政府购买居家养老服务:模式分析与战略设计——基于比较研究的视角

政府购买居家养老服务不仅是我国应对"银色化浪潮"的重要战略选择,也是完善养老制度的重要组成部分。我国老龄化日益严重,具有"未富先老"的特点。在比较分析相关研究的基础上,总结我国政府购买居家养老服务的迫切性,概括国外政府购买居家养老服务的实践,并从我国现有的法律和文件、购买模式及面临的问题归纳现阶段政府购买居家养老服务的现状。为政府购买居家养老服务提出对策建议,以期新养老方式不断得以完善与推广,更好地满足老龄化社会的需求。     

EDITORIAL

Abstract

Jane Addams (1860-1935), founder of Hull House in Chicago, was a social worker, sociologist, criminologist, feminist, and pacifist. She dedicated her life to caring for the underprivileged and oppressed and to fighting for the rights of workers, women, and children. This paper examines her life and seeks to demonstrate her many contributions to sociology, criminology, and society. Among her pioneer works in criminology that have not been recognized are the ecological maps of Chicago that preceded Park's and Burgess' concentric zone theory, social justice issues such as child labor, compulsory education, and juvenile offenders. She also was a peace activist during World War I and many of her ideas and concepts are found in the peacemaking writings of current criminologists.     

Restrained Voices

Abstract

This research presents the voices of women inmates on health care services in prisons. Foucault's discourse analysis as a means of bringing to the surface restrained voices provides the theoretical basis for this study. The research is based on face-to-face interviews of fifty-six women inmates to understand better the role gender plays in prison health care delivery. The results show that women are willing to discuss only physical ailments and are reluctant to speak about mental health care or HIV. While women benefit from health care services in prison, they still feel that a female-oriented approach to health care in general will improve the services tremendously. This approach is not dictated by the “difference” in the ailments between men and women, but by the “difference” in the way men and women encounter health care providers and illnesses.     

The Impact Imprisonment has on Women's Health and Health Care from the Perspective of Female Inmates in Kansas

This multimethod study, conducted at the Topeka Correctional Facility during the summers of 2001, 2002, and 2003, investigated the impact of imprisonment on women's health and health care. The researcher hypothesized that 3 independent constructs—(a) extended strain, (b) level of health care received either before or during incarceration, and (c) detrimental social structural influences—could predict the health status of female inmates prior to and during incarceration. Multiple regression analyses conducted on 1 survey sample of 120 inmates revealed that only health care prior to incarceration and extended strain contributed significantly to explaining the inmates' self-perceived health status prior to and during incarceration. When life history interviews with 22 inmates were examined to determine inmates' perceptions of their health status and the health care they had received, prior to and during their imprisonment, qualitative results revealed inmates expressed dissatisfaction with the quality of health care received in prison, as well as the manner in which it was administered.     

试论卫生行政强制措施及文书使用

摘要随着2012年12月1日新《卫生行政执法文书规范》的实施,卫生行政强制措施的实施有了规范的执法文书。为了全面了解卫生行政强制措施,笔者依据《中华人民共和国行政强制法》,系统梳理了卫生行政强制措施,将卫生行政强制措施分为两类,分别适用《行政强制法》第三条第一款、第二款,并探讨了两类强制措施的文书使用。     

基本医疗保险服务协议的法律性质探讨

基本医疗保险服务协议是规范社会保险经办机构和定点医疗机构、定点零售药店双方行为的行为准则和重要法律依据,然而,对其法律性质的认定,学术界和实务界一直存有争议。行政私法合同是行政主体运用私法合同达致行政公法目的‘的手段,基本医疗保险服务协议符合行政私法合同的特征和本质属性,因此,基本医疗保险服务协议的法律性质是行政私法合同。     

后现代精神病学对现代精神病学的法哲学反思

中世纪的异教徒"疯子"们被监禁,施以酷刑,流放可谓不堪回首,我们可以说那是因为精神病学的概念还未真正产生。但是,伴随着精神病学的设立,现代精神病学的发展已经由惩罚性收容转变成治疗性措施。精神病人的行为举止让大家感觉到不一样,无法理解。我们对于自己无法理解的事,要么报以莫名的敬畏之心,要么想方设法将它们变得不可见,来获得自己生活的平静,这是对的吗?从法哲学的视角是否应该给予反思和拷问,以探寻精神病学之正义性。本文希望从现代精神病学发展的历史,以法哲学的批判思维分析了现代精神病学的缺陷,并展望后现代精神病学的特质及其替代现代精神病学之发展趋势。     

The reliability and validity of self,peer and staff reports of bullying and victimisation in correctional and care institutions

Abstract

Connell and Farrington (1997) carried out the first study of the reliability and validity of reports of bullying and victimisation in correctional institutions, using individual interviews. The present research describes the second study on this topic using questionnaire measures of self, peer and staff reports of bullying and victimisation in one Children's Home (N=16 residents, 15 peers, 6 staff, making up to 1440 comparisons) and one Correctional Home (N=19 residents, 18 peers, 6 staff, making up to 2052 comparisons) in Croatia. The present study improved on the Connell and Farrington study by examining the test–retest stability of the questionnaire and using relative improvement over chance coefficients in assessing inter-rater reliability. Unlike in the Connell and Farrington study, self-reports of bullying and victimisation were collected in small groups rather than in individual interviews. Generally, there was significant agreement between residents, peers and staff in identifying bullies and victims, and the test–retest stability of the questionnaire was high. In line with the findings of Connell and Farrington, it is concluded that self-reports provide the most reliable and valid data about bullying amongst institutionalised youth.     

城市社区老年群体就医行为影响因素分析

日益增长的老年人健康需求是老龄化带来的诸多挑战中的一个重要方面。新一轮医药卫生体制改革突出强调基本医疗服务供给和基层卫生服务体系建设,在缓解老年人健康压力方面有一定的积极作用。老年人在身体条件、经济能力、思想观念等方面的特点,使得其就医行为受到机构服务能力、距离、费用、就医过程等多方面因素影响。在新医改背景下,需要结合这些影响因素继续完善基层医疗服务体系,以更好地满足老年群体健康需求。     

The clown's carnival in the hospital: a semiotic analysis of the medical clown's performance

The medical clown's multimodal performance in the hospital takes place within its rigid space. A clown in a hospital is a paradox. “Medical clowning” is a metaphor taken from two seemingly unrelated fields of meaning, juxtaposing what is medical, scientific, serious and logical with clowning, emotions, carnival spirit and humour. The clown addresses barriers erected by illness, pain, alienation and distress with a continuous flexible performance of humour and fantasy tailored to changing conditions and circumstances. A clown, by definition, threatens the public order and seemingly has no place in the hospital paradigm. The current article compares medical clowns to carnival clowns, examines the medical clown's flexible performance, illustrates it with case studies, presents a semiotic analysis of the clown's journey through the hospital and examines the significance of the performance on the ideological level.