社区卫生服务的“管理模式”与“治理模式”比较

依据社区卫生服务的提供方与消费方之间的权力关系,社区卫生服务模式可以划分为管理模式和治理模式。在管理模式中,社区卫生服务提供方与消费方之间是建立在行政和技术权威基础上的管理与被管理关系。在治理模式中,社区卫生服务的提供方与消费方则是建立在沟通基础上的合作关系。我国社区卫生服务模式的发展趋势是从管理向治理的转变。     

Social support, sense of community in school, and self-efficacy as resources during early adolescence: an integrative model

Influences of different sources of social support (from parents and friends), school sense of community, and self-efficacy on psychosocial well being (as measured by self-reported life satisfaction and psychological symptoms) in early adolescence were investigated in an integrative model. The model was tested using structural equation modeling. Multi-group comparisons were used to estimate differences between sex and age groups. The survey sample was composed of 7,097 students in Northern Italy (51.4% male) divided into three age cohorts (equivalent to 6th, 8th, and 10th grades with median ages of 11, 13, and 15). Findings obtained using SEM were consistent with self-efficacy and school sense of community mediating effects of social support on psychosocial adjustment. The multi-group comparison indicates a need for more complex developmental models and more research on how changing forms of support interact with each other as their effects also change during this important stage of the life. Implications for primary prevention and cross-cultural comparisons are discussed.     

The Multidimensional Nature of Social Cohesion: Psychological Sense of Community, Attraction, and Neighboring

Items from the Neighborhood Cohesion Instrument were completed by 1,732 individuals from a random sample of households in 20 rural communities across Canada during the summer of 2001. Confirmatory factor analysis of the NCI items based on polychoric correlations and weighted least squares estimation found three underlying latent variables. Although items were related to the three latent variables in a somewhat different manner than they were in Buckner's original study, the same three latent variables were evident, providing convincing evidence that social cohesion has at least three subscales: psychological sense of community, neighboring, and attraction. Correlations between subscales were relatively high (between .67 and .87). Intraclass correlation coefficients for the three scales were .115, .127, and .112. In addition, the community means differed on different subscales in a manner that related to recognized characteristics of the communities. Thus the subscales are appropriate measures for both individuals and communities and can be recommended for further research on social cohesion.     

Juvenile prostitution and community rehabilitation: an exploratory analysis of beliefs and values

A community, juvenile prostitution rehabilitation programme in Bogotá, Colombia, South America is described; and beliefs and values of the residents were explored. Multiple sorting procedures and multi‐dimensional scaling analysis elicited qualitative, structured, self‐report data, and investigated cognitive constructs. Participants discriminated between belief‐statements along two global dimensions: street‐life and prostitution; and rehabilitation. These were comprised of qualitatively different elements. Clinical implications for interventions with this group and the rehabilitation programme are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Oppression and empowerment: perceptions of violence among urban youth

Youth violence in the United States has emerged as a major concern for communities, policymakers and community researchers. This paper reports on the efforts of a child mental health clinic to build a community consensus around addressing violence that affects youth and all members of the community. We describe and give case examples regarding our approach to acquiring the perspectives of the community, particularly that of youth, discuss key themes and implications that emerged from our work, and offer preliminary recommendations for designing a youth violence prevention initiative in a disenfranchised community. Copyright © 2007 John Wiley & Sons, Ltd.     

Young people's perceptions and experiences of leaving high school early: an exploration

Research suggests it is important for students to feel a sense of belonging to their school. Students who do not belong at school often attempt to satisfy this need through membership in antisocial groups, or they drop out from school altogether. The current study explored the perceptions and experiences of the school context held by young people who have left school early. Twelve young people aged 16–19 years were interviewed on their experiences of school and their wellbeing as a result of leaving school early. Constructionist grounded theory methodology formed the basis of the data analysis. The early leaving process was identified as having three phases; exclusion from school, the transition into workforce and the ‘now’ phase. The results identified factors in the school context that contributed to early student withdrawal. Furthermore, the research has implications for creating a ‘normative narrative’ (Rappaport, 2000 ) in relation to early school leavers. Copyright © 2007 John Wiley & Sons, Ltd.     

Diary reports on emotional experiences in the onset of a psychosocial transition: becoming drug‐free

The process of becoming drug free is viewed as a psychosocial transition in the life of drug addicts. A specific form of treatment of heroin addiction within residential communities is based on the importance of interpersonal relationships for change. Well‐being of 65 drug addicts during the first 2 weeks in a residential community is explored using a time‐sampling diary which was completed four times a day. The influence of subjects' history, situational context, and motive activation on well‐being and emotions is investigated. Results show that well‐being and emotions differ mainly according to subjects' history, but not — at least at the beginning of treatment within the community — according to situations. This is interpreted as a ‘state of shock’ in the new environment and highlights the necessity for special individual care for subjects with a long drug career. Copyright © 2001 John Wiley & Sons, Ltd.     

来自基层医生的呼吁：重视社区医疗—《行医日记》选载

《行医日记》用行医实践说明了社区医疗的作用、地位、服务方式、服务内容以及社区医疗的诸多困难,社区医疗应该有其特定的社会地位和学术地位,以下几篇内容是根据日常所做、所想、所感而作的总结。对基层医疗的社区服务性质应该有个全新的认识。     

We didn't say that: Challenges in the Public Dissemination of a Research Finding with Controversial Implications

In the March 2014 issue of American Journal of Community Psychology, we published an article that examined the tension between two core values in the field of community psychology: promoting contextual conditions that foster respect for diversity and promoting contextual conditions that foster sense of community. We concluded that processes of social network formation could help explain why diversity and sense of community are seemingly incompatible goals. The study's findings initially disseminated through the usual academic channels, and later through mainstream media outlets. However, they also eventually appeared on blogs and discussion forums devoted to white nationalism. The findings were viewed there as having demonstrated the evils of diversity, and thus having vindicated the white nationalist agenda. As a result, we were forced to consider whether and how to set the record straight. In this first‐person narrative, we describe our study's journey from AJCP to white nationalist blogs, discussing how we ultimately responded to the situation, and concluding with some lessons learned.     

Community‐Based Learning and Critical Community Psychology Practice: Conducive and Corrosive Aspects

Community‐based learning (CBL) has been more recently introduced into some psychology programmes in the UK than in the USA, where it has existed for a number of decades in the form of ‘service learning’. CBL holds promise as a means of promoting and developing critical community psychology practice, but there are risks involved in its acritical adoption in the psychology curriculum. If associated power dynamics are not considered, CBL has the capacity to serve neoliberal interests and perpetuate, rather than challenge, oppressive social relations. This article examines ways in which CBL can be both conducive and corrosive to critical community psychology practice. Drawing on interdisciplinary literature, it explores ways in which students participating in CBL can be vulnerable to exploitation—both as victims and perpetrators—through collusion and cultural voyeurism. Consideration is given to ways of resisting institutional and other pressures to comply uncritically with the demands of the ‘employability agenda’. These include the importance of facilitated reflective processes in associated modules, to consider aspects of the interactions of people and systems. The article concludes that whilst CBL is inherently risky and involves discomfort for students, this enables development of a more informed consciousness where truly participatory work evolves towards greater social justice. Copyright © 2016 John Wiley & Sons, Ltd.