Designing Graphs that Promote Both Risk Understanding and Behavior Change

Graphs show promise for improving communications about different types of risks, including health risks, financial risks, and climate risks. However, graph designs that are effective at meeting one important risk communication goal (promoting risk‐avoidant behaviors) can at the same time compromise another key goal (improving risk understanding). We developed and tested simple bar graphs aimed at accomplishing these two goals simultaneously. We manipulated two design features in graphs, namely, whether graphs depicted the number of people affected by a risk and those at risk of harm (“foreground+background”) versus only those affected (“foreground‐only”), and the presence versus absence of simple numerical labels above bars. Foreground‐only displays were associated with larger risk perceptions and risk‐avoidant behavior (i.e., willingness to take a drug for heart attack prevention) than foreground+background displays, regardless of the presence of labels. Foreground‐only graphs also hindered risk understanding when labels were not present. However, the presence of labels significantly improved understanding, eliminating the detrimental effect of foreground‐only displays. Labels also led to more positive user evaluations of the graphs, but did not affect risk‐avoidant behavior. Using process modeling we identified mediators (risk perceptions, understanding, user evaluations) that explained the effect of display type on risk‐avoidant behavior. Our findings contribute new evidence to the graph design literature: unlike what was previously feared, we demonstrate that it is possible to design foreground‐only graphs that promote intentions for behavior change without a detrimental effect on risk understanding. Implications for the design of graphical risk communications and decision support are discussed.     

新环境下培育医学生社会责任感的探析

当前，医务人员不仅要具备精湛的医术，还要具有高尚的医德。社会责任感是医学生医德的重要体现，因此，本文主要论述了影响医学生社会责任感的因素和加强其社会责任感培育的途径。     

Alarmed: sensory approaches to improving medical alarm systems

Medical alarms sound incessantly, loudly, and dissonantly, contributing to an already noisy ICU and OR soundscape, and ultimately harming both patients and staff. Sometimes triggered in error, the sheer number of alarms distracts health care professionals and results in sensory overload that contributes to hospital staff’s alarm fatigue. In turn, staff become increasingly likely to ignore alarms instead of acting on them. Furthermore, the patients’ sensitivity to alarms disturbs their hospital stay, raises their stress levels, and impedes their recovery process, with sometimes lasting effects. This article considers the sensory effects of hospital alarms and possibilities for redesigning future alarm systems, with the goal of eventually creating a more calming, less stressful, and safer hospital soundscape environment for all.     

‘Unfit for reform or punishment’: mental disorder and discipline in Liverpool Borough Prison in the late nineteenth century

This article examines how Liverpool Borough Prison, opened in 1855 as one of the largest local prisons in England to adopt the separate system, categorized and dealt with mental distress and disorder amongst its prison population in the late nineteenth century. High prison committal rates in Liverpool, alongside high levels of recidivism, especially among female prisoners, led to severe overcrowding and encouraged a harsh disciplinary regime. Exacerbated by the poor physical and mental condition of the prisoners, this produced a challenging environment for maintaining the separate system of confinement and prisoners’ mental well-being. While official figures for the rates of mental disorder in local prisons are not readily available, Liverpool Prison’s diverse and under-exploited archives and official reports indicate that insanity caused prison officials and visiting justices great concern, and many prisoners were declared unfit for the rigours of prison discipline. Our article explores the implications of the ever more punitive, deterrent and physically taxing penal policy implemented in the late nineteenth century on the minds of prisoners. Despite the heavy toll on prisoners’ mental well-being, such cases were often retained by prison medical officers reluctant to acknowledge the failure of the prison to deter, reform and redeem.     

监察委员会人事管理与约束监督刍议

《监察法》的出台标志着监察制度改革的成果在法律层次上的确认,是国家在政治体制上进行顶层设计的一件大事。“一府一委两院”的政治新格局初步形成,深化监察制度改革依然是健全完善国家监督体系的重要路径。监察委员会的出现不同以往政治体制的改革,使行政监察迈向国家监察,监察制度实现了质的飞跃,其人事管理和“超级机关”的潜在威胁是不容忽视的。基于法治建设中具有普适价值的独立性与权力制约两原则,从人才选拔、人事培养到人事考核探索监察委员会的人事管理,从党的领导和外部机关约束监督的视角思量监察委员会的被监督问题。     

多元医疗背景下藏族民众择医实践的人类学分析——以甘孜藏族自治州C村为例

择医实践是指当一个人感到不适，为了证实是否有疾病和为了减少疾痛为目的寻求帮助的行为，是医学人类学研究主要课题之一。由于社会文化背景、地理条件等因素，藏族聚居地区医疗模式显现出多元共存，与之对应，当地民众的择医实践也呈现出一种多元状态。正是由于人们多元择医实践的诉求、固守与调适，才推进着多元医疗模式在发展中适应区域群体的文化变迁、需求改变而日趋完善，由此医疗模式与择医实践形成了互动、互构关系。     

The need for improved emotional support: A pilot online survey of Australian women’s access to healthcare services and support at the time of miscarriage

ProblemWomen need improved emotional support from healthcare professionals following miscarriage.BackgroundSignificant psychological morbidity can result following miscarriage and may be exacerbated by poor support experiences. Women frequently report high levels of dissatisfaction with healthcare support at this time.AimThis study was developed to pilot a survey aimed at exploring women’s access to healthcare services and support at the time of miscarriage.MethodsWomen over 18 years, residing in Australia, who had experienced a miscarriage in the past two years completed a 29-item online survey.FindingsA total of 399 women completed the survey. Two key findings arose: 1) More than half of women (59%) were not offered any information about miscarriage or pregnancy loss support organisations or referral/access to counselling services at the time of miscarriage, despite almost all reporting they would have liked various forms of support from items listed 2) More than half (57%) did not receive follow up care, or emotional support at this time, beyond being asked how they were coping emotionally. Other findings showed 3) Women accessed various healthcare services at the time of miscarriage and 4) Women often saw a general practitioner at the time of miscarriage despite having a private obstetrician.ConclusionThere is clear mismatch between the support women want at the time of miscarriage and the care they receive from healthcare professionals. Despite considerable structural barriers, it seems likely there is scope within healthcare professionals’ usual practice for improved support care through simple measures such as increased acknowledgement, information provision and referral to existing support services.     

老年流动人口的就医行为及影响因素研究

近年来,我国老年流动人口的规模持续上升。文章使用2015年全国流动人口动态监测调查数据,从门诊治疗和住院治疗两个方面出发,使用Logit模型和Heckman两步法检验分析老年流动人口的就医行为及其影响因素。结果显示,在患小病时,70岁及以上、以家庭其他成员收入为主要收入来源、家庭人均月收入水平较高、患有高血压或糖尿病的流动老年人选择门诊就医的可能性更高,差异有统计学意义(P<0.05)。在患需要住院治疗的疾病时,以离退休金/养老金为主要收入来源、自评身体健康的老年流动人口更有可能选择住院治疗。参加医疗保险的类型也对老年流动人口的就医行为存在着显著的影响。此外,外出务工、依靠子女和退休养老三类老年流动人口在门诊就医行为及其影响因素方面也存在显著差异。     

群众参与视角下中国司法听证制度的规范化

保障人民群众参与司法是新时期全面法治的价值要求和新一轮司法改革的重要内容。司法听证有助于将司法与人民、法意与民意有机连接起来,从而成为推进人民群众有序参与司法的重要渠道。中国司法听证制度总体上处于探索期,为矫正实践中各种误读和滥用现象,有必要在一些共通性、基本性问题上逐步规范化。在群众参与的视角下,中国司法听证制度的规范化需着力解决司法听证官、听证主持人和人民听证员的规范化遴选,确保司法听证官、听证主持人的中立性与独立性,提升人民听证员的广泛性、代表性和履职能力;需构建规范化的听证评议运行机制,保障人民听证员有效而深入的听证参与;需逐步确立司法听证报告作为司法机关最终决定依据的实质效力地位。     

可及性视角下医疗组织分布特征及其对疫情防控的影响研究

基于可及性理论,从医疗服务资源的可获得性和可达性两个角度量化各地级市疫情防控定点医疗组织机构的空间分布特征以及空间组合模式,并探讨其对疫情防控效果的影响。研究结果显示,在控制了城市基本特征、人员流动程度、基础医疗资源状况和省级固定效应之后,按人口聚集分布定点医院显著负向影响各城市累计确诊病例数,而按人口聚集分布发热门诊显著增加确诊病例数。相比于其他空间组合模式,定点医院按人口聚集分布,发热门诊按空间平均分布的组合方式对于疫情防控的效果最好。随着疫情严重程度的上升,按人口聚集分布定点医院对于疫情的抑制作用以及按人口聚集分布发热门诊对疫情防控的负面影响被进一步强化。