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.     

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.     

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。     

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。     

农村合作医疗：范式及其重构

从范式角度重点分析了我国肇始于20世纪80年代末的市场化合作医疗改革归于失败的深层次原因,并在此基础上研究了创建新型农村合作医疗制度的原因、意义与特点,提出了符合社会主义新农村建设要求的农村合作医疗范式重构的若干对策建议。     

农村合作医疗:范式及其重构

从范式角度重点分析了我国肇始于20世纪80年代末的市场化合作医疗改革归于失败的深层次原因,并在此基础上研究了创建新型农村合作医疗制度的原因、意义与特点,提出了符合社会主义新农村建设要求的农村合作医疗范式重构的若干对策建议.     

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。     

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.     

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。     

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度机制,以供研究和实践者参考。     

Consider the source: One step in assessing premise acceptability

Premise acceptability is conceptually connected to presumption. To say that a premise is acceptable just when there is a presumption in its favor is to give a first approximation to this connection. A number of popular principles of presumption suggest that whether there is a presumption for a premise, belief, or claim depends on the sources which vouch for it. Sources consist of internal belief-generating mechanisms and external testimony. Alvin Plantinga's notion of warrant lays down four conditions upon a source for the belief which it generates to be warranted. We argue that there is a presumption for a premise, belief, or claim if and only if there is a presumption of warrant for that premise,belief or claim. This amounts to the thesis that there is a presumption for a belief from a challenger's point of view if and only if there is a presumption from that person's point of view that her cognitive faculties which have generated the belief have been functioning properly, in an appropriate cognitive environment, in accord with a segment of her design plan aimed at the truth, and that these faculties are reliable. In light of our argument for this thesis, we may legitimately claim that one way to determine that there is a presumption for a belief is to determine that there is a presumption of warrant for that belief, and thus that in determining whether there is a presumption for a belief or premise, we may consider the source.     

Environmental attitudes mediate the link between need for cognition and pro-environmental goal choice

Need for cognition is a form of cognitive motivation, which reflects the extent that one actively seeks information and enjoys critical thinking about information. Accordingly, those high in need for cognition seek out and acquire information, resulting in stronger and more stable attitudes. However, need for cognition has yet to be examined in the domain of goal pursuit. Toward that end, we examined how this form of cognitive motivation impacts goal related cognitions. Specifically, how need for cognition influences goal choice. Because need for cognition is a domain-general form of cognitive motivation, we hypothesized that domain-specific attitudes would mediate the relationship between need for cognition pro-environmental goals. This hypothesis was tested in two separate studies. Results demonstrate consistent evidence in support of our hypothesis that environmental attitudes mediate the relationship between need for cognition and pro-environmental goal choice. Results hold implications for goal pursuit research, such that need for cognition can be empirically studied in relation to goal related cognitions and behaviors to the same extent as other forms of cognitive motivation. Moreover, these results suggest that need for cognition can be considered along side previously investigated antecedents of pro-environmental behavior.     

Community Counselling: Values and Practices

This article focuses on community counselling, specifically in African contexts. A community psychology approach is used as a framework for this discussion. This approach, linked to a critical perspective, highlights the importance of going beyond individualist assessments and interventions towards comprehensive approaches that locate the person in context, and that listen carefully to and engage openly with all voices in a way that highlights dynamics that oppress ourselves and others, for the purposes of building a supportive and health promoting environment for all. Perspectives and values relevant to this approach, and their implications for psychological practice, are discussed. In particular, the implications for psychological assessment and intervention are explored in some detail.     

Regression II. Development through regression

As shown in our previous paper (‘Regression I. Experimental approaches to regression’, JAP, 65, 2, 345-65), the common mechanism of regression can be described as reversible dedifferentiation, which is understood as a relative increase of the proportion of low-differentiated (older) systems in actualized experience. Experimental data show that regression following disease (chronic tension headache) is followed by adaptation and an increase in system differentiation in that experience domain which contains systems responsible for that adaptation. The results of mathematical modelling support the idea that reversible dedifferentiation can be one of the mechanisms for increasing the effectiveness of adaptation through learning. Reversible dedifferentiation, which is phenomenologically described as regression, is a general mechanism for restructuring the organism-environment interactions in situations where behaviours that were effective in the past become ineffective. Reversible dedifferentiation has evolved as a component of adaptation when new behaviours are formed and large-scale modifications in the existing behaviours are required in the face of changes in the external and/or internal environment. Thus, the authors believe that this article provides evidence for Jung’s view that regression is not only a ‘return’ to past forms of thinking, affects and behaviour, but that regressive processes provide a significant impetus for psychological growth and development.     

Understanding the role of hope in counselling: Exploring the intentional uses of hope

In this paper we look at various conceptual models of hope and research evidence for the integral role that hope plays in counselling. We recognize hope as a dynamic process during which counsellor and client interact in ways that can be mutually influencing and we review research that explores this reciprocal process. A model for the intentional use of hope in counselling that recognizes both implicit and explicit approaches is offered. Metaphors for hope-work that position and re-position both counsellor and client in ways that may foster hope are explored. Finally, we provide suggestions for initiating conversations in which hope can be an explicit therapeutic focus.     

The presence of the past: Identity continuity and group dynamics

Social psychologists are increasingly interested in the temporal dimensions of social life and in identity continuity in particular. Focusing on ethnicity and national identity we discuss the implications of perceived group continuity and collective self-continuity, and their interplay, for group dynamics. Using the social identity perspective and theories of identity motivation, we show, first, that the need for collective self-continuity forms a unique motivational basis for group identification. Second, we demonstrate that people are more likely to derive a sense of collective self-continuity from groups that are seen as relatively stable and immutable over time (i.e., essentialist in-groups). Third, we find that existential threats to group identity strengthen a sense of collective self-continuity, which, in turn, increases in-group defence mechanisms in the form of negative attitudes towards immigrant out-groups and towards social developments that potentially undermine in-group continuity. Fourth, we discuss empirical findings that indicate that group-based nostalgia for the nation is an identity management strategy in response to in-group continuity threats and that nostalgia leads to immigrant out-group exclusion.     

Making sense of the libertarian’s semantic claim about agential phenomenology

Libertarians about free will sometimes argue for their position on the grounds that our phenomenology of action is such that determinism would need to be false for it to be veridical. Many, however, have thought that it would be impossible for us to have an experience that is in contradiction with determinism, since this would require us to have perceptual experience of metaphysical facts. In this paper I show how the libertarian claim is possible. In particular, if experience depicts the world such that there is more than one physically possible future, then determinism would need to be false for that experience to be veridical. I show that we have experiences, or perceptual episodes, of this kind on the basis of recent work in the study of perception. Theorists in this area have argued that we have vision-for-action, and that what we visually perceive are not just objects but also possibilities for action. If we experience that it is possible that we ?, then we also experience that it is possible that we not ?. Furthermore, we probably experience more than one possibility for action at any one moment. I argue that these are physical possibilities, and therefore that we experience the world such that there is more than one physically possible future. So the libertarian claim about the semantics of agential phenomenology is highly plausible, even if this does not entail libertarianism.