医疗卫生系统整合:医改顶层设计的新理念

从国际和国内医改理论和实践出发,分析医疗卫生系统整合对实现医改目标和顶层设计的影响.论证医疗卫生系统整合是解决卫生系统危机的最佳路径,医疗卫生系统整合对改善卫生系统绩效具有重要影响;提出中国医改的核心是实现体制改革和机制的创新与变革,这一变革的前提是理念的创新;医疗卫生系统整合理念在医改顶层设计和医改目标的实现具有重要的理论和实践意义.当前需要医疗卫生系统整合的新理念来统领医改的顶层设计,不仅有助于破解医改顶层设计的难题,还将推动解决医改目标的实现,也是与国际上卫生系统改革导向和发展趋势相吻合的.     

Dyadic Anxiety in Youth Sport: The Relationship of Achievement Goals With Anxiety in Young Athletes and Their Parents

The role of achievement motivation on precompetitive anxiety was examined in 73 dyads comprising youth athletes and a parent of each athlete. Participants completed questionnaires assessing achievement goals and anxiety. Actor–partner interdependence models were estimated using Mplus 7.11. Parents’ adoption of performance-approach and performance-avoidance goals predicted athletes’ worry (β_{performance-approach} =.30, p <.01; β_{performance-avoidance} =.25, p <.05). Athletes’ adoption of any goal predicted parents’ concentration disruption (β_{mastery-approach} =.41; β_{mastery-avoidance} =.30, p <.01; β_{performance-approach} =.27; β_{performance-avoidance} =.22, p <.05). Thus, parental definitions of competence held for the child was related to their young athlete's emotional state and vice versa.     

We are human,they are not: Driving forces behind outgroup dehumanisation and the humanisation of the ingroup

Mostly invigorated by infrahumanisation theory, our knowledge on processes of dehumanisation in intergroup relations has grown considerably in the last decade. Building on these earlier endeavours, the present chapter reviews some recent empirical extensions that highlight the importance of differentiating between ingroup humanisation and outgroup dehumanisation because they are often moderated by specific variables. The role of these separate processes is discussed as a function of the main structural elements that define intergroup behaviour; that is, the defining boundaries of the groups, the relation between the groups at hand, and the ideologies of its members. Finally, the role of the different senses of humanness is discussed, suggesting that the folk conception of humanness differs between cultures.     

“Faith Maturity Scale” for Chinese: A Revision and Construct Validation

Using a large sample of Chinese Christians (n = 2,196), we examined the internal structure, reliability, and validity of the Faith Maturity Scale (FMS). Despite its being developed in North America, and for a mainline Protestant population, the FMS was shown to have validity among non-Western, non-mainline Protestants. There is convergent validity with self-reported religious practices and a belief measure of religiosity. Our analyses also confirmed good construct validity with the Big Five personality dimensions, social axioms, attributional style, and quality of life. FMS remained associated with religious practices and high quality of life after personality was statistically controlled. Findings supported that the Chinese version of the FMS assesses the same theoretical construct as does the original scale and that the distinction between the vertical and horizontal dimensions of faith maturity is meaningful.     

Psychological contracts and innovative behavior: a moderated path analysis of work engagement and job resources

This study explored the relationships between psychological contract types and innovative behavior. We focused on the mediating effect of work engagement and the moderating effect of job resources (organizational and social resources). Participants were 267 dyads of research and development engineers and their supervisors from 30 high‐tech companies. Moderated path analysis was used to test the hypotheses. Findings showed that: (a) work engagement fully mediated the negative relationship between transactional contracts and innovative behavior; in addition, it also fully mediated the positive relationship between relational contracts and innovative behavior; and (b) job resources attenuated the former and strengthened the latter mediating effects. These findings contribute to understanding how, why, and when psychological contract types lead to innovative behavior via work engagement.     

Resilience: enhancing well-being through the positive cognitive triad

The present study tested whether the relationships among resilience, life satisfaction, and depression could be explained by positive views toward the self, the world, and the future (positive cognitive triad). Structural equation modeling and mediation analyses were conducted based on 1,419 college students in Hong Kong. The model of positive cognitive triad as mediator between resilience and well-being fit the data (comparative fit index = .94, Tucker-Lewis index = .93, root-mean-square error of approximation = .08). Findings showed resilience to be significantly related to positive cognitions about the self, the world, and the future. Individuals who had higher level of resilience held significantly more positive cognitions and reported significantly higher levels of life satisfaction and lower levels of depression. The utility of the positive cognitive triad as the mechanism through which resilience enhances well-being was supported. Applications in cultivating resilience and positive cognitions in counseling services are discussed.     

Using teacher greetings to increase speed to task engagement

We used a multiple baseline design across participants to determine if teacher greetings would reduce the latency to task engagement. Three participants were identified by their respective teachers as having difficulty initiating task-appropriate engagement at the beginning of class. Latency was measured from teacher greeting until the participant was actively engaged for 5 consecutive seconds. Results showed that teacher greetings were effective at reducing latency to task engagement for all participants.     

Physical fitness of South African primary school children, 6 to 13 years of age: discovery vitality health of the nation study

Basic physical fitness was measured using 8 different measures for 10,295 South African children and youths (5,611 boys, 4,684 girls) ages 6 to 13 years. These measurements included height, weight, Body Mass Index, standing long jump, shuttle run, sit-and-reach, sit-up (EUROFIT testing battery), and cricket ball throw scores. Due to the effects of earlier apartheid laws on separating communities, it was hypothesized that scores for different ethnic groups may differ. Therefore, in addition to the calculation of basic norms and sex differences, ethnic differences were also tested. Height and weight, relative to age, were different between the various ethnic groups (Black, White, and Mixed ancestry) for boys, with Black boys being shorter and lighter than White boys. There were no differences in sit-and-reach flexibility scores between the groups. With the exception of the cricket ball throw for girls, White children had higher scores in most tests. Although not significantly different from the White children, in the majority of cases, the children of mixed ancestral origin had scores that ranged between the other two ethnic groups. These results suggest a need for encouraging fitness in school children, and the reintroduction of formal physical education into the South African school curriculum, especially into schools in which Black children predominate.