Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by those organizations involved in the design and administration of health benefits packages, such as purchasers, health plans, benefits consultants, and practitioner groups. 相似文献
In this study, we investigate how partisan motivations shape voters' reactions to a political scandal by drawing on a unique survey experiment fielded immediately after Justin Trudeau's brownface/blackface scandal broke during the 2019 Canadian election. We thus explore motivated reasoning in real time in a competitive and highly partisan election context. Are voters more willing to forgive politicians for past behavior when their own party leader's impropriety is cued? To what extent do personal interests, such as cross-pressures or electoral concerns, affect the motivation to forgive? Our findings show that partisan-motivated reasoning is overwhelmingly powerful, producing politically biased judgments of politicians implicated in scandals. Furthermore, voters' willingness to forgive scandals is also influenced by “strategic” considerations, in that preferences over which political party wins or loses in the election affect opinions about whether someone should be forgiven or whether the scandal is considered important at all. However, we find no evidence that personal involvement in the issue raised by the scandal conditions partisan motivations. We posit that the environment—in this case, a competitive election—is an important consideration for understanding the extent and limits of partisan-motivated reasoning. 相似文献
Six studies examined the role of positive affect (PA) in the experience of meaning in life (MIL). Study 1 showed strong relations between measures of mood, goal appraisals, and MIL. In multivariate analyses, PA was a stronger predictor of MIL than goal appraisals. In Study 2, the most consistent predictor of the experience of meaning in a day was the PA experienced that day. Later, global MIL was predicted by average daily PA, rather than average daily MIL. Study 3 demonstrated no prospective relations between measures of MIL and PA over 2 years. In Study 4, priming positive mood concepts enhanced MIL. In Study 5, manipulated positive mood enhanced ratings of MIL for those who were not given an attributional cue for their moods. In Study 6, PA was associated with a high level of distinction between meaningful and meaningless activities. Results indicate that positive moods may predispose individuals to feel that life is meaningful. In addition, positive moods may increase sensitivity to the meaning-relevance of a situation. 相似文献
Past research provides conflicting evidence for the role of value in the appearance of framing effects. In this study, the effects of frame and group size were examined using scenarios about less valuable and more valuable groups (animal vs. human). In addition, two picture manipulations, intended to increase the value of the group, were presented. Choice patterns differed for the human and animal groups, with participants exhibiting greater risk seeking overall for the human scenario and showing a framing effect for humans but not animals when no pictures were presented. A small group size increased the proportion of risky choices for both the animal and human scenarios. Presenting pictures with names did lead to framing effects for animals, but providing pictures or pictures and names eliminated framing effects for the human scenario. These findings suggest that the relationship between value and framing effects is a matter of degree. 相似文献
This study examines the effects of exposure to the muscular male body ideal on body-focused negative affect among male gym users and non-exercisers. As hypothesized, the impact of media exposure depended on men's exercise status. Non-exercisers (n = 58) reported greater body-focused negative affect after exposure to images of muscular male models than after neutral images (no model controls), whereas gym users (n = 58) showed a tendency for less body-focused negative affect after the model images than after the control images. Furthermore, the extent to which gym users were motivated to increase strength and muscularity moderated these exposure effects; men who reported stronger strength and muscularity exercise motivation reported a greater degree of self-enhancement after exposure to the muscular ideal. The findings are interpreted with respect to likely differences in motives for social comparisons. 相似文献
Interpersonal responses to a depressed person with or without a suicide attempt were examined. It was hypothesized that the depressed person who attempted suicide would receive higher negative attributions and interpersonal rejection, and that attributions would mediate the relationship between exposure to a depressed person and rejection. Contrary to hypotheses, respondents were more willing to interact with, held higher esteem for, and endorsed lower negative attributions for the depressed person who attempted suicide. Mediation hypotheses were supported. Findings suggest that a suicide attempt may promote less negative attributions toward depressed individuals, which in turn dampen negative interpersonal reactions. 相似文献
Objective: The primary aim of this study was to determine the characteristics of clients and interventions in routine psycho-oncological care. The secondary aim was to determine the course of symptomatology during and after the psychological interventions.
Design: During a period of nine months, all clients who sought help in one of the seven psycho-oncological care institutes in the Netherlands were approached to participate in the present study (N = 483). Information was gathered with respect to demographic and medical characteristics, and type and duration of the interventions. In addition, depression, anxiety, well-being, quality of life, fatigue and daily function were determined before interventions and three and nine months later.
Results and conclusions: Compared to the Dutch cancer population, patients in psycho-oncological care were more often young and female. Compared to the general Dutch population, they were highly educated and were more likely to have a partner. Clinical levels of depression, anxiety and/or fatigue were found among 83% of the patients. After three months, only 23% had completed their intervention; this figure was 62% after nine months. Symptoms decreased significantly for all outcome variables. An importance difference with randomised controlled trials is the low session frequency and the long intervention time of patients in clinical care. 相似文献