关于建立健全治理医药购销领域商业贿赂长效机制的思考

医药购销领域的商业贿赂,形式多样,对我国政治、经济、社会等方面均带来很大的负面影响。它的出现,既有物质条件、心理条件,更有制度条件。治理医药购销领域的商业贿赂,要从思想道德建设、制度建设、体制改革、管理监督等从多方面着手,建立健全长效机制。     

Toward a methodology for moral decision making in medicine

The failure of medical codes to provide adequate guidance for physicians' moral dilemmas points to the fact that some rules of analysis, informed by moral theory, are needed to assist in resolving perplexing ethical problems occurring with increasing frequency as medical technology advances. Initially, deontological and teleological theories appear more helpful, but critcisms can be lodged against both, and neither proves to be sufficient in itself. This paper suggests that to elude the limitations of previous approaches, a method of moral decision making must be developed incorporating both coherence methodology and some independently supported theoretical foundations. Wide Reflective Equilibrium is offered, and its process described along with a theory of the person which is used to animate the process. Steps are outlined to be used in the process, leading to the application of the method to an actual case.     

退休人员的应付方式对其心理健康的调节作用研究

本文对298名退休人员做了问卷研究,其结果表明：1．退休人员的应付方式受文化程度影响,高文化程度的退休人员比中、低文化程度的退休人员更多采用面对与探索的应付方式,更少采用幻想和退避的应付方式;2．退休人员原有社会角色丧失后应付方式对其心理健康的调节作用是,社会联系减少对退休人员的心理健康有直接的影响;而社会联系减少、职务地位丧失、经济收入降低共同通过退避、幻想与淡化三种应付方式间接影响心理健康。     

Public decisions or private decisions? When the specific case guides public decisions

Educators' differential decisions towards identified single students as compared with unidentified students, or a group of identified students, were examined by presenting educators with educational scenarios describing actual dilemmas from the three different perspectives. The first two studies indicate that willingness to change the existing policy and to [bend the rule] is greater when a dilemma is presented from the specific identified student's perspective than when presented as a general dilemma. The results of the third study suggest that in their decisions regarding an identified individual student, educators allow more changes in school regulations and give less weight to the school needs as compared with their decisions regarding an unidentified student or a group of students. Implications for policy making are discussed. Copyright © 2008 John Wiley & Sons, Ltd.     

The Embryo Rescue Case

In the debate regarding the moral status of human embryos, the Embryo Rescue Case has been used to suggest that embryos are not rightholders. This case is premised on the idea that in a situation where one has a choice between saving some number of embryos or a child, it seems wrong to save the embryos and not the child. If so, it seems that embryos cannot be rightholders. In this paper, I argue that the Embryo Rescue Case does not independently show that embryos are not rightholders.     

Race and Healthcare Disparities: Overcoming Vulnerability

The paper summarizes recently published dataand recommendations about healthcaredisparities experienced by African Americanswho have Medicare or other healthcare coverage.Against this background the paper addresses theethics of such disparities and howdisadvantages of vulnerable populations likeAfrican Americans are typically maintained indecision making about how to respond to suchdisparities. Considering how to respond todisparities reveals much that vulnerablepopulations would bring to the policy-makingtable, if they can also be heard when they getthere. The paper argues that vulnerablepopulations like African Americans need fairrepresentation in bodies deciding what to doabout such disparities and that fairnessrequires proportional representation at alllevels of decisions that affect healthcare – aradical change. In this decision setting, howto provide adequate protection of minoritiesneeds much further attention. The mostattractive decision-making model isdeliberative democracy. The paper shows thatin deliberation, fair representation requiresnot only having a voice in decisions, but afair hearing of those voices. Achieving a fairhearing requires changes in norms ofcommunication and training of all to giveimportance to greetings and other measures ofcivility and trust building, and to be open todiverse forms of expression. Decisions abouthow to respond to healthcare disparities wouldinclude what programs to initiate for whom, howto evaluate the programs, and what to do inresponse to such evaluations. Conclusions arethat achieving such goals will take a seachange in how healthcare institutions andproviders do their business, and that socialactivism at every level will be needed toeffect these changes. The discussionhighlights many ethical issues that need muchgreater attention.     

Demandingness and Boundaries Between Persons

ABSTRACT

Demandingness objections to consequentialism often claim that consequentialism underestimates the moral significance of the stranger/special other distinction, mistakenly extending to strangers demands it is proper for special others to make on us, and concluding that strangers may properly demand anything of us if it increases aggregate goodness. This argument relies on false assumptions about our relations with special others. Boundaries between ourselves and special others are both a common and a good-making feature of our relations with them. Hence, demandingness objections that rely on the argument in question fail. But the same observations about our relations with special others show that there are many demands special others may not properly make, and since we cannot be more guilty of unjustified partiality in insisting on boundaries between ourselves and strangers than on boundaries between ourselves and special others, there are – as demandingness objections maintain – some demands strangers may not properly make on us.     

Cell phone usage relational regulation strategies of older South Africans

This study explored older South Africans’ relational regulation strategies in using their cell phones to address their social goals and psychosocial needs. Nineteen older South Africans (17 female; 2 male), aged 60 and older, who had access to a cell phone and represented different socio-economic levels based on the Living Standard Measurement (LSM) scale, participated in the Mmogo-method®, a visual data-collection method. Thematic and visual analysis revealed that the subjective assessment of cell phone users’ competence determined the type of relational regulation strategy they apply. Findings revealed older persons to adopt three relational regulation strategies in their cell phone use: (i) postponement of need satisfaction; (ii) asking directly; or (iii) negotiating for needs satisfaction. The findings might facilitate programmes that promote cell phone use in older persons to address their social needs and promote healthy intergenerational interactions.     

A complex dynamic systems approach to lasting positive change: The Synergistic Change Model

This paper argues that psychological and social functioning is fundamentally complex, and that this complexity is critical to understanding how lasting positive changes can be achieved. Principles from complex systems theory are integrated into an empirical positive psychological framework to propose a domain-based systems model of positive change called the Synergistic Change Model. This model proposes that enduring positive change depends on the formation of mutually supportive interactions across multiple domains of psychological and social functioning. The paper uses the model to explore three types of response to intervention – relapse, spill-over, and synergy – which have been supported in the existing positive psychology literature. Three practical intervention strategies arising from the model are outlined to inform the design of future positive interventions. The model challenges reductionistic approaches to positive change and offers several approaches to embrace the complexities of lasting positive change in future theory and research.     

AIDS: Globalization and Its Discontents

Abstract. HIV/AIDS has changed from a disease of white gay men in the United States to a pandemic that largely involves women and dependent children in developing countries. Many theologies of disease are necessary to cope with the variety of expressions of this pandemic. Christian theoethical reflection on HIV/AIDS has been largely focused on sexual ethics, with uneven and mainly unhelpful results. Among the ethical issues that shape future useful conversations are globalized economics and resource sharing, the morality and economics of the pharmaceutical industry, and the need for sex education and access to reproductive choice. Considering such issues in international, interreligious, multiscientific contexts is a concrete next step for the religion‐and‐science dialogue. It will put the powerful tools of both fields to the service of the common good.