The North Carolina Way: emerging healthcare system and faith community partnerships

ABSTRACT

United States healthcare policy has promoted the development of healthcare systems and community partnerships designed to decrease costs and readmissions, particularly for under-served populations. Typically, these partnerships are “hospital-centric”, focused on following in-house clinical costs into the community. Two contrasting large-scale community system models show results from development practices, integrating faith community partnerships that affect healthcare utilisation. This “community to hospital” focus is key to several such initiatives in the US. This article describes local implementation efforts in North Carolina, known as “the North Carolina Way”, and tests assumptions on implementation practices for creating robust faith-community and healthcare partnerships.     

Network development for non-state health providers: African Christian health associations

ABSTRACT

Substantial effort has been put into forming and strengthening national networks of non-state, non-profit health providers in lower- to middle-income contexts. Christian health associations (national umbrella networks of faith-inspired health providers) were first established in the 1950s, and are currently present in an estimated 23 of the 54 countries in Africa. The establishment of CHAs was equally encouraged by faith-based health providers, governments, and external stakeholders. CHAs look different in each context, but perform similar roles: networking diverse institutions and facilities together into a loose system; and establishing a more cohesive sector to simplify and strengthen advocacy and engagement with the government.     

论《国际卫生条例》在中国的适用

为控制传染病而行使国境卫生检疫主权时必须遵循<国际卫生条例>.<国际卫生条例>在我国的适用采取的是混合模式,即融合了"纳入"与"转化"和其他方法.依据修订后的<国际卫生条例>、<国境卫生检疫法>需要进行全面的变革.此外,我们必须解决国境卫生执法和司法中存在的问题.     

为何需要助推型政策:理解居民健康意识和行为的不同步

近年来,中国居民健康知识水平得到较大提升,但其日常行为的健康程度仍位于较低水平.如何理解这二者的不同步成为进一步提高中国国民健康水平的基础.与已有来自社会科学、心理学、营养学等的相关研究不同,本文以居民全麦面粉的消费为例,通过结合来自A省Z市和山东综合社会调查的数据,将居民的日常饮食选择置于更大的公共政策背景下,从居民...     

五禽戏功法对戒毒人员情志的影响

目的 观察五禽戏功法对戒毒人员焦虑抑郁状态和睡眠障碍的调节作用。方法 将200例女性毒品成瘾者分为对照组和练习组,对照组不参加讲座学习和五禽戏健身运动,练习组参与5个月的五禽戏健身运动。练习前后分别采用焦虑自评量表（self-rating anxiety scale, SAS）、抑郁自评量表（self-rating depression scale, SDS）评价患者的焦虑抑郁情绪,采用匹兹堡睡眠质量指数（Pittsburgh sleep quality index, PSQI）评价患者的睡眠状况。结果 与练习前比较,对照组SAS、SDS和PSQI评分均无明显变化（P>0.05）,练习组SAS、SDS和PSQI评分均显著降低（P<0.05）;练习组在改善SAS、SDS和PSQI分级方面均明显优于对照组（P<0.05）。结论 五禽戏功法对戒毒人员的异常情志和睡眠质量有明显的改善作用。     

疫情防控:经济法的解析与应对

疫情防控是对国家治理体系和治理能力的重大考验,需要政策与法律的协调并用;疫情防控作为复杂的系统工程,离不开多种法律制度的综合调整,其中经济法的作用尤为重要。运用经济法的“两个失灵”理论、风险理论、信息理论和价值理论,有助于解析疫情的成因及其预防,明晰疫情防控的必要性、重要路径和价值引领,从而可以有针对性地进行制度应对;疫情防控需要宏观调控法和市场规制法的大量运用,应将重要的发展理念和法治理念贯穿其中,从而形成“依法治疫”的制度体系。基于“以人为本”的“依法治疫”,有助于防止疫情的暴发和扩散,减少公共卫生危机的发生及其给社会、经济造成的巨大损害,从而能够在保障公众生命健康的前提下,促进经济与社会的良性运行和协调发展。     

互联网使用、风险感知与城市居民的健康研究

人民健康是一个国家经济发展的重要基础,也是国家富强的重要标志。在互联网使用、风险感知对城市居民健康的影响中,研究发现,互联网使用和风险感知均对城市居民健康具有显著影响,使用互联网能够一定程度上提升居民健康水平,风险感知对居民健康则有消极影响。此外,风险感知在互联网使用与居民健康水平之间存在遮掩效应。为了提升城市居民健康水平,不仅要推动互联网高质量发展,更要加强对社会风险的防范与管理。     

Raising wages in the controlled sector: A general equilibrium analysis

The likelihood of the possibility pointed out by Stewart and Weeks, that a rise in wages in the ‘controlled’ sector of an underdeveloped country might raise total employment, is reexamined using an alternative model which facilitates consideration of the impact of such a wage rise on output and potential welfare as well as on employment. It is argued that Stewart and Weeks may have been overly sanguine in their appraisal of the impact of a controlled sector wage rise: the impact of this on real income and employment looks more likely to be adverse than not.     

Toilet is not a dirty word: close to meeting the MDGs for sanitation?

Improving access to water and sanitation facilities has been a priority on the international development agenda. Halving the number of those who do not have access to sanitation facilities is an MDG target. This study assessed the toilet conditions in an urban slum in Ghana. Many felt that the sanitary conditions were deplorable; they were unsatisfied with having to walk over half a kilometre before using a toilet. Government efforts to improve hygiene and address sanitation problems need to take into account financial, religious, and other factors that promote the supply and maintenance of appropriate toilet facilities and services in urban communities.

Toilettes n'est pas un mot tabou : à deux doigts d'atteindre les OMD en matière d'assainissement ?

L'amélioration de l'accès à l'eau et aux installations sanitaires a été une priorité de l'ordre du jour international en matière de développement. La réduction de moitié du nombre de personnes qui n'ont pas accès à des installations d'assainissement est un OMD. Cette étude a évalué les conditions sur le plan des toilettes dans un bidonville urbain du Ghana. De nombreuses personnes estimaient que les conditions d'assainissement y étaient déplorables; elles n'étaient pas satisfaites de devoir parcourir plus d'un demi-kilomètre pour pouvoir utiliser des toilettes. Les efforts fournis par les pouvoirs publics pour améliorer l'hygiène et résoudre les problèmes d'assainissement doivent tenir compte des facteurs financiers, religieux et autres qui favorisent la fourniture et l'entretien d'installations et de services de toilettes dans les communautés urbaines.

Excusado no es una mala palabra: ¿se está próximo a cumplir con los odm en el área de saneamiento?

La ampliación del acceso al agua potable y al saneamiento ha sido una prioridad del desarrollo internacional. Una de las metas de los odm es reducir a la mitad el número de personas que actualmente carecen de acceso al saneamiento. El presente artículo valora las condiciones en que se encuentran los excusados en un barrio pobre de Ghana. Muchos de quienes residen allí consideran que las condiciones de saneamiento son deplorables, manifestando su desacuerdo con tener que caminar más de medio kilómetro para hacer uso del excusado. Los esfuerzos realizados por el gobierno para mejorar la higiene y enfrentar los problemas de saneamiento, deberán tomar en cuenta tanto los factores financieros como los religiosos u otros que promuevan la oferta y el mantenimiento de excusados, así como la posibilidad de otros servicios de saneamiento en las comunidades urbanas.

Banheiro não é uma palavrão: estamos prestes a cumprir os ODMs para saneamento?

Melhorar o acesso a redes de abastecimento de água e saneamento tem sido uma prioridade na agenda de desenvolvimento internacional. Reduzir pela metade o número de pessoas que não têm acesso a redes de saneamento faz parte dos Objetivos de Desenvolvimento do Milênio (ODMs). Este estudo avaliou as condições de banheiros em uma favela na zona urbana de Gana. Muitos sentiam que as condições de saneamento eram deploráveis e estavam insatisfeitos em ter de caminhar mais de meio quilômetro para usar um banheiro. Esforços do governo para melhorar a higiene e abordar os problemas de saneamento precisam levar em conta fatores financeiros, religiosos, além de outros, que promovam o fornecimento e manutenção de instalações de banheiros e serviços adequados nas comunidades urbanas.