医疗体制改革应该以二级制为基础——评《哈佛报告》

香港特别行政区政府委托美国哈佛大学一个专家小组对香港的医疗制度作了一个全面评估,并就目前的融资安排（ｆｉｎａｎｃｉａｌａｒｒａｎｇｅｍｅｎｔ）提出改革方案。小组发表的报告对香港医疗制度作了很多中肯批评,但所提出的融资改革方案却极受争议。方案的主要缺点是违背医疗二级制的精神,令自由选择、关怀和社会公义（ｓｏｃｉａｌｊｕｓｔｉｃｅ）等价值难以得到实现。     

Not Esoteric,Just Fallible: Comment on Starmans and Friedman About Philosophical Expertise

Gettier cases are scenarios conceived by philosophers to demonstrate that justified true beliefs may not be knowledge. Starmans and Friedman (2020) find that philosophers attribute knowledge in Gettier cases differently from laypeople and non-philosophy academics, which seems to suggest that philosophers may be indoctrinated to adopt an esoteric concept of knowledge. I argue to the contrary: Their finding at most shows that philosophical reflection is fallible, but nevertheless able to clarify the concept of knowledge. I also suggest that their experiments could be modified to help determine when philosophical reflection might yield plausible results.     

The relationships of change in work climate with changes in burnout and depression: a 2-year longitudinal study of Chinese mental health care workers

Mental health care workers face heavy emotional demand and are prone to work burnout. Work burnout has been associated with poor mental health and work climate, which refers to individual perceptions about work setting. The purpose of this study was to examine whether intra-individual changes in work climate were associated with intra-individual changes in burnout and depression over two years. The present sample included Chinese mental health care workers (N = 312; mean age = 38.6, SD = 9.9) working in a psychosocial rehabilitation institution. The participants completed questionnaires on work climate, work burnout and depression at seven time points across two years. Parallel process latent growth modeling was used to analyze the associations of change between work climate and burnout and depression. Work climate displayed a logarithmic decreasing trend while burnout and depression displayed logarithmic increasing trends over two years. Baseline levels of work climate were negatively and moderately associated with baseline levels of burnout and depression (r = ?.44 to ?.60, p < .01). Changes in work climate were negatively and moderately associated with change in burnout (r = ?.43, p < .01) and change in depression (r = ?.31, p < .05). Change in burnout was positively and strongly associated (r = .58, p < .01) with change in depression. The current results support temporal relationships among changes in work climate, burnout and depression across time. Practical implications for future preventive work in burnout interventions were discussed within this population.     

Effects of occupational future time perspective on managing stressful work situations

According to the socioemotional selectivity theory (SST; Carstensen, 2006), older adults perceive their future time as increasingly limited, which motivates them to focus more on emotional goals and prefer passive emotion‐focused strategies. This study aims to investigate the effect of occupational future time perspective (OFTP) on the use of problem‐solving strategies in stressful work situations and to examine the effectiveness of these strategies on psychological well‐being. A sample of 199 Chinese clerical workers responded to a structured questionnaire on problem‐solving strategy use in relation to hypothetical work scenarios. Results revealed that relative to those with limited OFTP, workers with expansive OFTP preferred problem‐focused and proactive strategies in both low‐ and high‐emotionally salient scenarios. Workers with limited OFTP consistently preferred passive strategies irrespective of emotional salience. OFTP moderated the effect of problem‐focused strategies on psychological distress. In particular, there was a significant negative relationship between problem‐focused strategies and psychological distress among workers with expansive OFTP, but such pattern of relationship was not observed among workers with limited OFTP. Findings of this study inform the training strategies employed by practitioners to fit the developmental goals of workers in order to maximise their strengths at work.     

Optimism and Positivity Biases in Performance Appraisal Ratings: Empirical Evidence from Professional Soccer

Using unique assessment data for players from a German Bundesliga club’s youth academy, we tested four core hypotheses on how player ratings and rater or ratee-related characteristics reflect the (prospective) optimism bias and (retrospective) positivity bias. The results indicate not only that the ratings of predicted and remembered performance are indeed higher than the talents’ actual performance throughout a season, but that these differences depend positively on the rater’s organizational experience and negatively on the amount of ratee data available. They also suggest that (prospective) anticipation is even more positively biased than (retrospective) recollection of player performances, underscoring the asymmetry between looking forward and looking backward.     

Pilot assessment of pain of orthopaedic patients in Hong Kong

This pilot study examined the internal consistency and concurrent validity of the Chinese version of the Acute Lower Back Pain Screening Questionnaire. A sample of 45 acute low back pain patients (27 men and 18 women; mean age = 47.8) were recruited from the Department of Orthopaedics and Traumatology of the Tuen Mun Hospital in Hong Kong. Three items of the original questionnaire were excluded from the analyses because response was low by 30 of the 45 patients. The questionnaire showed good internal reliability (Cronbach alpha = .88) and correlated significantly with other test scores: the Faces Pain Scale-Revised (alpha = .74), the Chinese (Hong Kong) SF-12 Health Survey (Mental subscale, alpha = -.47; Physical subscale alpha = -.62), and the Chinese Hospital Anxiety and Depression Scale (Anxiety subscale, alpha = .42; Depression subscale, alpha = .43). The questionnaire could be used in research and clinical work to provide data on the multicomponents of a pain experience as well as psychosocial risk factors related to pain among the Chinese. Researchers might examine the course of change in chronic pain.     

A test of major assumptions about behavior change: a comprehensive look at the effects of passive and active HIV-prevention interventions since the beginning of the epidemic

This meta-analysis tested the major theoretical assumptions about behavior change by examining the outcomes and mediating mechanisms of different preventive strategies in a sample of 354 HIV-prevention interventions and 99 control groups, spanning the past 17 years. There were 2 main conclusions from this extensive review. First, the most effective interventions were those that contained attitudinal arguments, educational information, behavioral skills arguments, and behavioral skills training, whereas the least effective ones were those that attempted to induce fear of HIV. Second, the impact of the interventions and the different strategies behind them was contingent on the gender, age, ethnicity, risk group, and past condom use of the target audience in ways that illuminate the direction of future preventive efforts.