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政府与个人的责任——中国当代医疗改革的责任伦理学剖析 总被引:2,自引:0,他引:2
孙慕义 《医学与哲学(人文社会医学版)》2002,23(5):11-15
卫生改革的重点必须放在政府部门;公共卫生,预防与初级医疗保健是人类生存的需要,带有鲜明的公益性和福利性。应由政府投资为主筹集资源,以国家投资为主体负担费用,这个层次的卫生服务产品,属非商品经济部分,并不以赢利为目的,不能引进市场经济,个人对健康负有重要责任,包括:选择医疗保健,决定花费数额,生活方式和卫生习惯的养成,主动接受健康教育,抵抗压力,支持国家与地区的卫生保健政策;个人对自身健康负责是一种道德责任,健商(health quotient)这一重要概念,具有伦理价值和普遍的医学人类学意义;个人对健康负责是一种社会风尚。 相似文献
3.
Li Fugui Mu Weiqi Li Siying Li Xue Zhang Jianxin Chen Chen Zhou MingJie 《Applied research in quality of life》2022,17(4):2041-2058
Applied Research in Quality of Life - Is the Easterlin paradox lost, or has it been regained? Scholars have started to debate this topic in recent years. This paper explores the association between... 相似文献
4.
教育传播学属于跨学科研究领域,在我国尚属新兴学科。从传播学的角度解读孔子的教育传播思想,可以发现其教育传播思想中教育传播平民化;以文字传播作为主要的教育传播媒介;严格的传者自律;强烈的受众意识等诸多方面的内容。 相似文献
5.
Daniel Muñoz 《Inquiry (Oslo, Norway)》2020,63(2):209-229
ABSTRACTContingent negative existentials give rise to a notorious paradox. I formulate a version in terms of metaphysical grounding: nonexistence can't be fundamental, but nothing can ground it. I then argue for a new kind of solution, expanding on work by Kit Fine. The key idea is that negative existentials are contingently zero-grounded – that is to say, they are grounded, but not by anything, and only in the right conditions. If this is correct, it follows that grounding cannot be an internal relation, and that no complete account of reality can be purely fundamental. 相似文献
6.
Moreno Jiménez B Rodríguez Muñioz A Martínez Gamarra M Gálvez Herrer M 《The Spanish journal of psychology》2007,10(2):449-457
The aim of the present study was to validate a reduced Spanish version of the Negative Acts Questionnaire (NAQ; Einarsen & Raknes, 1997). This instrument, which has been widely used in various studies, was developed to measure workplace bullying. Two samples, the first comprising 352 employees from 11 organizations, and the second comprising victims of bullying who were recruited from 15 Spanish associations against bullying, participated in the study. Exploratory factor analysis conducted with the data from the first sample revealed a two-factor solution that accounted for 63.3% of the total variance. The data from the second sample were used for confirmatory factor analyses to compare three structure models of the NAQ (one factor, two independent factors, and two correlated factors). The results indicate that the correlated two-factor model provided the best fit to the data (chi2/df = 2.1, CFI = .93, GFI = .95, RMR = .04, RMSEA = .06, AIC = 215.4). Reliability analysis showed that this 14-item Spanish version had high internal consistency. Significant correlations between the NAQ and its dimensions and diverse health and perceived stress scales were found, which provided evidence of construct validity. Taken conjointly, the results of this study support the use of the Spanish version of the reduced NAQ in future research. 相似文献
7.
公平概念一直都是儿童道德发展研究的一个重要课题。传统上认为公平作为一个道德概念,属于人类精神层面,指导人类行为,是高于社会物质生活的。然而进一步研究关注,公平,作为人类生活中的一个重要而普遍的现象,是如何产生的,又为何能保持在人类社会生活中的。结果表明,公平在是人们在互利的目的下表现出来的一种策略,受到社会信息透明度的影响。一个社会中信息越透明,个体的名声越容易形成,则公平越成为一种最优的策略。 相似文献
8.
Luis Felipe Rios Francisca Luciana de Aquino Miguel Muñoz-Laboy Cinthia Oliveira Richard G. Parker 《文化与宗教》2013,14(4):355-372
Religious beliefs have had a key role in shaping local responses to HIV and AIDS. As the world's largest Catholic country, Brazil is no exception. Yet little research has been conducted to document how religious doctrine is enacted in practice among its lay leaders and followers. In this article, we present ethnographic research from Recife, Brazil, conducted to understand the way in which religious doctrines are interpreted at a local level. Contextualised within the sociology of contemporary Brazilian Catholicism, we draw on interviews with clergy members, lay leaders, and parishioners to discuss how the Catholic Church's vision of sexuality translates into everyday lives of its followers. We explore the disjuncture between the Catholic ideals of fidelity and delaying sex until marriage with the everyday reality of the Church's followers, highlighting the role that gender plays in defining sexual roles and expectations. We conclude by posing questions for future research and HIV prevention strategies considering the formal institutional response of the Brazilian Catholic Church to AIDS on the one hand, and the social and cultural contexts in which Catholics live their daily lives on the other. 相似文献
9.
Moreno Jiménez B Rodríguez Muñoz A Sanz Vergel AI Rodríguez Carbajal R 《Psicothema》2008,20(4):760-765
A recent number of studies have focused on the relations between psychosocial factors and sleep disturbances. Like other work-related stressors, workplace byllying is associated with several negative consequences. However, few studies have investigated the influence of workplace byllying on disturbed sleep. Insomnia is the most frequent sleep complaint. Several models have highlighted the importance of cognitive factors in the development and maintenance of insomnia. Cognitive styles such as psychological detachment and rumination may be relevant in this process. The aim of the present study is to examine the moderating role of psychological detachment and rumination on the relationship between workplace byllying and insomnia. To minimize the effect of common method variance, we tested our hypothesis using a research design in which we collected data at two points in time separated by 1 month. A total of 523 individuals responded to both phases, with 511 useable surveys. The results of the hierarchical multiple regression analysis provide evidence for the moderating role of psychological detachment and rumination in the workplace byllying process. Thus, these findings are in line with the cognitive models of insomnia. 相似文献
10.
The present study investigated differences in the behavioral and psychophysiological responses to provocation and in the level of callous-unemotional traits in boys exhibiting different patterns of aggression. Eighty-five boys (ages 13-18) in a juvenile detention center played a competitive computer task against a hypothetical peer who provided low and high levels of provocation. Youth high on both self-reported reactive and proactive aggression showed different behavioral responses to provocation than youth high on only reactive aggression. Specifically, the combined group showed high levels of aggressive responses without any provocation, whereas the group high on reactive aggression showed an increase in aggressive responding to low provocation. Further, results revealed a trend for the combined group to show lower levels of skin conductance reactivity to low provocation if they were also high on callous-unemotional traits. 相似文献