新型农村合作医疗补偿模式现状分析

新型农村合作医疗工作试点推广以来,各地都在探索适合本地实际的运行机制和模式.尝试在归纳我国新型农村合作医疗补偿模式的基础上,分析其发生发展的动因及机制,以供研究和实践者参考.     

试论金州区新型农村合作医疗管理模式

建立和完善新型农村合作医疗制度是新时期农村卫生工作的重要内容。金州区在新型农村合作医疗管理中,探索出一条自己的模式。这种模式既有可资借鉴的地方,如管理与监督分离、多方参与、服务方便快捷等;也存在着不少问题,如群众对农村合作医疗仍存在认识上的误区、用药品种太少、报销比例太低;经办人员的编制等。建议政府制定政策要有持续性和稳定性,广泛宣传,提高参合农民健康意识;增加基本药物目录的范围,适当情况下,可采取二次救助;确定合适编制,建立一支稳定、高效的新型农村合作医疗管理队伍。     

新型农村合作医疗制度创新测度指标体系研究

为了对新型农村合作医疗制度创新状况进行客观、准确的测度,在汲取有关公共服务创新理论的基础上,结合新型农村合作医疗制度创新状况,探索构建新型农村合作医疗制度创新测度指标体系,以促进新型农村合作医疗绩效的提高。     

试论金州区新型农村合作医疗管理模式

建立和完善新型农村合作医疗制度是新时期农村卫生工作的重要内容.金州区在新型农村合作医疗管理中,探索出一条自己的模式.这种模式既有可资借鉴的地方,如管理与监督分离、多方参与、服务方便快捷等;也存在着不少问题,如群众对农村合作医疗仍存在认识上的误区、用药品种太少、报销比例太低;经办人员的编制等.建议政府制定政策要有持续性和稳定性,广泛宣传,提高参合农民健康意识;增加基本药物目录的范围,适当情况下,可采取二次救助;确定合适编制,建立一支稳定、高效的新型农村合作医疗管理队伍.     

新型农村合作医疗制度评估——以江苏省海安县为例

阐述了新型农村合作医疗的基本制度规定,包括资金来源、办理程序、就诊规定、补偿办法、组织机构以及基金监督,并在制度的框架内对新型农村合作医疗进行了评析,通过对152名农民的问卷调查,了解农民对新型农村合作医疗的基本评价,对农民参与新型农村合作医疗的吸引和排斥因素进行分析。     

新型农村合作医疗制度评估——以江苏省海安县为例

阐述了新型农村合作医疗的基本制度规定,包括资金来源、办理程序、就诊规定、补偿办法、组织机构以及基金监督,并在制度的框架内对新型农村合作医疗进行了评析,通过对152名农民的问卷调查,了解农民对新型农村合作医疗的基本评价,对农民参与新型农村合作医疗的吸引和排斥因素进行分析.     

浙江省新型农村合作医疗制度的实践与思考

浙江省农村合作医疗始于20世纪60年代,发展道路曲折,但对解决农民看病问题发挥过巨大的作用.浙江省新型农村合作医疗试点工作于2003年8月启动,新型农村合作医疗具有政府支持力度大、筹资机制较完善、突出大病统筹等与传统合作医疗不同的新特点.但也应该看到,新型农村合作医疗是一项复杂的社会系统工程,实践中会面临许多困难和问题.在建立此项制度的过程中,应加强宣传教育,转变观念,建立相关的法规和制度,完善筹资机制,配套抓好城乡医药卫生体制改革,以保证合作医疗制度的健康发展.     

农民合作组织介入下的新型农村合作医疗发展机制探索

农民合作组织是一种自治性的民间社团组织。在新型农村合作医疗体系中,农民处于弱势地位,可以借助农民卫生合作组织来提升农民在新型合作医疗中自我服务、筹资和监督的能力。政府要加强调研,引导农民成立科学的农民卫生合作组织,保障农民健康权益和社会利益实现,促进新型农村合作医疗的可持续发展。     

长沙市新型农村合作医疗现状与对策研究

新型农村合作医疗制度是我国农民的基本医疗保障制度,长沙市自2003开始试点,2006年全面推行,农民参合率达到84．6％,有效保障了农民能享有基本医疗卫生保健服务。通过对长沙2006年四县五区的新型农村合作医疗工作进行调查,分析了新型农村合作医疗存在的问题,提出了进一步改进的政策方案。     

浅谈新型农村合作医疗的几点做法

我国新型农村合作医疗的实施取得了一定的效果,截至2005年年底江苏省所有县全部建立了新型农村合作医疗,本文以铜山县2004年度合作医疗实践为例,从筹资机制与力度、法律法规保证、门诊住院补偿比例与力度、预防保健的重视等方面提出几点做法,从而使合作医疗的运行更趋合理.     

Facilitating Local Implementation of Special Education Program Evaluation

The results of a project assessing the applicability of four program evaluation models is described. Survey data from districts documented an interest in local-level special education evaluation models. A training institute for local staff was therefore established to provide staff with competency in four evaluation models. Subsequently, the models were replicated in eight local sites from which representatives had expressed an interest in using the models. All sites completed evaluation planning and implementation activities. Findings suggest that each of the four models in the project can be used with minimal levels of outside assistance and can be readily adapted to local needs. However, each model places somewhat different demands on local staff; and some models may be more appropriate for particular evaluation purposes.     

The Impact of Subtitles on Comprehension of Narrative Film

Theoretically, viewers of a movie strive to construct coherent mental models to understand the local events as they occur, and to link these situation mental models coherently to understand the movie as a whole. This article reports the results of two experiments on the impact of subtitles on the local and global coherence of mental models of a movie. In both experiments, the extent to which attention and memory resources available for generating local and global mental models was manipulated by having half of the participants watch the movie in English (standard condition) while the other half watched in French with English subtitles (subtitled condition). Experiment 1 examined patterns of inferences generated during movie watching. Results showed that participants in the standard condition made more elaborative inferences than those in the subtitled condition, indicating a higher level of global coherence. In contrast, results also showed that participants in the subtitled condition made more bridging inferences than those in the standard condition, indicating a higher level of local coherence. In Experiment 2, participants sorted movie events according to perceived similarity of events, and the data were submitted to a Pathfinder analysis. The resulting collective network of events for the standard and subtitled conditions corroborated the results of Experiment 1. We argue that the tradeoff between local and global coherence should be addressed in current theories of narrative comprehension.     

解释性项目反应理论模型：理论与应用

解释性项目反应理论模型(Explanatory Item Response Theory Models, EIRTM)是指基于广义线性混合模型和非线性混合模型构建的项目反应理论(Item Response Theory, IRT)模型。EIRTM能在IRT模型的基础上直接加入预测变量, 从而解决各类测量问题。首先介绍EIRTM的相关概念和参数估计方法, 然后展示如何使用EIRTM处理题目位置效应、测验模式效应、题目功能差异、局部被试依赖和局部题目依赖, 接着提供实例对EIRTM的使用进行说明, 最后对EIRTM的不足之处和应用前景进行讨论。     

The effects of training and transfer on global/local processing

We investigated interference, inhibition and transfer effects associated with training on a global-local task. Participants received 10,080 training trials on identifying local features of global/local stimuli. Global processing advantage was eliminated with practice. Global interference decreased with training whereas local interference developed with training. Transfer analyses indicated that training produced stimulus-specific effects in local processing and task-specific effects in global processing. Our findings are discussed in regards to models of global/local processing.     

The church's response to the severely emotionally distressed

The clergy and church are deeply involved in aiding persons who have emotional problems. Many of those seeking help manifest psychotic symptoms. This paper addresses the issue of how organized religion can better understand and minister to the needs of those suffering severe emotional distress. Programs and models at national and local levels are discussed, with an emphasis upon the latter. Local level models include mental health promoting aspects of local church functions, pastoral counseling programs of the local church, the Wholistic Health Center (WHC), Community Organization for Personal Enrichment (COPE), Christian Action Ministry (CAM), and Mennonite Mental Health Services. Clinical vignettes illustrate the functioning of these models.This work was, in part, done at and supported by the Harvard University School of Public Health, Boston, Massachusetts.     

Cumulative and local odds-ratio measures of uniformity of association in two-way ordered contingency tables

The cumulative odds-ratio model of uniformity of association in a two-way ordered contingency table is studied, and compared with Goodman's local odds-ratio model. It is shown that the cumulative model can be adapted to the deletion of cells, particularly deletion of diagonal cells in square tables, and an example of the improvement of fit obtained is given, and compared with the fit of the local model. The sensitivity of both models to collapse of categories and to changes in marginal totals is discussed, suggesting criteria for choosing between them. The Appendix describes simple computational algorithms for both models, based on minimizing the likelihood ratio over a range of trial parameters.     

美国临床心理学培养模式的演进及展望

受到社会、组织及自身发展因素的影响, 美国临床心理学在不同时期存在着不同的培养模式。文章选取“科学家－实践者”模式、“实践者－学者”模式、“临床心理科学家”模式、“当下的临床科学家”模式及“循证实践者”模式等五种最具代表性的经典模式, 介绍了1949年以来美国临床心理学培养模式的特点及发展规律。认为“循证实践者”模式修正了前面四种培养模式的个体主义倾向, 将单个的“科学家－实践者”, 分化成“科学家”与“实践者”两个集团, 强调实践者遵循科学家提供的最佳证据, 考虑病人的特征、文化与价值观, 在管理者协调下开展实践。这种模式代表着当代临床心理学培养模式的发展方向。