Key Determinants to using Telehealth Technology to Serve Medically Ill and Depressed Homebound Older Adults

Despite the increasing evidence for the effectiveness of telehealth technology in screening and treating chronic diseases, and comorbid depression among older adults, they have been slowly adopted by home health care (HHC) agencies. Therefore, this study aimed to identify factors that determine telehealth technology adoption. Twenty directors from the National Association for Homecare & Hospice member agencies completed a 45-min telephone interview. Questions were asked regarding their perceptions of telehealth, the key determinants of telehealth adoption and use, and recommendations they would give on telehealth adoption. The majority of the participants perceived telehealth as effective for managing symptoms and reducing cost. Meanwhile, some participants had a mixed feeling toward telehealth for depression care as they did not recognize their agency as equipped with the necessary resources and trained staff. Moreover, significant determinants of telehealth adoption included the agency-related characteristics, the patient-home environment, reimbursement and cost-related factors, and staff telehealth perception. Findings imply that there is a need for financial support both at the state and the federal levels to encourage telehealth adoption among HHC agencies. Future studies should consider exploring strategies used by successful programs to overcome barriers.     

Sexual Health Services for Homeless Youth: A Qualitative Analysis of their Experiences

The sexual health problems experienced by homeless youth bring into question their use of available sexual health services. Using a qualitative typological analysis, this study aims to identify sexual health services utilization profiles for homeless youth, and to understand the role of the homeless experience on the utilization of sexual health services. Individual interviews were conducted with 33 homeless youth (17 men, 16 women) between 18 and 25?years of age. Typological analysis identified four profiles: (1) a targeted use of sexual health services to determine one’s serological status following a relational change during the homeless experience; (2) a limited use of sexual health services to manage sexual emergencies that arise during the homeless experience; (3) a regular use of sexual health services to avoid the risks associated with the homeless experience; (4) a frequent use of sexual health services to obtain support when engaging in prostitution during the homeless experience. This study shows that the precarious and unstable conditions within the homeless experience incite youth to utilize sexual health services in different ways. These findings point to the importance of rethinking sexual health services to better adapt them to the different utilization profiles of homeless youth.     

海南文化产业发展的思路与对策

本文论析海南文化产业的发展既面临挑战 ,更面临机遇。海南发展文化产业应朝着市场化、集团化、科技化、特色化和法制化方向努力 ,要抓好重点地区、重要基地、主要集团和重点行业的工作 ,同时在人才、资源和环境方面为文化产业发展创造条件。     

权力游戏与产业制度变迁——以中国石油产业外部合作战略转型为例（1988-2008）

1988-2008年间,中国石油产业外部合作战略实现了从早期以引进外国资本与技术为主要内容的“引进来”战略,向1998年后以输出资本与技术为主要特征的“走出去”战略的重要转型。本文以组织社会学决策分析的推论方式研究发现,作为一种产业制度变迁现象,中国石油产油产业外部合作战略的转型除了受到国家及其产业政策和市场机制的重要影响外,更深刻地受到一种复杂权力关系互动或权力游戏机制的作用。即中国石油产业外部合作战略转型深层的动力来源主要是国家和国有石油公司之间特定的权力游戏,这种权力游戏是基于各自行动能力与资源控制,和各自对特定的互动组织环境以及对方可能的行动策略的权衡与判断而建构起来的。     

The French Regions and Their Social Health

In this article, a new indicator designed to capture the multidimensionality of the social health of the French regions is put to the test. Drawing on regional data for 2004, this indicator of social health (ISH) sheds new light on the social performance of the French regions. The worst performers are the highly urbanised regions, whereas others, such as Limousin, turn out to perform well in social terms. Two or three regions remain stuck at the bottom of the table regardless of the indicator used. Nord-Pas-de-Calais and Languedoc-Roussillon, which bring up the rear in terms of gross disposable income (GDI) and gross domestic product (GDP) per capita, also record very mediocre scores for social health as measured by our ISH.

中国女性老年人口的现状及问题分析

在快速的人口老龄化过程中,由于女性老年人寿命长于男性,因此成为一个规模快速增加的群体。女性在受教育、就业比例以及收入水平上一般要低于男性,因此她们在晚年生活中的弱势积累效应更加明显,表现为经济保障、健康医疗、婚姻家庭生活方面的困难更加突出。在当今家庭养老照料功能减弱和社会保障及社会服务能力不足的情况下,女性老年人口问题需要给以更多的关注。采用2005年全国1%抽样调查资料,对我国当前老年妇女的人口、婚姻、受教育、经济来源、职业以及健康状况给以描述和分析,以期为学术研究和政府管理工作提供必要的信息和依据。     

人力资本与社会资源获得:东北国企的实证分析

在东北社会变迁和体制改变的大背景下,东北老工业基地人力资本和人力资源的社会效应问题比较突出。在实证数据分析的支持下,东北国企干部与职工的人力资本对特定社会资源的摄取呈现出不同的效果,展现了人力资本的差异性作用。基于干部和职工的比较分析,认识到东北老工业基地人力资本对社会资源摄取的差异性作用,可以促进东北老工业基地不同职业群体的和谐发展。     

构建以照护为重心的基本养老体系 努力实现老有所养

为应对我国老龄化社会。党的十七大提出要把基本养老作为完善社会保障体系的一个重点来抓。照护具有综合性特点。在基本养老中处于重心地位,是健全完善基本养老体系的重要组成部分。加强照护工作,发展照护事业具有现实性、紧迫性,符合社会发展趋势。可从确立政府主体责任、大力发展照护机构,切实加强社区照护,努力培植照护文化等角度全方位确立起照护支持系统,切实提高基本养老质量,从而实现老有所养。同时,构建以照护为重心的基本养老体系．浙江有条件走在前列。     

高职院校大学生心理健康教育的现状分析及对策探讨

加强心理健康教育工作,是新形势下全面贯彻党的教育方针,积极推进素质教育,构建社会主义和谐社会的重要举措,是新时期努力促进学生全面发展和健康成长的迫切需要,同时也是当前和今后一个时期加强和改进高职院校德育工作的重要组成部分。心理健康教育工作必须有科学的理论来指导,在建设中求发展,在新形势下谋思路,在不断实践中构建新模式。     

产业结构高级化与城市国际竞争力提升——兼论大连市国际名城的建设

首先提出了城市国际竞争力内涵 ,然后分析了产业结构高级化在提升城市国际竞争力过程中的关键作用 ,最后结合大连市的实际情况 ,得出产业结构高级化是增强城市国际竞争力的根本 ,并提出了相关对策