An Exploration of Older Men's Social Lives and Well-Being in the Context of a Coffee Group

Recreation professionals continually strive to serve a host of diverse program constituents, while leisure researchers attempt to uncover barriers to leisure participation. Much of the barriers or constraints research has come from the perspective of program participants. This study identified, from the perspectives and experiences of 18 recreation professionals, the issues and barriers that they perceive inhibit recreation program access and availability to diverse constituents, particularly ethnic minority populations. Co-cultural theory, which integrates the concepts of muted group theory and standpoint theory, was utilized as the study's theoretical framework. In-depth interviews were utilized. Five primary barriers were identified that related to the changing faces of the community, the changing faces of management and staff, deferred program responsibility, language barriers, and negative attitudes and stereotypes held by some management and staff. This article demonstrates how these barriers impact leisure participation for disenfranchised groups. The findings suggest that recreation agencies, often unwittingly or unknowingly, foster organizational barriers that inhibit the perceived program accessibility or attractiveness to ethnic minorities. Implications for research and professional practice are explored.     

浅谈盆栽花卉对室内环境的改善

本文从盆栽花卉可以释放氧气、吸收有害气体和调节室内温湿度等五个方面简要介绍盆栽花卉改善室内环境和调节人的身心健康。     

论药品专利和公共健康问题——以人权和“价值平衡”理论为视角

WTO建立的TRIPS协议将包括药品在内的一切发明都纳入可以给予专利保护的范围，这使发展中国家在解决本国因艾滋病、结核病和疟疾等传染病引起的公共健康问题时，和发达国家相关药品的专利保护之间产生冲突。从当前全球的公共健康现状出发，运用人权和“价值平衡”理论对此分析，可以得出这样的结论：作为基本人权，发展中国家人民的生命健康权应该优于知识产权加以保护。     

A Market and Spatial Perspective of Health Tourism Destinations: The Hungarian Experience

Since health tourism is one of the most popular and most dynamically developing products of modern tourism, this paper aims at studying the characteristic features of health tourism destinations from a regional and spatial perspective. Accordingly, the authors would like to introduce a new approach of spatial and product analysis of tourism where the market and spatial relations and relevance of health tourism were analysed through the example of Hungary. Although the classic medical tourism centres were established on natural medical water basis, by today, due to product diversification, continuous innovation and the involvement of medical services into health tourism, the geographical embeddedness seems to disappear, thus basically restructuring the market. The methodological novelty of the research is that exceeding the classic supply–demand algorithm, we compiled a complex viewpoint system adequate to the specialities of the given product characteristics. In our study, the authors intend to survey the special characteristics of health tourism focusing on medical destinations through Hungarian examples since the country's leading position in the global market is well recognized, including medical services. Copyright © 2014 John Wiley & Sons, Ltd.     

商业健康保险是否促进了居民健康——基于微观数据的实证研究

党的十九大报告明确提出全面实施"健康中国"战略,强调商业健康保险参与多层次医疗保障体系建设,服务广大人民群众健康保障的重要作用。明确商业健康保险如何从微观层面提高居民健康是有效发挥其助力"健康中国"作用的前提与基础。本文基于中国健康和营养调查(CHNS)2000～2015年面板数据,利用面板工具变量法解决内生性,考察商业健康保险对居民健康水平的影响,同时对不同收入阶层和年龄阶段进行异质性分析,并进行机制探讨。研究表明,商业健康保险能够显著提高居民的健康水平,而且这一正向影响对高收入阶层和中年人群的正向影响更为明显。此外,机制分析表明商业健康保险能够提高居民的医疗服务利用,改善居民健康行为,从而提高健康水平。     

“以医促养”还是“以养促养 ”:医疗保险与养老金的健康绩效比较

CLHLS2014年数据的结构方程模型估计结果显示,养老金收入能显著提高老年人的主观健康,并且主观健康还能显著增进生理健康。路径模型进一步检验发现养老金能通过显著改善受访者的居住条件、水果摄入量、及时就医、经济状况等途径来提高老年人的生理健康。而医疗保险支出与老年人主观健康、生理健康之间都呈显著负相关关系。相比医疗保险支出,养老金能带来更正面更积极的健康绩效,且促进老年人健康的途径更为丰富。实证结果说明,相比“以医促养”,“以养促养”的老年人健康绩效更优。本文建议我国从以疾病治疗为中心转为依托养老金购买养老服务,提高老年人生活质量的健康保障体系。     

增强学生心理健康教育实效性的研究

我国中小学心理健康教育已普遍受到关注,各级各类学校相继开始实施,但不少学校缺乏实效性和针对性。需要积极探索,采取措施,切实提高我国中小学心理健康教育的实效性。     

Keeping Public Institutions Invested in Tobacco

Increasingly through the 1990s, tobacco control advocates questioned the practice of public institutions investing in tobacco company stocks. The questioning was framed in at least three ways. First, is it ethical to fund public expenditures with profits from a product that causes addiction and disease? Second, is it sound social policy to derive public income from a product that increases healthcare costs and reduces worker productivity? Finally, is it sound fiscal policy to invest in an historically profitable industry facing multiplying legal and regulatory challenges? While the tobacco industry preferred to restrict discussion to the fiscal question, and offered an affirmative answer, its position was weakened by depressed stock prices brought on by actions of the industry as much as by tobacco control activism. As part of a campaign to restore its credibility as an investment vehicle with public fund managers, Philip Morris (PM) commissioned a report from the influential investment managers/advisors Wilshire Associates. However, Wilshire had only recently conducted such a study for the Washington State Investment Board (WSIB), assuring the board that the value tobacco stocks added to an investment portfolio – if any – was too small to be measured. Nonetheless, within a year, Wilshire produced a report for PM which appeared to laud the investment value of tobacco and to dismiss tobacco-excluded investment alternatives. This paper examines how Wilshire produced apparently diametrically opposed reports for clients with different interests. It reveals a pattern of potential conflicts of interest among tobacco companies, financial analysis firms, investment authorities, and institutional fund managers. It demonstrates substantial violations of two generally accepted ethical principles of business consulting: veracity and transparency.     

美国医疗保健模式及其改革

由于倡导自由市场经济的文化和社会背景,美国是唯一没有实行全国统一的医疗保障制度的发达国家。本文对美国医疗保险制度、美国医院的管理运行机制、美国医疗保险付费方式的沿革进行了系统的介绍,并梳理了美国医疗保健管理模式的特点与问题,结合奥巴马政府医疗保健改革要点,对我国医疗保健体系改革提出了几点建议。     

浅析农村公共卫生产品供给的多元化体系构建

当前,是我国加快农村公共卫生产品供给体系建设、全面建设小康社会的关键时期,构建多元化的农村公共卫生产品供给体系意义重大。结合我国国情以及农村实际,我国应该构建一个以政府、市场、非营利组织以及农村民众为一体的多元化供给体系。即应加大政府的财政供给力度,为农村提供普遍性预防性产品;积极引入市场机制,通过市场向日益富裕的农村提供差异化的高端卫生产品;积极发挥非营利组织作用,为农村提供地区性和行业性特殊卫生产品;加强农村公共卫生的宣传力度,提高农民的自我满足程度与水平。