NHFPC Started Baby-friendly Hospitals Review

正According to the website of National Health and Family Planning Commission(NHFPC),NHFPC has launched the baby-friendly hospitals review in mid-June 2014.Through the review,it aims to strengthen the management of baby-friendly hospitals,constantly improve the breastfeeding rate,gradually reduce the non-medically indicated cesarean delivery rates,standardize obstetric and paediatric services,strengthen quality and safety,and promote maternal and infant health.     

Nursing a Grievance? The Role of Healthcare Assistants in a Modernized National Health Service

The complex division of labour in health care has encouraged the analysis of occupational boundary disputes between separate professions. Less attention has been directed at the divisions in individual occupational groups but in a context of intensive health sector workforce reform there has been a growth in lower status occupations. This article extends debate about lower status occupations by exploring the manner in which nurses and healthcare assistants engage in boundary work to advance their occupational interests. The UK government's modernization agenda has encouraged a more prominent role for healthcare assistants and the findings confirm that this agenda has reinforced occupational boundary disputes between nurses and healthcare assistants. Tensions between nurses and healthcare assistants took particular forms influenced by gendered notions of caring work. The consequences of these boundary management strategies in terms of work undertaken, pay and status are also explored.     

Fairness of the national health service in Italy: a bivariate correlated random effects model

The primary purpose of this paper is to comprehensively assess households’ burden due to health payments. Starting from the fairness approach developed by the World Health Organization, we analyse the burden of healthcare payments on Italian households by modeling catastrophic payments and impoverishment due to healthcare expenditures. For this purpose, we propose to extend the analysis of fairness in financing contribution through a generalized linear mixed models by introducing a bivariate correlated random effects model, where association between the outcomes is modeled through individual- and outcome-specific latent effects which are assumed to be correlated. We discuss model parameter estimation in a finite mixture context. By using such model specification, the fairness of the Italian national health service is investigated.     

Defining the scope of service operations management: an investigation on the factors that affect the span of responsibility of the operations department in service companies

This article deals with the definition of the scope of operations management (OM) in service companies. Operations, in service companies, are often dispersed throughout the organisation and so it is difficult to understand where OM tools and practices can be applied and who should be in charge of their implementation. Starting from the assumption that the actual scope of service operations is influenced by the degree of variety of the offering and of variability of the delivery process, this article analyses three case studies in an attempt to understand whether and why operations, in these companies, include different activities. This article argues that three factors affect the perceived scope of OM, namely: the dominant culture; the existence of industry-specific regulations and the endowment of facilities.     

Perceived violence climate: A new construct and its relationship to workplace physical violence and verbal aggression,and their potential consequences

Abstract

Workplace accidents and violence are both potential sources of employee injuries that have been dealt with in entirely separate literatures. In this study we adapted the concept of safety climate from the accident/injury literature to violence in developing the concept of perceived violence climate. A scale was developed to assess perceived violence climate, including items about management attention, concern, and policies designed to keep employees safe from violence. Data were collected from a sample of 198 nurses from a US Hospital. Perceived violence climate was found to correlate significantly with both physical violence and verbal aggression experienced by the nurses, injury from violence, and perceptions of workplace danger. Furthermore, regression analyses showed that climate explained additional variance in psychological strain and perceptions of danger over experienced violence. These results have implications for interventions aimed at producing a good perceived violence climate in order to reduce the incidence of violence and aggression within an organization.     

环境污染、经济增长与医疗卫生服务对公共健康的影响分析——基于中国省际面板数据的研究

环境污染与经济增长对居民的公共健康水平有重要影响,但基于面板数据对此问题分区域的研究较少。本文在Grossman健康生产函数的基础上加入环境污染等多重因素,使用中国30个省市区1997年到2010年的面板数据,建立个体固定效应模型,将我国划分为东部、中部和西部三个区域,实证分析了环境污染、经济增长与医疗卫生服务对不同区域居民公共健康的影响及其差异。研究发现:环境污染、经济增长、医疗卫生服务与居民公共健康存在长期均衡的协整关系,经济增长与全国、东部和中部的公共健康关系呈现倒U型的特征;具体而言:东部区域,曲线已达到拐点,中部区域,当人均GDP为3311元时,曲线达到拐点;全国以及东、中、西部区域,工业烟尘排放量与人口死亡率呈正向关关系,工业二氧化硫排放量与人口死亡率只在中部地区显著正相关;全国、东部和中部区域人均医生数与人口死亡率呈显著负相关,西部地区未呈现这一特性;人均医疗保健支出与人口死亡率在中部地区显著负相关,医疗卫生服务可有效减少环境污染对居民的健康威胁。因此,制定差别化的环境污染、经济增长与医疗服务政策等有利于提升全国以及东中西部居民的公共健康水平。     

The Effect of Integrated Scheduling and Capacity Policies on Clinical Efficiency

In outpatient healthcare clinics, capacity, patient flow, and scheduling are rarely managed in an integrated fashion, so a question of interest is whether clinic performance can be improved if the policies that guide these decisions are set jointly. Despite the potential importance of this issue, we find surprisingly few studies that look at how the allocation of capacity, paired with various appointment scheduling policies and different patient flow configurations, affects patient flow and clinical efficiency. In this paper, we develop an empirically based discrete‐event simulation to examine the interactions between patient appointment policies and capacity allocation policies (i.e., the number of available examination rooms) and how they jointly affect various performance measures, such as resource utilization and patient waiting time. Findings suggest that scheduling lower‐variance, shorter appointments earlier in the clinic (and, conversely, higher‐variance, longer appointments later) results in less overall patient waiting without reducing physician utilization or increasing clinic duration. Additionally, exam rooms exhibited classic bottleneck behavior: there was no effect on physician utilization by adding exam rooms beyond a certain threshold, but too few exam rooms were devastating to clinic throughput. Some significant interactions between these variables were observed, but were not influential to the level of managerial concern. Clinicians' intuition about managing capacity in healthcare settings may differ substantially from best policies.     

关于女性主义批评的反思

本文论述了女性主义批评的三个发展阶段，分析了各个阶段的主要倾向和存在的问题。平等的女权主义以两性平等为目标，结果无形之中认同了男性中心的价值体系，以男性文学为标准，否定女性创作的独特性。追求差异的女性主义，承认两性的差异，肯定女性的价值，但将女性体验和价值作为评价作品的标准，打破男性中心却又建立了一个女性中心。两性共体则以两性互补为原则，以人的全面发展为目标，在神话、宗教中寻找两性共体的文学原型。本文认为女性主义批评应从根本上解决男女两性内涵的界定问题，需依靠语言的革命成果     

漂泊与寻觅——劳伦斯的血盟兄弟

劳伦斯在其平生的作品中多次提到血盟兄弟,经历着从青涩到成熟。他的探索无一不体现出对现代机械文明的抗衡,是对女性控制欲的逃脱,对于两性星际平衡以及残缺个性的补足。