解决农村“看病难，看病贵”的积极探索——安庆市新型农村合作医疗试点调查

安庆市在新型农村合作医疗试点工作中建立健全管理体系,运行机制逐步完善。但也存在各地参合农民待遇不公平,保障水平偏低,基层医疗卫生机构难以适应需要,参合缺乏激励机制,外出务工人员报销手续繁琐等突出问题。完善农村医疗保障制度,要充分发挥政府在新农合制度中的主导作用,建立规范统一的新农合制度体系,形成开放式的新农合运行机制,加快医疗卫生体制改革。     

Touching the challenge: Embodied solutions enabling humanistic moral education

One of the main educational challenges we still face today—more than ever—is the humanistic challenge, namely how to promote humanistic moral values, how to strengthen in students the motivation to be morally active, and especially how to help them recognize the other as a human subject. I adopt Nel Noddings’ approach of relational ethics of care as a solution to the problem of motivation. I elaborate on her approach while presenting the concept of the embodied human subject posited by Merleau-Ponty as an additional channel for communication and empathy between people. The embodied subjectivity serves also as a solution for the problem of recognition. I offer some practical recommendations that apply Merleau-Ponty’s analysis to the practice of moral education.     

The hidden voices of children and young people with a parent in prison: What schools need to know about supporting these vulnerable pupils

This paper reports on a study with children and young people who have a parent in prison and identifies ways in which schools might better support these pupils. The paper is based on research and practice with 23 individuals from ten families. It first ‘sets the scene’ for these pupils’ lives by drawing on interviews with parents and carers. This helps to illuminate the context within which these children and young people are growing up. The paper then presents the views, and selected drawings, of the ten children and young people involved. The paper describes the forms of social isolation that families experience when a parent is sent to prison and the dilemmas and difficulties children and young people face at school. The recommendations focus on how individual teachers and schools might respond to the needs of this group.     

An examination of child protective service involvement among children born to mothers in foster care

ObjectiveThis study identified children born to mothers in foster care and documented Child Protective Service (CPS) involvement among children.MethodsProbabilistically linked birth and CPS records from California (2009–2012) were used to identify all mothers in foster care on or after conception. Children were followed prospectively using linked records to identify CPS involvement occurring during the first three years of life. Differences between reported and unreported children were examined using χ2 tests. The Latent Class Analysis (LCA) identified classes of children born to mothers in care who were at increased risk of CPS involvement. Model fit was assessed using the Bayesian Information Criterion, entropy, and likelihood ratio tests. For each of the classes, the relationship to the distal outcome (i.e., a maltreatment report by age three), was examined.ResultsFindings indicate that 53% of children born to mothers in care were reported. The proportion of children reported to CPS for maltreatment declined over time, from 63% of children born to mothers in foster care in 2009, to 46% in 2012. The LCA documented three distinct classes of mother-child dyads with varying risk of report. More than one third of children in Class 1 and nearly 70% of children in Class 3 were reported.ConclusionsThis study was the first to develop multi-dimensional class profiles of two-generation CPS involvement among mother-child dyads. This study documents that mothers’ experiences in care and mental health conditions vary widely, underscoring the importance of providing services that fit the needs of dyads.     

Pedagogical devices as children’s social care levers: A study of social care workers’ attitudes towards boarding schools to care for and educate children in need

It has been proposed that boarding schools in England can be used to provide a stable education and care environment for vulnerable children in need, and the government is expanding their use. However, for vulnerable children to be placed in boarding schools, social workers will need to be willing to contemplate boarding as a viable care option. In this study we interviewed N = 21 social care practitioners including directors, senior and middle managers, frontline social workers, social worker-academics and family support workers who work with vulnerable children. Using thematic analysis of the transcribed interviews, seven major themes identified a range of issues and concerns held by social care workers about placing vulnerable children in boarding schools. We present these themes and consider the issues that will have to be addressed prior to changes in policy and practice. The study concludes that many of those within the social work profession are unlikely to consider boarding as an intervention for children in need. Further research in this area is a matter of urgency.     

Multiple linear regression: Identify potential health care stocks for investments using out-of-sample predictions

College-level statistics courses emphasize the use of the coefficient of determination, R-squared, in evaluating a linear regression model: higher R-squared is better. This often gives students an impression that higher R-squared implies better predictability since textbooks tend to use sample data to support the theory and students rarely have an opportunity to work on real data. In this paper, health care stocks are used as predictors and the result demonstrates that high R-squared does not necessarily mean high predictability and that multiple linear regression can be used in the study of data behavior. In particular, by learning the pattern of the near and far out-of-sample-prediction errors for different time periods throughout a dataset, the near out-of-sample prediction errors can be used to control the prediction errors and identify a subset of predictors that can well reflect the trend of S&P 500.     

医疗卫生保障思想在革命传统文化中的地位与作用

医疗保障是一项重大的民生工程,关乎着民心所向,同时也事关苏维埃政权的生死存亡。中国共产党秉承真心实意为群众谋利益的宗旨,肩负起保障苏区军民健康的崇高使命,在生产力落后,医药资源极度匮乏的条件下,大力发展医疗保障工作,积极寻求保障措施,建立保障制度,完善保障体系。这种医疗保障思想在中国革命战争中起着不可替代的重要作用,是保持红军和延安十三年发展的重要支撑力量。     

Health care librarians and information literacy: an investigation

Until relatively recently, the concept of information literacy, and teaching the skills to enable it, was mainly a concern of academic libraries. Now, it is also seen to be of high importance within the context of health care libraries. Health care libraries and librarians can provide crucial support towards the implementation of evidence‐based practice in patient care through both information literacy skills training and by conducting mediated searches on behalf of health care practitioners. This article reports the findings from an investigation conducted by Charlotte Kelham as part of her MA in Librarianship from the University of Sheffield. Her dissertation investigated how health care librarians understand the concept of information literacy, the implications of this for their role and their perceptions around how their role is valued. Charlotte graduated from Sheffield in 2013 and is currently job hunting. AM     

大学生读者维权的焦点问题分析

分析了大学生读者维权现象和存在的主要问题,提出要以大学生读者心理健康教育、维权意识教育和图书馆人性化服务为重点,建立健全图书馆维权疏导机制,引导读者正确维权,营造图书馆和谐的学习氛围。