Consumers and choice: cost containment strategies for health care provision

Consumer responses to three cost containment strategies for providing health care are examined. The data come from a random sample of 365 Los Angeles adults interviewed by telephone. It is found that aggregate sample responses are negative toward two strategies (labelled preferred provider and health planning) and positive toward the third (labelled self care). Furthermore, it is found that demographic characteristics that predict approval of one strategy predict disapproval of other strategies. These findings, coupled with models assessing how and why segments of consumers respond as they do, suggest that no one strategy is likely to appeal to all consumers. Implications for the implementation of health care delivery systems inspired by containment strategies are discussed in the context of recent events in California.     

Gun culture and symbolism among U.K. and U.S. women

The authors explored attitudes of young women in the United Kingdom (n = 108) and the United States (n = 91) toward (a) the possession and use of guns through the Attitude to Guns Scale (N. R. Branscombe, J. A. Weir, & P. Crosby, 1992) and (b) guns' perceived functional and symbolic significance through the Symbolic Nature of Guns Scale (C. A. Cooke & J. E. Puddifoot, 1997). There were significant differences in beliefs concerning the right to own a gun and the protective effect of guns but not in the perceived contribution of guns to crime. Although neither group strongly equated guns symbolically with power or control, the U.S. women were more likely to perceive guns as expressions of freedom or independence, and the U.K. women were more likely to view guns as expressions of danger and violence. The findings were contextualized by comparison with samples of male control participants of similar ages.     

Gun Culture and Symbolism Among U.K. and U.S. Women

Abstract

The authors explored attitudes of young women in the United Kingdom (n = 108) and the United States (n = 91) toward (a) the possession and use of guns through the Attitude to Guns Scale (N. R. Branscombe, J. A. Weir, & P. Crosby, 1992) and (b) guns' perceived functional and symbolic significance through the Symbolic Nature of Guns Scale (C. A. Cooke & J. E. Puddifoot, 1997). There were significant differences in beliefs concerning the right to own a gun and the protective effect of guns but not in the perceived contribution of guns to crime. Although neither group strongly equated guns symbolically with power or control, the U.S. women were more likely to perceive guns as expressions of freedom or independence, and the U.K. women were more likely to view guns as expressions of danger and violence. The findings were contextualized by comparison with samples of male control participants of similar ages.     

Noncompliance in end-stage renal disease: A threat to quality of care and cost containment

Noncompliance to treatment regimen after kidney transplantation is a threat to health outcomes and cost containment. Although there are methodological challenges to obtaining reliable compliance data, the results of noncompliance are increased morbidity and mortality in posttransplant patients. In addition, recent research suggests that patients who incur repeated rejection episodes leading to graft failure have higher levels of medical utilization. Some psychosocial factors related to compliance and medical utilization are potentially modifiable through cognitive-behavioral intervention.     

An Exploratory Model of Quality of Life in the U.S. Navy

Previous quality of life (QOL) modeling efforts using data from U.S. Marine Corps personnel have identified specific domains that were related to Reenlistment Intention, with an overall measure of QOL serving as a mediating variable (Kerce, 1995 Kerce, E. W. (1995). Quality of life in the U.S. Marine Corps (Rep. No. NPRDC–TR–95–4). San Diego: Navy Personnel Research and Development Center. [Google Scholar]; White, Baker, & Wolosin, 1999 White, M. A., Baker, H. G., & Wolosin, D. G. (1999). Quality of life in the Marine Corps: A comparison between 1993 and 1998 (Rep. No. NPRDC–TR–99–1). San Diego: Navy Personnel Research and Development Center. [Google Scholar]). This study examined the validity of applying the Kerce life domains model to U.S. Navy personnel. Structural equation modeling analyses failed to replicate the Kerce model of QOL. Exploratory analyses supported a model similar to Hart (1999) Hart, P. M. (1999). Predicting employee life satisfaction: A coherent model of personality, work and nonwork experiences, and domain satisfactions. Journal of Applied Psychology, 4, 564–584.[Crossref] , [Google Scholar] in which (a) life domains are divided into nonwork, or personal, domains and work domains; (b) personal domains are linked to Reenlistment Intention; and (c) work domains are linked with Reenlistment Intention through organizational commitment.     

Quality of Life in the U.S. Navy: Impact on Performance and Career Continuance

Previous research has shown the importance of quality of life (QOL) for critical organizational outcomes such as the retention of U.S. Navy personnel (Wilcove, Schwerin, &; Wolosin, 2003 Wilcove, G., Schwerin, M. and Wolosin, D. 2003. An exploratory model of quality of life in the U.S. Navy.. Military Psychology, 15(2): 133–152. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) and Marines (Hindelang, Schwerin, &; Farmer, 2004 Hindelang, R. L., Schwerin, M. J. and Farmer, W. L. 2004. Quality of life (QOL) in the U.S. Marine Corps: The validation of a QOL model for predicting reenlistment intentions.. Military Psychology, 16(2): 115–134. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). These studies employed a life domains approach addressing a full range of work and non-work life needs as well as specific aspects of each life domain. In contrast, most other research exploring outcomes critical to military organizations focused only on work life needs of personnel (e.g., job satisfaction, organizational commitment, command climate). This study extends previous research by (a) including both performance and career-continuance plans of personnel as outcomes of interest, (b) exploring the contribution of an additional life need—spiritual well-being—to the measurement of QOL, and (c) examining changes in perceptions of QOL over time between 1999 and 2002 among U.S. Navy personnel. Implications of findings to military personnel, families, and manpower and personnel policy as well as future directions for research are discussed.     

Environmental psychology in the U.S.S.R.

A preliminary version of this paper was presented at the 19th National Convention of the American Association for the Advancement of Slavic Studies, Boston, November, 5, 1987.     

Computers in psychology teaching in the U.K.

This paper describes the first year of operation of the CTI Centre for Psychology, which pro-motes the use of computers in psychology teaching in the U.K. We outline current use of computers in teaching and some of the obstacles to the effective development of computer-supported courses. In particular, we focus on the need for closer integration of innovative forms of teaching into courses. We describe the Centre’s strategy for supporting both conventional and innovative computer-supported teaching, and argue that effective use of software depends on both the instructional situation and the educational context.     

Regendering the U.S. Abortion Debate

This paper originated in a conference presentation with my colleague Michael Tooley, at which we were both asked to re-evaluate articles about abortion that each of us had written over twenty years earlier. While Tooley and I both contended that abortion should be legally unrestricted, there were striking differences in the style and content of our respective arguments. Contemplating these differences has reinforced my own belief in the importance of emphasizing the centrality of gender when discussing abortion. Since gender as we know it is a system of dominance as well as difference (MacKinnon 1987), I take this to mean that contemporary discussions of abortion must address the relationship between abortion access and the social status of women. My early article addressed this relationship to some extent, but the present paper will raise a number of additional gender issues that the early article did not mention.     

Master resilience training in the U.S. Army

The U.S. Army Master Resilience Trainer (MRT) course, which provides face-to-face resilience training, is one of the foundational pillars of the Comprehensive Soldier Fitness program. The 10-day MRT course is the foundation for training resilience skills to sergeants and for teaching sergeants how to teach these skills to their soldiers. The curriculum is based on materials developed by the University of Pennsylvania, the Penn Resilience Program (PRP), and other empirically validated work in the field of positive psychology. This "train the trainer model" is the main vehicle for the dissemination of MRT concepts to the entire force.     

浅析基督教对美国废奴和民权运动的推动作用

已往对美国的废奴运动的研究,大都是从美国北方资本主义工商业的蓬勃发展和落后的南方大量使用奴隶的种植园经济之间的矛盾展开的.当然,研究者也肯定了黑人的觉醒和斗争以及进步白人反对奴隶制的行动.