论健康院——创新健康服务新型业态理论及其转化的研究

本文从创建新型健康服务业态的背景研究,创立健康院的基础理论,健康院的概念、基本特征、组织结构、任务及业务范围以及未来发展与展望等方面,全面系统地阐述了创新性建立新型健康服务业态的理论及其转化应用实践的初步研究结果。作者从理论和转化医学研究角度,首先提出了"健康院"的概念。

干细胞技术创新能力及其影响因素分析——基于中国科学院广州生物医药与健康研究院的数据分析

本文总结了中国科学院广州生物医药与健康研究院(下文简称"广州健康院")干细胞技术创新发展的主要特征,进而从政策支持和市场需求两个方面分析了影响广州健康院干细胞技术创新发展的外部因素,从创新文化、人才队伍建设与激励、成果转化、协同创新等方面分析了影响广州健康院干细胞技术创新发展的内部因素,并提出了促进广州健康院干细胞技术创新发展的对策建议。

高校院系心理健康教育与服务模式构建研究

积极心理学、发展性辅导理念为大学生心理健康教育提供了新的视角,当前高校心理健康教育的现状也促使高校开始探索适合院系的心理健康教育工作模式。结合理论发展和现实需求,探索了以学生发展辅导室为平台的三全(全员、全过程、全方位)心理健康教育与服务工作模式,并结合实际阐述了在此模式下的工作原则。

韩国创新医疗技术支付政策及启示

综述韩国国民健康保险体系中创新医疗技术的支付经验,特别是创新药品以及按疾病诊断相关分组支付方式下的创新医疗技术支付政策。在此基础上提出完善我国创新医疗技术收付费政策的建议:引入卫生技术评估的理念和方法;建立多部门合作的卫生技术评估决策转换机制;针对没有成本效果的药物或循证证据不够充分的药物(如罕见病用药和抗癌药等),引入风险共担协议,保证患者的药品可及性。

A Decade of Scien tific and Tech no logical Inno vati on at Chin ese Academy of Medical Sciences&Peking Union Medical College:Retrospect and Prospect

Focusing on the reform initiatives of Chinese Academy of Medical Sciences(CAMS) & Peking Union Medical College(PUMC) in medical scientific and technological innovation from perspectives of deepening the reform and optimizing the ecosystem of science and technology innovation,this article summarizes the highlights of CAMS & PUMC’s efforts in safeguarding people’ s health and promoting the Healthy China 2030 strategy through scientific and technological innovation in the fields including basic research,disease prevention and treatment,and medical technology in the past ten years.These achievements embody the endeavors and responsibility of CAMS& PUMC in realizing self-reliance and self-improvement of Chinese medical science and technology and highlight its contributions to the development of medical science and technology of China.

Linking the health data system in the U.S.:Challenges to the benefits

In order to improve patient care in the United States there,the government made a mandate called HIE(Health Information Exchange).This order was created from the belief that sharing digital health in-formation between,across,and within health communities will improve one's healthcare experience across their lifespan.Patient health information,i.e.the personal health record,should be shareable between healthcare providers;such as private practice physicians,home health agencies,hospitals and nursing care facilities.Most of the U.S.hospitals now have electronic health records,however,with a lack of standards for structuring health information and unified communication protocols to share health information across providers,only a small percentage of U.S.hospitals engage in computerized HIE.In order to understand barriers and facilitators in the U.S.of HIE adoption,we reviewed the published research literature between 2010 and 2015.Our search yielded 664 articles from Medline,PsychInfo,Global health,InSpec,Scopus and Business Source Complete databases.Thirty-nine articles met our inclusion criteria.This article presents the compiled organizational and end user barriers and facilitators along with suggested methods to achieve continuity of care through HIE.

Effects of drug relief hospital-based AIDS educational methods on drug users

The objective of this study is to explore a potentially effective training method for the hospital professionals to educate drug users and to enhance their knowledge of HIV infection. One hundred and sixty one subjects, who came from 13 different provinces and were admitted in a drug relief hospital in Beijing, were recruited for this study. The average age of these subjects was 35.21±6.24 year old. The average numbers of years for drug addiction were 7 years, and the average numbers of drug relief treatment received in the past was 5.5 times. The level of AIDS knowledge of these subjects, including pathogenic factors, source of infection, route of transmission and preventive measures, were evaluated before and after receiving the AIDS educational training to these drug users. Our results showed that there was a statistically significant increase (P<0.01) in the knowledge of HIV infection and prevention among these subjects. Positive attitude and behavioral tendencies toward HIV prevention were also improved. Therefore, it is imperative for the medical professionals to incorporate AIDS education into drug relief treatment to achieve the maximum effect on the knowledge of AIDS and improvement of positive attitudes and behaviors toward HIV prevention among drug users.

Collegiate athletes'mental health services utilization:A systematic review of conceptualizations,operationalizations,facilitators,and barriers

Background: While mental health among collegiate athletes is receiving increased attention, research on factors surrounding collegiate athletes' decision to seek mental health services is limited. The goal of the present review was to analyze and synthesize the current literature concerning collegiate athletes' utilization of mental health services, including the facilitators of and barriers to use of these services.Methods: The analysis was guided and organized using a socio-ecological framework, which considered the unique context in which collegiate athletes study and perform. A total of 21 articles, published between 2005 and 2016, which concern U.S. collegiate athletes' mental health services utilization(MHSU) were selected and included for the final analysis. Conceptualizations and operationalizations of MHSU were compared and contrasted. Facilitators of and barriers to athletes MHSU were examined and summarized while appropriately considering the proximity of each factor(facilitator or barrier) to the athletes.Results: Results showed variations in conceptualizations and operationalizations of MHSU in the articles analyzed, which made interpretation and cross comparison difficult. Collegiate athletes are willing to utilize mental health services, but gender, perceived stigma, peer norms—for athletes and coaches—plus service availability impact their MHSU.Conclusion: Key stakeholders, administrators, and public health officials should partner to eliminate MHSU barriers, support facilitators, and generally empower collegiate athletes to actively manage their mental health.

Gender Differences in Quality of Attachment to God, Forgiveness, Altruism, and Mental Health in College and Seminary School Students

The aim of the current study was to investigate gender differences in quality of attachment to God, forgiveness, altruism and mental health in college and seminary school students as well. To fulfil the stated goal 993 individuals were selected by means of stratified sampling procedures and the following measures were distributed among them： Muslim-Spiritual Attachment Scale, Kin Altruism, Reciprocal Altruism Enright Forgiveness Inventory, and Symptom Checklist-90 Revised. Analysis of data using t test revealed significant differences between male and female students （/9 〈 0.01）. Moreover, data indicated that interpersonal sensitivity was higher in male students while somatization complains was higher among female students. Analysis of data showed that quality of secure attachment in female students were higher than male students （P 〈 0.01）. Moreover, female students were higher in altruism, especially in domain of compassion （P 〈 0.05）. In addition female students were higher in perceiving God as a Safe Haven and providing them with comfort and tranquility. Moreover, females students were higher in altruism （p 〈 0.05）, and forgiveness （p 〈 0.01）. The analysis of data revealed that female students were higher in the secure attachment to God, sympathy toward others and they scored higher in somatization complain while male students were higher in the interpersonal sensitivity. Theoretical implication and practical application of findings have been discussed in the original paper. Findings in this project were consistent with body of research findings. Theoretical implication and practical usage of the current study was described in the original paper. Data revealed that female student were higher in secure attachment to God, altruism and forgiveness. Showing emotional stability and higher spirituality.

Balance the Paradox between Limited Health Resources and Growing Demands for Medical Services

Health institutions in the People’s Republic of Chinaare under considerable challenge. Innovations in management systems may support the challenge to increase both efficiency and effectiveness. The balanced scorecard (BSC) is one such innova-tion. We have used a model to explore the factors that may impact the diffusion of the BSC in Chinese government hospitals. In particular, we concentrate on three factors — the outer context, the nature of the innovation and the communication and influence. The outer context and the nature of the innovation do provide an inducement to implement a BSC. The strength of the communica-tion and influence may affect the level of take-up. However, we recognise that they may choose the BSC not for any apparent technical excellence but for the legitimation that Western man-agement practices may bring to local managers.

Research on Mental Health Education of Vocational College Students

College life is the psychological conflict -prone period, and college students in vocational colleges suffer more psychological pressure than other undergraduate college students. Currently, the vocational colleges showed an increasing trend of mental health problems, which has become an important factor in hindering the healthy growth and successfully completion of their studies in college students. This article analyzed and summarized from the meaning of the concept of mental health, the performance characteristics of vocational college students＇ mental health problems, forming factors of mental health problems in vocational students, and put forward some education countermeasures.

Primary Scientific Project in Evaluating the Quality of Life and Healthy Factors in Medical Students of a Private Brazilian University

Introduction： Limited data are available regarding medical students’ habits related to long duration shifts and graduation classes that could negatively impact on their academic performance. The objective of this study is to identify the profile factors related to life quality and cardiovascular risk on medical students of a private university in Brazil. Methods： This study is based on a descriptive analysis of cross-sectional cohort of a sample of 490 students from the first to sixth year of medical school. The data were collected through an anonymous questionnaire. Results： Some of the data were： 81.6% of students reported alcohol ingestion, 5.9% are smokers and 13.9% reported use of illicit drugs, 27.9% informed adding salt to the food, 78.4% reported stress/anxiety. Conclusion： After observing all the collected data, a project was built for a longitudinal analysis of the influence of life style during the medical school years on mental and cardiovascular health, short and long term.

A family nurse-led intervention for reducing health services’utilization in individuals with chronic diseases:The ADVICE pilot study

Objectives:Intensive health services'utilization is common in older individuals affected by chronic diseases.This study assessed whether a structured family nurse-led educational intervention would be effective in reducing health services'use(readmissions and/or emergency service access)among older people affected by chronic conditions.Methods:This is a non-randomized before-after pilot study.A sample of 78 patients was recruited from two general practices in Italy and 70 among them were followed for 8 months.Standard home care was provided during the first four months'period(months 1-4),followed by the educational intervention until the end of the study(months 5-8).The intervention,based on the teach-back method,consisted of by-weekly 60-min home sessions targeting aspects of the disease and its treatment,potential complications,medication adherence,and health behaviours.Rates of health services'use were collected immediately before(T0),and after the interventions(T1).Differences in utilization rates were examined by the McNemar's test.Potential factors associated with the risk of health services'use were explored with a Cox proportional hazard regression model.Results:The sample(n=78)was predominantly female(n=50,64.1%),and had a mean age of 76.2(SD=4.8)years.Diabetes mellitus was the most frequent disease(n=27,34.6%).McNemar's test indicated a significant reduction in health services'use at T1(McNemar χ^(2)==28.03,P<0.001).Cox regressions indicated that time and patient education,as well as their interaction,were the only variables positively associated with the probability of health services'use.Conclusion:A teach-back intervention led by a family nurse practitioner has the potential to reduce health services'use in older patients with chronic diseases.

Study on the Points Needing Attention in Aerobics Training of Junior College Students

With the continuously increasing competition in the modern society, the learning pressure of students is getting greater and greater and many students are in shortage of reasonable time to take physical exercises so that they are in a state of sub-health for a long time. Aerobics, as a combination of music and sports, has been more and more popular among teachers and students. However, in aerobics training, the injuries to the physical bodies of students will be caused due to the improper training methods. Therefore, in this paper, the points needing attention in aerobics training is studied, and then scientific aerobics training methods are proposed.

The Sendai Framework for Disaster Risk Reduction: Renewing the Global Commitment to People’s Resilience, Health,and Well-being

The Sendai Framework for Disaster Risk Reduction 2015–2030(SFDRR) is the first global policy framework of the United Nations’ post-2015 agenda. It represents a step in the direction of global policy coherence with explicit reference to health, development, and climate change. To develop SFDRR, the United Nations Office for Disaster Risk Reduction(UNISDR) organized and facilitated several global, regional, national, and intergovernmental negotiations and technical meetings in the period preceding the World Conference on Disaster Risk Reduction(WCDRR) 2015 where SFDRR was adopted. UNISDR also worked with representatives of governments, UN agencies, and scientists to develop targets and indicators for SFDRR and proposed them to member states for negotiation and adoption as measures of progress and achievement in protecting lives and livelihoods. The multiple efforts of the health community in the policy development process, including campaigning for safe schools and hospitals, helped to put people’s mental and physicalhealth, resilience, and well-being higher up the disaster risk reduction(DRR) agenda compared with the Hyogo Framework for Action 2005–2015. This article reviews the historical and contemporary policy development process that led to the SFDRR with particular reference to the development of the health theme.