In this report, the World Health Organization maps out what countries can do to modify their financing systems so they can move more quickly to universal coverage, and sustain the gains that have been achieved. The report builds on new research and lessons learnt from country experience. It provides an action agenda for countries at all stages of development and proposes ways that the international community can better support efforts in low-income countries to achieve universal coverage and improve health outcomes
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背景: 公共健康護理在香港的演變可以追溯到二十世紀三十年代,但公共衛生護士的培訓卻自一九五四年才正式開始。由於在此領域工作的護士人數相對比醫院護士少,因而令公共衛生護士的貢獻較不明顯。本研究旨在揭示公共衛生護士於一九五四年至二零一零年期間經歷了文化,社會,經濟和政治的變化後在母嬰健康院的發展。研究目的: 檢視公共健康護理的特點,並對公共健康護理在母嬰健康院的工作和改變進行分析,以確定對公共健康護理在母嬰健康院的發展有重大影響的事件和原因。研究方法: 使用研究歷史的方法,重新審視公共衛生護士的經驗。主要研究數據來源是收集退休公共衛生護士和醫療及護理行政人員的口述歷史。輔助數據來源則包括政府文件,個人筆記,照片和剪報。共有37名受訪者同意接受訪問,其中包括六名行政人員和三十一名退休公共衛生護士,年齡由五十多歲到九十歲。研究員以面對面訪談方法收集口述歷史。並以內容分析法處理所得資料。研究結果: 研究結果描繪公共健康護理有六大特點,包括其分類,護理文化,服務重點,健康教育和健康促進的功能,以及展現出護理的藝術和科學。研究結果表明,文化,社會,經濟,政治因素和社會上的重大事件影響了公共健康護理。其中不明顯和被貶值的公共健康護理服務,醫療優勢和行政影響,公共衛生和公共健康護理的意識形態,作為政府人員和公共健康護士的培訓等專業問題影響了公共衛生護士在香港的地位和護理專業。在這項研究中收集的數據也揭露了香港公共健康護理的發展是密切跟隨公共健康的變化,其發展可分為三個階段:從一九五四年到一九七零年是公共健康護理的演化期一九七零年至一九八零年間是靜態期,而一九九零年至二零一零年則是變化期。研究結論和含義: 公共健康護士需要擴大知識和技能,促進專業自主,推行以實證為基礎的護理並記錄護理成果。歷史研究可以幫助解釋過去和加強理解現狀;而歷史對護理亦提供了重大貢獻。 ; Background: The evolution of public health nursing in Hong Kong can be traced back to the 1930s but formal training of public health nurses only commenced in 1954. However, as the number of nurses working in this field was small in comparison with hospital nurses, their practice and contribution is largely unknown. Aim: This study aims to reveal the developments in public health nursing practice in Maternal and Child Health Centres (MCHC) from 1954 to 2010. Objectives of this study include examining the characteristics of public health nursing practice and analysing the changes in public health nursing practice in MCHC, as well as identifying the significant events and factors that influenced its development. Methods: The historical research method was adopted to examine the public health nurses' experiences. The primary data source was derived from the collected oral histories of retired public health nurses and medical and nursing administrators. The secondary data source was obtained from a review of government documents, personal notes, photographs and newspaper cuttings. In total, thirty-seven informants, including six administrators and thirty-one retired public health nurses were interviewed, ranging in age from late 50s to early 90s. ...
Cheung, Lai-shan. ; Thesis (M.Phil.)--Chinese University of Hong Kong, 2000. ; Includes bibliographical references (leaves 153-162). ; Abstracts in English and Chinese. ; Acknowledgments --- p.i ; Abstract --- p.ii ; List of Figures --- p.iv ; Abbreviations --- p.iv ; Chapter ; Chapter One --- Introduction --- p.1 ; Chapter Two --- New Public Management: Its Theoretical Underpinnings and Their Inadequacies --- p.23 ; Chapter Three --- The Content of the Managerial Reform: The New Philosophy of the Hospital Authority --- p.64 ; Chapter Four --- De-mystifying the Culture: Delineating the Managerial Reform from the Participants´ة Sense --- p.99 ; Chapter Five --- Conclusion --- p.146 ; Bibliography --- p.153 ; Appendix I --- p.163
Zhang, Jiayu. ; Thesis (M.Phil.)--Chinese University of Hong Kong, 2009. ; Includes bibliographical references (p. 136-147). ; Abstract also in Chinese. ; Abstract --- p.iiii ; Table of Contents --- p.viii ; List of Abbreviations --- p.ix ; List of Figures --- p.x ; List of Tables --- p.x ; Chapter Chapter I: --- Introduction --- p.1 ; Chapter 1. 1 --- What happened to China´ةs SRB? --- p.1 ; Chapter 1. 2 --- Women´ةs Human Rights as important Human Rights --- p.3 ; Chapter 1. 3 --- SRB and Women´ةs Rights --- p.6 ; Chapter 1. 4 --- Research Purpose and Methods --- p.7 ; Chapter 1. 5 --- Research Outline --- p.17 ; Chapter Chapter II. --- The Particular Features in China´ةs SRB --- p.20 ; Chapter 2. 1 --- The Regional Features in SRB --- p.20 ; Chapter 2. 2 --- The Ethnic Features in SRB --- p.23 ; Chapter 2. 3 --- The Features by Birth Order --- p.24 ; Chapter Chapter III. --- The Causes of Imbalanced SRB --- p.26 ; Chapter 3. 1 --- The Proximal Causes --- p.26 ; Chapter 3. 2 --- The Fundamental Cause --- p.31 ; What Encourage son preference in China? --- p.32 ; Chapter 3.2.1 --- Cultural and Historical Factors --- p.33 ; Chapter 3.2.2 --- Economic Factors --- p.38 ; Chapter 3.2.3 --- Law and policy as a Structural Factor --- p.40 ; Political Silence --- p.42 ; Economic Subordination --- p.43 ; Sexual Subordination --- p.48 ; Birth Control --- p.50 ; Chapter Chapter IV. --- The Consequences of Imbalanced SRB from a Human Rights Perspective --- p.58 ; Human Rights Violation against Women in the SRB Issues --- p.59 ; Chapter 4.1 --- Rights Violations Which Cause the Distorted SRB --- p.59 ; Chapter 4.2 --- Rights Violations for Which the Abnormal SRB is a Cause --- p.66 ; Chapter 4.2.1 --- Trafficking in Women --- p.70 ; Chapter 4.2.2 --- Sexual Crimes --- p.72 ; Chapter 4.2.3 --- Women´ةs Civil and Political Rights --- p.73 ; Chapter Chapter V. --- Women´ةs Human Rights Mechanism and Domestic Measures Adopted to Control Abnormal SRB --- p.76 ; Chapter 5.1 --- The International Human Rights Fundamental for ...
The Lancet Countdown is an international collaboration established to provide an independent, global monitoring system dedicated to tracking the emerging health profile of the changing climate. The 2020 report presents 43 indicators across five sections: climate change impacts, exposures, and vulnerabilities; adaptation, planning, and resilience for health; mitigation actions and health co-benefits; economics and finance; and public and political engagement. This report represents the findings and consensus of the 35 leading academic institutions and UN agencies that make up The Lancet Countdown, and draws on the expertise of climate scientists, geographers, engineers, experts in energy, food, and transport, economists, social, and political scientists, data scientists, public health professionals, and doctors.
本研究探討深思的可能性模型(Elaboration Likelihood Model)在設計推廣使用營養標籤的廣告中的適用性。香港的一所中學的169位學生參與了一個2 x 2 x 3(健康意識:高vs. 低 x 論據:數據 vs. 經驗 x 代言人:專家vs. 名人 vs. 普通人)的實驗。 部分假設得到支持。 健康意識的主效果明顯。 具有較高健康意識的青少年更易被廣告說服。 健康意識和代言人具有交叉效應。對於健康意識較高的人來說,營養師更有說服力, 而對於健康意識較低的人來說,名人更有影響力。論據和代言人的搭配影響了資訊的處理路徑。如果以數據為主的論據是由普通人提供的,則更易推動青少年使用營養標籤。而如果以個人經驗為主的論據是由名人提供的,則更有效。統計結果將在深思的可能性模型下得以展開討論。 本文還會對開展針對青少年的公共健康傳播運動提出建議。 ; This study tested the utility of the Elaboration Likelihood Model in creating effective Public Service Announcements (PSAs) of nutrition label use. Students (N=169) from a secondary school in Hong Kong participated in a 2x2x3 (Health consciousness: High vs. Low x Argument: Informational vs. Testimonial x Source: Expert vs. Celebrity vs. Ordinary Person) factorial design experiment. Hypotheses were partially supported. Main effect was located for health consciousness. Adolescents with high health consciousness were more persuaded by the PSAs. There was an interaction effect between health consciousness and source. A dietitian as the source was most persuasive to people with high health consciousness, while low health conscious people were most influenced by a celebrity. The information processing route was biased by the match of argument and source. Informative argument made by an ordinary person was more likely to motivate adolescents to use nutrition label, while testimonial argument made by a celebrity was the most effective. The findings are discussed in light of ELM and match-up hypotheses. Recommendations are also offered for public health communication campaigns. ; Detailed summary in vernacular field only. ; Dong, Zhuowen. ; Thesis (M.Phil.)--Chinese University of Hong Kong, 2013. ; Includes bibliographical references (leaves 72-84). ; Abstracts also in Chinese; appendixes in Chinese. ; Abstract --- p.i ; Acknowledgements --- p.iii ; Table of Content --- p.vi ; Chapter Chapter 1: --- Introduction --- p.1 ; Publicity Campaign of Nutrition Labelling Scheme in Hong Kong --- p.1 ; Adolescent and Nutrition Label (NL) --- p.3 ...
Klappentext: In 2009, to mark the sixtieth anniversary of the People's Republic of China, the Fairbank Center for Chinese Studies convened a major conference to discuss the health and longevity of China's ruling system and to consider a fundamental question: After three decades of internal strife and turmoil, followed by an era of reform, entrepreneurialism, and internationalization, is the PRC here for the dynastic long haul? Bringing together scholars and students of China from around the world, the gathering witnessed an energetic exchange of views on four interrelated themes: polities, social transformations, wealth and well-being, and culture, belief, and practice. Edited and expanded from the original conference papers, the wide-ranging essays in this bilingual volume remain true to the conference's aim: to promote open discussion of the past, present, and future of the People's Republic of China.
自1840年清廷與英國簽訂《南京條約》以來,長久以來東亞地區傳統國家對於人身的掌握方式以及以朝貢冊封作為手段所建立的天下秩序便日漸被削弱且重新被編入近代西方國際法秩序之中。在此過程中,當時的東亞各國,皆曾嘗試一方面遵行近代西方的國際法秩序,一方面使用西式的法律將自身塑造為符合西方意義下的近代國家以達到可以完全在其「國」內外掌控其臣民之人身並同時受到西方列強所承認的目的。而所謂的近代西方國際法秩序,特別是在其秩序下主權國家所代表的對外擁有獨立性以及對內之臣民與領土擁有排他性權力等特質,更被明治維新之後的日本政治家與知識分子視為是國體存在的憑藉與證明,是使日本得以與歐美列強建立平等外交關係的前提之一。換句話說,日本近代法秩序中具有明顯地使日本作為一個主權國家融入近代西方國際法秩序的企圖。 ; 然而自1890年《大日本帝國憲法》正式實施以來,日本先後在甲午戰爭以及日俄戰爭後領有臺灣與朝鮮。日本帝國在法律上所須支配的範圍不再僅限於日本列島,同時更包含了以上在帝國轄下這些地域的人身流動。在此種情況下,本研究企圖解決兩個問題,即:第一,當時什麼是「臺灣人」?而臺灣人在帝國內被日本政府以法律的方式賦予怎樣的法律地位?而這個法律地位在治安法律的適用上與帝國內的其他人群,特別是日本內地人之間又具有怎樣的差別,而其成因又是什麼?第二,當《治安維持法》作為當時日本帝國下日本與臺灣兩地域所共同擁有的治安法律時,帝國的裁判機構是如何根據帝國下各地域在地社會的情形而處理在各地域的治安法律案件的?而這些法院的判例又對於當時「臺灣人」族群意識的形成具有怎樣的影響?以及這些法律關係對於了解整個日本帝國的發展所具有的意義上有什麼幫助? ; 而經由本研究,筆者得出結論,認為帝國下的「臺灣人」的法律地位與其治安法律的適用是與日本帝國權力秩序之結構有著深刻的關係。而當時帝國權力秩序之結構事實上即是近代西方國際法秩序在東亞的滲透、天皇制國家的國體論述、兩地各自過往治安法律的實施背景,以及當時日本國內外的臨時事件的各個因素所形成的,並且影響了「臺灣人」作為一個族群意識的形成。 ; Ever since the mid-19th century, the traditional East Asian Hua Yi (華夷) system has been weakening and was re-incorporated into the modern Western world order because of the rise of the Western powers. This process not only broke the old ruling order (in East Asia connected through the Tribute system), but also made the East Asia countries greatly shaped by the new concept of the International Law, for example the equal status between all sovereign states and the sovereign states had exclusive authorities over their people and territories. In this trend, Japan, China, and other East Asian countries were to some extent, tried to not only comply with the order of the International Law, but also made themselves a sovereign state recognized by the Western powers in order to avoid their diplomatic intervention using the excuse of different concept of law. ; In this pursuit, the legal system, particularly the characteristics in the constitution that a country owning a constitution was independent from external interferences and superior to domestic affairs have attracted many Japanese intellectuals and politicians in the Meiji period (1868-1912). They ...
殖民時期的香港一直被丛书新自由主義的經典例子。加上香港殖民政府的剝削本質,它一般不會提供廉價醫療服務給予普羅大眾。然而,儘管有「積極不干預主義」這口號,殖民政府仍然於香港留下了龐大公營醫療系統。為什麼龐大公營醫療系統與放任自由主義並存於二次世界大戰後的香港社會? ; 為了解答以上疑問,本研究將從一九六四年醫療改革,探討香港戰後醫療政策。本文認為,香港研究忽視了冷戰對香港公共衛生的影響。文獻回顧後,實證研究分為三部分。第一部分提出「衛生關注」(Sanitary Concern)不足以構成醫療改革的原因。第二部分通過文本分析,發現六十年代的主流報章不重視醫療改革,由此可見改革並非基於公眾的訴求。最後的部分從戰後政府檔案,發現長遠的公營醫療規劃沿於五十年代後期。同時,戰後公營醫療系統的擴張,更可能是因為殖民政府為了確保足夠的戰時緊急醫療服務,及防止左派利用社區診所滲透入基層。 ; Hong Kong has been regarded as a textbook example of Neo Liberalism. The exploitative nature of a colonial government makes it unlikely for the colonial state to make commitment for low-cost medical services to the general public. However, the slogan of "positive non-interventionism notwithstanding, the strong public health sector in Hong Kong is also a colonial legacy. Why was such a state-centered medical system established in a laissez-faire society after the Second World War? ; This thesis aims at investigating the 1964 hospital reform in Hong Kong to study the colonial governance and arguing that the Cold War factor has been neglected in the analysis of the medical-institutional change. After the literature review, there are three empirical sections to support this explanation. The first part finds that sanitary concern was not a strong reason for the reform. In the second part, a context analysis on newspaper during the 1960s shows that the hospital reform was simply neglected by most newspapers, which implies that the reform was not the direct result of public pressure. The final part looks into the long-term medical planning since the late 1950 and several related medical policies through different archives in order to demonstrate the impacts of Cold War's politics on Hong Kong's medical services provision. Evidences suggest that self-sufficiency of military-emergency medical services and control over the growing influence of left-wing community clinics could be a more convincing explanation for the reform. ; Detailed summary in vernacular field only. ; Detailed summary in vernacular field only. ; Tang, Kai Yi. ...
The Nancy N. Boothe papers, 1980-2009 [bulk 1990-1997], are composed of articles, notes, reports and a wide variety of feminist publications. Much of the material documents the U.N. Fourth World Conference on Women, which Ms. Boothe attended as Executive Director of Atlanta's Feminist Women's Health Center. Artifacts, artwork and textiles relate to the conference and to other women's and health issues. ; Born in Battles Wharf, Alabama (1948), Nancy N. Boothe graduated from the University of South Alabama as a registered nurse (1971). She received a B.S. in nursing from the Medical College of Georgia (1976), and a master's degree in Counseling from Troy State University [Florida Region] (1981). Boothe served in the U.S. Nurse Corps in the U.S. and Korea (1970-1984), and worked as clinical director and consultant at a number of health facilities in Louisiana and Florida. She became Executive Director of the Atlanta Feminist Women's Health Center in 1994. In 1995, she attended the Fourth World Conference on Women in Beijing, China, where she taught the workshop, ""GYN Self-Help."" Boothe has served on the boards of All Women's Health Services in Portland and Eugene, Oregon; the Sexual Assault Center, Atlanta, Georgia; and the Jeanette Rankin Foundation, Athens, Georgia. She is also a member of the Feminist Majority Foundation's ""Women's Commission for Congressional Oversight"" and A.P.D. Citizen Review Panel.; Founded in California in 1971 by Carol Downer (1933-) and Lorraine Rothman (1932-2007), the Feminist Women's Health Center was established to empower women through self-knowledge, education and self-help groups. The Atlanta Feminist Women's Health Center was established in 1977. Its mission is to ""provide accessible, comprehensive gynecological healthcare to all who need it without judgment. As innovative healthcare leaders, [they] work collaboratively within [their] community and nationally to promote reproductive health, rights and justice. [They] advocate for wellness, uncensored health information and fair public policies by educating the larger community and empowering [their] clients to make their own decisions.""; The United Nations convened the Fourth World Conference on Women, September 4-15, 1995, in Beijing, China, with a Platform for Action that aimed at achieving greater equality and opportunity for women. Three previous World Conferences were held in Mexico City (International Women's Year, 1975), Copenhagen (1980) and Nairobi (1985). 189 governments and more than 5,000 representatives from 2,100 non-governmental organizations participated in the Beijing Conference. The principal themes were the advancement and empowerment of women in relation to women's human rights, women and poverty, women and decision-making, the girl-child, violence against women and other areas of concern. The resulting documents of the Conference are The Beijing Declaration and Platform for Action. The U.N. Fourth World Conference on Women manifested a global women's movement for change and has been called ""the Woodstock of the women's movement.""; The World Conference on Women was also accompanied by an informal meeting (August 30-September 8) of non-governmental organizations (NGOs). This NGO Forum on Women, Beijing '95, brought together thousands of women from around the world to exchange information and ideas, celebrate women's achievements and contributions and draw attention and develop solutions to discrimination facing women world-wide.