Emotional differences based on comments on doctor-patient disputes with varying levels of severity

BACKGROUND The risks associated with negative doctor-patient relationships have seriously hindered the healthy development of medical and healthcare and aroused wide-spread concern in society.The number of public comments on doctor-patient relationship risk events reflects the degree to which the public pays attention to such events.Thirty incidents of doctor-patient disputes were collected from Weibo and TikTok,and 3655 related comments were extracted.The number of comment sentiment words was extracted,and the comment sentiment value was calculated.The Kruskal-Wallis H test was used to compare differences between each variable group at different levels of incidence.Spearman’s correlation analysis was used to examine associations between variables.Regression analysis was used to explore factors influencing scores of comments on incidents.RESULTS The study results showed that public comments on media reports of doctor-patient disputes at all levels are mainly dominated by“good”and“disgust”emotional states.There was a significant difference in the comment scores and the number of partial emotion words between comments on varying levels of severity of doctor-patient disputes.The comment score was positively correlated with the number of emotion words related to positive,good,and happy)and negatively correlated with the number of emotion words related to negative,anger,disgust,fear,and sadness.CONCLUSION The number of emotion words related to negative,anger,disgust,fear,and sadness directly influences comment scores,and the severity of the incident level indirectly influences comment scores.

Study on the Relationship between Psychological Stress and Doctor-Patient Relationship of Cancer Patients and Their Families

Objective: To research the relationship between psychological stress and doctor-patient relationship of cancer patients and their families. Methods: The patients were randomly divided into the intervention group and the control group, and PDRQ-15, pcl-c, SAS and SDS scales were selected as evaluation indexes, and the levels of norepinephrine and dopamine were compared between the patients diagnosed with PTSD cancer and those without PTSD. Results: 1) The total score of PCL-C, SAS, SDS, PDRQ-15 scale of the cancer patients and their families after the intervention of clinical psychological care was significantly lower than that of before intervention and the control group. 2) The correlation coefficients between PCL-C, SAS, SDS and PDRQ-15 of cancer patients and their relatives were 0.971, 0.952 and 0.939 respectively. The significant test P value was less than 0.05 and the difference was statistically significant. 3) The plasma levels of dopamine and norepinephrine in cancer patients under stress were significantly higher than those in cancer patients without stress (P Conclusion: After psychological Intervention of cancer patients and their families, post-traumatic stress disorder, anxiety, depression and doctor-patient relationship were all improved.

Spiritual Anamnesis and Doctor-Patient Relationship： Review and Reconstruction of a Daily Routine Instrument

Introduction： spiritual anamnesis is fundamental to familiarity with patient’s beliefs. It enables health professionals to： investigate how patients face the treatment, understand the role and importance of religion in the life of this individual, how much spirituality may interfere in the health-disease process and in the disease experience. It also helps detect spiritual needs and mobilize resources to promote the biopsychosocial and spiritual wellness of the individual. Objective： identify spiritual questionnaires in literature. Methods： This article is a bibliographic review. Researching was on books and electronically based from August to December 2014. PUBMED and SCIELO databases were used in English and Portuguese. Inclusion factors： short, brief and easy to memorize questions to know if the patient’s beliefs interfere in medical treatments and to what extent. Exclusion factors： not try to convert or to interfere with the patient’s rights, not try to influence their beliefs or to make anamnesis on emergency situations or acute medical consultations. Results： based on the questions of seven samples of spiritual questionnaires found in literature, health professionals identified the patient’s spiritual needs and the beliefs likely to interfere in the doctor-patient relationship and in the therapeutic conduct as such. The anamnesis models found converge in some points, but differ mainly as to time excess some questionnaires demand （due to the large number of questions） when compared to others （shorter） and/or when going deeper into a particular aspect of beliefs, leaving some important points out. Conclusion： the anamnesis found are as follows： FICA Questionnaire; HOPE Questionnaire, Kunh’s Spiritual Inventory, CSI-MEMO, ACP Spiritual History, Matthews Spiritual History, Maugans Spiritual History. The main points found in these seven questionnaires are： resources mobilization to meet the patients’ spiritual demands; to what extent spirituality may interfere both in adherence to the treatment and in the clinical treatment and in strengthening the doctor-patient relationship.

An Investigation of Medical Students’ Cognition on the Doctor-Patient Relationship and Their Career Choice

Objective:To investigate medical students’cognition on the doctor-patient relationship and its influence on their career choice as well as to provide reference for medical education and communication education.Methods:A self-compiled questionnaire survey was carried out at a medical university in W city,and descriptive statistics as well as chi-square tests were conducted.Results:There were significant differences in medical students’cognition of doctor-patient relationship among different genders,registered residence,only-child status,whose parents are working in the medical field,and their own evaluation of the major(p<0.05);the different cognitions of doctor-patient relationship have a significant influence on medical students’career choice.Conclusion:Medical students’vocational cognition and educational guidance should be strengthened,hospital information should be open and transparent,media reporting of medical events should be standardized,and a doctor-patient conflict regulation mechanism should be established.

Identifying the Static and Dynamic Relationships Between Rural Population and Settlements in Jiangsu Province, China

Rapid urbanization has triggered large rural population floating into cities, which in turn affects rural human-land relationships. The actual human-land relationship involves the coupling level of a time point and dynamic change of a time interval. However, few studies have identified the rural human-land relationship from these two perspectives. This study combined static coupling analysis with a dynamic decoupling model to analyze the relationships between rural population and settlements from 2009 to 2018 in Jiangsu Province, China. Although the static coupling degree in Jiangsu Province was relatively high, the decoupling analysis found that the rural human-land relationship in most counties was uncoordinated. There were 11 combination types based on the coupling and decoupling relationships. The most common two types(accounting for 76.74%) were recession decoupling with high-level coupling and strong decoupling with high-level coupling. Although the majority of counties had a high-level coupling degree, an uncoordinated change in rural population and rural settlements was observed in these counties. Counties with relatively reasonable human-land relationships accounted for only 12.79% of the total. The combination features for each type were identified and differential policies were proposed for optimizing human-land relationship in rural areas. This study would contribute to our understanding of the multiple relationships between rural population and settlements involved in different patterns and processes, and expect to provide theoretical and methodological support for promoting rural revitalization and sustainable development in practice.

Functions of Relationship Capital in Rural Public Sports Service

The field survey of two natural villages found that the relationship capital plays an important role in rural public sports service benefiting from the rural elite operation mode. However,negative effect brought by the relationship capital should not be neglected,including distorting the social equity,increasing social transaction cost,and weakening the public trust in government. It is a top priority to effectively evade its negative effect and bring into full play huge potential of the relationship capital.

Relationship between Rural Industry Revitalization and Land Resource Utilization and Its Practice in Ganning Town, Wanzhou District of Chongqing

[Objectives]To explore the relationship between rural industry revitalization and land resource utilization.[Methods]Starting from the connotation of rural industry revitalization and land resource utilization,this study explores the relationship between rural industry revitalization and land resource utilization,Taking Ganning Town with typical mountain industry as the research area,this paper analyzed the relationship between rural industry revitalization and land resource utilization through a combination of field research and literature analysis,found out the existing problems and came up with pertinent recommendations.[Results](i)Rural industry revitalization is both mutually reinforcing and mutually restrictive.(ii)In this study,the land use types of Ganning Town were divided into nine categories,including farmland,garden land,forest land and grassland,and their industrial functions and development models were identified,and the corresponding framework of land resource utilization and rural industry revitalization in Ganning Town was constructed.(iii)In view of the problems existing in Ganning Town,this paper proposed to change the ideological concept and enhance understanding,improve the utilization rate of idle land and promote rural industry revitalization,and accelerate land consolidation and restoration,and promote sustainable development.[Conclusions]It is necessary to correctly understand the two-way role and dynamic change relationship between rural industry revitalization and land resource utilization,solve the problem from the perspective of development,adopt development strategies according to local conditions,and take the road of sustainable development.

To What Extent Are Cities Influenced by Rural Urban Relationships in Africa

If rural-urban relationship is treated as an open and unregulated process, cities serve as a sink for rural population, meaning that higher proportions of rural people migrate from rural areas to stay permanently in the cities. This process, which is commonly referred to as rural urban migration can be more evident if the urban system is maintained as an open system. This holds key to interpreting how cities attract and retain their populations, a process that is critical to understand the causes of deterioration of most cities in developing countries that still draw much of their population inputs from rural areas, as it is the case with Africa. Deducing from South African experience, if policies that regulate movement of people between rural areas and cities are politically inclined they tend to give a particular character to the evolution and development of cities. This has been found to be true for two sets of policies implemented inSouth Africa. Ones that were implemented during Apartheid, while they encouraged the migration of unskilled laborers from rural to urban areas, failed to promote settlement and adaptation of African communities in the cities and this led to an upsurge of informal settlements around many cities ofSouth Africa. One that have been implemented since the advent of Democracy, due to their relaxed nature have led to an influx of people of African descent into the city centers and the effect of this has been the deterioration of these areas. With these findings this study cautions that urban system needs to be treated as open, that is, be allowed to regulate itself through economic success and failures of people who aspire to live in urban areas by choosing to settle in the cities.

The Discussion on the Interaction and Integration of Modern Agriculture and Rural Tourism Sustainable Development

The thesis summarizes the connotation of rural tourism and divides it into six types,including rural sight-seeing,rural body-building activity,rural folk culture,rural experience of farm work,rural business affairs,and study and development.It outlines the theory of sustainable development of rural tourism and points out that what sustainable development of tourism concerns is the coordination of ecology,economy,and society centering on human and nature.On the basis of introducing the connotation of modern agriculture,it divides modern agriculture into six types,including sightseeing agriculture,leisure agriculture,green agriculture,characteristic agriculture,factory agriculture,and three-dimensional agriculture.And by concluding,it obtains the combination model of modern agriculture and rural tourism.Based on the introduction of the above related theories,the thesis discusses the interaction and integration model of the sustainable development of modern agriculture and rural tourism.It emphatically analyzes the integration model of modern agriculture and rural tourism,including pastoral agriculture tourism model(sightseeing village,leisure farm,citizen farm),and science education tourism model(agricultural science and technology education base,tourism and leisure education agricultural park,children's,agricultural education base,agricultural exposition).Based on the interaction and integration relationship between modern agriculture and rural tourism,the thesis puts forward corresponding countermeasures so as to promote their positive development and realize the maximum of ecological,social and economic benefits.

The Transformation of Rural Household Reproduction Model and Its Impact on Family Relations

Under the pressure of marketization and urbanization,rural family reproduction mode has transformed from simple reproduction to expanded family reproduction,thus changing the family structure and family relationship.Under the mode of expanded family reproduction,family relationship is a highly rational and deeply mobilized interaction pattern.And the family element configuration profoundly reflects the practical form of family relationship.Under the mode of expanded family reproduction,the changes in rural family relations are mainly reflected in three aspects:the decline of the paternal authority and the increasing family status of the offspring;the increasing status of women along with a decisive role in family decision-making;the more independent,equal,competitive and rational relationship among brothers.These changes bring forward new requirements on rural governance system,which requires improvements on social security and public culture.

China’s Rural Reform: Journey, Experience and Outlook

Since 1978, China's rural reform has gone through four stages, including the re-establishment of the economic status of farmer households, the transition from planned to market-based resource allocation, the initial development of the new-type urban-rural relationship, and the deepening of reforms in all respects. Underpinned by the household contract responsibility system, China's rural reform follows a gradualist and marketoriented approach that has progressed from encompassing a single domain to encompassing all fronts and from pilot programs to nationwide rollout with the core mandate of protecting farmers' rights and interests and promoting their initiative in agricultural production. Such a gradualist reform is consistent with China's national conditions and has incentivized farmers and integrated rural development, laying a solid institutional foundation for China's rapid development. China's four-decade experience suggests that reform and innovation are the primary drivers of rural development. During this period, China's rural reform has developed extensive experience with significant achievements. In the future, China should take integrated measures to deepen rural reform in all respects, promote farmers' and grassroots initiative, and unlock agricultural development potentials.

Chinese Rural Comprehensive Reform:Theoretical Innovation,Key Contradictions and Countermeasures

As a systematic project, Chinese rural comprehensive reform （hereinafter referred to as ＂the reform＂） involved multiple dimensions such as rural governance, economy, culture, society and ecology, which laid a solid foundation for the overall reform in China. Western rural development theory had been proved to be insufficient to support Chinese rural reform. Therefore, theoretical innovation became urgent in the fields of rural governance, government functions, public finance and rural-urban integration etc. In recent years, Chinese rural comprehensive reform had been adjusting itself to the requirements of the ＂new normal＂. And during the process of agricultural modernization, the bottlenecks included the contradictory relationships between reform, development and overall stability, agricultural simplification and industrial diversification, economic development and environmental protection, rapid development of urban areas and slow progress of rural areas, grassroots governance and democratic supervision etc. Proper countermeasures would help to settle the above contradictions.

要素流动对城乡融合发展的影响机理与空间分异研究

城乡要素双向自由流动有利于提高要素配置效率和优化城乡关系,促进城乡融合发展。现有关于要素流动对城乡融合发展的研究主要围绕传统生产要素对城乡融合发展的研究展开讨论,鲜有文献将数据这一新型生产要素纳入城乡要素流动范围并探索其对城乡融合发展的影响机理。基于2010—2021年中国31个省份的面板数据,在测算要素流动、城乡融合发展水平的基础上,构建双向固定效应模型、地理加权回归模型和中介效应模型实证检验要素流动对城乡融合发展的影响效应及作用机制。研究发现:第一,全国要素流动总指数呈现出小幅度增长的态势,位于均值之上的地区中64%是城乡融合发展试验区,说明城乡融合发展政策实施具有重要的引导作用;第二,要素流动显著促进城乡融合发展,这一结论在引入城乡之间距离作为工具变量进行内生性检验、采用删除4个直辖市和缩短时间窗口的方法进行稳健性检验之后仍然成立;第三,空间异质性分析中,劳动力、土地和数据要素始终表现出促进城乡融合发展的作用,随着时间的推移,土地要素对不同地区城乡融合发展影响程度逐渐增强、影响范围逐步扩大,技术要素对城乡融合发展的促进逐渐凸现,由华东和华南地区向东北和西南地区转移;第四,在要素流动影响城乡融合发展的过程中,电商销售是要素流动影响城乡融合发展的重要途径,农业机械化和产业结构变迁并未发挥出中介变量的作用,不同于已有的研究结果。因此,今后持续深化城乡融合发展的内涵与外延、拓展深度与广度;始终以习近平新时代中国特色社会主义思想为指导,运用科学的世界观和方法论,坚持整体推进与试点示范相统一的指导原则,推广实践中形成的典型经验。研究结论为城乡要素双向合理流动的机制建立、城乡融合发展体制机制的健全提供了理论和经验上的参考。

乡村旅游与农村人居环境的耦合协调关系及障碍因子诊断——以山西省为例

在构建乡村旅游与农村人居环境评价指标体系的基础上,运用层次分析法、耦合协调度模型等定量分析山西省11个地级市乡村旅游与农村人居环境的耦合协调关系,运用障碍度模型对其耦合协调关系的障碍因子进行诊断。结果表明:(1)各地级市乡村旅游水平、农村人居环境水平的区域差距较大,且二者之间存在明显的空间错位。(2)晋中、临汾和运城为中度耦合协调级乡村旅游领先型,晋城、长治和吕梁为中度耦合协调级同步型,太原和阳泉为中度耦合协调级乡村旅游滞后型,忻州和大同为勉强耦合协调级同步型,朔州为初级耦合协调级乡村旅游滞后型。(3)基础设施、公共服务、产业机构是限制山西省乡村旅游与农村人居环境耦合协调发展的关键障碍因子,且7个维度的障碍分布状况差异较大,各地级市的关键障碍因子并不一致。(4)山西省今后应加强基础设施建设、提升公共服务水平和优化乡村旅游供给,并结合各区域的耦合协调关系及障碍因子状况,采取合理措施推动乡村旅游与农村人居环境持续协调发展。

中国式乡村治理现代化的重要关系问题

为实现中国式现代化的战略目标,乡村治理现代化是必要的动力和重要的支撑。变革和创新乡村治理以促进农业农村农民的现代化发展,必须结合中国国情和实际需要,科学合理地应对和协调城镇化与乡村振兴、公共管理与村民自治、保护与发展、耕地保护与制度创新、农业与非农化、先富与共同富裕之间的关系问题。重视并处理好这六大重要关系问题,一方面可规避单向度发展,另一方面可避免政策与实践的二元对立,从而有效推进中国式乡村治理现代化。

共同富裕视域下乡村治理共同体建设的理论逻辑与实现路径

实现农民农村共同富裕是实现全体人民共同富裕中最艰巨最繁重的任务,这意味着加强和创新乡村治理将承担更多实现共同富裕的目标任务。为此,需在共同富裕视域下建设乡村治理共同体,实现农民农村共同富裕与乡村治理有效的高度统一。就其联系而言,实现共同富裕是乡村治理共同体建设的基本前提与价值导向,乡村治理共同体建设则是共同富裕的实现方式与本质要求,由此表现出二者互为实现途径与目的的内在耦合关系。就其理论逻辑而言,马克思共同体思想和城乡关系理论内在统一的思想奠基是其理论本源,习近平共同富裕观与乡村治理思想内在统一的现实指引是其理论创新,中华优秀传统文化中的“大同”理想与乡村治理思想的当代升华是其理论底蕴。就其实现路径而言,需坚持和加强党建引领,强化统筹乡村治理共同体的“内涵”和“外延”;发展壮大农村集体经济,筑牢乡村治理共同体建设的物质基础;健全“三治融合”乡村治理体系,完善乡村治理共同体的治理机制;积极推动城乡融合,激活乡村治理共同体建设的内生动力。

乡村振兴中国家与农民关系的社会化调适

乡村振兴战略实施中的政策实践,指向了社会学持续关注的国家与农民关系问题。公共资源下乡中国家与农民之间的互动不仅在器物和组织两个层面展开,还集中体现在价值层面。在乡村振兴的积极案例中,国家与农民关系的新形态表现为器物层面上国家资源与社会需求的有效对接,组织层面上社会动员能力的提升,价值层面上农民国家认同感的强化。国家输入的公共资源只有以高度社会化的方式与农民互动时,农民才可能按照特定的行动逻辑将“国家”内化于心,国家权力才算实现了社会合法性的确认和再生产。为了实现国家与农民关系的社会化调适,社会治理公共性的建设不应停留于权力运作的策略层面。国家应充分发掘、激活蕴藏于乡村社会中的本土资源,将自上而下输入的公共资源转化为推动乡村社会开展自主建设的内生要素。如此,公共资源的下乡才能在推动乡村振兴的过程中,促成国家濡化能力在基层的再造,实现现代国家在社会中的扎根和成长。

社会工作助力数字乡村建设:内在逻辑与可能策略

数字乡村建设是全面实施乡村振兴战略的重要举措。然而,在具体实践过程中可能存在村民主体性难培养、乡村情境性难契合、城乡数字鸿沟难跨越等实践壁垒和现实障碍。其可能原因在于数字技术无法与乡村关系进行有效嵌合,社会工作将关系作为核心内容,贯穿社会工作实务的全过程,在数字乡村建设中发挥着独特的专业优势。基于此,从社会工作助力数字乡村建设的“技术—关系”视角出发,遵循社会关系建设和社区赋能两个方面的内在逻辑,提出可能策略,包括:以激发村民内生动力为内容推进数字乡村可持续发展,以数字友好社区建设为目标推进数字关怀型社区构建,以数字文化相融为切口推进数字乡村文明建设来破解数字乡村建设梗阻,为实现乡村全面振兴提供积极探索。

农村的“股份化”与“城镇化”——郊区农村集体产权制度改革的个案研究

作为集体产权制度改革的重要组成部分,“农村股份制”改革看似给乡村社会带来了颇具内在矛盾的多重影响,实则在具体社会情境下,与其他宏观结构因素一起,共同导向了城镇化这一后果。在郊区农村,这项改革一方面导致了农民-农村关系的“金融化”转型,使农民的集体权益脱嵌于其对村集体的行政依附,为他们的城镇化迁移创造了新的机会结构;另一方面,农村股份制隐含的独立法人资格为村集体强化组织能动性提供了制度支撑,而股息分红的压力也使得这一类城市周边农村成为专注于土地经营的市场法人主体,嵌入当地土地城镇化的实践场域中。由此,郊区农村股份化成了城镇化机制的一部分。来自农村一端对城镇化机制的能动塑造也启发我们去反思城镇化研究中的过度“城市中心主义”取向。

居住模式与代际关系对农村老年人自我忽视的影响

为了探讨农村老年人居住模式和代际关系对自我忽视的影响,采用农村老年自我忽视量表和代际关系量表对广西、江西和福建三省共702位60周岁及以上的农村老年人进行了横断面调查。结果表明:不同居住模式下的农村老年人代际关系和自我忽视差异有统计学意义(P<0.01);相对独居而言,偶居、亲子居、隔代居、代际关系与居住模式的交互项均能负向预测农村老年人的自我忽视(P<0.05);居住模式、代际关系与农村老年人的自我忽视显著相关,代际关系对农村老年人居住模式与自我忽视之间的关系具有调节作用。