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William O'Donohue Patricia A. Graczyk Elizabeth A. Yeater 《Applied and Preventive Psychology》1998,7(3):181-187
Because of current health care reforms, quality control, accountability, and cost-effectiveness have become important issues in the practice of clinical psychology. It is imperative that practicing clinicians begin to evaluate their services to assess whether they demonstrate high quality and cost-effectiveness, as well as a continued commitment to qualify improvement. Deming's (1986) approach to quality control is discussed as a useful strategy for improving effectiveness in the practice of clinical psychology. This approach emphasizes the process of identification of the client population, improvements through incremental processes, and evaluation of outcomes. Organizational Behavior Management (OBM) techniques are also reviewed as useful ways in which to supplement and improve on Deming's approach to quality control. Science and quality control are discussed as being inherently coherent. The scientist—practitioner model dictates that services provided to clients should be rigorously evaluated. Various procedures for evaluating the quality of services provided in clinical practice are discussed. 相似文献
994.
当代中国医德建设与相对主义医学伦理学 总被引：4，自引：0，他引：4
当代西方相对主义医学伦理学有许多建树,但也有其致命性的缺陷,这就是否定医学道德的客观绝对性和普遍性医学伦理准则。在引进、介绍了这种学说之后,需要下功夫同它进行对话,即以医德绝对性与相对性辩证统一的原理,对这种学说进行追问,从中借鉴有益的经验和教训,以顺利全面地推进我国当代的医学道德建设。 相似文献
995.
Math J. J. M. Candel 《Psychometrika》1997,62(1):119-131
Arrangements of feature sets that have been proposed to represent qualitative and quantitative variation among objects are shown to generate identical sets of set-symmetric distances. The set-symmetric distances for these feature arrangements can be represented by path lengths in an additive linear tree. Imperfect versions of these feature arrangements are proposed, which also are indistinguishable by the set-symmetric distance model. The distances for the imperfect versions can be represented by path lengths in an additive imperfectly linear tree. When dissimilarities are defined by the more general contrast model and a constant may be added to proximity data, then for both the perfect and imperfect arrangements an additive tree analysis obtains a perfect fit with an imperfectly linear tree. However, in the case of the contrast model also the distinction between the perfect and imperfect arrangements disappears in that also for the perfect arrangements the resulting tree need no longer be linear.The author is grateful to Mathieu Koppen for detailed comments on an earlier version of this article. 相似文献
996.
System-of-care models that offer a continuum of integrated mental health services for children are being widely implemented in local communities. Preventive services, arising from the theoretically grounded prevention sciences, are an important but neglected component of this model. Studies of the use of mental health services by children are reviewed, and an integrative model is proposed to incorporate prevention services as a component of the child mental health service system. Construction of the prevention sciences has followed a linear phase model that has advantages and disadvantages for bridging prevention sciences and services research. As prevention science progresses into broader field tests of its effectiveness, studies of child services can be informative, especially in advancing the applicability and dissemination of research findings. Future directions are outlined to strengthen the nexus between services research and prevention science, and to construct a new genre of prevention services research. 相似文献
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Javier Revuelta 《Psychometrika》2009,74(2):257-272
The generalized logit–linear item response model (GLLIRM) is a linearly constrained nominal categories model (NCM) that computes the scale and intercept parameters for categories as a weighted sum of basic parameters. This paper addresses the problems of the identifiability of the basic parameters and the equivalence between different GLLIRM models. It is shown that the identifiability of the basic parameters depends on the size and rank of the coefficient matrix of the linear functions. Moreover, two models are observationally equivalent if the product of the respective coefficient matrices has full column rank. Finally, the paper also explores the relations between the parameters of nested models. I would like to express my gratitude to the editor and three anonymous reviewers for their helpful suggestions on earlier versions of the paper. This work was supported by the Comunidad de Madrid (Spain) grant: CCG07-UAM/ESP-1615. 相似文献
999.
Mikael Stenmark 《Zygon》2009,44(4):894-920
In The Blank Slate: The Modern Denial of Human Nature, Steven Pinker maintains that at present there are three competing views of human nature—a Christian theory, a “blank slate” theory (what I call a social constructivist theory), and a Darwinian theory—and that the last of these will triumph in the end. I argue that neither the outcome of such competition nor the particular content of these theories is as clear as Pinker believes. In this essay I take a critical as well as a constructive look at the challenge presented by a Darwinian theory of human nature—a challenge to the social sciences and the humanities and also to theology and more specifically to a Christian understanding of human nature. 相似文献
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