When Did Health Care Become a Campaign Issue?

Most people mistakenly assume that health care first became a major political issue in 1945 because President Harry S. Truman’s special address to Congress on Nov. 19 of that year marked the first time a sitting president publicly endorsed a national health-care program. But the question of whether—or to what extent—it is the responsibility of government to subsidize health care for its citizens has been around for a much longer amount of time. Now that health care has become a major focus of domestic political debate, especially in light of the impending presidential election, this article, modified from an entry in the forthcoming Encyclopedia of Campaigns, Elections, & Electoral Behavior (Sage Publications), serves to inform the reader of the origins and history of health care as a campaign issue.

关于文登市新型农村合作医疗的调查报告

通过封文登市新型农村合作医疗的调查发现,现在参加新型农村合作医疗的农村居民参与度低、个人缴费少,80％的资金来源于各级政府,待遇支付管“小”不管“大”,客观上造成“帮富不帮贫”,政府成为新型农村合作医疗的主角,制度的建立不能解决参加新型农村合作医疗的农村居民因病致贫和因病返贫问题。针对上述问题,本文建议加强宣传,增强农农村居民的保险意识,提高参加新型农村合作医疗的农村居民本人的缴费比例及数额,政府加大封农村居民中弱势群体的补助,取消新型农村合作医疗家庭账户,调整新型农村合作医疗支付结构,变保“小”为保“大”,加快医药卫生体制改革,有效地防止参加新型农村合作医疗的农民因病致贫和因病返贫。     

“阳光体育运动”对大学生体质的影响研究

"阳光体育运动"是国家针对新时期我国学生体质健康状况,采取的一个重要政策行动和体质健康干预行动。"阳光体育运动"自2007年正式实施以来,大学生的体质健康状况虽有改善,但总体成效并不明显。以此为研究课题,探讨高校实施"阳光体育运动"的意义、长效机制等,有助于力推这项行动的全面开展。     

美国管理式医疗的发展历程及对国内医保的借鉴

从理论和实证的研究表明,管理式医疗曾被当作美国医疗保险改革的典范,甚至有人尊其为有效降低医疗费用和成本的灵丹妙药。在有效控制节节攀升的医疗服务费用方面,管理式医疗确实达到了非常好的效果。但是,医疗服务需要关注的不仅是费用,还有医疗服务的质量、服务的可及性以及临床医疗的长远发展等方面。而美国管理式医疗的发展历程生动地诠释了普通民众需要的不仅仅是"廉价"的医疗服务这一现实。     

More with Less? Fiscal Decentralisation,Public Health Spending and Health Sector Performance

Decentralisation is considered a panacea for deficient public sector performance by many. However, recent trends of health sector recentralisation in several OECD countries suggest the opposite. Taking on a cross‐country perspective, I examine two hypotheses, namely that decentralisation leads to an increase in public health spending (H1) and to poor health sector outcomes (H2). The evidence I present suggests that decentralising spending tends to lead to larger public health sectors and to poorer health sector outcomes. However, decentralising tax authority has no effect on the size of the health sector and may actually have a positive effect on health sector performance. The broader lesson is that while general fiscal decentralisation research tends to imply that its conclusions are valid for all policy areas in a similar way, sector‐specific insights can reveal a more nuanced view on the consequences of fiscal decentralisation.     

高职学生心理健康问题分析及教育对策

目前,高职学生心理健康问题呈现递增趋势,已成为严重阻碍大学生健康成长和顺利完成学业的重要因素.如何塑造学生健康完整的人格,使学生在德育、智育、体育、心育得到全面发展,已成为教育工作者共同关注的问题.文章主要从心理健康的内涵、高职学生心理健康问题的表现特征、高职学生心理健康问题的形成因素进行分析、总结,并针对高职学生心理健康问题的现状,提出几点解决和教育的对策.     

重型犯常见的心理问题及应对策略

重型犯是指犯罪性质恶劣、情节严重以及社会危害性很大的罪犯。用症状自评量表(SCL—90)对重型犯进行了测查,发现入监初期与入监中期服刑人员相比,入监中期服刑人员在躯体化、忧郁、偏执三项因子分方面明显高于入监初期犯人,表明服刑时间较长的罪犯存在更多的心理问题。因此,综合运用各种改造手段对罪犯进行心理和行为矫正,广泛开展心理健康教育,就可以极大地提高我国特殊预防的水平。     

美与生态健康在语境性审美体验中的整合——以伊顿的审美理论为讨论中心

借鉴生态学知识与原理来重新解释审美活动及其一系列关键词是生态美学建构的重要组成部分,针对生态危机这个时代语境来重释"美"的要点则是解释它与"生态健康"的内在关联,其理论难点是将认识性的、不可感知的"生态健康"内容有机地融合到审美体验之中,从而建构出有别于传统之"美"的"生态健康之美",进而将传统的审美体验转化为生态审美...     

论劳动者安全健康权益的保障

保证生命安全是人的最基本需求。“安全发展”体现了科学发展观“以人为本”的本质特征。目前我国安全生产形势十分严峻,伤亡事故频发、职业危害严重,劳动者安全健康合法权益受到侵害。只有实现安全发展,劳动者的生命安全得到切实保障,社会才能和谐稳定,经济才能持续发展。因此,构建社会主义和谐社会,必须从保障劳动者安全健康切身利益这一现实问题入手。     

Overlooking Feigning Behavior May Result in Potential Harmful Treatment Interventions: Two Case Reports of Undetected Malingering

Clinicians tend to overestimate their ability to recognize feigning behavior in psychiatric patients, especially if it concerns patients who have been admitted for observation. Feigning can be either externally motivated (e.g., for financial compensation, known as malingering) or internally motivated (e.g., to assume the “sick role,” known as factitious disorder). Persistent presentation of severe symptoms is usually associated with the factitious disorder. We present two patients with strong external incentives who consistently and convincingly feigned severe psychiatric symptoms during a protracted period of inpatient observation in a specialized center; both were engaged in a procedure for medical asylum. The first case presented with the clinical picture of a psychotic depression with severe motor symptoms, and the second case showed symptoms of a chronic post-traumatic stress disorder with secondary psychotic symptoms. Both cases were thoroughly investigated but feigning was overlooked, and unnecessary and harmful treatment interventions were given. To prevent iatrogenic damage, we recommend a critical attitude that takes malingering as an option into account in settings where patients are often involved in high stake legal procedures. A clinical sign that might indicate feigning is therapy-resistant symptoms. To rule out feigning a comprehensive, multimethod approach is required, but an active stance toward collateral information is essential. Specialized psychological tests may be useful for preliminary screening, but for their use in culturally diverse populations as in refugee mental health more research is needed.