A Model for Change: Legislative Advocacy to Improving Access for the Uninsured and Underinsured in New York State 1

Advocates can successfully improve access to health care for people without health insurance. This article demonstrates the success of what began as a local advocacy effort to improve access to health care on Long Island, which later grew to become a major statewide advocacy movement. It explores the process taken by local coalition members to successfully fight for monumental public health legislation—first locally then statewide—to improve access to hospital care for the medically indigent. Using New York State as a model, it includes several approaches that could facilitate the enactment of legislation in other states. The experiences of New York advocates suggest that with focused collaborative efforts it is feasible to promote significant changes to public health laws to benefit the uninsured and underinsured.     

中国高等教育评价研究的主题及其演变分析

以中国知网(CNKI)中有关中国高等教育评估和评价的35 859篇中文论文为数据源,以共现理论为手段,从社会网络的视角分析该领域研究的现状、热点主题和研究主方向.发现整个领域的研究热度逐年攀升,且2000年后增长加速.该领域研究主题丰富,且非常集中,高校、教学质量、评估、教学、教学管理和评价指标体系等是研究较多的热点主题,除去平凡主题“高校”外,教学评估、教学管理、评价指标体系、高校教师和评估等与其他研究主题都有不同程度的共现,处于主题群的核心位置,具有较强的辐射性.通过聚类分析清晰地看到研究方向的三个聚集群;通过关键词的历时分析,看到评价研究主题不断拓展和深化的三个阶段.     

A Whiff of Nothing: The Atmospheric Absence of Smell

Abstract

This article uses the figure of “presence of absence” to consider the phenomenological significance of dimensions of smell that easily slip out of apprehension. The discussion highlights how not only loud smell but also absence of smell manages to exert an influence over the way people feel. Smells linked to emotions and bodily sensations are addressed as atmospheric, and facets of an atmospheric absence of smell are unfurled within the framework of “the smell of the hospital.” The case demonstrates how the atmospheric presence of absence of smell becomes of significance in the hospital as it is acted and reacted upon as a sense of (1) longing, (2) avoidance, (3) care and (4) cleanliness.     

医院成本核算管理探析

我国医院的成本核算管理上有着许多的问题,这些问题对医院的管理和发展有深远的影响。通过文献综述,从医院成本核算的含义、意义及目前存在的主要问题进行了探讨,在此基础上提出相应的对策建议。     

南京大屠杀期间的鼓楼医院

南京大屠杀期间,南京成为人间地狱,在这之前能走的都已离开,鼓楼医院成为当时南京的惟一医院,几个勇敢的西方人士选择继续留在医院工作。医院面临着人员的严重不足,资金设备的紧缺,日军不断侵犯,员工随时可能有生命危险,即使在这种情况下他们还坚守着各自岗位,克服重重困难,通过与红十字会、安全区合作,尽力挽救更多的生命。     

中国古典私家园林对医院户外景观设计的启示

随着医学模式的转变和人们对就医环境要求的不断提高,户外景观设计也越来越成为医院建设和改造的重点。而作为“景观疗养”的典范,有着悠久历史的中国古典私家园林在营造理念、体现人文关怀及设计手法方面对现代医疗机构有着重要的启示意义,能激发人们强烈的心理归属感。另外,对古典私家园林成功作法的借鉴,应该建立在对现代人生活方式、行为模式深刻理解的基础之上。只有这样,才能设计出真正满足使用者需要、有中国特色的医院户外景观。     

Cross-national policy learning in health system reform: The case of Diagnosis Related Groups

Observations of policy convergence and the cross-national diffusion of ideas, knowledge and policies have raised the question about the ways countries might learn from their peers. This article examines the role of cross-national learning with regard to Diagnosis Related Groups (DRGs). We review the spread of this policy instrument and analyse the implementation of DRGs in three late-adopting countries: Germany, Switzerland and the Netherlands. The three cases show that the implementation of this policy instrument required intense studies, cooperation with stakeholders and adjustment to country-specific needs. The countries learned from foreign experience, but it was only with the introduction of a regulatory framework for competition between sickness funds that DRGs came fully onto the political agenda. While Germany and Switzerland drew upon foreign DRG models, the Netherlands developed an alternative system to classify patients according to case-mix.     

南通市乡镇医院人力资源情况分析

目的：了解民营乡镇医院卫生人力资源发展情况及其影响。方法：以整群抽样的方式,调查了南通市3个县（市）所有改制乡镇卫生院。结果：民营乡镇医院卫生技术人员数量不足,专业素质提高缓慢,卫生人才队伍不稳定。结论：民营乡镇医院卫生人力资源发展落后,影响农村基本医疗卫生保障;乡镇卫生技术人员素质亟待提高;强化农村卫生的政府责任,保障农村居民公平享有基本医疗卫生服务。     

高校创新人才培养的校内外双重环境建设

新的时代呼唤创新人才,高校肩负着创新人才培养的重任。论述了培养创新人才的必要性和内在要求,提出了高校培养创新人才需要同时建设好校园和社会两大基本环境,并研究分析了校园和社会双重环境建设的内涵和意义,指出了良好的人才发展环境有利于创新人才培养,特别是高校培养创新人才必须共同融合校园环境和社会环境建设。     

理工科大学生人文社会科学素质教育的调查与思考

重视人文社会科学素质教育,是国内外高等院校教育改革的一个趋势。理工科大学加强人文社会科学素质教育,是培养德智体美全面发展的高素质人才,实现人的全面发展的需要。本文通过对理工科大学生人文社会科学素质教育进行调查分析,提出了加强与改进理工科大学生人文社会科学素质教育的思路与建议。