Comparative study on the theme of traditional Chinese medicine policies among different provinces of China / 中国药房

OBJECTIVE To clarify the core content of traditional Chinese medicine （TCM） policy in the provinces of China， so as to provide reference for optimizing the structure of the policy system of traditional Chinese medicine in China and assisting the inheritance and innovation of TCM industry in various regions. METHODS The websites of directly affiliated organs in 31 provinces， excluding Hong Kong， Macao and Taiwan， were retrieved to collect the TCM policies released from 2000 to 2021. The importance of keywords in the TCM policies of each province was measured based on term frequency-inverse documentation frequency （TF-IDF） keyword extraction method， and the similarities and differences were analyzed among TCM policies. RESULTS & CONCLUSIONS A total of 99 documents related to TCM policies of various provinces were obtained in this study， most of which were released after 2016. The theme of national TCM policy covered four aspects： building TCM talent team， perfecting TCM service system， strengthening TCM resource management and promoting TCM industry innovation. The TF-IDF values of “medical institutions”“traditional Chinese medicine”“medical treatment” were higher than other keywords in each province， indicating that the provinces paid more attention to the construction of TCM service system and the management of TCM resources than other aspects. Anhui and Jiangsu， Beijing and Henan， Hubei and Jilin， Hubei and Tianjin， and Hubei and Yunnan had the more degree of similarity in TCM policies， which all contained 16 of the same keywords. Therefore， the above regions should be encouraged to strengthen exchanges and cooperation and realize mutual promotion and joint development. Among all the keywords whose importance ratio was greater than 0.2，“ Tibetan medicine” was unique to Qinghai and Tibet，“ disease type” was unique to Guangdong， and the TF-IDF value of “supervision and management” in Beijing was higher， indicating that the emphasis of TCM policy formulation in different provinces was various. Meanwhile， the top 10 keywords of TF- IDF value in all provinces did not have words related to financial input， and the TF-IDF values of “informatization” in most provinces did not rank at the top. It is suggested to increase financial input or encourage social financing， and add “Internet+new business” in the field of TCM.

Analysis of Chinese elderly health policies based on policy tools / 预防医学

Objective@#To analyze Chinese elderly health policy documents from 2018 to 2022 based on policy tools, so as to provide insights into improving elderly health policies and promoting healthy aging. @*Methods@#Elderly health policy documents were retrieved from “the magic weapon of Peking University”, the policy document database of the State Council and portal websites of relevant ministries and commissions using keywords “elderly”, “aging” and “elderly health”. The documents were encoded using content analysis and keywords were extracted. A two-dimensional analysis framework was constructed based on Rothwell and Zegveld's classification framework and dimension theory, and the use of policy tools was analyzed. @*Results@#Totally 57 Chinese elderly health policy documents were collected from 2018 to 2022, including 44 notices, 7 opinions, one rule, one regulation, one law, one announcement, one letter and one joint declaration. There were 37 documents (64.91%) issued by National Health Commission and its departments and offices. The high-frequency keywords in the documents included “medical and healthcare institutions”, “elderly health”, “rehabilitation/nursing”, “community/grassroots/rural”, “pilot”, “traditional Chinese medicine”, “propaganda” and “standardization”. There were 413 document codes, and the supply-, environment- and demand-side policy tools accounted for 52.54%, 31.72% and 15.74%, respectively. Public health and medical services (19.61%) and science popularization (7.99%) were the most commonly used supply-side policy tools, law/regulations and administration systems (7.99%) was the most commonly used environment-side policy tools, while pilot/demonstration projects (5.33%) was the most commonly used demand-side policy tools. The external and internal indicators of the system dimensions accounted for 48.18% and 51.82%, and political system (17.19%) and technical system (16.46%) were the two most commonly used external indicators, while service system (35.60%) was the most commonly used internal indicator.@*Conclusions@#Chinese elderly health policies focused on supply-side policies from 2018 to 2022, such as public health and medical services. The use of demand-side policy tools is recommended to be increased and the internal composition of supply- and environment-side policy tools are recommended to be optimized.

Phytochemical interventions for post-traumatic stress disorder: A cluster co-occurrence network analysis using CiteSpace / 中西医结合学报

OBJECTIVE@#This study investigated trends in the study of phytochemical treatment of post-traumatic stress disorder (PTSD).@*METHODS@#The Web of Science database (2007-2022) was searched using the search terms "phytochemicals" and "PTSD," and relevant literature was compiled. Network clustering co-occurrence analysis and qualitative narrative review were conducted.@*RESULTS@#Three hundred and one articles were included in the analysis of published research, which has surged since 2015 with nearly half of all relevant articles coming from North America. The category is dominated by neuroscience and neurology, with two journals, Addictive Behaviors and Drug and Alcohol Dependence, publishing the greatest number of papers on these topics. Most studies focused on psychedelic intervention for PTSD. Three timelines show an "ebb and flow" phenomenon between "substance use/marijuana abuse" and "psychedelic medicine/medicinal cannabis." Other phytochemicals account for a small proportion of the research and focus on topics like neurosteroid turnover, serotonin levels, and brain-derived neurotrophic factor expression.@*CONCLUSION@#Research on phytochemicals and PTSD is unevenly distributed across countries/regions, disciplines, and journals. Since 2015, the research paradigm shifted to constitute the mainstream of psychedelic research thus far, leading to the exploration of botanical active ingredients and molecular mechanisms. Other studies focus on anti-oxidative stress and anti-inflammation. Please cite this article as: Gao B, Qu YC, Cai MY, Zhang YY, Lu HT, Li HX, Tang YX, Shen H. Phytochemical interventions for post-traumatic stress disorder: A cluster co-occurrence network analysis using CiteSpace. J Integr Med. 2023; 21(4):385-396.

Exploration of the policy structure of China s school sexuality education based on text analysis / 中国学校卫生

Objective@#To explore the structural status of school sexuality education policies in China, so as to provide a reference to optimize their effectiveness and development.@*Methods@#A total of 45 policy documents closely related to school sexuality education, released at the national level, as samples in order to construct an analytic framework of policy objectives/instruments by analyzing their textual content.@*Results@#In terms of policy objectives, school sexuality education policies focused on educational methods guidance (32.76%), and tend to underestimate the evaluation of educational effects (5.17%) and the protection of teachers and students rights and interests (5.17%), while failed to consider the creation of educational environments (0). In regards to policy tools, school sexuality education policies often used command line tools (59.45%) and capacity building tools ( 29.71% ), while the use of system change tools (2.70%) and incentive tools was lacking (0). In respect to the adaptability of policy objectives/tools, school sexuality education policies focused on using command based tools to guide educational methods ( 68.42% ), educational process management (54.55%), student literacy improvement (38.46%), and educational resource development ( 37.50% ). However, system change tools and incentive tools were scarcely used to achieve policy goals in education effectiveness evaluation, to protect teacher student rights and interests, and to improve student literacy and comprehensive social governance.@*Conclusions@#There is some deviations in the positioning of policy objectives, the selection of policy tools, and the interaction and adaptation between the two in school sex education policies, and further improvement is needed.

Construction of foreign medical quality and safety management models based on qualitative text analysis / 中华医院管理杂志

Objective:To systematically construct the foreign medical quality and safety management model by searching the English literature related to medical quality and safety management, so as to provide reference for improving the level of medical quality and safety management in China.Methods:The Web of Science database was used as the data source, the English literature related to medical quality and safety management in foreign countries was screened following the PRISMA guidelines, and the content of the screened literature was analyzed using qualitative text analysis based on the Structure Process System Outcome (SPSO) theoretical model.Results:In this study, a total of 37 articles were screened, 5 first-level themes of structure, process, system, outcome and continuous quality improvement were identified, 16 second-level themes were found, and their functional relationships were established. A theoretical model of the SPSO-Extension (SPSO-E) for medical quality and safety management was constructed, added new elements of the external environment, organizational outcome and employee outcome, and refined the continuous quality improvement into three segments of quality checking, problem handling and quality consolidation.Conclusions:In order to improve medical quality and safety management in China, the internal management model of the hospital should be dynamically adjusted according to the changes of external environment, and the result dimension should pay attention to the improvement of organization′s operational effectiveness and the physiological and psychological aspects of the staff. The final management results have a feedback effect on the hospital′s resource allocation, service delivery, organizational arrangements and cultural construction, promoting continuous improvement and enhancement of the hospital′s quality.

Policy analysis on the long-term care for disabled elderlies from the perspective of policy tools / 中华医院管理杂志

Objective:To analyze the focuses and shortcomings of the long-term care policy for disabled elderlies in China, for references to optimize such policies.Methods:The data came from the policy documents on long-term care for disabled elderlies published on respective official websites of various ministries and commissions from January 1, 2013 to April 20, 2022. Text quantitative analysis was used to extract policy clauses, and three types of policy tools(including 13 types of sub-tools) were used to analyze these provisions.Results:132 clauses were extracted from a total of 34 policy documents, of which the number of clauses of supply, demand and environmental policy tools were 28(21.21%), 25(18.94%) and 79(59.85%) respectively. There were few clauses on scientific and technological information support(5) and capital investment(3) in the supply-type policy tools; In terms of demand-based policy tools, there were only a few clauses for government purchase(5), pilot projects(3) and service outsourcing(2); In terms of environmental policy tools, there were only a few clauses for standard design(9) and supervision and management(7).Conclusions:The long-term care policy structure of the disabled elderly in China was not balanced, the supply-based policy tools had less scientific and technological information support, the demand-based policy tools were short and single, and the environment-based policy tools were widely used but lack of standard design. Relevant policy-making departments should further improve the accuracy of policy targets, optimize the internal structure of policy tools, pay attention to the application of scientific and technological information policies and clarify the relevant standards of care services.

Why do Italian psychology graduates dream of becoming psychotherapists? A study on decision-making in undertaking psychotherapy / ¿Por qué los licenciados en psicología italianos sueñan con convertirse en psicoterapeutas? Un estudio sobre la toma de decisiones para emprender la formación psicoterapéutica

Resumen El estudio es cuali-cuantitativo y utiliza métodos mixtos y el reclutamiento de una muestra accidental. Se administró un cuestionario en línea (con preguntas abiertas sobre el reconocimiento de problemas/necesidades, búsqueda de información, evaluación de alternativas, compras y resultados post-compra) a psicólogos graduados interesados en la formación o ya formados en psicoterapia (como tipos de participantes encuestados), con 549 participantes (86 % mujeres, Medad = 36.27 años). La estrategia de análisis incluyó el análisis del texto (utilizando el software T-Lab) para examinar las respuestas e identificar los temas principales de cada pregunta abierta. El siguiente paso implicó el desarrollo y la aplicación de categorías de contenido para codificar respuestas textuales en las diferentes preguntas. Luego, se realizó un análisis de conglomerados para agrupar a los participantes a partir de los temas identificados. El papel de las motivaciones en la formación psicoterapéutica es un tema que recibe gran atención en la investigación en psicoterapia. Esto es particularmente relevante en el contexto italiano, donde el panorama general de la formación psicoterapéutica parece ser bastante complejo, dada la situación muy diferente sobre la disponibilidad y las modalidades de formación en psicoterapia, el exceso de oferta en relación con la demanda y los consiguientes problemas de subempleo y dificultades económicas para los psicoterapeutas. El objetivo de este estudio es explorar las expectativas asociadas con la formación psicoterapéutica de los graduados de psicología italianos, contribuyendo así a mejorar la oferta educativa de formación en psicoterapia de las escuelas públicas y privadas y a proporcionar mayor información, transparencia y calidad de servicio. En concreto, este estudio examina el proceso de toma de decisiones para emprender la formación psicoterapéutica, incluyendo el uso de fuentes de información, el análisis de las opciones formativas, los factores clave de compra y la potencial satisfacción con las elecciones realizadas. El estudio es cuali-cuantitativo y utiliza métodos mixtos y el reclutamiento de una muestra accidental. Se administró un cuestionario en línea (con preguntas abiertas sobre el reconocimiento de problemas/necesidades, búsqueda de información, evaluación de alternativas, compras y resultados post-compra) a psicólogos graduados interesados en la formación o ya formados en psicoterapia (como tipos de participantes encuestados), con 549 participantes (86 % mujeres, Medad = 36.27 años). La estrategia de análisis incluyó el análisis del texto (utilizando el software T-Lab) para examinar las respuestas e identificar los temas principales de cada pregunta abierta. El siguiente paso implicó el desarrollo y la aplicación de categorías de contenido para codificar respuestas textuales en las diferentes preguntas. Luego, se realizó un análisis de conglomerados para agrupar a los participantes a partir de los temas identificados. En general, los resultados mostraron un enfoque débil en el desarrollo de la carrera (tema informado por solo el 50.6 % de los participantes), ya que la toma de decisiones está determinada principalmente por intereses personales y características individuales y se basa en la brecha percibida en la formación académica previa. Asimismo, los resultados sugirieron el uso de estrategias rígidas que orientan el proceso de toma de decisiones, una demanda indefinida y confusa de formación de posgrado y el predominio de preocupaciones logísticas, económicas y aspectos organizacionales dentro de una lógica de costo-beneficio. A través del análisis de conglomerados se identificaron tres grupos de participantes (respectivamente de 14.6 %, 51.2 % y 34.2 %), que eran diferentes en edad [F (2, 455) = 11.878, p < .001] y tipo de encuestados [χ² (4, N = 459) = 27.588, p < .001]. Dichos grupos se caracterizaron por diferentes factores clave para seleccionar una escuela de psicoterapia, preferencias de orientación y motivaciones para la formación en psicoterapia (p < .05, con un nivel de confianza del 95 %). Es necesario reconocer algunas limitaciones con respecto al presente estudio, como su carácter exploratorio, el uso de una muestra accidental y el potencial sesgo de autoselección, que no permiten la generalización de los resultados. En cuanto a las implicaciones teóricas, se subraya la relevancia de los intereses y motivaciones personales en las decisiones para la formación psicoterapéutica. El uso de constructos de adaptabilidad de carrera y reparación podría ser fructífero para comprender hasta qué punto tales elecciones están realmente orientadas a desarrollar recursos y conocimientos personales o implican patrones defensivos para remediar una identidad profesional defectuosa como psicólogos. Sobre las implicaciones prácticas, también se trazan algunas recomendaciones para la mejora de la provisión de formación en psicoterapia.

Abstract The role of potential motivations for psychotherapy training is receiving growing attention in the context of psychotherapy research. The present study examines the entire decision-making process for undertaking psychotherapy training in Italian psychology graduates. This is a quali-quantitative study using mixed methods and recruiting from a convenience sample. An on-line questionnaire - with open-ended questions about problem/need recognition, information search, alternative evaluation, purchase, and post-purchase outcomes - was administered to psychology graduates interested in, undertaking or having already completed psychotherapy training (as types of respondents), overall including 549 participants (86 % females, Mage = 36.27 years). The strategy of analysis consisted of computer-aided text analysis (by using T-Lab software) and content analysis for examining responses and identifying the main themes for each open-ended question. Then, a cluster analysis was performed for grouping respondents from the previously detected themes. Three different clusters of participants were detected (respectively composed of 14.6 %, 51.2 % and 34.2 %) that were different by age, F (2, 455) = 11.878, p < .001, and type of respondents, χ² (4, N = 459) = 27.588, p < .001. Such clusters were mainly featured by different key factors for selecting a psychotherapy school, orientation preferences and motivations for psychotherapy training (p < .05, at 95 % confidence level). Overall, the results highlighted the perception of a gap in previous academic training, a reduced focus on professional development and the use of rigid strategies as critical issues related to the decision to undertake psychotherapy training.

Text Analysis of Support Overview by Community Pharmacists to Prevent Self-interruption of Medication in Depressed Patients / 社会薬学

Depression requires continuous long-term treatment. However, many patients drop out from their treatment program. The purpose of this study is to investigate the current status of pharmacists’ support for depressed patients at higher risk of self-discontinuation of medication. This was a cross-sectional study of community pharmacists’ support for depressed patients using a web-based questionnaire. The survey items were 1) pharmacists’ basic attributes and 2) pharmacists’ support to prevent patients from dropping out of their treatment. Morphological analysis was performed using text mining to analyze the free responses, and the relationships between the extracted categories were examined using hierarchical cluster analysis. Free responses were obtained from 77 pharmacists. The morphological analysis extracted 26 categories from their responses, and the category with the highest frequency of occurrence was “explain” (44 times). The extracted categories were stratified into clusters 1 to 6 using hierarchical cluster analysis.

Text analysis of China′s family physicians contracted service policy based on policy tools / 中华医院管理杂志

Objective To analyze the policy texts related to the contracted service of family physicians, and probe into the key points and existing problems of the policy in the process of promoting the contracted service of family physicians in China, for the purpose of providing references for the optimization and perfection of the system. Methods A total of 54 relevant policy texts issued by the Central Government from 2011 to 2019 were selected, for establishing a two-dimensional analysis framework based on policy tools and stakeholders.By means of quantitative analysis of policy text and literature research method, we analyzed the relevant policy texts. Results Study of the 54 texts found 52.8% (124/235)mentioned commands and regulatory tool use, 27.2% (64/235) mentioned capacity building tool use, 13.2% (31/235) mentioned information and exhortation tool use, 5.1% (12/235)only mentioned incentive tool use, and 1.7% (4/235) only mentioned system change tool use; while most of them(34.3% and 32.7% )mentioned government and physicians, and only a few(17.6% and 15.4% )mentioned patients and medical entities. Conclusions It is suggested to optimize the policy tools mixture, and increase the use of incentive tools to physicians, and explore new forms of system change tools.It is also proposed to pay more attention to resource allocation of primary medical institutions, and to patient awareness and satisfaction.

Logic Analysis and Research of China ’s Medicine Reform under the Construction of National Medicine Policy Framework ： Based on the Analysis of the Text of China ’s Medicine Policy in 2009-2019 / 中国药房

OBJECTIVE： To provide reference for improving China’s national medicine policy framework. METHODS： The medicine policy documents of 2009-April 2019 were collected， and then policy texts were categorized according to national medicine policy elements of WHO. According to the number and strength of policies， the construction of national medicine policy framework was analyzed. The main reform measures of different themes were extracted and summarized. On this basis， the logic of medicine reform in China was analyzed. RESULTS & CONCLUSIONS： National medicine policy framework has been established primarily， but it is not balanced， such as the number and intensity of policies on human resources and medicine financing are slightly inadequate. Analysis of China’s national medicine policy framework reveals that： （1） in the process of construction， “quality assurance” and “affordability” are the two main policy lines， and “quality improvement” and “cost reduction” are the two main policy objectives； （2） the construction of national medicine policy framework has a phased reform focus， and it has gone through a process from “demand-side reform” to “supply-side and demand-side reform”； （3） the importance of medicine procurement in the reform has been strengthened continuously. It is suggested to strengthen the balance of national medicine policy， improve human resources， medicine financing and rational medicine use policy construction； it is also suggested to strengthen top-level design， establish a multi-department collaborative decision-making and coordination mechanism， and enhance the coordination of medicine policies； in addition， the role of procurement links reform should be further played .

Machine Learning Method in Medical Education: Focusing on Research Case of Press Frame on Asbestos / 의학교육논단

There is a more urgent call for educational methods of machine learning in medical education, and therefore, new approaches of teaching and researching machine learning in medicine are needed. This paper presents a case using machine learning through text analysis. Topic modeling of news articles with the keyword ‘asbestos’ were examined. Two hypotheses were tested using this method, and the process of machine learning of texts is illustrated through this example. Using an automated text analysis method, all the news articles published from January 1, 1990 to November 15, 2016 in South Korea which included ‘asbestos’ in the title and the body were collected by web scraping. Differences in topics were analyzed by structured topic modelling (STM) and compared by press companies and periods. More articles were found in liberal media outlets. Differences were found in the number and types of topics in the articles according to the partisanship and period. STM showed that the conservative press views asbestos as a personal problem, while the progressive press views asbestos as a social problem. A divergence in the perspective for emphasizing the issues of asbestos between the conservative press and progressive press was also found. Social perspective influences the main topics of news stories. Thus, the patients' uneasiness and pain are not presented by both sources of media. In addition, topics differ between news media sources based on partisanship, and therefore cause divergence in readers' framing. The method of text analysis and its strengths and weaknesses are explained, and an application for the teaching and researching of machine learning in medical education using the methodology of text analysis is considered. An educational method of machine learning in medical education is urgent for future generations.

A pilot study of differences in behavioral and linguistic characteristics between Sina suicide microblog users and Sina microblog users without suicide idea / 中华流行病学杂志

Objective To investigate how suicide microblog users in China "act" and "speak" differently from other microblog users without suicide idea.Methods The suicide group consisted of 31 Chinese microblog users identified as suicide via online information provided by a Sina microblog user,and the control group consisted of 30 active microblog users without suicide idea screened by using suicide-related psychological scales.The differences in 10 microblog use behavioral characteristics and 88 linguistic characteristics between the suicide group and the control group were compared with normality test and rank sum test respectively.Results In the behavioral characteristics,the suicide group used hyperlinks and "@" less frequently than the control group [0.04 (0.04) vs.0.06 (0.04),P=0.029;0.60 (0.27) vs.0.69 (0.18),P=0.028],and was more self-focused [0.47 (0.25) vs.0.30 (0.10),P=0.010].In the linguistic characteristics,the suicide group showed less frequency in using measure word,work related word and apostrophe than the control group (P＜0.05),and showed more frequency in using pronoun,personal pronoun,third person singular,non-specific pronoun,word expressing social experience,word expressing anxiety,word expressing exclusion,sexual word,religious word,second person singular,human being related word,negative emotion related word,anger related word,sadness or death related word (P＜0.05).Conclusion Suicides seemed to interact less with others,showed more self-concern and more negative expressions,use more cognitively exclusive,death-related,religion-related words,and use less work-related words.The results of this study might be helpful for the research on suicide among netizen.

Autopercepción del bibliotecario de referencia del área biomédica en Uruguay / Self-perception of the reference librarian from the biomedical area in Uruguay

El presente trabajo pretende conocer cuál es la autopercepción de los Licenciados en Bibliotecología uruguayos que trabajan como referencistas en bibliotecas biomédicas. Se realizó una encuesta con preguntas abiertas que indagan, entre otros, las actividades que desempeña el bibliotecario, y qué posible influencia en ellas ha suscitado la aparición de la Web 2.0 y el avance de las tecnologías de la información y la comunicación en los últimos cinco años. Para lograr este cometido, se utilizaron técnicas de análisis cualitativo y cuantitativo de aquellos textos obtenidos como respuestas a la encuesta. Las técnicas de análisis del texto incluyeron la utilización del Altas.ti y el uso de clasificación temática con ayuda de tesauros del área de Bibliotecología y Ciencias de la Información. Se concluye que el referencista uruguayo tiene una opinión positiva y bien calificada de sí mismo, y que su percepción concuerda en general con los requerimientos del mercado laboral a nivel mundial.

Present paper pretend to know about the self-perception of the Uruguayan Bachelor in Library Sciences working as reference staff in biomedical libraries. A survey was carried out with free questions enquiring into, among other, the activities developed by the librarian and what possible influence on it arouse the appearance of Web 2.0 and the advance of information and communication technologies in past five years. To achieve this task techniques of qualitative and quantitative analysis were used from those texts obtained as response to survey. Text analysis techniques included the use of the Altas.ti(?) and of the thematic classification with the help of thesaurus from the Library Science and Information Sciences. We concluded that the Uruguayan reference staff has a positive and well qualified of himself and that its perception agrees in general with the requirements of the labor market at worldwide.

Percepciones, conocimiento local y expectativas de campesinos cafetaleros en puriscal, Costa Rica / Perceptions, lcaal knowledge and expectations of peasant coffe farmers in purriscal, Costa Rica

El propósito de este estudio fue sistematizar las percepciones y saberes locales emitidos por una comunidad campesina de Costa Rica, principalmente en cuanto a su visión del estado actual y las expectativas para el futuro de la actividad cafetera. Se realizaron entrevistas en profundidad para indagar la percepción sobre el estado actual de la caficultura y las expectativas para el futuro. Las entrevistas se desarrollaron en 39 fincas cafetaleras del cantón de Puriscal, Costa Rica. El estudio tomó elementos de los procedimientos y técnicas de enfoques cualitativos como grounded theory y sistematización de experiencias. Los temas abordados fueron enfocados hacia tres tópicos: estado actual y futuro de la actividad cafetera; opiniones sobre la caficultura orgánica, y expectativas y necesidades de capacitación. A pesar de que el mayor número de enunciados sugiere una actitud pesimista frente a la crisis de esta actividad, casi la mitad de ellos denotan una actitud optimista frente a esta actividad. El mayor número de enunciados sistematizados evidencia una actitud optimista frente a la producción orgánica. La mayor parte de expectativas denotan la necesidad de capacitarse en manejo de abonos orgánicos y control de enfermedades.

This study aims to systematization ofcapture the experience of both perceptions and local knowledge of a Peasant community from Costa Rica, mainly, about his on their vision and expectation on the coffee growingth activity. Interview iIn- depth interviews were done carried out to inquiry perceptions on current state of coffee production systems and expectations at regarding future of coffee productiongrowers. Interviews were applieds in 39 coffee farms of Cantón of Puriscal, Costa Rica. This study used methods and techniques from qualitative approaches such as like the grounded theory and the systematization of experiences. The issues treated were related with to three topics: present and future state of coffee production systems; opinions on organic coffee production systems, and training expectations and requirements of training. Even though the most statements suggested a pessimistic attitude in frontregarding the crisis of coffee productionactivity, almostready half of producers noted an optimistic attitude towardsin front of the future. The mMost of the systemized statements evidenced an optimistic attitude regardingin front organic coffee production system. The mostmajority of expectations systematized indicate the need requirements of training in about both management of organic fertilizers management and disease control of diseases.