Differential Health and Social Needs of Older Adults Waitlisted for Public Housing or Housing Choice Vouchers

Affordable housing is an important form of income security for low-income older persons. This article describes characteristics of older persons waitlisted for either public housing or a housing choice voucher (HCV; previously Section 8) in Portland, Oregon. 358 persons (32% response rate) completed a mailed survey with questions about demographics, health and housing status, food insecurity, and preference for housing with services. Findings indicate that many waitlisted older persons experienced homelessness or housing instability, poor health, high hospital use, and food insecurity. Public housing applicants were significantly more likely to report lower incomes, homelessness, and food insecurity than HCV applicants. We conclude with policy implications for housing and health agencies that serve low-income older persons.     

Responding to Self‐harm: A documentary Analysis of Agency Policy and Procedure

This paper reports on the findings of a documentary analysis of policies and procedures relating to self‐harm from a range of organisations working with young people in the UK. It identifies the extent to which policies and/or procedures relating to self‐harm are available for service providers and offers a wider understanding of the concepts of self‐harm and approaches to helping as incorporated into service guidance and delivery. It highlights the prevalence of self‐harming behaviours in a climate of stigma and the need to define appropriate and supportive agency responses from a trained staff that is both sensitive and individualised.     

军人电子健康档案互联互通性相关标准概述和应用建议

在介绍互联互通性概念的基础上,分析了电子健康档案互联互通性标准的分类和引用关系,并分别对互联互通性标准的3个层次,即信息集成规范、信息模型标准和信息语义标准的主要代表性标准的内容和典型应用进行了综述,提出了在军人电子健康档案系统建设中如何运用上述标准的建议。     

Well‐being among employed and non‐employed caregiving women in Taiwan

Chou Y‐C, Kröger T, Chiao C, Pu C‐Y. Well‐being among employed and non‐employed caregiving women in Taiwan This study addressed various groups of non‐employed/employed and non‐caring/caring women in Taiwan. Data from the 2006 National Taiwanese Women Survey (at age 16–64, n= 6,017) were analysed to determine whether there are differences in terms of well‐being, as measured by self‐rated health and family life satisfaction, between women who work and/or care and between different carer groups. Other factors associated with well‐being of carers of young children (n= 1,697) were also analysed. The results showed that non‐employed carers of disabled adults stood out as the most disadvantaged group. However, the importance of work has been replaced by support among carers of young children. This study suggests that unpaid carers, particularly carers of disabled adults who are non‐employed, ought to be supported by policies. To improve carers' well‐being, care–work reconciliation among working‐age women needs to be included in the future care scheme in Taiwan.     

Is the association between social capital and health robust across Nordic regions? Evidence from a cross‐sectional study of older adults

Nyqvist F, Nygård M. Is the association between social capital and health robust across Nordic regions? Evidence from a cross‐sectional study of older adults The study examined the association between structural and cognitive social capital and self‐rated health among 65‐ and 75‐year‐olds in Västerbotten in Sweden and Österbotten and Pohjanmaa in Finland. Data were retrieved from a cross‐sectional postal questionnaire survey conducted in 2005 and was answered by 3,370 persons, yielding a total response rate of 69 per cent. The association between self‐rated health and interpersonal trust and membership in organisations was tested by logistic regression analysis. The results showed that older adults in Västerbotten in Sweden experienced better self‐rated health than in Finland. Furthermore, interpersonal trust and active membership in organisations were associated with self‐rated health among 65‐ and 75‐year olds even after having controlled for the influence of region. We therefore conclude that the association between social capital and self‐rated health tends to be robust across contextually similar regions, but that further analyses are warranted in order to clarify the nature of this relationship. Key Practitioner Message: ?Health status can be indirectly strengthened through investments in social capital, such as group participation and active networks; ?When working with older adults, more focus needs to be put on how to develop trustful relationships; ?The Nordic welfare state, with its universal and subsidised social and health care services, has an indirect and positive effect on health among older adults.     

无景点旅游视阈下养生旅游开发模式研究

无景点养生旅游是养生旅游步入成熟期的一种新业态。无景点养生旅游糅合了无景点旅游与养生旅游的概念,是现有旅游健康性受到挑战、吸引物不断泛化、旅游者养生旅游需求旺盛和旅游业发展趋于成熟背景下的必然产物。无景点养生旅游的主要特征是自主性、养生性与经济性。在开发过程中,要以自然人文养生资源为依托,注重注入文化灵魂,深化区域内外合作,努力实现居民收入的增长,并通过智慧旅游建设实现整合营销,树立无景点养生旅游目的地品牌形象。     

健康管理：医疗保险发展的助推器

我国医疗保险提高整体保障水平,受到人口老龄化进程加快、慢性病呈高发态势和商业健康保险低水平发展的制约。健康管理是应对这些问题的有效之策,它可以控制医疗保险基金支出,提高商业健康保险机构的市场竞争力,降低商业健康保险机构的运营风险。允许医疗保险机构使用城乡居民健康档案信息是健康管理在医疗保险中得以应用的基础。社会医疗保险中应用健康管理可以从对参保（合）人员定期体检人手以对疾病早发现早干预,将慢性病患者的治疗和基层卫生服务相结合来开展,同时由基层卫生服务机构有针对性地开展健康教育和健康干预;商业健康保险中应用健康管理,除“外包模式”外,亟待相关部门出台实施细则以推动“自营模式”和“共建模式”。     

大学生心理问题的表现及其对策

近年来,暴力事件、自杀事件或休学、退学现象在大学校园频频出现,这与大学生的心理问题密切相关,而产生这些问题的原因既包括当前的社会环境,也包括大学生个体所处的家庭、学校环境等诸多因素。解决当代大学生心理困境,需要对大学生进行健康心理教育,依靠各种力量帮助大学生创造良好的身心发展环境。     

大学生睡眠卫生意识和习惯的调查研究

文章采用睡眠卫生意识和习惯量表对南京地区在校大学生的睡眠卫生意识和习惯进行了问卷调查.结果显示大学生群体虽然睡眠卫生意识不佳,但睡眠卫生习惯良好.大学生群体在保持良好的睡眠环境和消除睡前焦虑方面表现良好,对于有害于睡眠的物质使用比较谨慎,对运动和睡眠关系的认识比较模糊.当遇到睡眠障碍问题时,大学生首先想到的求助对象是医生,进而是同学、朋友,而求助于家人及老师的较少.学校可以通过开展心理咨询等,多方面进行睡眠卫生意识教育,改善大学生的睡眠质量.     

医用高值耗材对医疗费用产生影响的分析和思考

文章对近三年医用高值耗材使用数量、金额、单价及其增长率进行调查,发现临床高值耗材使用量增幅大,进而分析了医用高值耗材对医疗费用产生的影响,提出政府物价部门定价要科学,卫生行政部门准入要监管,医院内部采购、使用、收费要规范,以促进医用高值耗材的合理使用,控制医疗费用快速增长,降低患者负担和医疗服务成本.