Self-rated health and barriers to healthcare in Ukraine: The pivotal role of gender and its intersections

The ongoing health crisis in the Ukraine has persisted for 48 years with a clear division of gender-based outcomes as seen in the decline of male life expectancy and stagnation of female longevity. The purpose of this paper is to investigate differences in self-rated health and system barriers to health care applicable to gender and its intersections because of the differing negative health outcomes for men and women. Intersectionality theory provides an analytic framework for interpreting our results. Utilizing a nationwide sample of the Ukrainian population (N = 1908), we found that low socioeconomic status (SES) women rate their health worse than men generally and any other socioeconomic group. Yet women also face the greatest barriers to health care until older ages when the ailments of men cause them to likewise face the obstacles. In reviewing the barrier to health care scale, one barrier—that of health care services being too expensive—dominated the responses with some 52.5 percent of the sample reporting it. Consequently, the greatest problem in Ukraine with respect to health reform reported by the population is the out-of-pocket costs for care in a system that is officially free. These costs, constituting some 40 percent of all national health expenditures, affect women and the aged the most.     

论农村低保户的医疗保障

保护公民健康权是我国政府应尽的国际义务和宪法义务，医疗保障制度是保障健康权的重要制度。根据补充性原则，政府在行政给付中的义务处于第二位，但是由于农村低保户在经济能力上的特殊性，其医疗保障中政府应承担主导作用，并以此为指导思想完善我国农村低保户医疗保障制度。     

Not-Knowing or Knowing Naught: Revisiting the Concept of Collaboration and Expertise in Child and Youth Care Practice

This article discusses the complexities associated with adopting a not-knowing stance in Child and Youth Care practice. By highlighting some of the challenges, it also clarifies the distinctions between practitioner lack of knowing how to proceed and an intentional, uncertain attitude when working with children, youth and families. Recommendations or caveats are provided if a practitioner chooses to adopt this kind of orientation to practice.     

医疗事故罪认定之我见

医疗事故罪的认定,需要从犯罪的主体、主观方面、客观方面综合评定,并正确区分责任事故和技术事故。医疗事故鉴定结论在医疗事故罪的认定中有着重要的作用,但是医疗事故鉴定的程序、规则、组成人员等方面亟待改革。     

论现代监狱医疗资源配置与运营

监狱医疗是监狱行刑的基本保障。监狱医疗的最低配置标准是必须满足监狱场所的防疫安全和在押罪犯的基本医疗。在现代监狱法治内涵下,监狱医疗必须割除弊病,因地制宜,优化组合自身和地方社会医疗资源,强化医疗资源的科学配置和有效运营,以保障监狱行刑的顺利实施和罪犯的合法权益得到基本满足。当下,监狱医疗资源配置的重点是:科学规划医院(救护站)规模、张列必备机构和设施清单、配备适格适量医疗卫生技术人员、明确医疗经费预算增长机制。医疗机构运营改革的重点是:建立监狱医疗人力资源的互补化管理体制,充分发挥警察、罪犯、聘用人员和社会志愿者四类医疗卫生技术人员的积极作用;建立监狱医疗资源的社会化合作机制,多渠道引入社会医疗资源,为监狱医疗服务。     

Male workers in the female-dominated long-term care sector: evidence from England

Labor market changes, including growing opportunities to work in the long-term care (LTC) sector, may attract more men to this traditionally female-dominated occupation. Analyzing an English national workforce data-set we investigate whether men are remaining within traditional masculine jobs or crossing traditional boundaries into more emotional, and personal care work. We examine organization, local area effect, and service provision on the probability of attracting more men to the workforce. The analysis utilizes multivariate statistics and mixed-effect models. The findings highlight both horizontal and vertical segregation in the types of jobs undertaken by men in the LTC sector. A research agenda is identified.     

Opening up the black box: looking for a more capacious version of capacity in global health partnerships

Abstract

Some versions of capacity building construe the goal of North?South partnerships as rendering African laboratories, doctors, scientists, and universities indistinguishable from their counterparts in wealthier nations. The specificities, histories, peculiarities, or inner workings of African institutions and individuals are black-boxed ? no one needs to know about them. This article draws on research at Malawi’s College of Medicine and the work of other social scientists and historians to sketch out a more capacious model of capacity, one in which capacity building is grounded in specificity, attends to material difference, is flexible and innovative, and involves as much learning as teaching. This model of capacity building requires consideration of areas in which the Northern partners in “global health” can be brought to the level of their colleagues in Africa.     

两型社会背景下失地农民医疗保障制度研究

失地农民的医疗保障制度是失地农民社会保障体系中的重要内容之一。针对当前长株潭两型社会建设过程中失地农民在医疗保障制度方面所面临的问题,提出构建失地农民医疗制度的思路和原则,以及具体的解决途径,从而为完善两型社会失地农民社会保障制度提供有益的实践探索。     

强制医疗程序司法运作中的问题与完善——以检察监督权的有效行使为视角

我国精神病人的强制医疗程序性质上属于刑事司法程序,兼具治疗精神病和防卫社会的目的,奉行入院中心主义。强制医疗在司法运作中仍存在启动程序不规范、适用标准不明确、检察监督不到位、配套机制不健全等问题。检察院应履行法律监督职能,加强对强制医疗启动程序、审查程序和审查标准、执行程序的监督,实现强制医疗公正、效率、安全和人道的制度价值。     

构建农村社区居家养老模式的法律思考——以海南为例

随着我国人口老年化的加剧,作为人口占多数的农村养老问题也受到更多的关注。由于家庭结构变化,中国家庭4-2-1模式的普遍存在,传统家庭养老面临巨大挑战,新型的农村社区居家养老应运而生。但由于法律建设的不健全,农村社区养老在实践中面临困境。要解决这一问题,就要基于法律的思维,构建完善的农村社区居家养老模式。