新型农村合作医疗制度推行中的几个问题探讨

2003年我国开始了农村合作医疗的重建工作,它直接关系到中国几亿农民的健康和利益,目前仍处于大规模的试点阶段.通过对部分试点地区的实地调查研究和文献资料分析,以及新型农村合作医疗在其具体的实施过程中存在问题的探讨,对进一步发展提出了相关的政策建议,希望能对这项制度稳健和可持续的发展有所裨益.     

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.     

以新型农村合作医疗为平台加强农村妇幼保健工作

住院分娩是否应该纳入新型农村合作医疗的补偿范围,目前在学术界和实践中仍然存在争议.以陕西省镇安县为案例,从公共政策分析的角度,通过对该县定额住院分娩制度运行效果的分析,论证了把住院分娩纳入合作医疗补偿范围的积极意义,同时针对该制度运行过程中出现的问题提出了相应的政策建议.     

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。     

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.     

中国农村合作医疗微观要素机制的演进和变迁

作为中国特色的农民医疗保障制度,中国农村合作医疗70年制度变迁,是适应中国宏观体制机制变迁的结果,是城乡二元经济社会政治体制向一元化体制机制战略转型的"活化石"。合作医疗的参保主体、基金筹集、管理经办和待遇支付等微观要素机制,分别与经济、社会和政治体制的变革耦合与适应,从要素制度的"渐进性"变革起始,牵一发而动全身,带动合作医疗实现整体性制度创新和变迁,构成了合作医疗制度演进和变迁的微观图景,并依此形成了中国农村合作医疗制度变迁的特色逻辑,为解决当下新农合与城居保制度"整而不合"的实践难题提供借鉴路径。     

以新型农村合作医疗为平台加强农村妇幼保健工作

住院分娩是否应该纳入新型农村合作医疗的补偿范围,目前在学术界和实践中仍然存在争议。以陕西省镇安县为案例,从公共政策分析的角度,通过对该县定额住院分娩制度运行效果的分析,论证了把住院分娩纳入合作医疗补偿范围的积极意义,同时针对该制度运行过程中出现的问题提出了相应的政策建议。     

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.     

情绪主题绘本阅读对自闭症谱系障碍儿童情绪理解障碍的干预效果

本研究选取一名15岁的重度自闭症谱系障碍儿童为研究对象，采用眼动追踪技术考察其情绪主题绘本阅读的眼动特征，并制定情绪主题绘本阅读方案，对该儿童的情绪理解障碍进行干预。结果显示：（1）在干预前，这名儿童阅读情绪主题绘本时更加关注背景区域，而较少注意主角形象区域，在整体画面中最后关注甚至忽视主角表情这一重要信息。（2）通过情绪主题绘本阅读干预，这名儿童对主角表情的首次注视前时间减少，注意分配时间和注视次数显著增加；情绪理解能力也显著提高。     

神经科学视角下的共情研究热点

共情是指个体对他人情绪和想法的感受及理解。近年来关于共情神经机制的研究日益增多,但多集中在情感共情、认知共情、生理性疼痛共情等方面,而对社会痛共情、积极共情和不对称共情反应的研究相对较少。且由于研究范式及个体差异等原因,研究结果之间也充满着争议。未来研究可以设计更具生态效度的共情研究范式、进一步深化和细化共情的神经机制研究、从神经机制角度探讨不同共情能力个体的特点及共情反应的调节因素。     

Two Moralities: Reinterpreting the Findings of Empirical Research on Moral Reasoning in Taiwan

This paper reinterprets the findings of previous empirical research on moral reasoning and moral judgment conducted in Taiwan using Kohlberg's research paradigm. It consists of three major parts. The first part explores Kohlberg's theory of moral development and its limitations. Gibb's (1979) two-phase model is used to emphasize the necessity of studying cultural heritage in understanding the prevalent moral reasoning of existential phase adults in a given society. The second part presents an analysis of Confucian ethics (Hwang, 1995), and proposes a conceptual scheme for discerning the significant features of Confucian ethics by referring to distinctions between positive/negative and imperfect/perfect duties. The discretionary features of Confucian ethics are further analyzed in terms of Shweder et al .'s (1990) scheme for discerning a rationally defensible moral code. In addition, the Confucian moral dilemma and its modern fate in the New-Culture Movement of the May Fourth period on mainland China, and the 1960s Gong De Movement in Taiwan are discussed. The third part of this paper reinterprets the findings of several empirical studies on moral reasoning in Taiwanese society. Special attention is paid to Cheng's (1991) data from interviews with a group of college students using Kohlberg's moral dilemma. The implication of her findings is discussed on the basis of the new conceptual scheme.     

A method for studying the analysis of aspects of the patient's experience of the relationship in psychoanalysis and psychotherapy

We have described a coding scheme for obtaining an objective account of the analysis of resisted aspects of the patient's experience of the relationship with the therapist in single, audio-recorded sessions of psychoanalysis and psychotherapy. The focus is on what is often regarded as an important first step in the analysis of transference: the identification and exploration of the preconscious points of attachment of transference ideas in the here-and-now. Related to the scheme is the view that there is generally a plausible basis in the here-and-now for the patient's ideas about the therapist. The implications of that view for the concept of transference are discussed. Future directions for research are noted, including improving the reliability of the scheme and testing various hypotheses regarding how the particular step in technique assessed by the method affects other aspects of the process and outcome.     

Optimal cue aggregation in the absence of criterion knowledge

The study of multi‐cue judgment investigates how decision makers aggregate cues to predict the value of a criterion variable. We consider a multi‐cue judgment task in which decision makers have prior knowledge of inter‐cue relationships but are ignorant of how the cues correlate with the criterion. In this setting, a naive judgment strategy prescribes weighting the cues equally. Although many participants are well described via an equal weighting scheme, we find that a substantial minority of participants make predictions consistent with a weighting scheme based on a low‐dimensional projection of the cue space that optimally takes into account inter‐cue correlations. The use of such a weighting scheme is consistent with minimizing maximal error in prediction when the cue‐criterion relationships are unknown.     

表征影响三门问题解决的实验研究

本实验选取120名大一学生,设计了四种不同的处理,研究表征对解决三门问题及其迁移问题的影响,结果表明:(1)三门问题困难原因有害怕后悔、控制错觉和错误表征问题空间等,其中错误表征问题空间是主要原因。(2)清晰表征选手行为和主持人行为的逻辑关系显著地促进了三门问题的解决,而只有在逻辑关系基础上的频率表征才能够更进一步地促进三门问题的解决,在此基础上概率形式的信息表征没有更显著的促进作用。(3)在逻辑关系分解基础上的频率表征无论对结构相似还是内容相似的迁移问题的解决都有最好的正迁移效果。     

Counselling and well-being: on the road to realities

This article aims to discuss the rationale and some guiding principles for the realm of counselling in the fostering of well-being. After some brief observations of a theoretical nature, the principles analysed are: the revitalisation of counselling; the reflection on the concept of dialogue, including the notion of context; the perspective of counselling as social activity; understanding counselling and how it adjusts on the road to realities. From this perspective, practitioners view counselling as a social activity aimed at self-construction and life designing. In following that view, the idea of counselling as being socially produced is also examined. At the end, some considerations on the future of counselling are discussed.     

Some limitations of functional analyses: Treatment of problem behavior based on the study of alternative responses

Functional analyses is a viable approach to understanding important causes of problem behavior and to designing interventions. However, functions are not always possible to identify, and results of a functional analysis are sometimes hard to utilize: even when functions are detected, we do not necessarily know exactly how reinforcement of alternative behaviors must be arranged in order to be effective. Consequently, interventions must sometimes be based on additional tools. Research on alternate responses is concerned with variables that influence individual choices among responses, both aberrant and appropriate, and may provide such a tool, but to what extent? Basic and applied research on choice responding are reviewed, and implications for treatment are discussed. Copyright © 2002 John Wiley & Sons, Ltd.     

On the status of “things in themselves” in Kant

Conclusion For Kant, the concept of things in themselves or noumena isnot a door through which we are able to exit from the phenomenal realm into the sphere of mind-independent reality. Rather, it is an epistemic, mind-imposed contrivance through which alone we are able to operate our conceptual scheme — a scheme in which objectivity and externality play a crucial role.     

团体认知影响数学概念结构表征的实验研究

概念结构表征一直是认知心理学研究的重要内容。本研究以团体及表征理论为基础,通过设计不同的团体认知条什来研究认知交互作用对概念结构表征的影响。实验结果表明不同的团体认知表现出了不同的认知交互,对概念结构表征也产生了不同的影响。