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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.
《Women and birth : journal of the Australian College of Midwives》2021,34(2):e196-e203
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. 相似文献
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4.
魏屹东 《山西大学学报(哲学社会科学版)》2022,(1)
适应性是主体适应其环境的特性,是物理演化系统和生物演化系统的本质属性,反映在认知上就是适应性表征。适应性表征也因此成为知识显现的方式和创造的核心,具有协调性、匹配性、互补性、模拟性和类比性,其表现方式有直接具象表征、间接具象表征、直接抽象表征和间接抽象表征,分别对应于经验主义、建构经验主义、理性主义和科学实在论。适应性表征的实现是通过科学理论核心概念的变化、定律的凝练、理论的更替、模型推理和世界观的改变展开的,具有经验上的适当性。这种经验适当性不仅是感知层次的体验,更是一种认知模式。在认知意义上,经验也是基于心理模型的,心理建模的路径有思想语言、心理表象、心理命题、思想实验和心理模拟推理。这种基于心理建模的适应性表征为科学认知和科学发现提供了有益的方法论。 相似文献
5.
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。 相似文献
6.
Susan T. Dennison Stephanie S. Daniel Kenneth J. Gruber Alyson M. Cavanaugh Andrew Mayfield 《Social work with groups》2018,41(3):181-197
ABSTRACTAn 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
7.
Evgenia Gorina Victor Agadjanian Natalya Zotova 《Journal of ethnic and migration studies》2018,44(9):1584-1603
This study contributes to the growing body of literature on the outcomes of labour migration by focusing on the effects of migrant legal status on the economic and perceptual measures of migration success. To study the effects of legal status, we use a sample of Central Asian migrant women who work in Russia and of their native counterparts who occupy the same positions on the labour market. Similar to the studies in the developed settings, we find that a temporary legal status is associated with an earnings penalty and that permanent legal status corrects this earning disparity. We also find that both temporary and permanent migrant status is positively associated with perceptions of pay inequality but that, irrespective of these perceptions, both types of migrants are more likely to be satisfied with their jobs than natives. We interpret these findings within the legal and social context of migrant economic incorporation in Russia and relate them to the findings from other migrant-receiving settings. 相似文献
8.
Rebecca A. Chedid Rowan M. Terrell Karen P. Phillips 《Women and birth : journal of the Australian College of Midwives》2018,31(4):e223-e231
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.Aim
Canadian government-hosted websites and online prenatal e-classes were evaluated to determine if accessible, inclusive, comprehensive and evidence-based prenatal health promotion was provided.Methods
Using a multijurisdictional approach, federal, provincial/territorial, municipal and public health region-hosted websites, along with affiliated prenatal e-classes, were evaluated based on four criteria: comprehensiveness, evidence-based information, accessibility and inclusivity.Findings
Online prenatal e-classes, federal, provincial/territorial and public health-hosted websites generally provided comprehensive and evidence-based promotion of essential prenatal topics, in contrast to municipal-hosted websites which provided very limited prenatal health information. Gaps in online prenatal health promotion were identified as lack of French and multilingual content, targeted information and representations of Indigenous peoples, immigrants and women with disabilities.Conclusion
Canadian online prenatal health promotion is broadly comprehensive and evidence-based, but fails to address the needs of non-Anglophones and represent the diverse population of Canadian pregnant women. It is recommended that agencies enhance the organisation of website pregnancy portals/pages and collaborate with other jurisdictions and community groups to ensure linguistically accessible, culturally-competent and inclusive prenatal online resources. 相似文献9.
王亚 《西南农业大学学报(社会科学版)》2020,7(3):76-83
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。 相似文献
10.
季浏 《吉首大学学报(社会科学版)》2020,41(1):28-37
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。 相似文献