Mentorship experiences during registrar training: reflections of Black African specialists in the Western Cape

In order to meet the significant staffing challenges to health care provision in South Africa, the need to support the training and retention of Black medical specialists has been identified. This small qualitative study aimed to explore experiences of mentorship among a group of Black medical specialists in hopes of understanding the value and potential challenges that these relationships raise. Ten Black medical specialists were interviewed about their experiences of being mentored during their registrar training. The interview data was analysed using discourse analysis, and the results comprise of three main themes, namely: Difficulty accessing mentorship, a lack of Black and/or female role models and finally, experiences of feeling excluded from soft networks. The experiences explored in this study indicate the need for open dialogue within the mentorship dyad regarding certain taken-for-granted assumptions surrounding race, so as to aid the provision of more effective and satisfying mentorship outcomes.     

Determinants of social assistance caseloads for employable single adults without dependants in Canada

Government officials like the idea of just a small number of households in their respective jurisdiction receiving social assistance. A large number is seen as costly to the public treasury, and declining caseloads are generally viewed as a mark of success for both the economy and the government of the day. But what factors account for the size of a Canadian province's social assistance caseload? This article aims to shed light on this question, with a focus on single adults without dependants (and without serious disabilities) during the 1989–2017 period. One important finding is that when the value of social assistance benefit levels for this group increases by 1% in a province, the social assistance caseload for this demographic rises by 0.457%. Put differently, there is indeed an important behavior response associated with higher benefit levels. In response, we propose that provincial officials budget for higher take up levels when they increase benefit levels for this household group.     

人工智能背景下医疗法律责任的现实困境与完善路径

医疗人工智能利用深度学习和计算机算法等现代化技术，实现辅助诊疗、医学影像、药物发掘、健康诊疗等功能，是人工智能应用最具前景的领域之一。随着人工智能技术发展，具备自主思维和决策能力的智能机器人医生等人工智能将对现有的医疗法律责任制度带来颠覆性影响。在人工智能背景下，医疗人工智能是否具有独立法律主体地位、传统的医疗过错责任归责能否适用、因果关系如何认定等成为现代民事法律责任制度的严峻挑战，也成为实践中的必答之问。因此，在借鉴欧美人工智能领域的探索经验的基础上，在当前阶段通过修正和完善我国民事法律责任制度，提出针对不同的人工智能侵权情形适用差别化归责原则，并尝试建立人工智能强制保险或储备金制度，设置人工智能监管机构及行业标准，以实现既保障患者合法公平权益，又鼓励人工智能技术有效发展之间的平衡。     

弱势群体公法保护视野下的社会帮扶问题

弱势群体保护问题是当今社会，尤其是公法学界所面临的严峻课题。为了有效应对这一问题，应采用比较研究、实证研究、文献研究的方法，在继续完善传统公法意义上的相关保障性制度的基础上，积极构建弱势群体的社会帮扶制度。弱势群体的社会帮扶制度一方面以服务行政理论为理论依据，要求弱势群体保护由当下的“政治负责”向“社会负责”过渡；另一方面，社会帮扶制度又以公共服务理论为理论支撑，要求政府由高权强制型向怀柔服务型转变。在实践中，弱势群体的社会帮扶制度应遵循政府与社会“两条腿走路”的基本逻辑，而该制度的构建应秉承若干基本思路：破除观念束缚，培育和构建公民社会；丰富社会主体形式，弥补行政保障不足；完善其他社会帮扶途径。     

The 2015 welfare reform of the National Basic Livelihood Security System in South Korea: Effects on economic outcomes

In July 2015, South Korea’s National Basic Livelihood Security System (NBLSS) was reformed for the purposes of eliminating welfare blind spots and reducing poverty. The reform is expected to affect the recipients’ economic behaviours and choices. In this study, we used changes in benefits and eligibility for the NBLSS under the customised benefit system to identify the effects of the change in the NBLSS on a proposed set of economic outcomes – income, labour supply, consumption, savings, poverty reduction. To estimate the effects, we used data from the 10th–12th waves of the Korea Welfare Panel Study and employed a difference‐in‐differences framework integrated with the propensity scores. We found that the NBLSS helps the poor to reduce financial and material hardships through income and consumption increments, but that it does not provide disincentives to the recipients from participating in the labour market or from saving.     

互联网医疗服务法律监管研究

随着互联网技术的进步以及医疗改革的深入,互联网医疗服务成为新生业态.然而,我国互联网医疗服务法律监管体系还不够完善,缺乏统一规范的监管体系,多头监管、个人隐私隐患大、纠纷处理解决机制不健全等现实困境尚未解决,不利于互联网医疗服务行业的发展和人民群众身心健康.为解决上述问题,通过梳理发达国家的成功经验,如美国的移动医疗应用程序监管和个人隐私保护、欧盟的互联医疗数据管理、英国的行业协会监管等,结合我国现有国情,建议从完善立法体系、建设隐私保护机制、构建行业监管、明晰医疗服务主体责任等方面健全互联网医疗法律监管制度,以期推动互联网医疗服务行业发展,保障医患双方的合法权益.     

Institutional evolution and abrupt change: Reforming the administration of social assistance in Finland

Historical institutionalist studies have explained institutional change as resulting from critical junctures that interrupt long periods of stability or from endogenous, incremental evolution. Building on these theories, discursive institutionalists have focused on the roles of agency, ideas and discourse as explainers of change. Combining these approaches, this article analyses Finland’s decision in 2014 to transfer the administration of basic social assistance from municipalities to the central government. This study demonstrates that institutional change can be both abrupt and evolutionary. Due to sudden, exceptional political circumstances, the decision in question was made quickly and under pressure, circumventing possible veto players. However, it was possible only because of the incremental, endogenous change that had occurred in the way in which social assistance was administered at the municipal level. It enabled a change in political discourse, which eroded the credibility of the ideational frames that policy actors had previously utilised to reject the centralised model.     

重大公共卫生事件中应如何作为:来自医学人类学哈佛学派的启示

聚焦人类学者在针对重大公共卫生事件的跨学科研究中应该有何作为这一议题,通过借鉴来自医学人类学哈佛学派的民族志洞见和研究经验,为当下2019新型冠状病毒疫情危机中所进行的田野观察和分析,以期获得灵感和启示,并探索有可行性和操作性的研究策略和方法。     

用科学发展观指导医学教育改革和创新

科学发展观为高等医学教育的改革和发展提供了全新的思路。以科学发展观为指导,根据医学教育事业的发展,按照国际医学教育标准,全方位推进医学教育的改革和创新,强化素质教育,构建新的教学体系、管理监控体系以及教学保障体系,对于提高医学教学质量,培养高层次医学人才,实现国际标准本土化,具有重要的意义。     

论重视和加快民办高等教育的发展

民办高等教育在十几年里飞速发展 ,取得巨大成就的同时也遇到很多的困难与问题。文章试图从宏观上论述在新的时代背景 ,尤其是即将步入WTO的国际大环境下 ,如何改变民办高等教育发展的不利因素 ,并采取有效的政策扶持 ,积极加快湖南的民办高等教育发展的问题