在线医疗社区患者择医行为影响因素研究   总被引：5，自引：1，他引：4  

陆泉  李易时  陈静  李保萍 《图书情报工作》2019,63(8):87-95

[目的/意义]在线医疗社区作为新型医患互动的医疗服务平台，其中的咨询服务是社区吸引用户的重要功能，而付费咨询也是社区赢利的关键模块。了解付费咨询时患者择医行为的信息需求与影响因素，能够更好地改善医生的服务、提升社区活力。[方法/过程]基于消费者信任理论和消费者感知理论，同时考虑在线社区的研究背景，创新地加入价格和从众心理的作用，建立在线医疗社区患者择医行为的影响模型，并以好大夫在线为例，爬取网站数据进行回归分析，以验证变量之间的因果关联。[结果/结论]实证分析证实医生的线下声誉、线上口碑、服务质量、贡献价值、热度以及价格等因素对患者择医行为的影响，且患者线上择医行为也表现出与传统线下择医的差异。研究结果可为医生改进服务和平台社区促活增收提供参考建议。  相似文献   

The Unintentional Effects on Body Donation Programs of a Competency-Based Curriculum in Postgraduate Medical Education     

Geoffroy P.J.C. Noël  Joseph Dubé  Gabriel Venne 《Anatomical sciences education》2021,14(5):675-681

As medical programs place increasing importance on competency-based training and surgical simulations for residents, anatomy laboratories, and body donation programs find themselves in a position of adapting to changing demands. To better assess the demand for “life-like” cadaveric specimens and evaluate the possible impacts that competency-based medical education could have upon the body donation program of McGill University, Canada, the authors tracked, over the course of the last 10 years, the number of soft-embalmed specimens, along with the number of teaching sessions and the residents enrolled in competency-based programs that are using cadaveric material. The results reveal that the number of soft-embalmed specimens used within residency training increased from 5 in 2009 to 35 in 2019, representing an increase from 6% of bodies to 36.5% of the total number of body donors embalmed in this institution. Correspondingly, the number of annual teaching sessions for residents increased from 19 in 2012 to 116 in 2019. These increases in teaching are correlated with increasing number of residents enrolled in competency-based programs over the last 3 years (Pearson r ranging from 0.9705 to 0.9903, and R² ranging from 0.9418 to 0.9808). Those results suggest that the new skill-centered curricula which require residents to perform specific tasks within realistic settings, exhibit a growing demand for “life-like” cadaveric specimens. Institutions’ body donation programs must, therefore, adapt to those greater need for cadaveric specimens, which presents many challenges, ranging from the logistical to the ethical.  相似文献   

医学检验专业教学与检验技士资格考试对接的探索与实践     

付毓平  胡淼  张俊丽  李恒  王侠  贺志安 《教育教学论坛》2020,(20):57-59

临床医学检验技术资格考试系测评是否为合格专业人才的有效措施,这为检验专业教学指明了以资格考试为切入点,以行业需求为标准的导向。在专业教学中围绕资格考试大纲体现的专科教育教学“必需、够用”的原则,突出实用性和针对性,我院从人才培养、教师队伍建设、实践平台搭建等三个方面对医学检验专业的教学进行了探索与实践。  相似文献   

Covid-19: Emerging Considerations for Body Sourcing and Handling. A Perspective View from Nigeria     

Izuchukwu Azuka Okafor  Terkuma Chia 《Anatomical sciences education》2021,14(2):154-162

The current Coronavirus disease (Covid-19) pandemic has spread to about 220 countries of the world and has resulted in a significant number of deaths globally. Infections are still on the rise, and the impact on the global death rate could be devastating. There are fears over the likely impact of a large number of deaths on body sourcing and handling of cadavers for teaching and research. Historically, epidemics come with several challenges and have often led to some level of negligence of ethical practices and health and safety regulations associated with body sourcing and handling. The authors highlighted some emerging problems in this article, focusing on Africa and Nigeria in particular. These problems include a higher risk of coronavirus exposure for body handlers, shortage of cadavers for teaching and learning, a lack of standard regulations leading to unethical body sourcing and handling, and a lack of monitoring and collaboration needed for a well-coordinated Covid-19 pandemic response strategy. If these issues are ignored, the previous gains made in anatomical ethical practices may be destroyed. Some useful recommendations for policymaking geared toward prevention or curtailing these emerging issues have been instilled in this article.  相似文献   

A Practical Guide to Scholarly Activity for Health Sciences Librarians     

Terri Gotschall  Shalu Gillum  Nadine Dexter 《Medical reference services quarterly》2020,39(3):220-237

Abstract

This guide to scholarly activities provides early- and mid-career health sciences librarians with a path to immersing in scholarly activities. The four levels walk librarians through increasing stages of scholarship. Early-career librarians will begin at the first level, navigating from discovering mentors and areas of research interest to level two, publishing a resource or book review and finding their first public speaking opportunity. More experienced librarians will find where they are on the path and continue to build their scholarship all the way to conducting and publishing original research and becoming leaders in their field.  相似文献   

服务于乡村治理的民间武术组织转化路径研究     

张望龙 《河北体育学院学报》2020,34(5):86-90

自治、法治、德治“三治合一”的乡村治理体系，为探索民间武术组织服务于乡村治理提供了新思路。在传统社会，民间武术组织以武德传承强化乡村德治机制，以门规戒约规范乡村法治秩序，以家长制参与乡村自治实践。而进入现代社会，民间武术组织服务于乡村治理面临着传统德治弱化、法治建设不完善、参与自治机制不健全三方面的困境。提出，民间武术组织要建立新的道德体系，营造乡村治理的德治氛围；加强组织治理，强化乡村治理的法治理念；深化自治实践，主动承担乡村治理职责功能，旨在为更好促进民间武术组织有效治理、推动乡村发展提供参考。  相似文献   

Strength,Weakness, Opportunity,Threat (SWOT) Analysis of the Adaptations to Anatomical Education in the United Kingdom and Republic of Ireland in Response to the Covid-19 Pandemic     

Georga J. Longhurst  Danya M. Stone  Kate Dulohery  Deirdre Scully  Thomas Campbell  Claire F. Smith 《Anatomical sciences education》2020,13(3):301-311

The Covid-19 pandemic has driven the fastest changes to higher education across the globe, necessitated by social distancing measures preventing face-to-face teaching. This has led to an almost immediate switch to distance learning by higher education institutions. Anatomy faces some unique challenges. Intrinsically, anatomy is a three-dimensional subject that requires a sound understanding of the relationships between structures, often achieved by the study of human cadaveric material, models, and virtual resources. This study sought to identify the approaches taken in the United Kingdom and Republic of Ireland to deliver anatomical education through online means. Data were collected from 14 different universities in the United Kingdom and Republic of Ireland and compared adopting a thematic analysis approach. Once themes were generated, they were collectively brought together using a strength, weakness, opportunity, threat (SWOT) analysis. Key themes included the opportunity to develop new online resources and the chance to engage in new academic collaborations. Academics frequently mentioned the challenge that time constrains could place on the quality and effectiveness of these resources; especially as in many cases the aim of these resources was to compensate for a lack of exposure to cadaveric exposure. Comparisons of the actions taken by multiple higher education institutions reveal the ways that academics have tried to balance this demand. Discussions will facilitate decisions being made by higher education institutions regarding adapting the curriculum and assessment methods in anatomy.  相似文献   

Abandoning Either/Ors in Analyzing Shifts in Humanitarian Reporting     

David Nolan  Stephanie Brookes  Michelle Imison 《Journalism Practice》2020,14(1):17-33

ABSTRACT

The shifting constitution of journalists as humanitarian actors has profound implications for changing forms of journalism practice, as well as for the normative models through which journalists understand and reflect on that practice. In an effort to develop a more empirically-grounded engagement with change, this article explores the interview testimonies of Australian journalists who cover international and humanitarian issues. It argues that frameworks reliant on stark oppositions (between past and present, optimism and pessimism, or moral agency and material structure) are both empirically and practically problematic, and seeks to move beyond these. Engagement with data from semi-structured interviews offers insight into how journalists’ perceptions of and responses to change are shaped by the historical and shifting institutional relations in which they are implicated.  相似文献   

‘Just don’t tell them what’s in it’: Ethics,edible insects and sustainable food choice in schools     

Verity Jones 《British Educational Research Journal》2020,46(4):894-908

Supporting young people with global crises mitigation strategies is essential, yet loaded with ethical dilemmas for the educator. This study explores whether young people will make ethical decisions regarding the sustainability of food choice in schools, and based on the processes identified, what educators’ needs are in supporting transformative learning. This study is the first of its kind, where young people under the age of 14 have been tasting edible insects and discussing their role in a more sustainable diet. The article draws on mixed-method research with over 180 young people and their teachers in three schools in Wales and examines responses to a possible introduction of edible insects into school canteens. Highlighted is the complexity of sustainable food choices—likely to be identifiable with other young people and educators in western countries. The article considers how educators and policy makers may need to frame routes to positive sustainable action and the associated impacts these may have on personal, social, political and environmental spheres.  相似文献   

Neuroanatomy Learning: Augmented Reality vs. Cross-Sections     

Dylan J.H.A. Henssen  Loes van den Heuvel  Guido De Jong  Marc A.T.M. Vorstenbosch  Anne-Marie van Cappellen van Walsum  Marianne M. Van den Hurk  Jan G.M. Kooloos  Ronald H.M.A. Bartels 《Anatomical sciences education》2020,13(3):353-365

Neuroanatomy education is a challenging field which could benefit from modern innovations, such as augmented reality (AR) applications. This study investigates the differences on test scores, cognitive load, and motivation after neuroanatomy learning using AR applications or using cross-sections of the brain. Prior to two practical assignments, a pretest (extended matching questions, double-choice questions and a test on cross-sectional anatomy) and a mental rotation test (MRT) were completed. Sex and MRT scores were used to stratify students over the two groups. The two practical assignments were designed to study (1) general brain anatomy and (2) subcortical structures. Subsequently, participants completed a posttest similar to the pretest and a motivational questionnaire. Finally, a focus group interview was conducted to appraise participants’ perceptions. Medical and biomedical students (n = 31); 19 males (61.3%) and 12 females (38.7%), mean age 19.2 ± 1.7 years participated in this experiment. Students who worked with cross-sections (n = 16) showed significantly more improvement on test scores than students who worked with GreyMapp-AR (P = 0.035) (n = 15). Further analysis showed that this difference was primarily caused by significant improvement on the cross-sectional questions. Students in the cross-section group, moreover, experienced a significantly higher germane (P = 0.009) and extraneous cognitive load (P = 0.016) than students in the GreyMapp-AR group. No significant differences were found in motivational scores. To conclude, this study suggests that AR applications can play a role in future anatomy education as an add-on educational tool, especially in learning three-dimensional relations of anatomical structures.  相似文献