医生的信息-情感交互模式对移动问诊服务满意度的影响——基于“激励-保健”理论的分析

移动问诊服务日益成熟，但患者满意度仍有待提高。现有研究对医患交互过程关注不足，且忽略患者不满意评价的影响因素。为此，本文引入"激励-保健"理论视角，研究医生的信息-情感交互模式对移动问诊服务满意及不满的影响机制。本文筛选国内某领先移动问诊平台中的300次医患沟通记录，采用"先定性后定量"的混合研究方法对数据进行分析。其中，定性研究旨在识别医生交互模式的细分维度，定量研究则用于提出并验证不同交互模式与患者满意及不满的关系。研究发现，医生的信息交互模式是移动问诊服务满意度的保健因素，而情感交互模式是激励因素。结论丰富了移动问诊服务患者满意度的研究框架，对改善医生行为和医疗服务APP设计提供了指导。     

Feminist power and its implications on Uganda’s malaria communication campaign

This paper examines power and its manifestation in Uganda’s “Stop Malaria Campaign.” It specifically questions the apparent radical feminism, which is conceptualized as a quest for power, and how such excesses drive implementation of the campaign. The paper explains data collected through focus group discussions and key informant interviews using feminist communication theory as informed by the critical ideas of feminism and power. These three ideas help to put into perspective: domination of the campaign by one gender, interpretation of the campaign’s objectives to suit that one gender, and communication methods used in the campaign. Analysis of the above three processes shows that men are the weaker gender in the malaria prevention drive, an idea that has clashed with the existing male chauvinism on which several families still thrive in Africa. A view that radical feminism should be seen as an organized form of power that needs to be checked if Uganda’s malaria communication campaign is to be implemented successfully is herein proposed, along with some solutions to the challenges.     

Humanitarian response and stress in Kenya: gendered problems and their implications

ABSTRACT

Stress-related conditions such as burnout and post-traumatic stress disorder are a growing concern in the humanitarian sector. Aid workers themselves report not only that mental health problems are common, but that the support they receive from their employers is insufficient. Problematically, the experience of the international aid worker – particularly those who are white and from the global North – is often foregrounded in explaining what constitutes stress and related mental health problems. This indicates a wider problem of what is required of ‘the perfect humanitarian’ – a personality that is gendered and racialised – and how this influences the different experiences and treatment of national and international staff from aid agencies. This article explores the organisational culture and working conditions of humanitarian settings and their impact on the mental health and well-being of staff. It argues that there is a structural dimension to stress that is less to do with external security threats and more to do with the specific infrastructure, policies, and practices of humanitarian operations, with implications for aid workers which cut across dimensions of race, gender, and nationality.     

The service system challenges of work with juvenile justice involved young people in the Hunter Region,Australia

Current policies suggest that collaborative approaches are core to working effectively with juvenile justice involved young people. However, there is little research examining the workings of multi‐agency and collaborative endeavours in this field, or the experiences of the human service workers facilitating these connections. This paper reports on qualitative research that resulted from the Juvenile Justice and Education Equity in the Hunter Region project. Thirty‐eight human service workers were interviewed about their perceptions of the workings, strengths and challenges of the service system that supports young people who come into contact with the Children's Court in the Lower and Upper Hunter regions of New South Wales. Data analysis revealed three key themes related to (1) service gaps, cycles and maelstrom; (2) pursuing authentic service engagement; and (3) insider–outsider dynamics in service provision. Findings are discussed in relation to emerging practice and research agendas.     

Self-Stigma of seeking help and job burnout in mental health care providers: the comparative study of Lithuanian and the USA samples

This study aimed to explore the correlation between job burnout and self-stigma of seeking help among nonmedical mental health care providers (psychologists, social workers, and counselors) in two countries – Lithuania and the US. The study included 234 professionals (111 social workers and 123 psychologists) from Lithuania and 93 professionals (33 counselors, 23 social workers, and 37 psychologists) from the US on a voluntary basis (93% females, mean age – 39.81?years). They completed a self-reported questionnaire with the Self-Stigma of Seeking Help Scale (SSOSH) and the Maslach Burnout Inventory-General Survey (MBI-GS). The results revealed a statistically significant positive correlation between self-stigmatization and burnout in the Lithuanian sample, but only weak positive correlation between depersonalization and self-stigma of seeking help in the US sample. The relationship between the self-stigma of seeking help and burnout was stronger in the Lithuanian sample of professionals when compared to their colleagues in the US.     

An Evaluation of Staff Preference for Graphic Characteristics

The purpose of the current study was to assess staff preference for how data were displayed on graphs. Specifically, preference for line versus bar graphs was assessed, as well as preference for data displayed as one date in time versus multiple dates showing performance trends. A secondary purpose of the study was to assess staff comprehension of the data presented across different graphic displays. Participants included 60 entry-level direct care staff and 25 seasoned therapists. Therapists had more advanced training in applied behavior analysis than the direct care staff. The vast majority of direct care staff preferred data depicted as a bar graph versus data depicted as a line graph, even preferring a single bar graph over a time-series line graph. The therapists preferred time-series line graphs to bar graphs. Most staff demonstrated understanding of the data, regardless of how it was depicted.     

基于协调发展度的重大工程团队免疫系统健康评价研究

为评价重大工程团队免疫系统的健康和协调发展状况，本文提出了一种基于协调发展度的评价模型。首先通过文献查询和深度访谈，构建能够体现重大工程团队免疫系统特征的健康评价指标体系；其次利用改进的DEMATEL确定指标权重，然后采用多层次模糊综合评价将相关指标定量化，最终得出重大工程团队免疫系统的健康指数和协调发展度；再次确立重大工程团队免疫系统健康等级和协调发展度划分标准，同时提出免疫系统健康的跟踪评价策略；最后，利用本文模型对某跨国输气管道工程团队的免疫系统进行实证研究。结果表明，协调发展度模型既能反映重大工程团队免疫系统的整体健康程度，又能衡量固有性免疫和适应性免疫的协调发展状况，同时对免疫系统健康的跟踪评价也取得了良好效果。     

Family Diversity and Child Health: Where Do Same‐Sex Couple Families Fit?

Increasing family diversity during the past half century has focused national attention on how children are faring in nontraditional family structures. Much of the limited evidence on children in same‐sex couple families suffers from several shortcomings, including a lack of representative data. We use the National Health Interview Survey (2004–2012) and the National Survey of Children's Health (2011–2012) to identify children in different‐sex married and cohabiting families, never and previously married single‐parent families, and same‐sex couple families. Considering important characteristics such as the child's race or ethnicity and adoption status, household socioeconomic standing, family stability, and parent health, we examine the relationship between family type and parent‐rated overall child health. The results suggest that poorer health among children in same‐sex couple as well as different‐sex cohabiting couple and single‐parent families appears to be largely the product of demographic and socioeconomic differences rather than exposure to nontraditional family forms.     

Economic burden of tuberculosis and its coping mechanism at the household level in Pakistan

Despite the availability of free medicines under the Directly Observed Treatment Short-course (DOTS) strategy, the treatment of tuberculosis (TB) still involves high costs that push people into poverty. This study aims to assess the resulting economic burden of TB and examine the coping mechanisms practiced at the household level in Pakistan. A cross-sectional study was conducted at TB centers by interviewing 269 patients. Statistical tests and binary logistic regression were used to explore the relationship between catastrophic health expenditures (CHE) and socio-economic factors. Results show that the incidence and intensity of CHE were higher for households in the lower income-quintile. Several coping strategies were practiced and varied among the different income-quintiles. The independent determinants of CHE were as follows: age >40 years, male-patient, location, earner-ratio, patient as the earner, caretaker visits, treatment delay, and co-morbidity. It is recommended that health policymakers develop post-MDGs TB-control strategies to ensure free TB-services with financial protection around the globe.     

Grandparent support and mental and behavioural health in middle childhood

This study explored the significance of grandparents in middle childhood and assessed the level of grandparental support provided to children in relation to other social network members. The association between grandparental support and grandchildren's mental and behavioural health was also examined. We conducted structured interviews with 120 grade 4 and 5 learners (mean age = 10.41 years) from four schools in Cape Town, South Africa. Results indicated that subsequent to parents, children perceived grandparents as the most important and close relationship category. Furthermore, grandparents provided the highest levels of support to grandchildren after parents. Grandmothers provided more support than grandfathers. No associations between grandparental support and children's internalizing and externalizing behaviours were found. However, results revealed that grandparental support was positively associated with children's prosocial behaviour, independent of child gender, and the amount of support provided by other relationship categories (p = .04). Findings underscore a need for research to move beyond the nuclear family when considering potential influences on children's well‐being.