This article introduces the connotation and operation mode of ‘Service Supply Chain’ into the research of community endowment service, based on the present situation investigation in different types of community end...This article introduces the connotation and operation mode of ‘Service Supply Chain’ into the research of community endowment service, based on the present situation investigation in different types of community endowment service in Hongshan and Wuchang district of Wuhan, combines with the operation concept of service supply chain to analysis the present bottleneck factors existing in the urban community of endowment service supply chain, and concludes the solving measures. This paper aims to improve the service level of the community endowment in all aspects, and concludes effective means and countermeasures in improving community endowment service quality.展开更多
As the Chinese traditional culture is depend on the family, community home care service is increasingly becoming the first choice of the elderly aged. At present, Shanghai is facing serious aging phenomenon, the contr...As the Chinese traditional culture is depend on the family, community home care service is increasingly becoming the first choice of the elderly aged. At present, Shanghai is facing serious aging phenomenon, the contradiction between supply and demand has become more and more intensified. This paper will analyze the status of supply and demand about Shanghai community endowment services, and then identify the existing problems and reasons for the accordance in supply and demand on the base of analysis. Ultimately, this paper will raise suggestions about promoting the matching between supply and demand of Shanghai community home care service.展开更多
Shanghai has entered the depth of the current population aging stage, pure old home, and the empty nest family, lonely elderly people are gradually increasing, the elderly how to provide has become an issue concern in...Shanghai has entered the depth of the current population aging stage, pure old home, and the empty nest family, lonely elderly people are gradually increasing, the elderly how to provide has become an issue concern in public society. However, with the developing of economic and society, the traditional family＇ s structure and function is gradually being weaken, and the traditional idea of raising children for old age is deeply rooted, elderly people are reluctant to leave their original place. So community family-care is becoming the main endowment way. However, there is a big problem in the quantity and quality of service which is supplied by community, the project that a lot of elderly people really needs, the community does not provide, and some projects are now offered to elderly people, the quality still can not fully to meet the needs of older persons. Those problems are urgently need to be solved. This study aims to know the current status of community family-care in Shanghai, starting from the needs of older persons to allocate the community resources rationally, further improve the quality of the pension service, protect the interests of the elderly.展开更多
The momentum of rapid aging, old-age service supply has become a big problem. Our country also could not escape the threat of this trend, the implementation of the one-child policy, the core of the family, the old lon...The momentum of rapid aging, old-age service supply has become a big problem. Our country also could not escape the threat of this trend, the implementation of the one-child policy, the core of the family, the old lonely man, and the children in the competitive society, under the strong pressure of endowment service supply. Aiming at the problem of community endowment service insufficient supply, scholars have also launched a rich discussion and a lot of research, this article will talk about the definition, the concept of community endowment service supply and supply problems.展开更多
Objective To assess the effects of fostering interventions on the infants and their families through the community. Methods A total of 309 infants born on 1st August, 2003 to 30th August, 2004 and their families were ...Objective To assess the effects of fostering interventions on the infants and their families through the community. Methods A total of 309 infants born on 1st August, 2003 to 30th August, 2004 and their families were recruited as participants by cluster sampling in Longhua and Kantian sub-districts of Xuhui district, Shanghai. The newborns were randomly assigned to intervention group （156 cases） and control group （153 cases）. The infants and their families will be followed up during 3-year interventions. Results After 6 months＇ intervention, the proportion of infants who could turn over the body in the intervention group （88.46%） was higher than that in control group （75.16%）. The morbidity of upper-respiratory tract infection in intervention group （20.51%） was significantly lower than that in control group （32.68%）. The incidence rates of pneumonia, diarrhea and anemia in intervention group were all lower than that in control group, except for pneumonia, the differences were not significant. Both of the knowledge about how to foster infants and service utility in intervention group were higher than that in control group. Conclusion The fostering interventions through the community promote the prevention and control of infants disease, increase the knowledge level and service util ity of families.展开更多
Background:Lymphatic filariasis(LF)#a neglected tropical disease(NTD)and leading cause of global disability,is endemic in 32 countries in Africa with almost 350 million people requiring regular drug administration,and...Background:Lymphatic filariasis(LF)#a neglected tropical disease(NTD)and leading cause of global disability,is endemic in 32 countries in Africa with almost 350 million people requiring regular drug administration,and only 16 countries achieving target coverage.Community Drug Distributors(CDDs)are critical for the success of NTD programs,and the distribution of medicines during mass drug administration(MDA)in Africa;however they could also be a weak link.The primary aim of this study is to explore and describe perceptions of CDDs during MDA for LF in Mvita sub-county in Mombasa county and Kaloleni sub-county in Kilifi county,Kenya;and provide recommendations for the effective engagement of communities and CDDs in low-resource settings.Methods:In September 2018,we conducted six focus group discussions with community members in each sub-county,three with men aged 18-30,31-50,and 51 years and above and three with women stratified into the same age groups.In each sub-county,we also conducted semi-struaured interviews with nine community health extension workers(CHEWs),the national LF focal point,the county NTD focal points,and seven community leaders.Content analysis of the data was conducted,involving a process of reading,coding,and displaying data in order to develop a codebook.Results:We found that several barriers and facilitators impact the engagement between CDDs and community members during MDA.These barriers include poor communication and trust between CDDs and communities;community distrust of the federal government;low community knowledge and perceived risk of LF,poor timing of MDA,fragmented supervision of CDDs during MDA;and CDD bias when distributing medicines.We also found that CDD motivation was a critical factor in their ability to successfully meet MDA targets.It was acknowledged that directly observed treatment and adequate health education were often not executed by CDDs.The involvement of community leaders as informal supervisors of CDDs and community members improves MDA.Conclusions:In order to achieve global targets around the elimination of LF,CDDs and communities must be effectively engaged by improving planning and implementation of MDA.展开更多
文摘This article introduces the connotation and operation mode of ‘Service Supply Chain’ into the research of community endowment service, based on the present situation investigation in different types of community endowment service in Hongshan and Wuchang district of Wuhan, combines with the operation concept of service supply chain to analysis the present bottleneck factors existing in the urban community of endowment service supply chain, and concludes the solving measures. This paper aims to improve the service level of the community endowment in all aspects, and concludes effective means and countermeasures in improving community endowment service quality.
文摘As the Chinese traditional culture is depend on the family, community home care service is increasingly becoming the first choice of the elderly aged. At present, Shanghai is facing serious aging phenomenon, the contradiction between supply and demand has become more and more intensified. This paper will analyze the status of supply and demand about Shanghai community endowment services, and then identify the existing problems and reasons for the accordance in supply and demand on the base of analysis. Ultimately, this paper will raise suggestions about promoting the matching between supply and demand of Shanghai community home care service.
文摘Shanghai has entered the depth of the current population aging stage, pure old home, and the empty nest family, lonely elderly people are gradually increasing, the elderly how to provide has become an issue concern in public society. However, with the developing of economic and society, the traditional family＇ s structure and function is gradually being weaken, and the traditional idea of raising children for old age is deeply rooted, elderly people are reluctant to leave their original place. So community family-care is becoming the main endowment way. However, there is a big problem in the quantity and quality of service which is supplied by community, the project that a lot of elderly people really needs, the community does not provide, and some projects are now offered to elderly people, the quality still can not fully to meet the needs of older persons. Those problems are urgently need to be solved. This study aims to know the current status of community family-care in Shanghai, starting from the needs of older persons to allocate the community resources rationally, further improve the quality of the pension service, protect the interests of the elderly.
文摘The momentum of rapid aging, old-age service supply has become a big problem. Our country also could not escape the threat of this trend, the implementation of the one-child policy, the core of the family, the old lonely man, and the children in the competitive society, under the strong pressure of endowment service supply. Aiming at the problem of community endowment service insufficient supply, scholars have also launched a rich discussion and a lot of research, this article will talk about the definition, the concept of community endowment service supply and supply problems.
文摘Objective To assess the effects of fostering interventions on the infants and their families through the community. Methods A total of 309 infants born on 1st August, 2003 to 30th August, 2004 and their families were recruited as participants by cluster sampling in Longhua and Kantian sub-districts of Xuhui district, Shanghai. The newborns were randomly assigned to intervention group （156 cases） and control group （153 cases）. The infants and their families will be followed up during 3-year interventions. Results After 6 months＇ intervention, the proportion of infants who could turn over the body in the intervention group （88.46%） was higher than that in control group （75.16%）. The morbidity of upper-respiratory tract infection in intervention group （20.51%） was significantly lower than that in control group （32.68%）. The incidence rates of pneumonia, diarrhea and anemia in intervention group were all lower than that in control group, except for pneumonia, the differences were not significant. Both of the knowledge about how to foster infants and service utility in intervention group were higher than that in control group. Conclusion The fostering interventions through the community promote the prevention and control of infants disease, increase the knowledge level and service util ity of families.
文摘Background:Lymphatic filariasis(LF)#a neglected tropical disease(NTD)and leading cause of global disability,is endemic in 32 countries in Africa with almost 350 million people requiring regular drug administration,and only 16 countries achieving target coverage.Community Drug Distributors(CDDs)are critical for the success of NTD programs,and the distribution of medicines during mass drug administration(MDA)in Africa;however they could also be a weak link.The primary aim of this study is to explore and describe perceptions of CDDs during MDA for LF in Mvita sub-county in Mombasa county and Kaloleni sub-county in Kilifi county,Kenya;and provide recommendations for the effective engagement of communities and CDDs in low-resource settings.Methods:In September 2018,we conducted six focus group discussions with community members in each sub-county,three with men aged 18-30,31-50,and 51 years and above and three with women stratified into the same age groups.In each sub-county,we also conducted semi-struaured interviews with nine community health extension workers(CHEWs),the national LF focal point,the county NTD focal points,and seven community leaders.Content analysis of the data was conducted,involving a process of reading,coding,and displaying data in order to develop a codebook.Results:We found that several barriers and facilitators impact the engagement between CDDs and community members during MDA.These barriers include poor communication and trust between CDDs and communities;community distrust of the federal government;low community knowledge and perceived risk of LF,poor timing of MDA,fragmented supervision of CDDs during MDA;and CDD bias when distributing medicines.We also found that CDD motivation was a critical factor in their ability to successfully meet MDA targets.It was acknowledged that directly observed treatment and adequate health education were often not executed by CDDs.The involvement of community leaders as informal supervisors of CDDs and community members improves MDA.Conclusions:In order to achieve global targets around the elimination of LF,CDDs and communities must be effectively engaged by improving planning and implementation of MDA.
