Résumé
Objective To explore the social factors of health among staff of urban workers in Liaoning province and to provide scientific evidence for preparing propagation strategies. Methods Two thousand five hundred urban workers were surveyed using stratified, random sampling in Dandong city and Yingkou city of Liaoning province. The participants were investigated through questionnaires. Results Two thousand four hundred forty eight valid questionnaires were obtained. The self-rated health score of the respondents was 84.37 ± 13.72. The results of multiple linear reason showed that those with low family income satisfaction (B = -2.923,P = 0.019,95％ CI:-5.360——0.485),many working hours per day (B = -3.749,P = 0.023,95％ CI:-6.98——0.518),poor leadership (B = -3.688,P =0.014,95％ CI:-6.608——0.768),and low job satisfaction (B = -2.012,P = 0.034,95％ CI:-3.869——0.156) had lower self-rated health scores. However,those with more harmonious families (B = 3.105,P = 0.017,95％ CI:0.565-5.645) and types of social support (B = 2.684,P = 0.003,95％ CI:0.926-4.442) had higher self-rated health scores. Conclusion Social factors affecting health among staff of urban workers in Liaoning province are family income satisfaction,working hours per day,leadership approval degree,job satisfaction, social support and others.
Résumé
Objective: To summarize the existed problems and the relationship between the medical insurance and basic medical insurance policy, to find more reasonable payment mode to adjust with the medical insurance policy. Methods: On the basis of the endowment insurance implement experience, explore the payment mode of medical insurance. Results: It is very necessary to set the payment period of the basic medical insurance.
Résumé
Objective To understand the performance of the basic medical security system in Guangxi for decision-making support on the development planning of the system during the 12th FiveYear Plan in Guangxi.Methods Descriptive statistics were made to analyze the annual report data of Guangxi's basic medical security system during 2009 to 2011,regarding the basic medical security for urban workers and that for urban residents,as well as those of the new rural cooperative medical system.Results The survey found that the three basic medical security systems in Guangxi have almost achieved full coverage; the compensation ratio keeps rising as the inpatient expenses of urban residents was up to 62.21％,64.96％ and 66.96％ respectively from 2009 to 2011,and that for urban residents up to 34.26％,39.96％ and 49.68％ respectively; the ratio for those covered by the new rural cooperative medical system has been maintained at 45％ for the three years; the coverage of the systems keeps expanding.Conclusion Recommend to integrate pilots of the three security systems and carry out serious diseases pilot programs; encourage reform of the payment system at institutions at or above county level; reform the risk-pooling of disease management of at primary medical institutions; strengthen the information systems of basic medical insurance system,in an effort to ensure the sound development of the basic medical insurance system.
Résumé
Neste artigo usamos as noções de identificação e de projeto para discutir o tomar-se profissional, partindo da pesquisa com um grupo de trabalhadores urbanos: os pilotos de trem do Metrô carioca.
Starting from the research with a workers' group, the subway train drivers at the Metro of Rio de Janeiro, we use the notions of identification and project to discuss the process of become professional.
Dans cet texte les notions d'identification et projet aident à discuter le devenir profissionel selon la recherche avec un group de travailleurs urbains: les conducteurs de train du Métro de Rio de Janeiro.