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Factors that influence library planning in Brazil include its large size, its very young population, its struggling semi‐industrialized economy, the uneven level of education, and low levels of research activity and publishing output. Modernization means that the demand for documents is potentially very large. Document supply will be organized through different economic or administrative sectors, such as agriculture, energy, or education. However, these will need to be co‐ordinated to avoid gaps or unnecessary duplication in subject coverage, and some degree of centralization is desirable.

The sexual division of labor remains a strong, discriminatory aspect of Brazilian society, with a high percentage of women engaged in precarious, caregiving, and service work that is devalued within the traditional patriarchal family and school socialization. This chapter relates and analyzes the development of a multidisciplinary, intersectional, and interinstitutional project, Fast Girls, which addresses this situation of inequality and exclusion by promoting and strengthening learning in STEM and psychosocial dimensions for adolescent female students. It is currently deployed in three public schools on the outskirts of Brazil’s capital, Brasilia, but the focus here will be on the pioneering initiative, in one high school which has reached 150 participants since 2013. This project was conducted by professors and researchers from the engineering, social sciences, and humanities departments of the University of Brasilia (UnB) in Brazil and France’s Sorbonne Paris North University who are the authors of this autoethnography, which is based on interventions, interviews, and field observations. Principle academic results included articles, dissertations, and expositions at related national and international events characterized by the integration of various scientific fields. The intervention prepared participants for college attendance who was both unprecedented in their families and contributed to their occupying a social and subjective place quite different from the majority of youths in black and poor communities around the capitals of Brazil.

The need for adequate access to documents continues to grow, as does the total volume of the world's publications. Improvements in bibliographic control in the last 10 years have led both to fuller coverage of documents and to better and faster access to references. Document access relies more and more on interlibrary access because the great growth in number and cost of publications is making libraries increasingly unable to provide their readers with all the publications they need. Alternative models of interlibrary provision, according to centralization or decentralization of collections form a useful framework for considering the best solutions for Brazil. In practice, models must always be mixed, and the most important element in planning is to find the optimum balance of centralization and decentralization appropriate to each country. In Brazil, the best solution would almost certainly be the creation of a core collection of scientific and technical journals (excluding medicine and agriculture), a decentralized system for monographs, except Brazilian monographs, and the creation of a single supply centre for report literature. No special provision would be made for conference proceedings, or foreign official publications. Dissertations would be made available by the relevant universities. Trade literature should be collected in major industrial centres for consultation purposes.

The responses from six countries to the original paper on planning inter/ending in developing countries have added considerably to our knowledge of the problems and possibilities. The fundamental problems are a severe shortage of funds for libraries, and a lack of trained librarians, associated with a low status of librarians and a low priority for libraries. Other common difficulties include unsatisfactory photocopying equipment and a shortage of photocopying supplies, poor postal services, inadequate service from book suppliers, lack of foreign currency, the inability or unwillingness of some librarians to co‐operate, and complex procedures for interlending. Respondents did not favour even a limited central collection, but most of the arguments against apply equally or with more force to co‐operative solutions, which have not been very successful. Concentration of supply on a few libraries or on the present national library might be feasible. The many obstacles in the way of progress do not reduce the need to press for more resources or to prepare a long‐term plan for document supply as an important factor in national development.

This introduction by the volume editors discusses the multiple ways in which visibility and erasure of gender are manifested in social life. Following that discussion, the 12 chapters included in this volume are grouped in ways that demonstrate the relationships among them and are briefly summarized.

Health tourism is recognised as a recent new pattern of taking a break while accessing health-care services overseas. Past studies have explored this research area, but few have focussed on the theoretical perspective. Applying an appropriate theoretical model to guide interventions in planning and programme development is crucial, particularly when the focus of the study is on the cognitive mediation processes of change in individual behaviour. This study aims to examine the effectiveness of the protection motivation theory with the influence of threat appraisal and coping appraisal. The purpose is to trigger the behavioural intention to engage in international health tourism.

A total of 299 international tourists participated in the survey. The partial least squares structural equation modelling technique was used to test the research framework. Both the measurement model and the structural model were assessed as adequate.

The empirical results demonstrate that tourists’ high risk perception must be complemented by coping ability to produce a motivational response. Further, the adaptive behaviours of international tourists are focussed more on perceived efficacy than on the perception of threats related to behavioural intentions towards health tourism.

The study presents an effective theoretical model intervention applicable to health tourism. Future studies should conduct a more comprehensive assessment to generate strong decision-making effectiveness from the theoretical model.

共有299名国际游客参加了此次调查。使用偏最小二乘结构方程建模技术来测试研究框架。测量模型和结构模型均被评估为足够。

健康旅游业被公认为是最近在海外获得医疗服务时休息的新模式。过去的研究已经探索了这个研究领域, 但是很少有人关注理论观点。应用适当的理论模型来指导计划和程序开发的干预措施至关重要, 特别是当研究的重点是个人行为改变的认知中介过程时。本研究在威胁评估和应对评估的影响下检验了保护动机理论（PMT）的有效性。目的是激发从事国际健康旅游的行为意图。

实证结果表明, 游客的高风险感知必须通过应对能力来补充, 以产生激励反应。此外, 国际游客的适应行为更多地集中在感知的效能上, 而不是感知与针对健康旅游的行为意图有关的威胁。

该研究提出了一种适用于健康旅游的有效理论模型干预措施。未来的研究应进行更全面的评估, 以从理论模型中产生强大的决策效力。

关键词 健康旅游, 行为意图, 保护动机理论, 国际游客, 马来西亚

文章类型： 研究型论文

Un total de 299 turistas internacionales participaron en la encuesta. Se utilizó la técnica de modelización de ecuaciones estructurales por mínimos cuadrados parciales para probar el marco de investigación. Tanto el modelo de medición como el modelo estructural se consideraron adecuados.

El turismo de salud se reconoce como un nuevo modelo reciente de descanso para acceder a los servicios sanitarios en el extranjero. Estudios anteriores han explorado esta área de investigación, pero pocos se han centrado en la perspectiva teórica. La aplicación de un modelo teórico adecuado para guiar las intervenciones en la planificación y el desarrollo de programas es crucial, especialmente cuando el estudio se centra en los procesos de mediación cognitiva del cambio en el comportamiento individual. Este estudio examina la eficacia de la teoría de la motivación de la protección (PMT) con la influencia de la valoración de la amenaza y la valoración del afrontamiento. El objetivo es activar la intención conductual de realizar turismo sanitario internacional.

Los resultados empíricos demuestran que la percepción de alto riesgo de los turistas debe complementarse con la capacidad de afrontamiento para producir una respuesta motivacional. Además, los comportamientos adaptativos de los turistas internacionales se centran más en la eficacia percibida, que en la percepción de las amenazas relacionadas con las intenciones de comportamiento hacia el turismo de salud.

El estudio presenta un modelo teórico de intervención eficaz aplicable al turismo de salud. Futuros estudios deberían realizar una evaluación más exhaustiva para generar mayor eficacia en la toma de decisiones a partir del modelo teórico.

Turismo de salud; Intención de comportamiento; Teoría de la motivación de la protección; Turistas internacionales; Malasia

Trabajo de investigación

Medical tourism has grown to become a formidable multinational industry to generate revenue. This phenomenon has also increased impact on the healthcare sector as well as strategies development opportunities. The present study emphases on the international tourists' behavioural intention for medical tourism in Malaysia. A research framework is derived from the exceptional component of fear appeal in protection motivation theory (PMT).

Data were collected with a sample of 501 respondents and analysed via structural equation modelling approach. Both measurement model and structural model were assessed to generate the result.

The outcomes have shown a good backing on the use of adapted PMT theoretical model. There is a higher predictive power on health coping than health threats. Coping alternatives can be served as the linkage between the PMT appraisals and behavioural intention.

The study confirmed the effectiveness of using a theoretical framework in predicting international tourists' behavioural intention for medical tourism. It is suggesting that risk adaptive behaviour does offer a valuable proposition in contributing to the reception of medical tourism.

The present study argues the need for greater clarity in understanding the emergent implications for health policy and healthcare delivery for future medical tourism development.

The fundamental theories and current literature do not incorporate the component of fear appeal in explaining decision making. The study findings demonstrate that protection motivation theory has provide another promising theoretical model in explaining international tourists' behaviour intention for medical tourism.