女性主义关怀伦理视野下的《接骨师之女》

谭恩美的《接骨师之女》描绘了在男权社会阴影下祖孙三代女性的生活故事。从女性主义伦理学的重要理论———关怀伦理学切入文本,从女性声音、女性关怀、伦理诉求三个方面探讨作者建构两性和谐社会的女性主义伦理愿望。     

The Effects of Childhood Sexual Abuse and Other Trauma on Drug Court Participants

Within the context of a larger study of drug court participants, this study examined the impact of traumatic experiences on psychiatric distress and on court outcomes. In the analyses, the participants (n = 229) were separated into 3 groups: childhood sexual abuse (CSA; n = 18), other trauma (n = 134), and no trauma (n = 77). The CSA group had higher mean scores on depression, anxiety, panic disorder, social phobia, somatization, and posttraumatic stress disorder than the other trauma group. Path analyses suggest that a history of trauma is a positive predictor of psychiatric distress and negative court events (positive urine screens, sanctions, etc.), with indirect effects on substance abuse severity, and failure in the drug court. These results suggest a need for the initial assessment procedure in drug courts to include a screening for trauma history, including CSA. They also suggest a need for trauma-informed care within drug courts.     

全额保障老年患者在基层公平享有合理使用基本药物政策研究

目的:为实施全额保障老年患者在基层公平享有、合理使用基本药物费用政策提供可行的管理策略。方法:以南京市江宁区参加职工医保的65岁以上老年患者就诊的数据为来源,分析其基本药物使用的状况和主要疾病病种的构成。结果:老年患者主要以抗微生物药、调节水、电解质及酸碱平衡药、内科用药(中成药)和心血管系统用药为主;主要是心脑血管疾病、呼吸系统疾病、消化系统疾病以及损伤骨折等;用药经济负担较重。结论:应加强老年人常用基本药物的配备,提高可获得性;实施分类管控,最大程度地减轻使用基本药物的经济负担;规范医师用药行为,提高基层医疗机构合理用药的水平;加强用药知识宣教,发挥社区药学服务的作用。     

Elderly Parents’ Need for Help and Adult Children's Moving Decisions

Recent changes in Finnish welfare policies have increased the need for family involvement in eldercare. This article uses qualitative interviews to study working adult daughters’ reasons for moving in with their parent(s). Coresidence was linked to the parents’ need for support, but also to the daughters’ life situations, family histories, the availability of welfare services, and cultural norms and values. The interviewees used the “familist” and “independent life” discourses in their speech. The familist discourse was used to argue for coresidence as a natural continuation of family traditions and life history, whereas the independent life discourse was used to legitimize the need for alternative care options and having a home of their own.     

Gender,migration and care deficits: what role for the sustainable development goals?

ABSTRACT

This article explores migration to higher income countries in light of collective commitments to the Sustainable Development Goals (SDGs) and argues that domestic social protection and labour market policy will need to be modified to meet these commitments. We look primarily at women in care work, using a broad definition of care that includes home help, domestic work and health care. We argue that the failure to recognise and value unpaid care work has created a sustained labour demand for women migrant care workers in many of these labour-importing countries. Increasingly, immigrant women are being imported into host economies to care, often in informal settings, and frequently engaged by private households, without full access to social protection and labour rights. The consistent application of SDG goals 5 and 8 and their linking to existing labour rights norms and conventions could simultaneously address care deficits in home and host countries and protect the rights of care workers in labour-importing countries and ensure that migrant workers are able to claim these rights.     

中国医患关系的新制度经济学分析

中国医疗卫生体系不完善,但医疗需求却呈现出倍数增长的趋势,这使得医患纠纷不断增加,甚至导致了严重的医患冲突,日益紧张的医患关系阻碍了中国医疗保障的进一步发展。运用新制度经济学的相关理论,对中国的医患关系发展现状如人口流动的健康红利、医师成长的成本、“看病难、看病贵”的交易成本以及医患冲突的外部性等进行分析,提出应提高统筹层次以促进成本内部化,科学厘定产权以实现医保关系转移接续,通过制度和经济手段约束医师行为,建立多方筹资的医疗风险分担机制,化解医患矛盾等途径,构建和谐的医患关系,促进中国医疗卫生事业的进一步发展。     

商业保险参与医改研究——以陕西为例

陕西省商业保险近年来积极参与医改,已然成为医疗保障体系的重要组成部分,是提高人民群众医疗保障水平具有重要作用。但仍存在覆盖面偏窄、各方认知不统一、政策支持力度不够等许多问题。文章全面分析了陕西省商业保险问题产生的原因,并针对性的提出了推进商业保险深入参与医改的政策建议。     

Parental migration and disruptions in everyday life: reactions of left-behind children in Southeast Asia

ABSTRACT

Increasing feminisation of transnational labour migration has raised concerns over potential ‘care crises’ at home, and consequently a ‘care deficit’ for children left in origin countries. Our paper focuses on how left-behind children from Indonesia and the Philippines understand, engage and react to changes in their everyday lives in their parents’ absence. While many children had no say over their care arrangements, some were able to assert their agency in influencing their parents’ decisions and eventually migratory behaviours. Their thoughts and actions reinforce the importance of including children’s views in development and migration studies to improve both the children’s and families’ well-being, and make migration a sustainable strategy for all.     

试论中小学教师良好师德的构建路径

良好师德有利于促进学生的成长、塑造教师的灵魂、减少失德现象。良好师德的构建,需要外部的制度规约和内部的良善关怀共同协调与配合。制度规约包括师德立法、严把教师进出口关和重置中小学师德规范;良善关怀包括唤起善之本性、培育德性人格和给予关怀尊重。     

成效为本教育理论对我国高等教育改革的启示倡--以英国敦提大学医学院为例

成效为本教育理论认为,教学应从学习成效出发,由此逆推整个教学过程,最终保证成效的实现。英国敦提大学医学院以该理论为基础,将教学过程分为明确社会所需、明确教育成效、确定教学大纲等十个步骤,其教学改革取得了显著成效。该校对成效为本理论的实践经验可为我国高等教育改革提供有益参考。