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卫生行政强制与相对人自主权行使的道德缓冲 总被引:1,自引:1,他引:0
从卫生行政强制保护公共卫生利益与相对人自主权行使存在的矛盾出发,讨论建立道德缓冲机制解决两者间矛盾的必要性、可能性。阐述卫生行政执法者通过职业道德建设与人文精神关怀,以缓冲执法违法;相对人以道德约束缓冲自主权滥用。 相似文献
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医疗风险防范与化解新趋向 总被引:5,自引:0,他引:5
新的《医疗事故处理条例》实施以后,患者的自我保护意识不断增强、高精尖医疗器械的应用、新技术的不断开展等均增加了医疗行为的风险,医疗风险管理显示出日益重要的作用。新形势下医疗风险管理的新趋向是建立自愿的医疗责任保险、组织患者参加医疗风险保险、建立强制性医疗责任保险制度、卫生行政部门代理保险业务、建立医疗援助基金等方式,提出了在风险控制的基础上,加强风险融资的措施。 相似文献
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论患者最佳利益原则 总被引:1,自引:1,他引:0
祝彬 《医学与哲学(人文社会医学版)》2009,30(9)
尽管何为患者最佳利益尚无法明确进行统一的界定,但是患者最佳利益原则在英国等西方国家已经上升为医事法律的基本原则.患者最佳利益原则由传统的伦理和道德标准上升为法律准则符合社会的发展和患者的利益诉求,亦有利于改善我国当前的医患关系状况,我国将来修订相关医事法律时应将患者最佳利益原则确立为基本法律原则. 相似文献
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医生、医院每天都在为患者做临床决策.而在各个决策中患者与家属应该处于什么地位的问题早有争论.除了疾病外患者性别、年龄、家庭、经济、社会地位的个体差异决定了医生决策的不同.患者要真正参与.就必须真正全面知情.关于患者参与多少的问题要因人而异,可能只是提出意愿,可能提出耗资的底线,可能权衡费效比,可能以生活质量为唯一原则.总之,临床决策中患者及其家属的地位因人而异. 相似文献
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Tingting Zhao Xianghua Luo Haitao Chu Chap T. Le Leonard H. Epstein Janet L. Thomas 《Journal of the experimental analysis of behavior》2016,106(3):242-253
The Cigarette Purchase Task is a behavioral economic assessment tool designed to measure the relative reinforcing efficacy of cigarette smoking across different prices. An exponential demand equation has become a standard model for analyzing purchase task data, but its utility is compromised by its inability to accommodate values of zero consumption. We propose a two‐part mixed effects model that keeps the same exponential demand equation for modeling nonzero consumption values, while providing a logistic regression for the binary outcome of zero versus nonzero consumption. Therefore, the proposed model can accommodate zero consumption values and retain the features of the exponential demand equation at the same time. As a byproduct, the logistic regression component of the proposed model provides a new demand index, the “derived breakpoint”, for the price above which a subject is more likely to be abstinent than to be smoking. We apply the proposed model to data collected at baseline from college students (N = 1,217) enrolled in a randomized clinical trial utilizing financial incentives to motivate tobacco cessation. Monte Carlo simulations showed that the proposed model provides better fits than an existing model. We note that the proposed methodology is applicable to other purchase task data, for example, drugs of abuse. 相似文献
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Effects of product portfolios and recommendation timing in the efficiency of personalized recommendation
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Qiang Yan Lin Zhang Yuxia Li Shuang Wu Tingting Sun Lingli Wang Hejie Chen 《Journal of Consumer Behaviour》2016,15(6):516-526
Personalized recommendation has important implications in raising online shopping efficiency and increasing product sales. There has been wide interest in finding ways to provide more efficient personalized recommendations. Most existing studies focus on how to improve the accuracy and efficiency of the recommendation algorithms or are more concerned on ways to reduce perceived risks and thus increase consumer satisfaction. Unlike these studies, our study begins from the decision‐making process of consumers, using consumers' two‐stage decision‐making system and preference inconsistency theory as a basis, to reveal the mechanisms involved in consumers' acceptance of recommendations. This paper analyzes the effect of personalized recommendations from two angles, recommendation timing and product portfolio, tries to point out differences in consumer preferences between similar products and related products, and verifies that consumers demand diversity in the recommended content. The study analyzes differences in the acceptance of personalized recommendations between practical products and hedonic products and discovers that recommendations of hedonic products are more effective than that of practical products. Based on the research earlier, the study provides suggestions on how to better plan and operate a personalized recommendation system. Copyright © 2016 John Wiley & Sons, Ltd. 相似文献
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近年来,社会变迁导致的文化、心理与行为变化及其相互建构已经成为心理学的研究热点。社会变迁研究通常涉及和变迁相关的时间效应、时代效应以及和变迁无关的年龄效应。在考察变迁趋势及其影响因素时,常用的研究设计有跨时间比较、跨代际比较、跨地区比较(历史重构)等方法;常用的分析方法有传统的相关和回归分析和现代的时间序列分析(比如交叉滞后相关和格兰杰因果检验)等。由于每一种设计都有其优点和不足,在具体研究中,研究者要根据研究的问题和可操作性选择合适的方法;如果可能,最好同时采用多种方法,以寻求基于不同方法的聚合证据。 相似文献
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为了解中国当事人如何看待咨询中的工作同盟, 对工作同盟做初步的本土概念化, 采用协商一致的质的研究方法对来自1所大学心理咨询中心的20名当事人的访谈结果进行了分析。结果发现, 与工作同盟相关的域有6个, 分别是情感联结、任务、投入、合作模式、发展变化、影响因素。前三个域可以看作是工作同盟的构成要素, 而后三个域则是对其外部特征的描述。对每个域的含义及其与现有理论和研究的关系进行了讨论。 相似文献
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近年来, 辱虐管理与员工创造力的关系受到越来越多研究者的关注。在以往研究的基础上, 本研究构建了一个有调节的中介作用模型, 以探讨中国文化情境下辱虐管理影响员工创造力的中介心理机制及边界条件。采用多阶段-多来源的策略, 以93名主管和369名员工为对象, 通过多水平结构方程建模技术对三阶段主管-员工配对调查所获取的数据进行分析, 结果表明:主管的辱虐管理行为会通过心理契约破坏的中介作用, 对员工创造力产生间接的消极影响; 但该负向的间接关系的强度对高中庸思维者而言较弱。本研究有助于揭示辱虐管理影响员工创造力的心理机制及边界条件, 研究结果对企业员工创造力及创新行为的管理实践也有一定启示。 相似文献