The Reinvention of Behavioral Health Services in the VA System

The Veterans Health Administration under the direction of Kenneth Kizer, M.D., has faced the challenge of providing high-quality health care while controlling costs. Under Dr. Kizer's direction, VA hospitals are moving toward managed patient centered primary care. Hospital organization, funding, and clinical practices have been changed. Reorganization has meant a variety of possibilities for psychologists employed in the VA system.     

Hope and Possibility: Advancing an Argument for a Habermasian Perspective in Educational Administration

The emergence of postmodernism has stimulateddiscourse on the potential for using reason tocreate a just society. The discourse hascaused confusion and dissension in the field ofeducational administration as scholars seek tofind a means to blend concepts inherent in themodern and postmodern. The works of JürgenHabermas provide a means of dealing with thisdilemma and have some specific applications tothe practice of educational administration.     

关于耳蜗传出神经系统功能研究的启示

对卫生管理中具有战略地位的卫生政策的理论与实践领域的背景和文献进行分析,认为卫生政策基本理论与方法论研究、卫生政策分析方法及技术研究、卫生决策科学化研究、卫生决策体制与过程的研究,社会公众参与卫生决策的研究等,是当前我国卫生政策的理论与实践中值得研究的主要问题。     

Assessing obsessive compulsive symptoms and cognitions on the internet: evidence for the comparability of paper and Internet administration

Administration of psychological questionnaires via the Internet has gained popularity in recent years and touts many advantages. However, before questionnaires that were originally developed as paper-and-pencil measures can be confidently administered over the Internet, it is necessary to document the equivalence of the paper and computer-generated versions [American Psychological Association. (1986). Guidelines for computer-based tests and interpretations. Washington, DC: American Psychological Association; Cohen, R.J., Swerdlik, M.E., & Smith, D.K. (1992). Psychological testing and assessment (2nd ed.). Mountain View, CA: Mayfield Publishing; Cronbach, L.J. (1990). Essentials in psychological testing (5th ed.). New York: Harper Collins; Meier, S. (1994). The chronic crisis in psychological measurement and assessment: A historical survey. San Diego: Academic Press; Schulenberg, S.E., & Yutrzenka, B.A. (2001). Equivalence of computerized and conventional versions of the Beck Depression Inventory- II (BDI-II). Current Psychology: Developmental, Learning, Personality, Social, 20, 216-230]. The current study tested this equivalence for the Obsessive Compulsive Inventory [Foa, E.B., Kozak, M.J., Salkovskis, P.M, Coles, M.E., & Amir, N. (1998). The validation of a new obsessive compulsive disorder scale: The obsessive-compulsive inventory. Psychological Assessment, 10(3), 206-214] and the Obsessive Beliefs Questionnaire-44 [Obsessive Compulsive Cognitions Working Group. (2005). Psychometric validation of the obsessive belief questionnaire and interpretation of intrusions inventory-Part 2: Factor analyses and testing of a brief version. Behaviour Research and Therapy, 43, 1527-1543] in an unselected student sample. Study results support the equivalence of these measures of obsessive compulsive disorder (OCD) symptoms and beliefs independent of administration method (paper versus secure project website). These findings create new opportunities for conducting OCD-related research online.     

《管子》"时"观初探

"时"观念是理解中国古代思想的重要线索。在一定层面上讲,"时"观念的延展及其实践承载着传统农业社会的绵延。"时"在《管子》中是一个基础性的核心概念,贯通全文,它传承"时"的原发观念和本质特性,融入气、阴阳、五行思想,与道、德、法相通融,"时"作为论理基准,在"治国安邦"、"经世致用"中具有统领性意义。     

利于绩效改善的医院文化特征理论研究

利用文献分析法探索利于绩效改善的医院文化的多维特征.结果表明,在精神层应具备人本取向、长期取向、风险取向、团队精神取向、弱等级取向、勤勉取向;在制度层应具备规范化取向、标准化取向、人力资本化取向、执行力取向;在外显层应具备医生高满意度、患者高满意度、良好社会形象.     

社区卫生服务的“管理模式”与“治理模式”比较

依据社区卫生服务的提供方与消费方之间的权力关系,社区卫生服务模式可以划分为管理模式和治理模式。在管理模式中,社区卫生服务提供方与消费方之间是建立在行政和技术权威基础上的管理与被管理关系。在治理模式中,社区卫生服务的提供方与消费方则是建立在沟通基础上的合作关系。我国社区卫生服务模式的发展趋势是从管理向治理的转变。     

Relative reinforcing effects of different oral ethanol doses in rhesus monkeys

The relative reinforcing effects of different doses of orally delivered ethanol were evaluated. Mouth-contact responding by rhesus monkeys was measured under concurrent fixed-ratio fixed-ratio schedules of liquid delivery (0.67 ml/delivery) from each of two spouts during daily 3-hr sessions. Experiment 1 examined persistence of responding with ethanol (2%, 8%, and 32% wt/vol) and water available. When fixed-ratio values from 8 to 128 were tested, the number of ethanol deliveries obtained per session decreased as the response requirement increased. The decrease in deliveries was less at higher than at lower ethanol concentrations, however. Experiment 2 examined choice between two ethanol concentrations under concurrent fixed-ratio 16 schedules (4% vs. 8%, 4% vs. 16%, 8% vs. 16%, 2% vs. 8%, 2% vs. 32%, 8% vs. 32%). Higher concentrations (16%, 32%) generally maintained more responding than concurrently available concentrations of 8% or less. An exception was the observation of a preference for 8% over 32% ethanol. When the fixed-ratio value was increased, however, the relative preference for these two doses was reversed so that 32% ethanol maintained more responding than 8% ethanol. Thus, the direction of the preference depended on the size of the response requirement. These results indicate that the reinforcing effects of ethanol increase with dose.     

住院用药医嘱点评软件功能的设计

为了提升临床药师点评住院用药医嘱的工作效率,保障住院用药医嘱点评工作的准确性和及时性,从而对住院用药医嘱起到监督和规范的作用.通过研究国内外合理用药软件和处方点评软件的功能,结合国内医疗机构处方点评的工作模式和需求,设计出满足临床合理用药需求的住院医嘱点评软件.经过设计的住院医嘱点评软件的功能主要包括:信息自主维护模块、信息查询模块、住院用药医嘱点评模块、点评结果统计模块、药品使用情况统计模块.经过设计的住院医嘱点评软件的功能更加完善,为临床合理用药提供依据.