Health on the Line: Identity and Disciplinary Control in Employee Occupational Health and Safety Discourse

Based on an ethnographic case study and interviewing at an automobile manufacturing plant, this essay examines employee consent to health hazards and to the discursive and regulatory mechanisms that exclude employee experiences from official reports of workplace injury and illness. The article redresses the lack of scholarly attention in the occupational health and safety literature to the role of discourse in defining and negotiating risk and in constructing norms about reporting health and safety issues among employees. Findings demonstrate how employees themselves may participate in the construction of shared identity norms that act disciplinarily to shift responsibility for safety from management to individual workers. Understanding these hegemonic norms provides a basis to question occupational health and safety statistics, and offers strategic points of intervention to improve worker health protections.     

Health on the Line: Identity and Disciplinary Control in Employee Occupational Health and Safety Discourse

Based on an ethnographic case study and interviewing at an automobile manufacturing plant, this essay examines employee consent to health hazards and to the discursive and regulatory mechanisms that exclude employee experiences from official reports of workplace injury and illness. The article redresses the lack of scholarly attention in the occupational health and safety literature to the role of discourse in defining and negotiating risk and in constructing norms about reporting health and safety issues among employees. Findings demonstrate how employees themselves may participate in the construction of shared identity norms that act disciplinarily to shift responsibility for safety from management to individual workers. Understanding these hegemonic norms provides a basis to question occupational health and safety statistics, and offers strategic points of intervention to improve worker health protections.     

健康战略下的美国公共图书馆服务研究

文章运用网络调查法,结合美国公共图书馆开展健康服务的案例,探讨健康战略下美国公共图书馆扮演的角色和健康服务指南,并从资源导航、健康推广活动、馆员教育、合作网络、资金支持5个维度总结健康服务的实践经验。最后提出我国公共图书馆开展健康服务应建立全面的健康素养教育体系,构建健康信息资源导航,探索可持续性的合作方式,加强馆员专业化培训的建议。     

Effects of Mass and Interpersonal Communication on Breast Cancer Screening: Advancing Agenda-Setting Theory in Health Contexts

Drawing on components of agenda-setting theory and the two-step flow of information from mass media to news audiences, this study examines the effects of mass and interpersonal communication on breast cancer screening practices among college- and middle-aged women (n = 284). We theorized that screening behaviors among younger women would be influenced more by interpersonal sources of information while screening among middle-aged women would be more influenced by exposure to mass-mediated information. Findings supported anticipated patterns, revealing important and varying roles for both mass and interpersonal communication in the health behaviors of women. Implications for health practitioners and campaign planners, as well as recommendations for future research, are discussed.     

International Trends in Designing Electronic Health Information Literacy for Health Sciences Students: A Systematic Review of the Literature

The Internet has become a crucial source of health information for health sciences students. They increasingly rely on the Internet for health information to support their educational projects, academic activities, clinical practice and research. Surprisingly, it has been shown that students' health information skills for conducting research on the Internet are inadequate. Indeed, developing and improving the health information skill set of health sciences students is required in order for students to effectively locate, critically evaluate, and efficiently use online health information for the effective location, critical evaluation and efficient use of online health information. This paper undertakes a systematic review of the literature with a focus on electronic health information literacy skills with the aim of identifying the current trends, contributions to, and practices in health sciences students' education, and informing researchers in the field universally about the essential baseline for the design and development of effective course contents, pedagogy and assessment approaches. However, majority of students have limited skills for the location, evaluation and effective use of health information on the Internet. Other articles suggest that health sciences students need fully fledged health information skills programs that are integrated with their health sciences education curricula.     

Streamlining How We Deliver Public Health Information Online: From CHN to PHAC

The desire to consolidate resources into one website, that of the Public Health Agency of Canada, was behind the decision to close the Canadian Health Network (CHN) in April 2008. Although CHN set new standards in online health information, this decision was made for a variety of reasons, including to better reach both a professional audience and the general public. The Public Health Agency of Canada recognizes the contributions made to the CHN from librarians and has committed to work closely with all of the CHN's stakeholders and partners to consider new ways to provide health information online.     

Public Health GIS and the Internet

Abstract

Internet access and use of georeferenced public health information for GIS application will be an important and exciting development for the nation's Department of Health and Human Services and other health agencies in this new millennium. Technological progress towards public health geospatial data integration, analysis, and visualization of space-time events using the Web portends eventual robust use of GIS by public health and other sectors of the economy. Increasing Web resources from distributed spatial data portals and global geospatial libraries, and a growing suite of Web integration tools, will provide new opportunities to advance disease surveillance, control and prevention, and insure public access and community empowerment in public health decision making. Emerging supercomputing, data mining, and compression and transmission technologies will play increasingly critical roles in national emergency, catastrophic planning and response, and risk management. Web-enabled public health GIS will be guided by Federal Geographic Data Committee spatial metadata, OpenGIS Web interoperability, and GML/XML geospatial Web content standards. Public health will become a responsive and integral part of rhe National Spatial Data Infrastructure.     

Information-Seeking Outcomes of Representational,Structural, and Political Intersectionality Among Health Media Consumers

Although the segmentation of publics is a standard practice in public relations programming, practitioners face challenges in using traditional approaches to identify and engage vastly different publics. Responding to the need for new approaches that consider global, cultural, and technological trends in consumer publics, this study provides evidence to a proposed intersectional approach to the segmentation of publics. Thirty-one women of different racial, socioeconomic, age, and relationship backgrounds were interviewed to explore how they perceived their multiple, overlapping identities influence their health decision making. Findings suggest that publics experience co-occurring oppression and privilege in varying contexts: in representations of them, in policies that affect them, and in structures that enable or hinder their ability to improve their health. The findings suggest that intersecting social structures shape disparate health public relations, intersecting policies widen the policymaker–public gap, and intersecting representations reflect a paradox of segmentation.     

健康管理系统研究可视化分析

文章通过搜集国外有关健康管理系统的文献,利用Citespace软件对这些文献可视化分析,对文献的年度分布情况,国家、机构分布,高频关键词与关键词演化,高频作者及作者合作情况,以及引文情况进行分析,结果表明,健康管理系统领域起步晚,发展迅速,研究中心分散,各国、各科研机构之间缺乏合作交流.     

WARNING—The Existing Media System May Be Toxic to Your Health: Health Communication and the Politics of Media Reform

Our physical health depends, at least in part, upon the health of our media environment. Unfortunately, the commercial media system produces countless messages that not only misinform Americans about their health but also actively promote unhealthy behaviors. Rather than taking the existing media system as a given, this commentary argues that health communication scholars should work with media reformers to transform the media system in ways that advance public health goals. In particular, the ongoing regulatory struggle over low-power radio provides an important opportunity for health communication scholars and media reformers to join forces.     

Qualitative Inquiry and the Future of Health Communication Research

This article examines the ways that qualitative inquiry, especially when used in concert with quantitative inquiry in multimethodological designs, can contribute to the research challenges of health care and health promotion. It explores methodological diversity in health communication research and illustrates how survey, textual analytic, and ethnographic research are utilized in health communication research. The article concludes with a discussion of how multimethodological research designs have been successfully employed to examine complex health communication models, theories, and processes.     

国内外健康医学科学数据管理平台对比分析

基于科学数据管理生命周期理论与科学数据管理能力成熟度模型,从建设基础(政策、经费、技术、团队)及管理过程(数据管理计划、采集标准与流程、描述与元数据、存储与保存、共享与保护、应用与服务)两个维度对比国内外11个健康医学科学数据管理平台的建设实践。调查发现,国内健康医学科学数据管理政策不够完善,缺少保障健康医学数据安全及个人隐私的法规;平台提供的服务强调健康医学科学数据存储,而对数据管理与共享的支持不足。基于国外成熟经验,本文从完善激励机制与数据政策、扩大经费来源、增强技术创新、保护数据安全和促进数据共享、深化服务内容5个方面对国内健康医学科学数据管理平台提出建议。     

档案职业健康管理概念内涵与管理模型探析

档案职业健康管理,即档案从业者职业健康管理,是指在档案作业过程中,国家和用人单位为使档案从业者免受各方面有害因素影响而采取的措施的总称。文章基于管理维度理论,构建了档案职业健康管理模型(AOHM Model),其以主体要素、方式要素、资源要素、客体要素和内容要素为支撑轴,以代表档案职业健康管理终极目标的核心维、代表档案职业健康管理的运行机制的运作维、代表档案职业健康管理的指导思想的理念维为组成结构。该模型在职能交错与机构缺位的体制方面、投入不足与统筹缺乏的技术方面、修订滞后与内容零散的法制方面、意识培育与环节缺失的落实方面还存在一定的落地难度,可以从科研投入、法制建设和协会构建方面着手加以应对。     

Making Health Information Clear and Readable for the Masses

Objectives: The purpose of this assignment is to increase students’ understanding of health campaign messages and material design. Upon completing this assignment, students should be able to:

• Understand the importance of effective health campaign material design and the potential problems and implications of ineffective health campaign materials,

• Evaluate health campaign materials for clarity and readability, and

• Design effective health campaign materials that are clear and readable for the lay person.

Courses: Health Communication, Communication and Aging, Health Literacy, Health and Medicine Writing, Social Marketing, Health Message Design     

中文健康问句分类与语料构建

本文旨在构建一个中文健康问句分类方法,并通过对高血压相关的健康问句进行人工分类标注,分析公众的高血压相关健康信息需求,同时为研发高血压相关的智能中文问答系统提供语料基础。本研究基于临床问句分类及公众健康信息查询场景层次模型,构建一个四级中文健康问句主题分类方法,并由5位标注员独立地对从某中文健康网站上收集的将近10万条高血压相关提问数据中随机抽取的2000条样本数据进行人工分类标注,以优化和测试该问句分类方法的可靠性,构建标注语料库,并分析公众的高血压相关健康信息需求。5位标注员使用该分类方法进行独立标注的四级类目评判者间信度kappa值为0.63,意味着分类结果可靠,一级大类获得高度一致性（kappa=0.82）,略优于国际上的同类研究。分布在治疗、诊断、健康生活方式、临床发现/病情管理、流行病学、择医六个一级类别中的问句分别占样本总量的48.1%、23.8%、11.9%、5.2%、9.0%和1.9%。所构建的健康问句分类方法可用于组织大型健康问题集,以提高检索效率;分类标注的样本问句可作为高血压相关健康问句自动分类研究的语料;得出的高血压相关健康问句主题分布有助于指导健康网站的知识资源建设。此外,所设计和采用的问句分类方法构建方式、语料标注流程、评判者间信度测量方法等,也可为开放领域及其他受限领域开展用户问句分类与语料构建提供借鉴。     

国外健康科学数据管理实践及启示

[目的/意义]国外健康科学数据管理实践实现了健康科学数据的高效利用并促进了开放科学的发展,总结国外实践能为国内健康科学数据管理提供借鉴和启示。[研究设计/方法]基于科学数据管理能力成熟度模型和健康科学数据生命周期理论,构建了健康科学数据管理框架,从健康科学数据的管理计划、采集与评价、组织与保存、共享与再利用四个方面分析了国外健康科学数据管理实践。[结论/发现]国外基金委、科研机构和图书馆将健康科学数据管理计划提交设为科研项目的必要环节,数据安全保护是国外健康科学数据管理的重要议题。基于国外成熟经验,本研究从加强基金委与科研机构层面的健康科学数据管理计划制定、完善健康科学数据采集与评价体系、依托地方/高校图书馆建设健康科学数据仓储、权衡健康科学数据共享利用与数据安全间关系四个方面对国内健康科学数据管理实践给予建议。[创新/价值]将科学数据管理能力成熟度模型引入健康信息学领域,弥补了图书情报领域对于健康科学数据管理理论和管理实践研究的不足。     

Supporting Academic Health Centers with Knowledge Management: Learning from the Web

In a 2003 publication, the Association of Academic Health Sciences Libraries (AAHSL) made explicit the many ways in which a library might contribute to an academic health center's success through knowledge management (KM). Building on Success: Charting the Future of Knowledge Management within the Academic Health Center elucidated the ways in which a library can serve as the center of an organization's KM initiatives. The study and application of knowledge management tools is formidable; unlike information management (IM), the field of knowledge management has roots in a seemingly infinite and wide-ranging number of professional and academic disciplines. The planning of institutional KM initiatives is not commonly discussed, and history shows knowledge management projects often fail to thrive. This column introduces the topic of knowledge management and includes suggested Web-based resources for further understanding and project planning.     

Conceptual,Empirical, and Practical Issues in Developing Valid Measures of Public Communication Campaign Exposure

The ability to validly measure campaign exposure is central to claims of public communication campaign effectiveness. Surprisingly, scholars have paid remarkably little attention to questions about the validity of various ways to measure campaign exposure. This paper begins to address this gap by outlining conceptual, empirical, and practical issues in developing valid measures of campaign exposure. First, I offer a brief definition of measurement validity and describe a variety of measurement options utilized in recent, large–scale health communication campaign evaluations. Next, I outline conceptual and empirical assumptions behind these various measurement strategies. I continue with a review of research that has applied validation criteria to specific measures of campaign exposure. I conclude by offering a series of guidelines for exposure measurement and validation practices based on the evidence to date, which I caveat by describing tensions and emergent issues that researchers will need to consider in future work.     

在线健康社区用户个人健康信息管理行为特征研究

[目的/意义]旨在对在线健康社区用户的个人健康信息管理行为特征进行分析,并在此基础上,对"平台-PHIM-健康目标"这一模式中的元素之间的关系进行探讨。[方法/过程]选择患有红斑狼疮的在线健康社区用户作为调查对象。采用聚类方法对个人健康信息管理行为的总体测度水平不同的群体进行识别;利用单因素方差分析(One-way ANOVA)对不同群组进行比较研究。[结果/结论]将依托在线健康社区进行的个人健康信息管理行为界定为健康信息发现、健康信息互动和健康信息分享。从数据分析结果来看,首先,在线健康社区的红斑狼疮患者在个人健康信息管理行为水平上存在显著的高低差异。第二,用户所感知到的社会支持与其个人健康信息管理水平存在正相关关系。第三,个人健康信息管理与用户健康目标之间存在正相关关系。本研究为在线健康社区完善其服务方式,促进慢性病人个人健康信息管理水平提高提供合理建议。