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...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.展开更多
Some sociologists of the 20th century--Popper, Nisbet, Tilly, Wallerstein--doubted the applicability of the concept "evolution" to the process of social changes. It was stated that processes happening in a society c...Some sociologists of the 20th century--Popper, Nisbet, Tilly, Wallerstein--doubted the applicability of the concept "evolution" to the process of social changes. It was stated that processes happening in a society cannot be described using the approach of strict causality. However, dignifying life of the mankind is doubtful without elaborated scheme of social evolution and universal guiding line for the control over the further aociety evolution. General logica of social evolution can be traced by the change of human position in a society. Describing this change with the help of the activity-value approach one can construct ideal types of such evolutionary stages as wilderness, barbarism, civilization. The study of features and properties of ideal types of social evolution stages shows the regularity of two natural civilizations appearance: home-service civilization and market one. Countries of home-service civilization are ancient Egypt, China, and Russia (since Moscow Kingdom arose). Athens, Novgorod Republic and Western countries are examples of the market civilization. The study of the market civilization properties shows that its long existence is doubtful. Authors propose an ideal type of spirit-game civilization as a long-term guiding line for the controlled social evolution. Control over evolution could save mankind and solve their main problems.展开更多
To develop Shanghai family service industry urgently is for the construction of livable city. Surveys are found that there are quite a lot of problems of Shanghai family services ,such as structural imbalance between ...To develop Shanghai family service industry urgently is for the construction of livable city. Surveys are found that there are quite a lot of problems of Shanghai family services ,such as structural imbalance between supply and demand, industry market chaos, staff career development space is limited, imperfect industry standards, relevant laws and regulations is not sound and so on. To start with, Shanghai family service standard system should be made to strengthen the family service personnel vocational training and job evaluation, and for the establishment and implementation of the "family service personnel vocational level system", it also increases policy support to the "employees" enterprise and to build the linkage supervision mechanism of industry associations and government departments to promote the standardization of the Shanghai family service development.展开更多
To develop Shanghai family service industry urgently is for the construction of livable city. Surveys are found that there are quite a lot of problems of Shanghai family services ,such as structural imbalance between ...To develop Shanghai family service industry urgently is for the construction of livable city. Surveys are found that there are quite a lot of problems of Shanghai family services ,such as structural imbalance between supply and demand, industry market chaos, staff career development space is limited, imperfect industry standards, relevant laws and regulations is not sound and so on. To start with, Shanghai family service standard system should be made to strengthen the family service personnel vocational training and job evaluation, and for the establishment and implementation of the "family service personnel vocational level system", it also increases policy support to the "employees" enterprise and to build the linkage supervision mechanism of industry associations and government departments to promote the standardization of the Shanghai family service development.展开更多
With the aging of our population is growing significantly, pension issues are also increasingly prominent in the family pension, social pension and retirement communities, and retirement communities have both advantag...With the aging of our population is growing significantly, pension issues are also increasingly prominent in the family pension, social pension and retirement communities, and retirement communities have both advantages and both have their own characteristics and become an effective means to solve the pension problem, Shanghai is currently analyzing the situation and problems of the pension on the basis of the Shanghai community care services continue to improve mechanisms to forward the healthy and orderly development of Shanghai pension service mechanism.展开更多
Hybrid Machine Learning (HML) is a kind of advanced algorithm in the field of intelligent information process. It combines the induced learning based-on decision-making tree with the blocking neural network. And it pr...Hybrid Machine Learning (HML) is a kind of advanced algorithm in the field of intelligent information process. It combines the induced learning based-on decision-making tree with the blocking neural network. And it provides a useful intelligent knowledge-based data mining technique. Its core algorithm is ID3 and Field Theory based ART (FTART). The paper introduces the principals of hybrid machine learning firstly, and then applies it into analyzing family apparel expenditures and their influencing factors systematically. Finally, compared with those from the traditional statistic methods, the results from HML is more friendly and easily to be understood. Besides, the forecasting by HML is more correct than by the traditional ways.展开更多
It has been 30 years since the family planning policy had been implemented in the last 1970s. Today, the first generation of only child has already reached thirties and their parents have entered into old age so that ...It has been 30 years since the family planning policy had been implemented in the last 1970s. Today, the first generation of only child has already reached thirties and their parents have entered into old age so that they may confront such a dilemma situation in which they should not only look after their own child but also take care of their parents. The paper find the different demand of the aging people in different type of family through the site investigation about pension service demand in three different kinds of communities in Cao Hejing. The survey mainly make a statistical analysis in economic situation, life care and emotional solace through the on-site questionnaire and interview, finding the particularity of the only child family, sorting out the best pension service strategy for the one-child family through the analysis research and the reference of international practice.展开更多
Despite the intention of minimum wage policy to maintain the living standards of low-income groups in the formal sector, this paper has found that the actual result of this policy produces the "big push" impact on C...Despite the intention of minimum wage policy to maintain the living standards of low-income groups in the formal sector, this paper has found that the actual result of this policy produces the "big push" impact on China's economy under certain conditions, i.e. it is conducive to achieving the equilibrium of high wage, high consumption and formalization. The result shows that the elasticity of income growth from raising the minimum wage standard is greater for formal sector employees than for informal sector employees and is characterized by a U-shaped pattern in terms of quantiles. Thus, minimum wage hikes have widened wage gaps between and within sectors. Rising minimum wage standards greatly stimulate consumption with each 10% increase expected to bring about an additional urban household consumption of about 1.167 billion yuan in the surveyed four provinces. With local minimum wage hikes, the formal sector of wholesale and retail, hotel and catering services expands and the informal sector contracts, while the real estate sector experiences a "reverse formalization" trend. Based on the "big push theory", this paper concludes that against the backdrop of extensive, frequent and substantial minimum wage hikes, demand and sector TFP growth are the major causes of sector heterogeneity.展开更多
China has entered the aging society, on the one hand, the number of elderly people in the gradual increase in the number of the corresponding oldest old, disabled elderly, and other semi-disabled elderly is also incre...China has entered the aging society, on the one hand, the number of elderly people in the gradual increase in the number of the corresponding oldest old, disabled elderly, and other semi-disabled elderly is also increasing; on the other hand, family pension function is weakening. This brings new problems and challenges to elderly care services and medical services. How to make the elderly a sense of security, the old medical care, doctors explore new mode of raising combined pension service is very important, domestic scholars have done a lot of this, they mainly focus on the medical support pension model combining content, doctors pension service support combined mode and manner of service objects and the advantages and problems of the medical support combined pension model is discussed. Firstly, from "medical support integration" policy development view, then from the above three aspects of the research scholars to sort out and summarize, try to identify the lack of exploration and research, indicate the direction for further research.展开更多
In the Uplands of Southeast Asia, poor and near-poor farm households endure considerable livelihood vulnerability. Access to formal insurance services is scarce. Rural farm households in mountainous Northern Vietnam h...In the Uplands of Southeast Asia, poor and near-poor farm households endure considerable livelihood vulnerability. Access to formal insurance services is scarce. Rural farm households in mountainous Northern Vietnam have developed alternative risk management strategies. This article investigates the theoretical links between poverty, vulnerability and risk. The concept of vulnerability to poverty lays the analytical framework. Based on empirical evidence from more than 200 ethnic minority households, major risks and risk management strategies are presented and analyzed. Results suggest that households suffer from limited endowment with and access to capital assets and service institutions. Human and economic risks (e.g. illness of family members and loss of livestock) were identified as the main components affecting rural livelihoods. Constrained access to adequate risk management strategies increase household's vulnerability, drowning them more and more in poverty. Major policy implications are that anti-poverty programs should focus on a broader target group, the currently poor as well as the vulnerable households.展开更多
Under the background of China's aging population, home care service system in line with China's traditional family pension, pension also incorporates community features, is widely used in China at this stage of pens...Under the background of China's aging population, home care service system in line with China's traditional family pension, pension also incorporates community features, is widely used in China at this stage of pension model. However, the home care service research stage and the organic unity of the people did not do standard, local awareness and global perspective, often blindly follow the tide of globalization. Article by home care services, people-based, local and global vision of the concept of consciousness and its relationship to reports, summarized the research stage of home care service should be how to achieve unity of the three.展开更多
文摘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.
文摘Some sociologists of the 20th century--Popper, Nisbet, Tilly, Wallerstein--doubted the applicability of the concept "evolution" to the process of social changes. It was stated that processes happening in a society cannot be described using the approach of strict causality. However, dignifying life of the mankind is doubtful without elaborated scheme of social evolution and universal guiding line for the control over the further aociety evolution. General logica of social evolution can be traced by the change of human position in a society. Describing this change with the help of the activity-value approach one can construct ideal types of such evolutionary stages as wilderness, barbarism, civilization. The study of features and properties of ideal types of social evolution stages shows the regularity of two natural civilizations appearance: home-service civilization and market one. Countries of home-service civilization are ancient Egypt, China, and Russia (since Moscow Kingdom arose). Athens, Novgorod Republic and Western countries are examples of the market civilization. The study of the market civilization properties shows that its long existence is doubtful. Authors propose an ideal type of spirit-game civilization as a long-term guiding line for the controlled social evolution. Control over evolution could save mankind and solve their main problems.
文摘To develop Shanghai family service industry urgently is for the construction of livable city. Surveys are found that there are quite a lot of problems of Shanghai family services ,such as structural imbalance between supply and demand, industry market chaos, staff career development space is limited, imperfect industry standards, relevant laws and regulations is not sound and so on. To start with, Shanghai family service standard system should be made to strengthen the family service personnel vocational training and job evaluation, and for the establishment and implementation of the "family service personnel vocational level system", it also increases policy support to the "employees" enterprise and to build the linkage supervision mechanism of industry associations and government departments to promote the standardization of the Shanghai family service development.
文摘To develop Shanghai family service industry urgently is for the construction of livable city. Surveys are found that there are quite a lot of problems of Shanghai family services ,such as structural imbalance between supply and demand, industry market chaos, staff career development space is limited, imperfect industry standards, relevant laws and regulations is not sound and so on. To start with, Shanghai family service standard system should be made to strengthen the family service personnel vocational training and job evaluation, and for the establishment and implementation of the "family service personnel vocational level system", it also increases policy support to the "employees" enterprise and to build the linkage supervision mechanism of industry associations and government departments to promote the standardization of the Shanghai family service development.
基金Acknowledgement With this paper,first of all thanks to zhe help of my tutor zhang,,without his help,l am not going to write this article so quickly.This research was financially supported by the National Natural Science Foundation of China (Grant NO. 00000000) and the Fundamental Research Funds for Central University (Grant NO.TD2010-2).
文摘With the aging of our population is growing significantly, pension issues are also increasingly prominent in the family pension, social pension and retirement communities, and retirement communities have both advantages and both have their own characteristics and become an effective means to solve the pension problem, Shanghai is currently analyzing the situation and problems of the pension on the basis of the Shanghai community care services continue to improve mechanisms to forward the healthy and orderly development of Shanghai pension service mechanism.
文摘Hybrid Machine Learning (HML) is a kind of advanced algorithm in the field of intelligent information process. It combines the induced learning based-on decision-making tree with the blocking neural network. And it provides a useful intelligent knowledge-based data mining technique. Its core algorithm is ID3 and Field Theory based ART (FTART). The paper introduces the principals of hybrid machine learning firstly, and then applies it into analyzing family apparel expenditures and their influencing factors systematically. Finally, compared with those from the traditional statistic methods, the results from HML is more friendly and easily to be understood. Besides, the forecasting by HML is more correct than by the traditional ways.
文摘It has been 30 years since the family planning policy had been implemented in the last 1970s. Today, the first generation of only child has already reached thirties and their parents have entered into old age so that they may confront such a dilemma situation in which they should not only look after their own child but also take care of their parents. The paper find the different demand of the aging people in different type of family through the site investigation about pension service demand in three different kinds of communities in Cao Hejing. The survey mainly make a statistical analysis in economic situation, life care and emotional solace through the on-site questionnaire and interview, finding the particularity of the only child family, sorting out the best pension service strategy for the one-child family through the analysis research and the reference of international practice.
基金Major project of National Social Sciences Foundation"Characteristics and Policy Orientation Research on the New Normal of China's Economic Growth"(Grant No.15ZDA008)Major project of National Natural Sciences Foundation"Research on the Mechanism and Policy of Promoting Industrial Upgrade in Economic Developed Regions"(Grant No.71333002)
文摘Despite the intention of minimum wage policy to maintain the living standards of low-income groups in the formal sector, this paper has found that the actual result of this policy produces the "big push" impact on China's economy under certain conditions, i.e. it is conducive to achieving the equilibrium of high wage, high consumption and formalization. The result shows that the elasticity of income growth from raising the minimum wage standard is greater for formal sector employees than for informal sector employees and is characterized by a U-shaped pattern in terms of quantiles. Thus, minimum wage hikes have widened wage gaps between and within sectors. Rising minimum wage standards greatly stimulate consumption with each 10% increase expected to bring about an additional urban household consumption of about 1.167 billion yuan in the surveyed four provinces. With local minimum wage hikes, the formal sector of wholesale and retail, hotel and catering services expands and the informal sector contracts, while the real estate sector experiences a "reverse formalization" trend. Based on the "big push theory", this paper concludes that against the backdrop of extensive, frequent and substantial minimum wage hikes, demand and sector TFP growth are the major causes of sector heterogeneity.
文摘China has entered the aging society, on the one hand, the number of elderly people in the gradual increase in the number of the corresponding oldest old, disabled elderly, and other semi-disabled elderly is also increasing; on the other hand, family pension function is weakening. This brings new problems and challenges to elderly care services and medical services. How to make the elderly a sense of security, the old medical care, doctors explore new mode of raising combined pension service is very important, domestic scholars have done a lot of this, they mainly focus on the medical support pension model combining content, doctors pension service support combined mode and manner of service objects and the advantages and problems of the medical support combined pension model is discussed. Firstly, from "medical support integration" policy development view, then from the above three aspects of the research scholars to sort out and summarize, try to identify the lack of exploration and research, indicate the direction for further research.
文摘In the Uplands of Southeast Asia, poor and near-poor farm households endure considerable livelihood vulnerability. Access to formal insurance services is scarce. Rural farm households in mountainous Northern Vietnam have developed alternative risk management strategies. This article investigates the theoretical links between poverty, vulnerability and risk. The concept of vulnerability to poverty lays the analytical framework. Based on empirical evidence from more than 200 ethnic minority households, major risks and risk management strategies are presented and analyzed. Results suggest that households suffer from limited endowment with and access to capital assets and service institutions. Human and economic risks (e.g. illness of family members and loss of livestock) were identified as the main components affecting rural livelihoods. Constrained access to adequate risk management strategies increase household's vulnerability, drowning them more and more in poverty. Major policy implications are that anti-poverty programs should focus on a broader target group, the currently poor as well as the vulnerable households.
文摘Under the background of China's aging population, home care service system in line with China's traditional family pension, pension also incorporates community features, is widely used in China at this stage of pension model. However, the home care service research stage and the organic unity of the people did not do standard, local awareness and global perspective, often blindly follow the tide of globalization. Article by home care services, people-based, local and global vision of the concept of consciousness and its relationship to reports, summarized the research stage of home care service should be how to achieve unity of the three.