties in mobilizing collectivity in highly unequal and fragmented cities. From an activist perspective, the essay also highlights how developing a conception of collective interests and a critique of overarching systems of exploitation can be important in building political unity.     

Techniques of disinformation: Constructing and communicating “soft facts” after terrorism

Informed by social media data collected following four terror attacks in the UK in 2017, this article delineates a series of “techniques of disinformation” used by different actors to try and influence how the events were publicly defined and understood. By studying the causes and consequences of misleading information following terror attacks, the article contributes empirically to the neglected topic of social reactions to terrorism. It also advances scholarship on the workings of disinforming communications, by focusing on a domain other than political elections, which has been the empirical focus for most studies of disinformation to date. Theoretically, the analysis is framed by drawing an analogy with Gresham Sykes and David Matza's (1957) account of the role of “techniques of neutralization” originally published in the American Sociological Review. The connection being that where they studied deviant behaviour, a similar analytic lens can usefully be applied to disinformation cast as “deviant” information.     

Juvenile Delinquency Under Conditions of Rapid Social Change

Increased juvenile delinquency can be seen as an indicator for a deteriorating social fabric under conditions of rapid social change. Criminological theories suggest, however, that such conditions do not per se produce delinquency: They force youth into prodelinquent leisure activities with peers, leading to an endorsement of delinquent behavior and offering the infrastructure for it. Resources acquired in family and public life, however, may prevent youth from drifting into such prodelinquent leisure activities and indirectly from delinquent behavior. Empirical tests of these hypotheses have to employ simultaneous analyses of societal-level and individual-level data. On the basis of an international youth study, the paper undertakes such an analysis: In the years 1992–95, data from 42 independent samples of seventh graders from East and West Germany, Poland, Russia, Bulgaria, Slovakia, Hungary, Czechia, and Greece were surveyed. Data on deviant school behavior, delinquent drift, nurturant parenting, and subjective feelings of justice in public were obtained from 7282 thirteen- to fourteen-year-olds. Processes of rapid social change were incorporated as data on changes in GNP in the years proceeding the surveys. Analyses show that delinquent drift is a valid predictor of deviant school behavior only on the individual level. The extent to which adolescents engage in prodelinquent peer activities depends more on the cultural context in which adolescents live than on their personal experience in the family and in public. Nurturant parenting does, however, covary negatively with deviant school behavior irrespective of level of analysis.