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重返社会的医疗:联动型慈善医疗救助的实践机制研究——以S市儿童医院为例
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作者 王钟苓 徐选国 李佳薇 《中国非营利评论》 2023年第2期86-105,319,共21页
目前医学人本主义精神及生命主体性认同面临着严峻挑战。在我国卫生治理的语境下,社会经济因素被视为疾病的主要根源,贫困人群的人文关怀等议题成为反思社会医学化实践的驱动力。如何回应慈善医疗救助的需求变化,使医疗回归社会,成为本... 目前医学人本主义精神及生命主体性认同面临着严峻挑战。在我国卫生治理的语境下,社会经济因素被视为疾病的主要根源,贫困人群的人文关怀等议题成为反思社会医学化实践的驱动力。如何回应慈善医疗救助的需求变化,使医疗回归社会,成为本文关注的核心命题。本文借助波兰尼嵌入性的理论视角,依托医学脱嵌于社会的现实背景,结合“嵌入-嵌合”的分析框架,通过对S市儿童医院慈善医疗救助的经验研究,试图揭示慈善医疗救助的深层逻辑及联动运行机制。研究发现,联动型协作作为医疗社会化实践中嵌合共生有机体的核心,通过多元主体联动协同参与慈善医疗救助,强化了以人为中心救助的社会效能,形成了以政策为导向的激励机制、以社会需求为导向的动力机制,并经由整体性思维重塑以价值理念和效益为本的嵌合共生的行动机制。慈善医疗救助进一步助推了国家卫生治理的良性运行,提升了医疗服务的治理效能,并为贫困人群恢复健康、重建社会生活的医疗救助事业发展提供了经验性的路径指引。 展开更多
关键词 慈善医疗救助 医疗社会化 嵌入 嵌合共生 联动型协同
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The development of real time data driving multi-axis linkage and synergic movement control system of 3D variable cross-section roll forming machine 被引量:2
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作者 管延智 Li Qiang +2 位作者 Wang Haibo Yang Zhenfeng Zheng Yuting 《High Technology Letters》 EI CAS 2013年第3期261-266,共6页
The three dimensional variable cross-section roll forming is a kind of new metal forming technol- ogy which combines large forming force, multi-axis linkage movement and space synergic movement, and the sequential syn... The three dimensional variable cross-section roll forming is a kind of new metal forming technol- ogy which combines large forming force, multi-axis linkage movement and space synergic movement, and the sequential synergic movement of the ganged roller group is used to complete the metal sheet forming according to the shape of the complicated and variable forming part data. The control system should meet the demands of quick response to the test requirements of the product part. A new kind of real time data driving multi-axis linkage and synergic movement control strategy of 3D roll forming is put forward in the paper. In the new control strategy, the forming data are automatically generated according to the shape of the parts, and the multi-axis linkage movement together with cooperative motion among the six stands of the 3D roll forming machine is driven by the real-time information, and the control nodes are also driven by the forming data. The new control strategy is applied to a 48 axis 3D roll forming machine developed by our research center, and the control servo period is less than 10ms. A forming experiment of variable cross section part is carried out, and the forming preci- sion is better than + 0.5mm by the control strategy. The result of the experiment proves that the control strategy has significant potentiality for the development of 3D roll forming production line with large scale, multi-axis ganged and svner^ic movement 展开更多
关键词 real time data driving variable cross-section roll forming multi-axis ganged synergic movement
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