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1.
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。  相似文献   
2.
Recent guidance on safety monitoring during drug development, issued by regulatory authorities in the United States and European Union, indicate a shift in focus towards aggregate safety monitoring and scientific evaluation of integrated safety data. The call for program‐level reviews of accumulating safety data, including from ongoing studies, provides an opportunity to leverage the scientific expertise and medical judgment of safety management teams with (a) a multidisciplinary approach, (b) quantitative frameworks to measure level of evidence, and (c) assessments that are product‐specific and driven by medical judgment. A multidisciplinary team, regularly reviewing aggregate safety data throughout the development program, is vital not only for early signal detection but also for generating a better understanding of the accumulating data and context needed for decreasing false alarms.  相似文献   
3.
基于可及性理论,从医疗服务资源的可获得性和可达性两个角度量化各地级市疫情防控定点医疗组织机构的空间分布特征以及空间组合模式,并探讨其对疫情防控效果的影响。研究结果显示,在控制了城市基本特征、人员流动程度、基础医疗资源状况和省级固定效应之后,按人口聚集分布定点医院显著负向影响各城市累计确诊病例数,而按人口聚集分布发热门诊显著增加确诊病例数。相比于其他空间组合模式,定点医院按人口聚集分布,发热门诊按空间平均分布的组合方式对于疫情防控的效果最好。随着疫情严重程度的上升,按人口聚集分布定点医院对于疫情的抑制作用以及按人口聚集分布发热门诊对疫情防控的负面影响被进一步强化。  相似文献   
4.
British Columbia’s treatment as prevention policy has provided free access to highly active antiretroviral therapy (HAART) to all HIV-positive provincial residents since 1996. One outcome is an increase in HIV-positive gay and bisexual men (GBM) with suppressed viral loads. Previous cross-sectional analyses indicated that some Vancouver GBM now recognize condomless anal sex with men on HAART who report a suppressed viral load as a seroadaptive strategy. To test the hypothesis that this new strategy, termed viral load sorting (VLS), is recognized and used among by GBM in the Momentum Health Study, we analyzed longitudinal data for HIV-negative/unknown (n = 556) and HIV-positive (= 218) serostatus participants. Analyses indicated that both groups reported VLS, and that serostatus and Treatment Optimism Scale scores were significant determinants in frequency and use. Results exemplify the medicalization of sex and Rogers’ Diffusion Of Preventative Innovations Model, and they have important implications for HIV research and GBM sexual decision-making.  相似文献   
5.
ABSTRACT

An increasing number of youth are exhibiting social, emotional, and behavioral problems that hinder their ability to function at grade level. Subsequently, school mental health services have not been able to address the need for services particularly among students who are minority and poor. A mixed methodology study was conducted to determine the treatment outcomes from a brief strength-based leadership training group for primarily students who are African American and poor. Pre–post scores on three scales and focus group data revealed significant positive changes in regard to internal areas of functioning and social skills, anger management skills, and school attitude. Gender and age significantly impacted outcomes.  相似文献   
6.
远程医疗作为一种新型医疗模式,突破了医疗资源在时间与空间上的限制,为优化医疗资源配置、实现优质医疗资源下沉、提高基层医疗服务能力提供了有效途径,具有良好的经济效益与社会效益。在国家相关政策的有力推动下,城市医疗集团结合自身发展需求开始大力发展远程医疗。文章运用文献研究法和态势分析法(SWOT analysis,SWOT分析),探讨了城市医疗集团发展远程医疗的内部优势(S)、劣势(W)以及外部机会(O)、挑战(T)。最后运用SWOT矩阵分析得出如下结论:抓住发展契机,发挥政策导向(SO策略);增加财政投入,促进多方参与(WO策略);完善政策法规,加强宣传力度(ST策略);线上线下结合,尝试差异化服务(WT策略)。  相似文献   
7.
随着我国人口老龄化不断加剧,切实保障好老年人健康格外紧迫。基于此,文章采用中国健康与养老追踪调查数据从身体机能健康和心理健康两个维度实证考察了医疗保险对老年人健康的影响及其作用机制。研究发现,医疗保险能够显著提高老年人身体机能健康和心理健康。机制研究表明,医疗保险能够显著提高老年人医疗服务利用、降低老年人慢性病发生率进而影响到老年人健康。因此,进一步扩大老年人医疗保险覆盖面、提高医疗保障水平、促进医疗服务公平性和可及性,是我国人口老龄化不断加剧状况下保障老年人健康的重要途径。  相似文献   
8.
The anatomy lab has been studied by sociologists interested in professional socialization since the 1950s. This is because the act of dissecting a cadaver is thought to be foundational for both the student's medical knowledge and the development of the student's professional identity. In this paper, I revisit the anatomy lab both historically and ethnographically. Drawing on theoretical insights from the laboratory ethnography tradition within science and technology studies, I show that students use material artifacts in the lab to support their “surgical identity play.” This activity is structured by the laboratory's performative architecture even while it is unsupervised by anatomy faculty. While many analyses of professional socialization focus on how students learn to interact with patients during their training, I show that the anatomy lab experience is an important form of professional socialization because here students learn to employ surgical instruments, language, and dress, and begin to relate to each other as colleagues.  相似文献   
9.
基于规模化生猪养殖户的问卷调查数据,归纳和界定规模化生猪养殖污染防治行为的内涵,并进一步通过单因素方差分析和交叉分析研究规模化生猪养殖污染防治行为的群体差异。研究发现:规模化生猪养殖的污染防治行为具有多维性且总体实施情况一般;其无害化处理行为的群体差异显著,资源化利用行为的群体差异部分显著。据此,应进一步强化源头治理以提高污染防治的执行能力、加强过程监控以提高污染防治的规范水平、重视末端利用以推进污染防治的综合利用,从而有效改善规模化生猪养殖污染防治政策的实施效果。  相似文献   
10.
ABSTRACT

The efficiency of interventions in addiction is associated with the processes of practitioners’ professional development. Identity formation is studied extensively for clinical professions but little research focuses on social workers working in addiction settings. This study examined the experience of social workers working in a community treatment network in Greece. Fifteen interviews were conducted with 11 women and 4 men, ranging between 29 and 47 years οf age, who worked in different centers within the network. Data were analyzed following the guidelines of Interpretative Phenomenological Analysis, offering in-depth examinations of people’s lived experience. The results delineate a series of transformations in professional identity comprising a process of biographization. The participants highlighted intrapersonal and relational factors that influence this process which leads to self-understanding and engagement with the therapeutic community. The results contribute to deciphering the factors that influence social workers’ experience in their professional identity formation in substance abuse treatment contexts.  相似文献   
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