医疗服务纵向整合的理论基础研究

为促进医疗服务纵向整合实践的开展, 矫正服务系统提供的碎片化服务, 结合医疗卫生服务的特点, 探讨了系统整合理论、供应链一体化管理理论、组织网络理论以及协同理论等与服务整合相关的理论基础, 着重分析了各理论的基本内涵、核心思想对医疗服务纵向整合的实践价值及其应用边界, 概括了各个服务整合相关理论内在逻辑上的关联, 最后构建了医疗服务系统纵向整合的理论模型, 以指导构建一个完整的服务连续体, 为居民提供整合的卫生服务。     

Career adaptability and perceived overqualification: Testing a dual-path model among Chinese human resource management professionals

Based on career construction theory, the current research examined the relationship between career adaptability and perceived overqualification among a sample of Chinese human resource management professionals (N = 220). The results of a survey study showed that career adaptability predicted perceived overqualification through a dual-path model: On the one hand, career adaptability positively predicted employees' perceived delegation, which had a subsequent negative effect on perceived overqualification. At the same time, career adaptability also positively predicted career anchor in challenge, which in turn positively predicted overqualification. This dual-path mediation model provides a novel perspective to understand the mechanisms through which career adaptability affects perceived overqualification, and demonstrates the coexistence of opposite effects in this process. In addition, the results also showed that the effects of perceived delegation and career anchor in challenge on perceived overqualification were stronger among employees with a higher (vs. lower) level of organizational tenure. These findings carry implications for both career development theories and organizational management practices.     

On The Exchange of Hostility With Supervisors: An Examination of Self‐Enhancing and Self‐Defeating Perspectives

We invoke competing theoretical perspectives to examine the consequences for subordinates of involvement in relationships that vary in terms of downward hostility (i.e., hostility enacted by supervisors against direct reports) and upward hostility (i.e., hostility enacted by subordinates against immediate supervisors). Consistent with the perspective that targets of downward hostility are less likely to see themselves as victims when they perform acts of upward hostility, analysis of 2‐wave data from a sample of supervised employees suggested that upward hostility weakens the deleterious effects of downward hostility on subordinates’ job satisfaction, affective commitment, and psychological distress. Study 2 directly examined the presumed mechanism that underlies the effects observed in Study 1. In a 3‐wave sample, support was found for a moderated‐indirect effect framework in which the indirect effects of downward hostility on subordinates’ attitudes and psychological distress (through victim identity) were weaker when upward hostility was higher. Study 2 results also suggested that the enhancing effect of upward hostility generalizes to subjective indicators of career satisfaction and future career expectations.     

A retrospective study on risk assessment and management of forensic psychiatric inpatients in Hong Kong

The Department of Forensic Psychiatry of Castle Peak Hospital is the only facility in Hong Kong that provides territory-wide forensic psychiatric services for patients with criminal involvement. This retrospective study aimed to explore whether the rehabilitation programs provided by the department could significantly reduce the risks of forensic psychiatric inpatients as measured by the Short-Term Assessment of Risk and Treatability (START). START ratings of inpatients who were hospitalized in the department for more than 3 months and were discharged to the community during the period from 11 April 2015 to 31 March 2019 were analyzed. A total of 79 patients were assessed, of whom 61 (77.2%) were males. Fifty-four (68.4%) patients suffered from schizophrenia. START scores upon admission (strength score = 5.67; vulnerability score = 17.43) and upon discharge (strength score = 6.87, vulnerability score = 11.18) indicated significant reduction of risks among inpatients (p < 0.05).     

学习十九届五中全会精神(笔会)

党的十九届五中全会通过了《中共中央关于制定国民经济和社会发展第十四个五年计划和二〇三五年远景目标的建议》,开启了全面建设社会主义现代化国家新征程。会议鼓舞人心,引人深思,催人奋进。由教育部人文社会科学重点研究基地李萍所长倡议,中山大学马克思主义哲学与中国现代化研究所暨哲学系、广东哲学学会、广东伦理学学会、广东马克思主义学会、现代哲学杂志社,联合组织了以“新时代·新理念·新格局”为主题的“学习贯彻党的十九届五中全会精神”的视频会议,哲学界尤其是马克思主义哲学专业近二十位专家与会,交流学习心得,共商学术大是。这里刊登部分发言。本刊后续还将组织此一主题的专栏文章。     

Effects of Weight and Syntactic Priming on the Production of Cantonese Verb-Doubling

Verb-doubling, where a copy of the main verb occurs both before and after the direct object, is a structure commonly used in Chinese in sentences containing a frequency or duration phrase. In Cantonese, verb-doubling is highly optional and therefore problematic for existing syntactic, semantic, and pragmatic accounts of its distribution in Mandarin. The current study investigates the role of grammatical weight and syntactic priming in the choice of verb-doubling in Cantonese. Following (Hawkins in Efficiency and complexity in grammars, Oxford University Press, Oxford, 2004) theory of efficiency and complexity in grammars, we hypothesized that speakers would choose verb-doubling over the canonical structure more often when the object NP was heavy, in order to minimize processing domains. In addition, we expected an effect of syntactic priming whereby the choice of structure is influenced by a previously encountered structure. The results of two elicited production experiments revealed no weight-based preference for verb-doubling, and only minor effects of grammatical weight, but clear effects of syntactic priming: (1) for both canonical primes and verb-doubling primes, speakers tended to repeat previously heard structures; (2) the priming effect was just as strong in the heavy NP condition, where speakers made more errors recalling the semantic content of the sentence, suggesting that semantic information is represented separately from syntactic information; (3) the priming effect was stronger for informationally accurate responses, suggesting that recently activated structures are easier to produce than other structures under conditions of increased cognitive load. We conclude that the choice between verb-doubling and canonical structure in Cantonese is easily influenced by the structure of recently encountered sentences, with weight effects, if any, being more difficult to detect.     

Newborn preference for a new face vs. a previously seen communicative or motionless face

Newborn infants prefer to look at a new face compared to a known face (still-face). This effect does not happen with the mother-face. The newborns could be attracted by the mother-face because, unlike the still-face, it confirms an expectation of communication.Fifty newborns were video-recorded. Sixteen of them were recruited in the final sample: nine were exposed to a communicative face and seven to a still-face. All the 16 newborns were successively exposed to two preference-tasks where a new face was compared with the known face.Only newborns previously exposed to a still-face preferred to look at a new face instead of the known face. The results suggest that the newborns are able to build a dynamic representation of faces.     

Health beliefs,optimism, and health‐related decisions: A study with Hong Kong Chinese

T he Health Belief Model (HBM; Rosenstock, 1966) is the most widely used psychological theory of health‐related behaviours but its applicability to non‐Western, especially Asian, populations has not been systematically studied. The main objective of the current study was to examine the effects of components of the HBM and dispositional optimism on preventive intention in two separate samples of 220 Hong Kong Chinese adults and 340 Hong Kong Chinese adolescents. Two HBM variables, benefits and barriers, were experimentally manipulated for an imaginary flu outbreak and a hypothetical vaccine. Optimism in the two samples was assessed using the Chinese revised Life Orientation Test (Lai et al., 1998). Participants indicated their intention to take the hypothetical vaccine after reading information for each of the treatment combinations defined by the two HBM variables. The order of the presentation of each of the six treatment conditions was counterbalanced. Results of ANOVA showed that the effects of the two HBM variables were similar in the two groups. Higher benefits and lower barriers were associated with stronger behavioural intention to take the vaccine. The two HBM variables interacted significantly in the adolescent but not the adult sample. Among the adolescents, the difference in intention scores between low and high barriers became larger when the benefits of taking the vaccine increased. In addition, optimism had significant effect on preventive intention only among the adolescents. These findings suggest that age may be an important factor moderating the effects of HBM components as well as optimism on preventive intention in Hong Kong Chinese. Implications of these findings to future research among Chinese were discussed.     

Information entropy and the variability of space-time movement error

The authors investigated the effects of movement time and movement distance on the information entropy and variability of spatial and temporal error in a discrete aiming movement. In Experiment 1, the authors held movement distance (100 mm) constant and manipulated 11 movement times (300-800 ms) of 8 participants. In Experiment 2, the authors tested 6 movement distances at 2 given movement times (15-60 mm at 300 ms; 40-240 mm at 800 ms) in 8 participants. The variability and entropy for spatial error increased with average movement velocity, whereas the variability and entropy for temporal error decreased as a function of average movement velocity. The common variance between variable error and entropy averaged about 84% and 72% for spatial and temporal errors, respectively, suggesting that the probabilistic approach of entropy reveals features that are not present in the standard deviation index of variability. The findings provide further evidence that information entropy may be a useful single-index representation of variability in the movement speed-accuracy relation.