人类命运共同体构想的三维审思：逻辑起点·现实基点·思想源点

人类命运共同体构想作为马克思主义中国化的最新理论成果，是在积极反思人类生存现状的基础之上，对世界未来发展形态的一种前瞻性擘画。总体观之，作为“类”存在的人的主体自觉以及马克思主义“类”思想是人类命运共同体构想的逻辑基点， 现代“人类交往”方式的演进与普遍发展是人类命运共同体构想的现实基点，中国传统文化中的“和合”理念是人类命运共同体构想的思想源点。逻辑起点、现实基点与思想源点共同构成人类命运共同体构想的生成之源，对其系统、深入的阐释与审思则是我们学习、领悟、实践这一伟大构想的重要环节。     

参加医疗保险对农村居民健康的影响——基于CHARLS 2015数据的实证分析

基于CHARLS 2015数据,采用倾向得分匹配法实证分析参加医疗保险对农村居民健康的影响。研究发现:参加医疗保险对农村居民的日常活动能力和自评健康影响不显著,参加医疗保险对农村居民认知能力具有显著的正向影响。据此提出,应进一步提升社会医疗保险保障水平、扩大社会医疗保险保障范围、促进商业医疗保险有序发展、推进"三医"高效协同联动等,以充分发挥医疗保险的健康保障功能,从而进一步提升参加医疗保险对农村居民健康的正向影响。     

Developing and testing a mobile application for breastfeeding support: The Milky Way application

BackgroundSupporting women to continue breastfeeding is a global challenge. The Milky Way Program is an effective face to face intervention to increase breastfeeding rates up to six months postpartum. The sustainability and access to the Milky Way Program could be enhanced by transforming it into a mobile application allowing women to access relevant information from their own place at a convenient time.AimTo explore the process of transforming the Milky Way Program into an acceptable and usable mobile health application.MethodStakeholders including multidisciplinary researchers and end-users designed the application based on the Milky Way Program by using Persuasive System Design principles. A mixed-method approach was used in the development and evaluation process. Seven women were recruited through convenience sampling to pilot test the application. The women’s feedback was collected through an online survey six weeks after birth and individual interviews at four months postpartum.FindingsWomen in the pilot study reported that the breastfeeding application was well designed, easy to use, interactive, reassuring and evidence-based with credible sources of information.ConclusionThe Persuasive System Design model combined with end-user engagement can feasibly inform the development of an acceptable and usable mobile health application for breastfeeding based on a proven clinical intervention. Further rigorous testing is required to evaluate the effectiveness of the application on breastfeeding initiation and duration.     

大众传播中的“国家教师”媒介形象分析

运用传播学内容分析法，以中央媒体对获得"全国教书育人楷模"和"最美教师"荣誉称号的"国家教师"相关报道为研究对象，从外在和内在两个方面对大众传播的"国家教师"媒介形象进行分析。外在形象包括教师性别、年龄、教龄、外表、场景以及任教的学校类别、区域、学科专业等方面，内在形象包括职业精神、职业知识和职业能力等方面。研究发现，大众媒体对"国家教师"形象的刻画和宣传符合社会公众认知教师职业的基本逻辑，起到了传递教师精神、端正教师形象、唤起社会尊重教师的功效，但也存在城乡教师形象传播刻板化以及教师普通人形象展现不充分等问题，可在后续的传播中对"国家教师"形象的价值倾向进行适当调整。     

医疗信息共享对患者转移数量和服务质量水平影响研究

当前我国医院间存在严重的"信息孤岛"，医院参与医疗信息共享意愿不高，患者的诊疗信息被静态碎片化储存而无法充分有效地利用。考虑到医院进行医疗信息共享将降低患者转移成本，本文构建一个多阶段双寡头动态博弈模型研究医疗信息共享对医院竞争过程中患者转移数量和服务质量水平决策的影响。首先，根据是否存在转移成本，将患者分为新患者和经验性患者，借助Hotelling模型刻画患者的效用函数，分析患者就诊决策。然后，在政府价格规制和不考虑医院利他性情景下，构建了医院累积期望收益目标函数，使用动态规划方法，求解实现医院累积期望收益最大化的服务质量水平，获得了实现患者相互转移且医院在市场中共存的马尔可夫完美均衡。最后，根据医院参与医疗信息共享后患者转移成本降为零，分析与比较信息共享前后患者转移数量和服务质量水平变化。研究发现：在不同医院间本身存在患者转移背景下，医院参与信息共享后，患者转移数量增加但存在一个上限，增加的转移量与患者在医院间的转移成本呈正相关，与初始感知效用的差值范围呈负相关；医院参与信息共享后，均衡状态下的医院服务质量水平高于信息共享前的服务质量水平。因此，在不改变当前医保支付方式下，要加快推进医疗信息共享，政府部门可以根据医院的患者数量和服务质量水平变化对其进行定期补贴，以激励医院积极参与医疗信息共享，本文给出了这个补贴的量化表达。     

Best practices for online Canadian prenatal health promotion: A public health approach

Background

Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.

疫情防控期间大学生焦虑水平及其影响因素研究

为了解大学生在新型冠状病毒肺炎疫情防控期间的焦虑状况，采用汉密顿焦虑量表（HAMA），对四川、云南、重庆三省（直辖市）的3 178名大学生进行在线问卷测试。结果发现：新冠肺炎疫情防控期间大学生焦虑水平高于常模，并且与大学生的性别、就读学历层次、就读学科、每日上网时间等存在显著相关性。其中，28.48%的大学生还可能有严重焦虑；女性、专科层次、尚不清楚就读学科的大学生群体焦虑水平更为明显；精神性焦虑是新冠肺炎疫情防控期间大学生焦虑的主要特质；每日上网时间与大学生精神性焦虑水平呈显著正相关。在公共卫生事件突发时期，应积极关注大学生的心理健康状态，采取针对性措施加以有效疏导和干预，促进其心理健康发展。     

增进学生身心健康是我国学校体育发展的根本和方向——学习贯彻习近平总书记在全国教育大会上的重要讲话精神

2018年9月10日，习近平总书记在全国教育大会上强调：“要树立健康第一的教育理念，开齐开足体育课，帮助学生在体育锻炼中享受乐趣、增强体质、健全人格、锤炼意志。”这为我国未来学校体育的发展指明了方向。学校体育要认真贯彻落实习近平总书记的重要讲话精神，把增进学生的身心健康作为学校体育工作的出发点和落脚点，切实提高学生的身心健康水平，促进学生全面发展。本文首先阐述了习近平总书记重要讲话精神的核心要义，以及所体现的以人为本的思想、高度重视把学生的健康放在首位、非常关注学生的身心协调发展等。其次，就如何落实习近平总书记的重要讲话精神提出了建设性意见：必须开齐开足体育课，保证校内外锻炼时间；提高体育课和课外体育活动的教育教学质量，加强学生的运动效果；“五育”并重，将学校体育纳入学校教育质量评价的重要组成部分；体育教师应树立强烈的社会责任感和使命感等措施和建议。     

Challenges and dilemmas working with high‐conflict families in child protection casework

Social workers within child protection services report that families marked by high levels of conflict between separated parents are among the most challenging cases to handle. Few studies however have focussed on how social workers themselves experience and meet with parents involved in hostile martial interactions. This article reports on a qualitative study involving 31 social workers and provides an analysis of their experiences and dilemmas in working with such families. Findings demonstrate that social workers struggle to find ways to help high‐conflict families and often find themselves at an impasse. Parents involved in such conflict are highly resistant to change, and social workers struggle to engage with them over concerns about their children. Furthermore, findings suggest that social workers lack organizationally allotted time to assist the parents. I conclude by discussing ways in which emotional support, empowering interventions, and strength‐based approaches enable social workers to manage relationships with high‐conflict families. More research on this topic is needed to support and promote better practices for social workers to be more effective in assisting high‐conflict families.