云南省禁毒警察工作环境与心理健康问题分析

禁毒警察是一支特殊的警察队伍,他们的职业具有高风险、高压力、高负荷、高诱惑的特点。他们在工作中所承受着高强度的心理压力,因此心理健康状况亟需关注。应对由职业带来的心理压力,需要公安机关警察队伍管理部门和民警个人共同作出努力,保障禁毒民警心理健康,才能为禁毒事业做出更大贡献。     

走向全民健康保险:论中国医疗保障制度的转型

中国已经进入全民医保的时代,但医疗保障体系呈现碎片化的特征,其内部的若干制度安排之间出现了不协调。中国医疗保障体系亟待进一步转型,转型的重点和方向是将基本医疗保障体系从现行分散化、碎片化的社会医疗保险制度,改造为集中化、一体化的社会医疗保险制度,即全民健康保险。推进全民健保是"发展型社会政策"的体现,具有同时促进经济增长和社会发展的双重功效。从短期来看,这是一种简单易行而又可持续的减税计划,可以促进经济增长,有助于经济发展模式的转变;从长远来看,全民健保制度的建立标志着"社会性基础设施"的建设又迈上了一个新的台阶,这必将为中国福利国家的重建奠定基础。     

韩国社会服务令对我国社区矫正制度的启示

我国借鉴西方经验对监外执行制度改革,在新修订的刑法、刑诉法中分别首次确认了社区矫正刑罚制度及其运行机制。韩国刑罚制度中已将社会服务令引入法制体系十几年,目前已发展为一种综合性惩治犯罪的选择性措施广泛的适用。对韩国社区服务令进行深入研究,对推动我国社区矫正刑罚制度的进一步完善具有重要的理论与实践意义。     

A training approach for community maternal health volunteers that builds sustainable capacity

This article examines a training approach for community health volunteers which increased access to maternal health services in rural communities in Zambia. The effectiveness of the training approach was evaluated in an operations research component. Skilled birth attendance rates increased by 63% from baseline over a two-year period in the intervention districts, out-performing increases recorded in control sites at statistically significant levels. As a low-cost, high-impact intervention which shows good sustainability potential, the approach is suitable for national level scale-up and for adaptation for use in other countries in support of maternal and new-born health goals.     

La protección de los derechos fundamentales del deportista en la lucha contra el dopaje. Una visión desde el ordenamiento jurídico español

Doping is addressed in this paper from two different scopes: on one hand, the legal regulations for prevention and repression are studied; on the other hand, the clash between the anti-doping control mechanism and a fundamental right such as the athlete's privacy is noted. We start from the irrefutable fact that “awareness against doping” is practically universal. The enactment of this law was a milestone in the history of the fight against doping in the Spanish regulation. However, the problem arises when the anti-doping legislation worldwide and in Spain, which enables some healthcare professionals and other people involved, to carry out several anti-doping operations that may conflict with the athlete's fundamental right to privacy, all of this in a context of strong media and social impact. For this reason, it is pertinent to raise the issue if one of these operations, such as the duty of permanent localization, is sufficiently justified in terms of protecting the sportsperson's health.     

Community Wise: Paving the way for empowerment in community reentry

Theoretical approaches traditionally applied in mental health and criminal justice interventions fail to address the historical and structural context that partially explains health disparities. Community Wise was developed to address this gap. It is a 12 week group intervention informed by Critical Consciousness Theory and designed to prevent substance abuse, related health risk behaviors, psychological distress, and reoffending among individuals with a history of incarceration and substance abuse. This paper reports findings from the first implementation and pilot evaluation of Community Wise in two community-based organizations. This pre–posttest evaluation pilot-tested Community Wise and used findings to improve the intervention. Twenty-six participants completed a phone and clinical screening, baseline, 6- and 12-week follow-ups, and a focus group at the end of the intervention. Measures assessed participants' demographic information, psychological distress, substance use, criminal offending, HIV risk behaviors, community cohesion, community support, civic engagement, critical consciousness, ethnic identification, group cohesion, client satisfaction, and acquired treatment skills. Research methods were found to be feasible and useful in assessing the intervention. Results indicated that while Community Wise is a promising intervention, several changes need to be made in order to enhance the intervention. Community Wise is a new approach where oppressed individuals join in critical dialogue, tap into existing community resources, and devise, implement and evaluate their own community solutions to structural barriers.     

Involuntary detention and treatment of the mentally ill: China's 2012 Mental Health Law

The long-awaited Mental Health Law of China was passed on 26 October 2012 and took effect on 1 May 2013. Being the first national legislation on mental health, it establishes a basic legal framework to regulate mental health practice and recognizes the fundamental rights of persons with mental disorders. This article focuses on the system of involuntary detention and treatment of the mentally ill under the new law, which is expected to prevent the so-called “Being misidentified as mentally disordered” cases in China. A systematic examination of the new system demonstrates that the Mental Health Law of China implicitly holds two problematic assumptions and does not provide adequate protection of the fundamental rights of the involuntary patients. Administrative enactments and further national legislative efforts are needed to remedy these flaws in the new law.     

刍议卫生行政执法裁量权

当今卫生行政执法工作中存在大量裁量权不当行使甚至裁量权滥用的现象,而对于卫生行政执法领域的裁量权却难于查找到权威的理论依据。因此,对于卫生行政执法裁量权的理论研究极具价值。     

论基本医疗卫生法的立法定位及其主要内容

基本医疗就是要让国民小病看得起、医保广覆盖、医疗服务质量有保障的满足患者基本医疗需求的医疗模式。基本医疗卫生法就是围绕这一核心予以规制和保障的法律。基本医疗卫生法是公民健康保障的基本法律,是跨领域跨专业的综合性法律,是各具体职能部门共同保障基本医疗服务的法律。基本医疗卫生法的立法基本原则是理论与实践相结合的原则、平衡各方利益的原则、厘清争议问题的原则。基本医疗卫生法立法的核心内容包括：基本医疗卫生法的基本原则、政府的基本医疗保障责任、医疗保险付费为主的多渠道医疗费用筹措机制、基层医疗机构担负国民健康守门员的职责、弱势群体医疗救助制度等。     

各利益相关者在医院与社区双向转诊合作中的责任与机制简

针对目前双向转诊中信息不能共享、药品获得和费用报销障碍、社区人力服务水平相对较差等问题,从双向转诊中各利益相关者角度分析在双向转诊实施过程中政府、医疗机构（医院与社区卫生服务机构）、患者与家属各自应当承担的责任,提出相应的措施及改进机制。