医疗保险与基层医疗卫生资源配置机制转型

基层医疗卫生事业的健康发展取决于医疗卫生资源的均衡配置。要促进医疗卫生资源的均衡配置,必须重构医疗卫生资源的配置机制。由于基层医疗机构缺乏较高的行政级别和较厚的盈利空间,所以医疗卫生资源的市场配置机制和计划配置机制均会陷入失灵。基于这个观点,提出以计划与市场联手为途径配置基层医疗卫生资源的思路,即让医疗保险承担对基层医疗卫生资源的配置功能。医疗保险配置基层医疗卫生资源主要通过三种途径：设立门诊统筹账户、建构购买服务机制、采取按人头预付费方式。     

Why Do Members of Disadvantaged Groups Strike Back at Perceived Negativity Towards the In‐group?

Against the background of riots in communities across London in 2011, this paper examines the implications of negative meta‐stereotypes on stigmatized group members' reactions towards members of privileged out‐groups within their communities. We hypothesized that concerns over negative opinions that the dominant out‐group is expected to hold of the in‐group (i.e. meta‐stereotypes) would be negatively associated with group members' perceptions of societal fairness and that this relationship would be mediated by members' recall of personal experiences with discrimination. We further hypothesized that views about societal fairness that are challenged in this way would lower an inclination to express discontent with the status quo via normative means while at the same time, increase nonnormative expressions. Results from two surveys (study 1, N = 50; study 2, N = 132) provided support for these hypotheses and are discussed in terms of their meaning for community relations. Copyright © 2013 John Wiley & Sons, Ltd.     

BION'S THINKING ABOUT GROUPS: A STUDY OF INFLUENCE AND ORIGINALITY

One of Bion's least‐acknowledged contributions to psychoanalytic theory is his study of the relationship between the mind of the individual (the ability to think), the mentalities of groups of which the individual is a member, and the individual's bodily states. Bion's early work on group therapy evolved into a study of the interplay between mind and bodily instincts associated with being a member of a group, and became the impetus for his theory of thinking. On the foundation of Bion's ideas concerning this interaction among the thinking of the individual, group mentality, and the psyche‐soma, the author presents his thoughts on the ways in which group mentality is recognizable in the analysis of individuals.     

Multidimensional Suicide Inventory-28 (MSI-28) Within a Sample of Military Basic Trainees: An Examination of Psychometric Properties

Suicide and suicidal ideation are serious public health concerns. Accurate detection and assessment are critical first steps in addressing this challenging issue. The present study examined self-reported suicidal ideation in a sample of United States Air Force enlisted active duty basic trainees (N = 470) using the Multidimensional Suicide Inventory (MSI-28). Exploratory factor analyses revealed a 4-factor structure for the MSI-28 in this sample. Together, these 4 factors explained approximately 72% of the variance in the MSI-28. The MSI-28 evidenced moderate to strong associations with measures of resilience (Dispositional Resilience Scale-15; DRS-15) and psychological distress (Outcome Questionnaire; OQ-30.2). These findings demonstrate that the MSI-28 is a promising tool for clinical measurement of self-reported suicidality. Future directions for further validation of the MSI-28 are discussed.     

Ethnicity,Social Support,and Depression Among Elderly Chilean People

Recent evidence regarding the relationship between social support and depression in elderly people shows the important role of ethnicity. This research describes the characteristics of social support in a sample of elderly people aged 60 and above living in northern Chile (n = 493), and analyzes the differences in the relationship between social support and depression between an indigenous group (Aymara population, n = 147) and a nonindigenous group (white, Caucasian, mestizo, n = 346). Various dimensions of social support were considered: structural elements, functional social support according to source, and community participation. The results show the existence of significant differences in the characteristics and dimensions of social support depending on sex, ethnicity, and marital status. Further, the central role of the family group is observed for both Aymara and nonindigenous elderly people. The hierarchical regression models obtained result in notable differences in the role of the structural, functional, and community elements of support in explaining depression for the ethnic groups considered.     

基于利益相关者理论的医疗保险诚信体系构建

运用利益相关者理论分析我国基本医疗保险改革过程中各利益相关者之间的利益博弈和妥协,并从各个利益相关者的视角出发提出相应的改善措施,这些措施将是改善诚信缺失现状的切入点,亦会为构建和谐的基本医疗保险诚信体系提供参考。正确梳理我国基本医疗保险领域内各利益相关者的角色定位及行为模式,均衡其利益冲突、协调其平衡关系,是加快我国基本医疗保险统筹层次提高的必要前提和基础,有利于构建和谐的基本医疗保险诚信体系。     

交叉分类群体的理科性别刻板印象

为探讨以性别与专业构成的交叉分类群体的理科性别刻板印象,研究采用了内隐联想测验和自我报告两种方式,分别从内隐和外显两个加工层面对其予以考察.结果发现,内隐层面上四类交叉分类群体都存在理科性别刻板印象,但外显层面上只有理科男性、 文科男性和文科女性存在该刻板印象,而理科女性不存在.该结果表明理科性别刻板印象非常顽固,即使...     

Intuitions as Evidence Facilitators

There is currently an important debate about whether philosophical intuitions are intended as evidence for the theories philosophers promote. On one side are those who argue that philosophers do rely on intuitions as evidence; on the other side are those who deny any such role for philosophical intuitions. This paper argues that both sides of this debate are partially right and partially wrong. Intuitive judgments do not, as psychological states, function as evidence in most well‐known philosophical thought experiments. Philosophers nevertheless strongly depend upon these intuitive judgments. Where both sides go awry is in assuming that the importance of intuitive judgments rests solely upon their role as evidence. We need to distinguish between evidence, as such, from various nonevidential psychological states that are needed for something else to serve as evidence. The paper calls these latter conditions “evidence facilitators” and argues that intuitive judgments belong in this category.     

Determinants of pro‐environmental consumption intention in rural China: The role of traditional cultures,personal attitudes and reference groups

This study aimed to identify social‐psychological predictors of pro‐environmental consumption intention in rural China. To this end, a proposed conceptual model was tested by analyzing the survey data derived from 972 rural respondents in Jiangxi province in south‐eastern China. Results showed that the endorsement of traditional cultures (man–nature orientation and collectivism) was linked with pro‐environmental consumption behaviuor, but was mediated by intentions. Personal attitudes (environmental cognition and environmental affect) and reference groups influenced both intention and behaviour. The results also provided good evidence of the intention–behaviour relationship. These findings provided a better understanding of the process in which Chinese rural residents developed their pro‐environmental consumption behaviours.