society

Society
  • 文章类型: News
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  • 文章类型: Letter
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  • 文章类型: Journal Article
    背景:在全球范围内,经济发达国家面临着类似的老龄化人口结构和“护理差距”的挑战,然而,由于不同的护理和正式的支持系统,以及围绕疾病和护理的不同文化和社会规范。这项探索性研究的目的是研究照顾者动机的跨国差异,意愿,值,生活的意义,疾病信念,和幸福的经历,增益,与健康相关的生活质量,负担和抑郁,6个欧洲国家和以色列。很少描述上述非正式照料者经历中的跨国差异。
    方法:进行了一项在线调查(ENTWINE-iCohort),尽可能使用经过验证的措施。本文利用了来自879名护理人员和7个国家的数据(希腊,意大利,荷兰,波兰,瑞典,英国,和以色列)。
    结果:没有一致的发现支持照顾者支持政策/国家文化与照顾者动机/意愿之间的并发关系。通常以个人主义文化为特征的国家的看护人报告家庭主义较低,更高的自我增强值,与更多的集体主义国家相比,更大的疾病威胁。在较贫穷的国家中,对意义的追求要高于较富裕的国家。较高的负面照顾者体验(例如,负担)和较低的积极体验(例如,与正规支持系统较发达的国家相比,在护理人员支持不足的国家通常观察到福祉)。
    结论:跨国差异可以在不同程度上由围绕护理(或其缺失)和国家文化背景的国家政策来解释。结果强调了正式支持服务对于实现积极的照顾者体验的重要性,并帮助制定政策和措施,以支持欧洲和以色列的护理人员。
    BACKGROUND: Globally, economically developed countries face similar ageing demographics and the challenge of a \'care gap\', yet they vary due to different care and formal support systems, and different cultural and societal norms around illness and care. The aim of this exploratory study was to examine cross-country variations in caregiver motivations, willingness, values, meaning in life, illness beliefs, and experiences of wellbeing, gain, health-related quality of life, burden and depression, across 6 European countries and Israel. Cross-country differences in the above-mentioned informal caregiver experiences are rarely described.
    METHODS: An online survey (ENTWINE-iCohort) was conducted using validated measures wherever possible. This paper utilises data from 879 caregivers and seven countries (Greece, Italy, the Netherlands, Poland, Sweden, the UK, and Israel).
    RESULTS: No consistent finding supporting the concurrent relationship between caregiver support policies/country culture and caregiver motivations/willingness was found. Caregivers in countries typically characterised by individualist cultures reported lower familism, higher self-enhancement values, and greater perceived illness threat compared to more collectivist countries. Search for meaning was higher in poorer countries than in wealthier countries. Higher negative caregiver experiences (e.g., burden) and lower positive experiences (e.g., wellbeing) were generally observed in countries with underdeveloped caregiver support as compared to countries with more developed formal support systems.
    CONCLUSIONS: Cross-country variations can be explained to varying degrees by national policies around care (or their absence) and country cultural contexts. The results emphasise the importance of formal support services for achieving positive caregiver experiences, and help inform the development of policies and measures to support caregivers in Europe and Israel.
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  • 文章类型: Journal Article
    背景:eHealth的实施进展缓慢。深入了解患者对电子健康的偏好和需求可能会改善其使用。
    目的:本研究旨在描述患者何时希望使用eHealth,患者如何以数字方式交流和接收信息,以及哪些因素影响电子健康在临床实践中的使用。
    方法:进行了多方法研究。与22名风湿病患者举行了两次约5.5小时的全体会议和焦点小组会议,骨科,以及一家专门研究肌肉骨骼疾病的荷兰医院的康复科。在定性的焦点小组期间进行分配(例如,半结构化面试问题)和定量(即,投票和排名因素)数据收集。
    结果:患者希望使用电子健康的方式因患者和患者护理途径的时间而异。患者的数字渠道偏好取决于与医疗保健提供者(HCP)互动的需求。交互需要又受到信息或通信特定于个体患者的程度的影响,并导致对患者的后果。影响电子健康使用的5个最重要的因素是获取医疗信息(例如,电子健康记录),感知对疾病管理的控制,信息的正确性和完整性,数据安全,并随时获取信息或HCP。影响电子健康使用的5个最不重要的因素是帮助使用数字设备,有互联网或设备,数字技能,对电子健康的态度或情绪,和社会效益。
    结论:患者确定了在其护理途径的所有时刻使用电子健康的机会。然而,对电子健康的偏好在患者和护理途径的阶段之间有所不同。因此,电子健康应量身定做,以适应个体患者的喜好,但也需要通过提供各种具有交互可能性梯度的数字渠道,就不同的主题进行交互。此外,未来,数字技能和互联网接入可能会变得不那么重要。改善患者的电子健康使用可以通过为患者提供正确和安全的(医疗)信息以及对其护理的更多控制来实现。
    Implementation of eHealth is progressing slowly. In-depth insight into patients\' preferences and needs regarding eHealth might improve its use.
    This study aimed to describe when patients want to use eHealth, how patients want to communicate and receive information digitally, and what factors influence the use of eHealth in clinical practice.
    A multimethod study was conducted. Two meetings of ~5.5 hours with plenary information sessions and focus groups were held with 22 patients from the rheumatology, orthopedics, and rehabilitation departments of a Dutch hospital specialized in musculoskeletal disorders. Assignments were performed during the focus groups in which qualitative (eg, semistructured interview questions) and quantitative (ie, voting and ranking factors) data were collected.
    The way patients want to use eHealth varies between patients and moments of a patient\'s care pathway. Patients\' digital channel preferences depended on the need for interaction with a health care provider (HCP). The interaction need is in turn influenced by the degree to which information or communication is specific to an individual patient and leads to consequences for the patient. The 5 most important factors influencing the use of eHealth were access to medical information (eg, electronic health records), perceived control over disease management, correctness and completeness of information, data security, and access to information or an HCP at any time. The 5 least important factors influencing eHealth use were help with using digital devices, having internet or equipment, digital skills, attitude or emotions toward eHealth, and societal benefits.
    Patients identified opportunities for using eHealth during all moments of their care pathway. However, preferences for eHealth varied between patients and phases in the care pathway. As a consequence, eHealth should be tailored to fit individual patients\' preferences but also the need for interaction regarding different topics by offering a variety of digital channels with a gradient of interaction possibilities. Furthermore, digital skills and access to the internet might become less important to focus on in the future. Improving eHealth use by patients may be achieved by providing patients access to correct and safe (medical) information and more control over their care.
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  • 文章类型: Journal Article
    在过去50年左右的时间里,随着性别观点在更广泛的社会中出现,同样,人们对与性别和年龄相关的科学研究产生了更大的兴趣,包括对过去(考古学)和现在(民族学)的研究。这里,我专注于Mal\'ta系列-位于西伯利亚的著名冰河时代遗址。特别是,我专注于几件猛犸象的象牙拟人化雕塑,它们似乎反映了人类童年的各个阶段,包括婴儿期和青少年时期。这些雕塑具有逼真的元素,包括与人体测量数据一致的儿童期每个阶段的比例,服装和配饰的细节,和青春期的特殊基准。基于这些小雕像,我提出了这个社会的旧石器时代儿童的发展框架。此外,我讨论了在Mal\'ta发现的两个孩子的葬礼,在这个冰河时代社会中提供了对童年的更多见解。特别注意人工制品,例如“悬挂的鸟类”和带有平坦底座的动物雕像。这些文物可以解释为玩具,作为儿童摇篮的护身符或传家宝,与西伯利亚和远北原住民文化中保存的此类物品进行类比。
    As a gendered perspective has emerged in wider society over the past 50 or so years, a greater interest in gender- and age-related research in science has similarly occurred, including for the study of the past (archaeology) and the present (ethnology). Here, I focus on the Mal\'ta collection - a well-known Ice Age site located in Siberia. In particular, I focus on several mammoth ivory anthropomorphic sculptures which appear to reflect stages of human childhood, including infancy and the teenage years. These sculptures feature realistic elements, including proportions of each phase of childhood consistent with anthropometric data, details of clothing and accessories, and special benchmarks of puberty. Based on these figurines, I propose a developmental framework of the Paleolithic child from this society. Additionally, I discuss the burial of two children also found at Mal\'ta, which provides additional insights into childhood within this Ice Age society. Particular attention is given to artefacts such as the \'hanging birds\' and animal figurines with a flat base for standing. These artefacts could be interpreted as toys, as amulets for a child\'s cradle or as family heirlooms, with analogies to such objects preserved in the cultures of the aboriginal population of Siberia and the Far North.
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  • 文章类型: Journal Article
    背景:在大多数高收入国家中,老年人占人口的比例越来越高。口腔疾病对健康和福祉的影响是深远的,未来的毕业生应该能够满足他们在这个阶段的生活需求。这项研究测试了让牙科学生直接参与社区探索老年人口腔健康问题和信息需求的可行性。
    方法:在当地招募了17名老年人,与8名牙科学生一起在健康和福祉中心参加研讨会。首先,老年人选择了对他们重要的口腔健康相关主题,提出相关问题和关切。学生在随后的研讨会上就这些选定的主题提供了有证据的反馈。参与者(学生和老年人)反映了他们的参与(通过问卷调查,讨论和个人反思)。定性数据采用专题分析法进行分析。结构,探讨了研究的过程和结果。
    结果:结构:学生和老年人都愿意参加研讨会。社区的讲习班促进了两组之间的积极参与,而不受诊所的限制。
    方法:学生认为研讨会前的准备工作足够,但在讨论小组中提出了有关他们管理“强角色”的能力的问题。
    结果:老年人对此表示欢迎。他们提出的重要主题由学生提供有关维护口腔健康的建议。学生报告说,对如何支持老年人有了更好的理解,并期望对未来的实践产生重大影响。
    结论:学生参与直接社区参与受到所有人的欢迎,展示设计的可行性和积极影响,同时突出对老年人口腔健康的重要问题。
    BACKGROUND: Older people represent a growing proportion of the population in most high-income countries. The impact of oral diseases on health and well-being is far-reaching, and future graduates should be able to meet their needs in this phase of life. This research tested the feasibility of involving dental students in direct community engagement to explore older peoples\' oral health concerns and information needs.
    METHODS: Seventeen older people were recruited locally to attend workshops with eight dental students in a health and well-being centre. First, older people selected oral health-related topics important to them, raising relevant questions and concerns. Students provided evidence-informed feedback on these selected topics at a subsequent workshop. Participants (students and older people) reflected on their involvement (via questionnaires, discussions and personal reflections). Qualitative data were analysed using thematic analysis. The structure, process and outcome of the study were explored.
    RESULTS: Structure: Both students and older people were willing to participate in workshops. Workshops in the community facilitated active engagement between both groups without the constraints of clinics.
    METHODS: Students considered pre-workshop preparations adequate but raised issues about their ability to manage \'strong characters\' within discussion groups.
    RESULTS: Older people welcomed the initiative. Important topics raised by them were addressed by students giving them advice on maintaining their oral health. Students reported an improved understanding of how older people can be supported and expected a significant impact on future practice.
    CONCLUSIONS: Student involvement in direct community engagement was welcomed by all, demonstrating the feasibility and positive impact of the design whilst highlighting issues of importance for older people\'s oral health.
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