中美两国医疗救助模式比较分析

医疗救助作为保障贫困人群健康权的最后一道防线,在世界各国均备受关注.各国因国情的不同,医疗救助模式也大有不同.为进一步完善我国医疗救助制度,从救助对象的选择、救助项目、筹资及运作方式几个方面对中美两国医疗救助进行了比较分析.发现中美两国的医疗救助在救助对象的选择、救助项目、筹资及运作方式方面有所不同,而这些不同给我国医疗救助制度、模式乃至理念带来很多可借鉴之处,推动我国进一步完善医疗救助制度.     

Understanding the Dark Side of Costly Punishment: The Impact of Individual Differences in Everyday Sadism and Existential Threat

In public goods situations, a specific destructive behaviour reliably emerges when individuals face the possibility of costly punishing others: antisocial punishment, that is, costly punishing cooperative individuals. So far, however, little is known about the individual differences and situational factors that are associated with the dark side of costly punishment. This research deals with this shortcoming. We argue that antisocial punishment reflects the basic characteristics of sadism, namely, aggressive behaviour to dominate and to harm other individuals. We further argue that antisocial punishment may reflect a type of behaviour that allows for the maintenance of self‐esteem (through aggressively dominating others). Therefore, we expect that individuals who report a disposition for everyday sadism are particularly likely to engage in antisocial punishment when their self has been threatened (by thinking about one's own death). In a study (N = 99), we found empirical support for this assumption. The present research contributes to a better understanding of antisocial punishment and suggests that sadistic tendencies play a crucial role, especially when the self is (existentially) threatened. Copyright © 2015 European Association of Personality Psychology     

Locating Religion in the Context of Charitable Food Assistance: An Ethnographic Study of Food Banks in a Finnish City

This article explores how, for whom, and to what extent religion is part of the reality that people enter into as they seek food assistance from a religious organization. Drawing from an ethnographic study of food assistance places in a Finnish city and applying Lefebvre’s spatial triad as a theoretical approach, the article describes the role of religion in the perceived, conceived, and lived space of charitable food provision in a secular Nordic welfare state. The findings show how the role of religion in the context of food assistance is subject to particular contexts and that this role is socially produced in the practices of the food banks, in the goals of the food providers, and in the lived experiences of the food recipients. The findings suggest that charitable food assistance is a social space where divergent readings of space as either religious or secular are potentially contested. The study provides a novel approach to understanding food assistance with its interconnections with religion and poses further questions for policy development, for religious organizations engaged in charitable food provision, and for future research.     

Obstacle avoidance under automated steering: Impact on driving and gaze behaviours

Within the context of more and more autonomous vehicles, an automatic lateral control device (AS: Automatic Steering) was used to steer the vehicle along the road without drivers’ intervention. The device was not able to detect and avoid obstacles. The experiment aimed to analyse unexpected obstacle avoidance manoeuvres when lateral control was delegated to automation. It was hypothesized that drivers skirting behaviours and eye movement patterns would be modified with automated steering compared with a control situation without automation. Eighteen participants took part in a driving simulator study. Steering behaviours and eye movements were analysed during obstacle avoidance episodes. Compared with driving without automation, skirting around obstacles was found to be less effective when drivers had to return from automatic steering to manual control. Eye movements were modified in the presence of automatic steering, revealing further ahead visual scanning of the driving environment. Resuming manual control is not only a problem of action performance but is also related to the reorganisation of drivers’ visual strategies linked to drivers’ disengagement from the steering task. Assistance designers should pay particular attention to potential changes in drivers’ activity when carrying out development work on highly automated vehicles.     

Integrating motivational interviewing in career counseling: A case study

Motivational interviewing (MI) is receiving increasing attention in the field of career counseling. However, none of the previous studies have concretely presented how this method could and why it should be integrated in career counseling. Through the use of a single case study design, this paper illustrates how a brief MI (BMI) intervention can be integrated into career counseling interventions to help resolve career dilemmas. An analysis of the interactions between the client and his counselor using the Motivational Interviewing Skills Code 2.1 illustrates why this method can be useful for career counseling. Immediate and long-term effects of the global career counseling intervention on the client's career decision-making difficulties, as well as the specific impacts of the BMI intervention, are assessed. This case study shows that the BMI approach can be integrated in a career counseling intervention to help career counseling clients overcome career dilemmas and increase their readiness to make career choices.     

Effects of Dark Tetrad traits on utilitarian moral judgement: The role of personal involvement and familiarity with the victim

The aim of this study was to re‐examine relations between dark traits and utilitarian moral judgement in sacrificial moral dilemmas by taking into account two contextual characteristics of dilemmas: the actor’s role in sacrificing (personal or impersonal involvement in inflicting harm) and the actor’s familiarity with the victim (a known or an unknown person). Results showed that all dark traits, except for psychopathy, obtained significant main and positive effects on utilitarian moral judgement. However, psychopathy and sadism obtained interaction effects with dilemma type, indicating the importance of the specific context of moral judgement in individuals with these traits. Furthermore, among all dark traits, only sadism showed an incremental contribution to utilitarian judgement over empathy and HEXACO traits, with the highest contribution to dilemmas that include personal harm. Results highlighted the role of enjoyment of cruelty in utilitarian moral judgement.     

When to (or not to) trust intelligent machines: Insights from an evolutionary game theory analysis of trust in repeated games

The actions of intelligent agents, such as chatbots, recommender systems, and virtual assistants are typically not fully transparent to the user. Consequently, users take the risk that such agents act in ways opposed to the users’ preferences or goals. It is often argued that people use trust as a cognitive shortcut to reduce the complexity of such interactions. Here we formalise this by using the methods of evolutionary game theory to study the viability of trust-based strategies in repeated games. These are reciprocal strategies that cooperate as long as the other player is observed to be cooperating. Unlike classic reciprocal strategies, once mutual cooperation has been observed for a threshold number of rounds they stop checking their co-player’s behaviour every round, and instead only check it with some probability. By doing so, they reduce the opportunity cost of verifying whether the action of their co-player was actually cooperative. We demonstrate that these trust-based strategies can outcompete strategies that are always conditional, such as Tit-for-Tat, when the opportunity cost is non-negligible. We argue that this cost is likely to be greater when the interaction is between people and intelligent agents, because of the reduced transparency of the agent. Consequently, we expect people to use trust-based strategies more frequently in interactions with intelligent agents. Our results provide new, important insights into the design of mechanisms for facilitating interactions between humans and intelligent agents, where trust is an essential factor.     

道德困境研究的范式沿革及其理论价值

通过评述道德困境研究范式的发展过程, 系统阐释了经典两难法、加工分离法、CNI模型法和CAN算法的优缺点和理论价值。后来的研究范式均在一定程度上克服了之前研究范式的局限。加工分离法克服了经典两难法的加工纯粹性假设等局限, CNI模型法在加工分离法基础上进一步分离了道德困境决策的多种心理过程, CAN算法则修正了CNI模型法的序列加工的不恰当预设。研究范式的沿革启示研究者综合应用新方法来解决研究争议和重新审视以往道德理论, 合理应用新方法来探索其他具有潜在冲突性的研究议题。总之, 本文为道德困境及相关研究提供了方法学参考。     

共享经济背景下顾客公民行为和不当行为：基于社会困境理论的视角

共享经济(个体供方对个体顾客的共享模式如小猪短租平台)中顾客公民行为的促进和不当行为的治理, 成为保证共享经济可持续发展的重要议题。然而, 现有顾客行为相关研究更多是在传统经济背景下进行的探讨, 而涉及到共享经济背景下的研究难以体现共享经济的特色, 导致其未能很好地解决实践困境。上述顾客行为是在个人和集体利益发生冲突时的抉择, 即社会困境。社会困境理论可以帮助企业全面认识顾客公民行为和不当行为并有效解决困境问题。本研究拟基于社会困境理论, 探讨以下三个方面的问题: (1) 深入剖析共享经济中顾客公民行为和不当行为的概念、维度及其测量; (2) 揭示平台、供方和政府通过规则制定或社会影响策略来有效优化顾客行为的路径; (3) 阐明顾客公民和不当行为的差异性影响机制, 以及顾客社会价值导向和供方监督对顾客行为的调节作用。本研究有助于拓展现有顾客公民和不当行为的研究, 为平台、供方和政府管理提供重要参考。     

Ready, Willing, and Able: Developing a Support System to Promote Implementation of School-Based Prevention Programs

While the number and scope of evidence‐based health, education, and mental health services continues to grow, the movement of these practices into schools and other practice settings remains a complex and haphazard process. The purpose of this paper is to describe and present initial support for a prevention support system designed to promote high‐quality implementation of whole school prevention initiatives in elementary and middle schools. The function and strategies of a school‐based prevention support system are discussed, including key structures and activities undertaken to identify, select, and provide technical assistance to school personnel. Data collected over a 5 year period are presented, including evidence of successful implementation support for 5 different evidence‐based programs implemented with fidelity at 12 schools and preliminary evidence of goal attainment. Findings suggest the ongoing collection of information related to organizational readiness assists in the adoption and implementation of effective practices and initiatives and provide valuable insight into the development of results‐oriented approaches to prevention service delivery. Problems, progress, and lessons learned through this process are discussed to frame future research and action steps for this school‐based prevention support system. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith