技术创新对提高医疗服务质量驱动力的探析

技术创新在人类发展史上起着里程碑式的作用,同样推动现代医学快速进展和持续进步。医疗技术是医疗质量的核心,技术创新能够全方位提升医疗服务质量。结合国内外医疗相关技术创新的现况和医院实践,剖析了技术创新在提升医疗服务质量中的驱动作用,结合自身实践,从医疗设备技术创新、医学信息技术创新、医学技术创新思维和理念这三个方面,对技术创新促进医疗服务质量提升的实现途径进行探讨,为持续改进和不断完善医疗服务质量提供新的思路和手段。     

Just Annexation

Fabre defends a human rights‐focused cosmopolitan theory of peace. One would expect that, given this view, she would be in favour of human rights‐promoting annexations by liberal states. However, she distances herself from this view, adopting the common‐sense view that annexing states ‘act ultra vires’. I argue that her core cosmopolitan view motivates a different and, in principle, much more positive view of four types of annexations. In the course of defending this view, I take a critical look at her appeal to perverse moral incentives and the notion of a cosmopolitan ethos.     

Kierkegaard on Existential Kenosis and the Power of the Image: Fear and Trembling and Practice in Christianity

What is the role of the image in faith? How should we relate to Abraham and Christ? Through new readings of two of Kierkegaard’s rarely compared texts, this article locates the religious power of the image in its ability to cleanse the subject of received mis‐images of Christianity, and suggests that Kierkegaard was inspired by elements of Rheno‐Flemish mysticism. Kierkegaard not only identifies this inward existential kenosis as the correct form of imitation, he narratively induces this in his reader. As well as examining this textual performativity and the imagination’s role of kenotically preparing the subject for her subsequent upbuilding, this article identifies the movement of kenosis as constitutive of faith – a task that involves suffering, but a suffering that is always accompanied and tempered by love.     

Contextual Integration in Multiparty Audience Design

Communicating with multiple addressees poses a problem for speakers: Each addressee necessarily comes to the conversation with a different perspective—different knowledge, different beliefs, and a distinct physical context. Despite the ubiquity of multiparty conversation in everyday life, little is known about the processes by which speakers design language in multiparty conversation. While prior evidence demonstrates that speakers design utterances to accommodate addressee knowledge in multiparty conversation, it is unknown if and how speakers encode and combine different types of perspective information. Here we test whether speakers encode the perspective of multiple addressees, and then simultaneously consider their knowledge and physical context during referential design in a three‐party conversation. Analyses of referential form—expression length, disfluency, and elaboration rate—in an interactive multiparty conversation demonstrate that speakers do take into consideration both addressee knowledge and physical context when designing utterances, consistent with a knowledge‐scene integration view. These findings point to an audience design process that takes as input multiple types of representations about the perspectives of multiple addressees, and that bases the informational content of the to‐be‐designed utterance on a combination of the perspectives of the intended addressees.     

Self‐Priming in Production: Evidence for a Hybrid Model of Syntactic Priming

Syntactic priming in language production is the increased likelihood of using a recently encountered syntactic structure. In this paper, we examine two theories of why speakers can be primed: error‐driven learning accounts (Bock, Dell, Chang, & Onishi, 2007; Chang, Dell, & Bock, 2006) and activation‐based accounts (Pickering & Branigan, 1999; Reitter, Keller, & Moore, 2011). Both theories predict that speakers should be primed by the syntactic choices of others, but only activation‐based accounts predict that speakers should be able to prime themselves. Here we test whether speakers can be primed by their own productions in three behavioral experiments and find evidence of structural persistence following both comprehension and speakers’ own productions. We also find that comprehension‐based priming effects are larger for rarer syntactic structures than for more common ones, which is most consistent with error‐driven accounts. Because neither error‐driven accounts nor activation‐based accounts fully explain the data, we propose a hybrid model.     

Cognitive Offloading: Structuring the Environment to Improve Children's Working Memory Task Performance

Research has shown that adults can engage in cognitive offloading, whereby internal processes are offloaded onto the environment to help task performance. Here, we investigate an application of this approach with children, in particular children with poor working memory. Participants were required to remember and recall sequences of colors by placing colored blocks in the correct serial order. In one condition the blocks were arranged to facilitate cognitive offloading (i.e., grouped by color), whereas in the other condition they were arranged randomly. Across two experiments (total N = 166) the ordered condition improved task performance for children with low working memory ability. In addition, participants in Experiment 2 rated the difficulty of the two arrangements and performed a further condition in which they were given an opportunity to freely arrange the blocks before completing the task. Despite performing better in the ordered condition, children with low working memory ability did not rate the ordered arrangement as easier, nor did they choose an ordered arrangement when given the opportunity to do so. This research shows that cognitive offloading can also be a useful process in populations other than typical adults, and the implications of this work for supporting children with poor working memory are discussed.     

Audience Design in Multiparty Conversation

How do speakers design what they say in order to communicate effectively with groups of addressees who vary in their background knowledge of the topic at hand? Prior findings indicate that when a speaker addresses a pair of listeners with discrepant knowledge, that speakers Aim Low, designing their utterances for the least knowledgeable of the two addressees. Here, we test the hypothesis that speakers will depart from an Aim Low approach in order to efficiently communicate with larger groups of interacting partners. Further, we ask whether the cognitive demands of tracking multiple conversational partners' perspectives places limitations on successful audience design. We find that speakers can successfully track information about what up to four of their partners do and do not know in conversation. When addressing groups of 3–4 addressees at once, speakers design language based on the combined knowledge of the group. These findings point to an audience design process that simultaneously represents the perspectives of multiple other individuals and combines these representations in order to design utterances that strike a balance between the different needs of the individuals within the group.