Community health service centers in China, not always trusted by the populations they serve?

Based on the idea that healthcare needs to be managed by individuals and that basic health services should be provided by the community, this paper examines the factors that impact urban outpatients' preferences for particular community health service centers (CHSCs) and hospitals. Rational consumption of healthcare is influenced by a patient's beliefs, beyond simple demographics and social structure. Ignorance of basic health issues leads to non-rational patient behavior, which also explains the confusion in Chinese health reform regarding people's mistrust of CHSCs. Health education in the form of self-managed care may increase personal health knowledge and encourage individuals to make use of the basic health services that are supplied by CHSCs.     

HSE走进中国石油

企业管理水平的好坏直接影响着企业的经济效益,运用HSE管理能提高企业管理水平,HSE管理模式将健康,安全,环境三者视为一个有机的整体。HSE管理认为人的安全是第一位的,人是创造财富的原动力,是企业的最大财产,HSE管理体系强调的是“蝴蝶效应”。     

Treatment effects of selection behavior in managed care plans: evidence from Medicaid

This paper tests whether capitated payments to Medicaid managed care plans induce to plans strategic undercutting of treatment for specific diagnostic groups. I focus on treatment (measured by length of stay and cost) in acute care hospitals in Massachusetts. I use a differences-in-differences-in-differences approach, where the third differences compare treatment patterns between managed care plans that receive capitated payments with those that do not. I find that the first reduce treatment significantly more to mental health patients than to patients in other disease groups, whereas the latter reduce hospital resource use more uniformly across disease groups. These results highlight the importance of using payment mechanisms in public programs that reflect the variability in costs of beneficiaries.Received: September 2002, Accepted: May 2003, JEL Classification: I11I thank Randall Ellis, Kevin Lang and Thomas McGuire and anonymous referees for valuable comments and suggestions. I also thank seminar participants at The Brookings Institution and Harvard/MIT/BU Health Economics Seminar. The Portuguese National Science Foundation (B.D. 5910/95) and NIMH (NIMH R01 MH59254) provided financial support. I am indebted to the Massachusetts Division of Health Care Finance and Policy for kindly providing the data to me for this project. I am responsible for any errors that may remain.     

Hospital Marketing and Communications Via Social Media

Social media usage by health care organizations has increased dramatically. Findings from this research show that 95% of the top ranked hospitals use social media. The purpose of this study is to examine whether social media usage varies according to size of hospital and types of services provided. Since social media platforms appeal to different groups of people, this prompts the question of whether certain platforms are more appealing to people who partake in different health services. Findings reveal differences in social media usage depending on the services provided by a hospital.     

“Going natural”: Black women’s identity project shifts in hair care practices

Hair care, a seemingly mundane consumption practice, is packed with sociocultural meanings and constitutes an important realm of identity work for consumers. Drawing upon existing literature on consumer identity projects, this paper investigates the experiences of urban, Black women in Kenya as they disengage from the normative practice of altering their natural hair texture using chemical straighteners (a practice that conforms to Eurocentric beauty ideals of straight, flowing hair), and adopt the non-normative hair care practice of “going natural,” in which they embrace their natural hair texture and hairstyles. This paper traces the historical, sociocultural, and political events that underpin the normative ideology associated with the identity marker of natural Black hair, and how this ideology influences the women’s “going natural” experience. Findings reveal tensions that emerge in the women’s identity project disengagement and reconstruction process, and how the women navigate their position as they reimagine their embodied identity quest.     

人文关怀下建筑行业农民工的和谐管理

建筑业农民工是建筑行业的主力军,他们带来生产力发展的同时,由于其"非农非工"的身份、综合素质低下,他们处于城市的边缘,同时也带来了生产中的安全和质量问题。本文正是在这种背景下提出对建筑业农民工的人文关怀下的和谐管理建议,以促进社会的和谐发展。     

Health and cosmetics: Investigating consumers’ values for buying organic personal care products

In investigating consumers’ intentions to re-purchase organic personal care products (PCP), this study extends the theory of planned behaviour by including perceived value dimensions as the antecedents of attitude in the model. The findings revealed that most of the hypothesised relationships linking the consumer perceived value constructs (namely, health, safety, hedonic and environmental) with attitude towards the rebuying of organic PCP, were supported. Also, better product knowledge about organic PCP would lead to more positive attitudes towards re-purchasing the product. In contrast, social value was not important in predicting attitude. Similarly, the influence of subjective norm on rebuying intention was not supported. In terms of ranking of importance with regards to prediction of re-purchasing intention, attitude was the most important predictor followed by perceived behavioural control, product knowledge, hedonic value, environmental value and safety value.     

On the cost-benefit of the regionalisation of the National Health Service

In this paper we analyse in formal terms the desirability of the regionalisation of a National Health Service. The policy consists of a devolution process, i.e. the increase in the health services provision to be decided by a region and financed by an increase in its revenues. The change is a marginal one, as it regards the part of supply of the health services exceeding a minimum standard, which for purposes of equity is maintained uniform in the national territory. As the central government is responsible for this component of the provision of health care (a federal “mandate”), the level of the said component is chosen by this authority and financed by federal taxation. Moreover, the government also applies an equalisation scheme based on the difference between a standard level of tax revenues and the revenues which the region is deemed able to raise for this purpose. Within the theoretical context of welfare improving reforms with distortionary taxation, we derive two conditions which focus on the regional, as well as the social, convenience of regionalisation. Received: May 5, 1999 / Accepted: January 21, 2000     

我国养老模式的现状与发展对策研究

老龄化是各国社会发展进步的必然趋势,而老年人的养老问题是一个社会问题,直接关系着和谐社会的建设。我国的计划生育政策加速了人口老龄化,促使人口老龄化在国家还未富裕的条件下成为经济社会发展的严峻挑战。面对人口老龄化加速的现实,我国需要一个完善的养老体系,尤其是养老服务体系,而西式机构养老模式与中国的传统文化相冲突。通过对我国传统养老模式的分析、研究发现,以家庭服务保障为基础,以社区照顾为依托,以机构供养为补充,以网络化的社区养老服务中心为平台的＂居家养老＋社区照料＂将是我国未来主流养老模式。     

气相色谱-串联质谱法测定油类婴幼儿护理产品中的多环芳烃

建立了气相色谱-串联质谱法(GC-MS/MS)测定油类婴幼儿护理产品中18种多环芳烃(PAHs)的方法。样品首先经过环己烷溶解、二甲亚砜萃取、环己烷反萃取、亚铁氰化钾和乙酸锌沉淀处理后,再用气相色谱-串联质谱进行定性及内标法定量分析。结果表明,18种多环芳烃在5μg/L~100μg/L的浓度范围内线性良好,R2在0.9934~0.9992范围内,平均回收率在73.3%~125%之间,相对标准偏差(RSD)为0.55%~8.58%(n=6)。将本方法应用到实际的婴幼儿润肤油、橄榄油、抚触油产品检测中,结果显示能够实现PAHs的简单、快速、准确检测。