发展健康研究

试图讲座在健康研究中,如何适时、恰当并有效地把性别融合于其中,第一,我们应更注意健康研究的结果;第二,在健康研究中注重性别差异的意义;第三,分行性别健康的可持续性研究环境。     

全球基本健康研究

在过去的10年间,世界各国的卫生研究意识都在增强,每个国家都很重视基本的国家研究在医疗卫生及医疗卫生系统中的作用。基因组计划将改变我们理解健康和疾病的方式,导致人们对“预防性治疗”的需要,但其带来的负面影响不可忽视。     

Governance of Transnational Global Health Research Consortia and Health Equity

Global health research partnerships are increasingly taking the form of consortia of institutions from high-income countries and low- and middle-income countries that undertake programs of research. These partnerships differ from collaborations that carry out single projects in the multiplicity of their goals, scope of their activities, and nature of their management. Although such consortia typically aim to reduce health disparities between and within countries, what is required for them to do so has not been clearly defined. This article takes a conceptual approach to explore how the governance of transnational global health research consortia should be structured to advance health equity. To do so, it applies an account called shared health governance to derive procedural and substantive guidance. A checklist based on this guidance is proposed to assist research consortia determine where their governance practices strongly promote equity and where they may fall short.     

深化卫生事业改革应关注卫生经济伦理学研究

卫生经济伦理学是应用伦理学的一个分支,相对于经济学和卫生经济学的发展,卫生经济伦理学的建立和发展滞后,导致卫生经济体制改革的经济效果与社会效果的一定程度的偏离。卫生经济伦理学的理论前提是社会结构变迁要求各个相对独立社会领域的规则整合,其研究任务是为社会经济主体的行为提供一个规范性的评判,实现社会的和谐发展。     

Nudge to Health: Harnessing Decision Research to Promote Health Behavior

We review selected literature that examines how biases in decision making can be utilized to encourage individual health behavior, such as vaccination, and promote policy decisions, such as resource allocation. These studies use simple interventions to nudge people towards more optimal health decisions without restricting decision‐makers’ freedom of choice. Examples include framing effects, defaults, implementation intentions, position effects, social norm, incentives, and emotions. We suggest that nudges are an effective way to promote healthy behavior.     

深化卫生事业改革应关注卫生经济伦理学研究

卫生经济伦理学是应用伦理学的一个分支,相对于经济学和卫生经济学的发展,卫生经济伦理学的建立和发展滞后,导致卫生经济体制改革的经济效果与社会效果的一定程度的偏离.卫生经济伦理学的理论前提是社会结构变迁要求各个相对独立社会领域的规则整合,其研究任务是为社会经济主体的行为提供一个规范性的评判,实现社会的和谐发展.     

共享信息资源 促进卫生研究

近20年来,由于住处技术的迅速发展,住处的采集、处理和传播也随之发生了革命性的变化,住处技术的应用是提高卫生研究能力的有效措施之一,必须把计算机和网络功能等住处技术在卫生研究领域中的广泛应用提高到战略高度来认识,在卫生研究创新中住处是必备的条件,信息筛选和加工本身就是研究工作,需要发展、促进。卫生研究的成果,不仅要公开发表,而且要向决策者提供,互联网上拥有大量的医药卫生信息,要充分发挥它的巨大潜力。行政管理部门应充分重视作为信息源的网络建设和互联网的利用,信息开放和共享能力的提高是加强卫生研究能力、促进卫生研究发展的重要条件。     

健康焦虑的研究现状

健康焦虑是一种由轻到重的连续性的症状谱,它的极端形式被称之为疑病症.关于健康焦虑的流行病学数据很少,发病的机制和原因也不清楚,但大多数的研究证实健康焦虑与焦虑障碍有相同的认知过程.疑病症的临床表现为疾病观念、躯体症状、歪曲信念和行为,健康焦虑只是在程度上轻于疑病症,并没有发生质的改变.在健康焦虑的治疗中最受关注的应属正念认知疗法,它在很多方面都优于传统的认知行为疗法,当然其他治疗方法也能起到一定的辅助作用.健康焦虑带来的危害是巨大的,因此社会将面临重大挑战.     

激励发展中国家的卫生研究——再思考与研讨新策略时代正在兴起

发展中国家需要更清晰地明确其卫生研究面临的优先项目,即国家应共同分担全球性研究项目,增强激励和纳入研究轨道的国家能力,把循证决策人微言轻政策决策的基础,加强国家与国际合作问题是卫生研究中的中心议题。     

Eavesdropping on Health: A Naturalistic Observation Approach for Social Health Research

This article provides an overview of a novel ecological momentary assessment method called the electronically activated recorder or EAR. The EAR is a portable audio recorder that periodically records snippets of ambient sounds from participants' momentary environments. In tracking moment-to-moment ambient sounds, the EAR yields an acoustic log of a person's day as it naturally unfolds. As a naturalistic observation method, it provides an observer's account of daily life and is optimized for the assessment of audible aspects of participants' daily social environments and interactions. The article discusses the EAR method conceptually and methodologically and identifies three important ways in which it can enrich social health research. Specifically, it can help cross-validate research findings independent of self-reports, calibrate psychological measures against behavioral markers of real-world social functioning, and further our understanding of the role that people's mundane social interactions and language use play in coping and health.     

Judging Public Health Research: Epistemology,Public Health and the Law

There are three broad ethical issues related to handling public health emergencies. They are the three R's—rationing, restrictions and responsibilities. Recently, a severe shortage of annual influenza vaccine in the US, combined with the threat of pandemic flu, has provided an opportunity for policy makers to think about rationing in very concrete terms. Some lessons from annual flu vaccination likely will apply to pandemic vaccine distribution, but many preparatory decisions must be based on very rough estimates. What ethical principles should guide rationing decisions, what data should inform these decisions, how to revise decisions as new data emerge, and how to implement rationing decisions on the ground are all important considerations. In addition, ethicists might be able to help policy makers think through the importance of international cooperation in surmounting global rationing dilemmas and to accept the inevitable responsibilities of government in making and implementing rationing decisions.     

Integrating Behavior into Health Research and Health Care: One Psychologist's Journey

The author narrates a history of the development of her interest in integrating behavior into heath research and health care. Using diabetes as an exemplar, she describes some of the challenges of integrating behavior into health research and health care: (1) becoming a member of interdisciplinary research and health care teams; (2) acquiring funding for behavioral research with medical populations; (3) communicating scientific findings; and (4) acquiring reimbursement for psychological services rendered. Specific examples of how the author and other psychologists can address these challenges are provided.     

Community-Based Participatory Research for Improved Mental Health

Community-based participatory research (CBPR) focuses on specific community needs, and produces results that directly address those needs. Although conducting ethical CBPR is critical to its success, few academic programs include this training in their curricula. This article describes the development and evaluation of an online training course designed to increase the use of CBPR in mental health disciplines. Developed using a participatory approach involving a community of experts, this course challenges traditional research by introducing a collaborative process meant to encourage increased participation by special populations and narrow the parity gap in effective mental health treatment and services delivery.     

A Genetics Primer for Social Health Research

The recently completed sequencing of the human genome heralds a new era in the study of social influences upon health. Because the interactions between genes and the environment are bidirectional, expertise in the areas of psychosocial processes and health behaviors will be necessary for elucidating how genes, behavior, and the environment interact to affect health outcomes. For investigators whose primary background is in social health research, the terminology used by geneticists may seem like a foreign language. To help navigate this foreign territory, the nature of genetic variation and gene action is presented in non‐technical terms using the serotonin transporter gene as an example because it is thought to influence sensitivity to the social environment. In addition, we describe several methodological pitfalls to be avoided when associating genetic variation with psychosocial and behavioral risk factors for poor health outcomes.     

论医疗改革透明度

透明度作为现代社会的重要原则,同样对中国医疗改革的进程起到关键作用.在我国全面推动医疗卫生体制改革的同时,对透明度的关注也应被提升到相应的高度.从透明度的理解、具体内容以及体制形式上进行了辨析,并在理论基础上进一步的论证与阐述.     

医疗改革的公众参与问题研究

公众参与有助于增强医疗改革政策制定的透明度和有效性;但如何使公众能真正参与并影响医疗改革是亟需解决的难题.回顾国外卫生政策制定过程中公众参与的实践经验;发现我国医疗改革公众参与需要从协商监督机制建构、直接参与度设计以及价值观建构三方面开展.     

Measuring Child Mental Health Status for Services Research

Epidemiological studies of the prevalence of mental health disorders typically contain multiple measures of mental health, using different instruments and different informants (child, parent, and interviewer). We used the Methods for the Epidemiology of Child and Adolescents Mental Disorder (MECA) study of U.S. youth to assess the effects of employing a range of these measures in mental health services research. We examined the effect of including various measures of mental health status in regressions of income on mental health service use. The estimated effect of income on service use varied widely, depending on the measure of mental health status used. Some measures of mental health status have little explanatory power in service use regressions. Measures of mental health status based on parental assessment of impairment or need, such as the Columbia Impairment Scale, are less costly to collect and also have good explanatory power, but are more strongly correlated with income. The Non-Clinician Child Global Assessment Scale (NC-CGAS) performs best in terms of explanatory power and correlation with income. Higher income parents appeared to judge behaviors differently from lower income parents, so analyses based on measures derived from parental report may lead to an understatement of the effect of income on service use.     

Improving the Reporting of Health and Psychological Research

A growing body of empirical evidence has consistently demonstrated that much publically and privately funded research is reported in a way that makes it difficult for the findings to be included in evidence syntheses or used by researchers, clinicians, policy makers, and the public. Poorly reported studies thus represent a significant waste of scarce resources. Reporting guidelines are one strategy that has been increasingly used as a method to improve the completeness or usability of primary and secondary research across a broad range of disciplines including psychology. We present a synopsis of two studies investigating the impact of the Transparent Reporting of Evaluation with Nonrandomised Designs statement and factors that affect authors' and journal editors' use of it and other reporting guidelines. We also make recommendations for future guideline development or revisions based on our experiences, provide details of resources for psychologists, and make suggestions for future research and recommendations for improving the transparency of reporting of psychological research.