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1.
The Affordable Care Act (ACA) landscape offers a prime opportunity to explore the transformation of consumer health reference services. This article focuses on a number of key areas in which consumer health reference work is revisited in the context of the ACA. In particular, library staff training opportunities, service philosophies, and strategies for conducting consumer health reference interviews must evolve and expand. Overall, revisiting consumer health reference is timely and needed to ensure that libraries remain responsive to community health information needs.  相似文献   

2.
Marrying the psychometric paradigm with the community structure theory, this paper examines the coverage of a superbug (NDM-1) in newspapers in India, the UK, and the USA. It identifies several community structure characteristics: level of vested economic interest, level of health care available, and size of health care stakeholders as factors influencing how risks of NDM-1 are portrayed in terms of the level of dread, controllability, familiarity, and uncertainty. The finding provides baseline data for the scientific community and public health professionals in creating more effective messages to inform the public about the risks of superbugs.  相似文献   

3.
Between the years 1993 and 2000, the W. K. Kellogg Foundation sponsored the Comprehensive Community Health Models (CCHMs) Initiative in three Michigan counties. CCHMs was comprised of three closely related community initiatives carried out in the midst of a failed national health care reform effort and the continued penetration of managed care arrangements into many health care systems. This experimental initiative set out to test the hypothesis that traditional healthcare system animosities and exclusionary practices could be overcome by stakeholder participation in an ongoing, structured, collaborative dialogue about improving access to health services. In the process of collecting data through surveys, interviews, content analysis, and observation, we were struck by the occurrence of several overarching tensions that we perceive to exist in our data. The present article elucidates five such tensions and suggests how third parties such as communication researchers, evaluators, and practitioners can facilitate community health improvement initiatives and better their own data interpretation by acknowledging and understanding these tensions.  相似文献   

4.
Between the years 1993 and 2000, the W. K. Kellogg Foundation sponsored the Comprehensive Community Health Models (CCHMs) Initiative in three Michigan counties. CCHMs was comprised of three closely related community initiatives carried out in the midst of a failed national health care reform effort and the continued penetration of managed care arrangements into many health care systems. This experimental initiative set out to test the hypothesis that traditional healthcare system animosities and exclusionary practices could be overcome by stakeholder participation in an ongoing, structured, collaborative dialogue about improving access to health services. In the process of collecting data through surveys, interviews, content analysis, and observation, we were struck by the occurrence of several overarching tensions that we perceive to exist in our data. The present article elucidates five such tensions and suggests how third parties such as communication researchers, evaluators, and practitioners can facilitate community health improvement initiatives and better their own data interpretation by acknowledging and understanding these tensions.  相似文献   

5.
In the past decades, the rates of childhood obesity have increased rapidly in Asian countries, where an increase in Westernization of behavioral and dietary lifestyle is evident. Although causes of childhood obesity have raised an issue about the direct influence of food advertising on children, little has been known about what kinds of health relevant content are provided and how they are presented. The present study explores the current practice of television food advertising targeted at children in Korea and extends previous content analyses by examining the content and presentation manner of health-related claims as well as persuasive appeals and food types. The results of the analysis of 403 television commercials show children in Korea are still mainly targeted with advertising messages that urge the consumption of unhealthy foods heavily emphasizing sensory and emotional appeals, while food marketers have not utilized health information enough and put an emphasis on ‘health’ in advertising without making substantial claims explicitly. This study also reveals that some presentation manners of health-related claims are identified as potentially misleading with child audiences.  相似文献   

6.
Health disparities between Native Americans and the general population of the United States are a major health concern. Traditional healing and culturally competent health care offer much promise in raising the health status of Native Americans. Traditional healing, although uniquely practiced by each indigenous culture, is generally a system of medicine based on the inseparability of mind, body, and spirit. Culturally competent health care, care that is congruent with the culture and language of the patient, is a growing initiative in western medicine. This article outlines Internet sites and online resources relevant to the study and practice of traditional healing and culturally competent health care.  相似文献   

7.
This online experiment integrates confirmation, politeness, and self-determination theories to examine how Veterans evaluate family members’ messages encouraging them to seek behavioral health care. Veterans (N?=?226) evaluated messages manipulated to express high or low levels of acceptance and autonomy support, completed outcome measures (persuasiveness, relational impact, identity management, emotions), and reported on their own reintegration difficulties. Positive associations were found between perceived message acceptance and three outcomes, and perceived autonomy support and two outcomes. Reintegration difficulties were associated with more negative message perceptions. Perceived acceptance and autonomy support also mediated a number of associations between manipulated message features and outcomes, as well as reintegration difficulties and outcomes. Theoretical and practical implications are discussed.  相似文献   

8.
《The Reference Librarian》2013,54(82):171-182
Abstract

Edward G. Miner Library, the health sciences library at the University of Rochester Medical Center, is reaching out beyond its usual user group to improve health knowledge of members of six inner-city African-American churches and one community center. With the Congregation Healthy Heart Action Partnership (CHHAP) and the Rochester Public Library as partners, and with funding from the National Library of Medicine, Miner is providing Internet access at the churchesand training church and community members to use reliable health Web sites such as MedlinePlus. A train-the-trainer approach and follow-up meetings empower church members to carry the information to others. In addition to trainees learning about reliable health Web resources and Rochester Public Library's health resources, new relationships between libraries and churches have resulted. It is hoped that this program will help reduce health disparities between Rochester's inner-city minorities and residents of the surrounding suburbs.  相似文献   

9.
《Communication monographs》2012,79(4):403-430
Research on social support during the past two decades has been marked by a growth in scholarship examining supportive communication in computer-mediated contexts among individuals coping with illness. In an effort to summarize and advance this body of research, a meta-analytic review of content analyses was conducted. Across the 41 content analyses examining social support messages shared in health-related contexts online, informational and emotional support messages were most prevalent. Additionally, the prevalence of particular types of support messages varied based on several stressor dimensions relevant to illness. Nurturant forms of support were more common among content analyses examining health conditions likely to threaten personal relationships as well as among content analyses focusing on health conditions with a greater potential for loss in the form of death. Action-facilitating types of support were more common among content analyses examining more chronic conditions. The findings from this project offer insights about the nuanced ways in which computer-mediated communication is used as a resource for coping with illness.  相似文献   

10.
Approximately 13% of Americans who provide care for an ailing family member do so from a distance, making long-distance caregiving a relevant health communication topic to study. A self-report online survey examined the quality of information provided by care recipient to distant caregiver, uncertainty about care recipient health, and perceived quality of care from the distant caregivers' perspective. Information quality, uncertainty, and perceived quality of care were significantly related as predicted. How these findings offer new insight into the complex nature of distant caregiving communication is discussed.  相似文献   

11.
图书馆开展社区公共卫生服务是图书馆的使命与社会教育职责在社区发展中的表现形式。本文通过对比国内外图书馆开展相关服务的实践,总结出当前我国图书馆开展公共卫生信息服务存在的主要问题,论述了图书馆开展公共卫生信息服务需要坚持的基本原则、工作目标和实现路径,提出了图书馆开展社区公共卫生信息服务的工作方针、角色定位、工作目标、内容体系等。  相似文献   

12.
Hispanics are the fastest growing minority population in the United States today. Providing health information services to Hispanic patients and their family members can be challenging because of diversity. Library staff should be familiar with the specific health care needs and sociocultural characteristics of Hispanics. This article discusses the movement toward providing culturally competent health care and identifies socioeconomic challenges and barriers to health care faced by Hispanics. Suggestions are offered for communicating with this group in the reference setting, and a selective bibliography of Internet consumer health resources available in both Spanish and English is provided.  相似文献   

13.
This study tests a theoretical model named the Extended Elaboration Likelihood Model for Narrative Evidence Processing (EELM-NEP) to investigate associations between message processing, message outcomes, and behavioral intentions (BI) in the context of family health history communication. Furthermore, to investigate the role of cultural tailoring within these associations, this study explores how the type of culturally tailored narrative evidence and participants’ cultural identity moderate the relationships between message processing, message outcomes, and BI. A percentile bootstrap method and pairwise comparison tests in structural equation modeling (SEM) were employed. According to the results, identification significantly predicted engagement, and engagement had significant and positive effects on perceived message quality (PMQ), comprehension, perceived message effectiveness (PME), and BI. PME and resistance to counter-arguing significantly and positively affected BI. Importantly, the EELM-ENP model as well as pairwise comparison tests revealed that the messages were more effective when the participants read culturally distant messages. Findings suggest that cultural novelty might be more effective than cultural closeness in narrative persuasion.  相似文献   

14.
Background:Few electronic resources are available for new mothers with concerns about changes in their pelvic floor following childbirth. Patients may struggle when seeking authoritative information regarding pelvic floor conditions online given the sensitivity of the topic as well as the inadvertent connection to obscene or demeaning content found online. A health sciences librarian partnered with the Motherhood and Pelvic Health Study, an interdisciplinary research group, to provide expert searching skills for a particularly challenging health condition that patients struggle to find useful information on.Case Presentation:A custom rubric was developed to evaluate existing information products, which included criteria for cultural sensitivity, conflicts of interest, and other red flags. This evaluation process enabled the research team to identify top-tier evidence-based materials that were culturally congruent. This collaborative evaluation process led to the creation of a web-based toolkit resource for new mothers concerned about changes in their pelvic floor. The toolkit connects women to pertinent information on a national health organization''s patient portal, supplemented by videos created by the team to serve as models of communication for women and health care providers.Conclusion:When developing a web-based resource, health sciences libraries can partner with research teams to find, evaluate, and disseminate information. Culturally congruent toolkits such as this one can improve access to health information and lead to improved health outcomes. To ensure that the information highlighted in toolkits is both culturally congruent and authoritative, research teams should form advisory committees and partner with relevant professional medical associations.  相似文献   

15.
Health care benevolence laws, a form of tort reform law, mandate statements of sympathy or apology by health care providers and facilities in cases of medical mistakes. These laws create a shared language and sense of meaning for individuals involved in the legal aftermath of medical mistakes. Structuration theory guides this textual analysis to explore how benevolence laws discursively create and structure shared meaning about apology. This analysis highlights how benevolence laws structure apology and discursively discipline medical practitioners, underscoring the importance of ambiguity in law interpretation.  相似文献   

16.
国内在线健康社区研究现状综述   总被引:2,自引:0,他引:2  
[目的/意义] 回顾和梳理当前国内在线健康社区研究现状,以期为在线健康社区的相关研究提供参考和借鉴,引导相关实践探索进一步走向成熟和规范。[方法/过程] 通过文献调研,系统阐述在线健康社区三要素:信息、用户和社区之间的相互关系,并在此基础上建立在线健康社区研究的整体框架,从信息、用户和社区三个维度较为详尽地梳理国内在线健康社区研究的主要成果和研究现状。[结果/结论] 在线健康社区包含三个要素:信息、用户和社区,各要素之间相互影响、相互依存;国内在线健康社区研究主要从信息、用户和社区三个维度展开,并且具有跨学科、研究方法多元化等特征,提供开阔的眼界和丰富的成果借鉴;对比国外相关研究,评析国内在线健康社区研究在关注群体、合作程度和研究内容方面的不足,并指出未来的研究方向。  相似文献   

17.
Studies of the digital divide have focused on lack of access to hardware, software, connectivity, and computer skills. Newer studies point to the existence of other factors such as the lack of culturally relevant content. Driven by this issue, this study provides a preliminary map of the “nature” of Web-based content about U.S. Latinas, a community that has traditionally been underrepresented in information systems. The nature of the content was explored and analyzed by examining attributes such as type of site, language of site, topic(s), producer(s) of site, technical features, and targeted audience. The study also theorizes the lack of relevant content and discusses the possible social implications of the disparities in access to digital information technologies. Using content analysis, the study provides a framework with which to categorize and analyze Web content. The results suggest content areas that need development and potential information barriers to consider in the process.  相似文献   

18.
The SMILE project represented a partnership among the University of Texas Health Science Center at San Antonio Libraries, the Gateway Clinic in Laredo, and the San Antonio Metropolitan Health District. The project focused on improving dental practitioners' access to reliable information resources and integrating the best evidence into public health dental practice. Through its training program, SMILE cultivated a set of “power information users” among the dentists, dental hygienists, and community health workers (promotores) who provided public health preventive care and oral health education. The dental public health practitioners gained information literacy skills and increased their knowledge about reliable sites such as blogs, PubMed®, and MedlinePlus®. This project fostered opportunities for expanded partnerships with public health personnel.  相似文献   

19.
The study gathered data about librarians'' membership in institutional animal care and use committees (IACUCs) and their professional activities supporting animal researchers. Libraries affiliated with medical schools that were members of the Association of American Medical Colleges were surveyed. A survey was distributed via library directors'' email discussion lists and direct email messages. Sixty surveys were completed: 35 (58%) reported that librarians performed database searches for researchers, and 22 (37%) reported that a librarian currently serves on the IACUC. The survey suggests that academic health sciences librarians provide valuable, yet underutilized, services to support animal research investigators.  相似文献   

20.
Patient engagement in health care decisions largely depends on a patient’s health literacy and the health literacy attributes of the health care organization. Librarians have an established role in connecting patients with health information in the context of their care. However, librarians can play a larger role in helping to make changes in their organization’s health literacy attributes. This article discusses one medical library’s process of leading systematic assessment of their organization’s health literacy attributes. Included in this discussion is the institutional support, timeline, assessment tool, the results for five areas of health literacy, marketing and the event-planning process to disseminate results. The systematic assessment process described employs the Health Literacy Environment of Hospitals and Health Centers document, which provides assessment tools for Print Communication, Oral Communication, Navigation, Technology, and Policies and Protocols.  相似文献   

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