Healthcare 4.0: trends,challenges and research directions

Abstract

This paper aims at examining the trends, challenges and theoretical gaps in the implementation of Healthcare 4.0 (H4.0) based on a scoping review of the literature. For that, we searched journal articles in four widely known databases and screened the retrieved articles to obtain a publications’ portfolio. Our findings indicate that, despite the recency of the subject, research in H4.0 has been conducted in an interdisciplinary way with a diversified set of applications and functionalities. In terms of its implementation, H4.0 has been more commonly found in hospitals’ information flows, especially the ones related to healthcare treatments. The identified implementation trends, however, neglect a more holistic approach for H4.0, which originated three main research directions for this topic. Although identified as a trending topic in the area of healthcare operations management, literature on H4.0 may be viewed as randomly conceived, lacking academic alignment and practical orientation based on a grounded theory, which we aim at providing with the present study.     

浅论我国行政赔偿的范围

随着我国社会的发展出现的新情况以及《国家赔偿法》本身的原因,行政赔偿的不足表现在:行政赔偿归责原则单一;抽象行政行为被排除在侵权损害赔偿之外;精神损害赔偿的缺失;不作为和怠慢行政赔偿;赔偿标准不够完善等一系列问题。究其原因主要是:传统官本位思想的制约以及当今执政理念的宣传教化;国家财政负担问题;相关法学理论的不成熟;国家行政机关的强势地位等。结合行政赔偿范围的缺陷和原因,给出相关建议。     

The Significance of Shift Work: Current Status and Future Directions

This paper provides a review and synthesis of research literature on the effects of shift work on workers’ physical health, mental health/well-being, and family life. The focus is on current knowledge, unanswered questions, and new directions for future research. The selection of research literature is guided by a general conceptual framework that identifies predictor variables, moderating variables, and outcome variables. The paper concludes with a discussion of the variables that should be incorporated into an agenda for future research.     

心理活动脑机制的研究历程及研究技术的新进展

本文阐述了心理活动的脑机制及其研究技术的发展过程,从而客观地表达了两种观点:一是,计算机辅助成像技术已成为人类心理活动脑机制研究的新技术;二是,人类的心理和行为活动在大脑皮层都有相应的机能定位,这种机能定位不是绝对的、机械的,而是在整体机能上的动态定位。     

合肥848名小学生心理健康状况的调查分析

为调查与分析合肥市小学生心理健康状况,本文采用心理健康诊断测验(MHT)对合肥市某小学1 096名7~11岁小学生进行测查。结果表明:(1)小学生心理健康问题总分检出率为3.65%,各分量表阳性总检出率为总人数的62.5%,其中学习焦虑因子检出率为43.3%,各项检出率依次排序为:学习焦虑、过敏倾向、自责倾向、身体症状、对人焦虑、冲动倾向、孤独倾向、恐怖倾向。(2)除恐怖倾向外,其他各因子分男生与女生没有显著性差异。(3)恐怖倾向和冲动倾向与年级的相关达到了非常显著性水平,其中恐怖倾向与年级呈现负相关。学习焦虑、对人焦虑、孤独倾向与年级的相关达到显著性水平,其中孤独倾向与年级呈现负相关。研究得出:合肥市小学生整体心理健康水平较好,但学习焦虑明显,应制定有效的干预措施,加强小学生的心理健康教育。     

Helping parents to manage infant crying and sleeping: a review of the evidence and its implications for services

Infant crying and night waking are common concerns for parents, costly problems for health services and may trigger infant abuse or lead to serious child disturbances. Parents are given contradictory advice on how to manage infant crying and sleeping, indicating the need for evidence‐based guidance. This review of recent research draws distinctions between infant crying and sleeping problems, between the problem identified by parents and the infant behaviour underlying the problem, between different types of crying behaviour and their causes, and between the types of cases which present at different ages. It proposes that the two main approaches to parenting advocated by baby‐care experts, ‘infant‐demand’ and ‘structured’ parenting, have different benefits, and costs. Comparative studies have found that infant‐demand parenting is associated with low amounts of fussing and crying in the first three months of age, but with night waking which continues beyond three months. Randomised controlled trials have provided evidence that structured parenting leads to more overall fussing and crying during the first three months, but reduced night waking and crying after that. The findings are translated into recommendations for preventing and treating infant crying and sleeping problems, for policy debate, and for further research. Copyright © 2007 John Wiley & Sons, Ltd.     

大学生心理控制源对时间管理倾向的影响

目的：探讨大学生心理控制源对时间管理倾向的影响,为高校教育教学工作提供参考和依据。方法：采用黄希庭编制的“青少年时间管理倾向量表”和罗特编制的“内在—外在心理控制源量表”对208名大学生进行测试。结果：大学生心理控制源在性别和年级方面不存在显著的差异,时间管理倾向在性别和年级方面存在显著的差异,女生在时间管理方面要好于男生,大一学生对时间的管理要好于其他年级的学生;大学生心理控制源与时间管理倾向及时间价值感、时间监控观呈显著正相关;内控型大学生在时间管理总体水平及时间监控观、时间效能感上均显著高于外控型大学生;回归分析表明,心理控制源对时间管理总体水平及时间价值感、时间监控观均具有显著的预测作用。结论：大学生心理控制源对其时间管理倾向具有显著影响,可以通过有针对性地归因训练来提高大学生的时间管理水平。     

疾病的宗教性建构：理解农民因病信教的行为和动机——以一个河南乡村基督教会为例

近年来,农村地区的一些村民在身患重病难以得到医疗救治的情况下,会尝试将信仰基督教作为一种替代治疗方案。本文通过对豫东陈村教会农民因病信教现象的深入分析,发现本土化的基督教为农民的疾病医治提供了一套“合理”的解释体系,通过“神医结合”的方式,有些农民疾病的痊愈得以可能。“疾病”和“苦难”被赋予新的意义,被构建为“神拣选之前的考验”,继而导向皈依基督教。农民最初的功利性信仰,会经由宗教仪式的出席和宗教实践的参与而逐渐形成对基督教的理解和体验。农民因病信教成为基督教民间信仰化和本土化实践的重要表现形式。     

中小学教师的心理健康问题对学生的影响及改进措施

作者认为,教师心理健康是教师心理素质的一个重要反映,中小学教师的心理健康问题不仅影响自己更直接影响学生的身心发展。作者研究分析了中小学教师心理不健康的各种主要表现,探讨了造成中小学教师心理不健康的因素,研究分析了中小学教师心理不健康的种种表现对学生产生的不良影响。同时,论述了教师的心理健康的重要意义,并提出了维护和促进中小学教师心理健康的一些方法和措施。     

On the Inside: A Narrative Review of Mental Health Inpatient Services

This paper describes and discusses the results of a narrativereview of inpatient mental health services in the UK. Four mainthemes emerge from the review: the growing pressure on inpatienthospital services; the negative experience of inpatient servicesreported by many service users; the problematic nature of hospitaldischarge; and possible alternatives to hospital admission.This review also suggests that a failure to recognize and acton what appears to be happening in hospitals could result ininpatient care once again being subject to the scrutiny andcriticism that cast a shadow over psychiatric services in the1960s and 1970s. To stop this happening, current governmentpolicy is right to focus attention back onto acute care throughnew guidance and by commissioning research. However, changesalso need to take place at a practice level so that front lineworkers are familiar with conditions in local acute servicesand can challenge unacceptable behaviour/services in supportof their service users. With current changes in the make-upof local mental health services and a greater emphasis on partnershipworking between health and social care, it may be that socialcare practitioners can do this not only from the outside, butincreasingly ‘on the inside’ (from within integratedhealth and social care organizations).