社会医疗保险道德风险博弈与防控措施研究

通过对社会医疗保险道德风险产生原因与特征的探讨,根据不完全信息重复博弈模型对社会医疗保险道德风险进行了系统分析,据此提出了社会医疗保险道德风险的防控措施,以期实现对道德风险的有效防控,提高社会医疗保险基金的安全。     

医疗腐败的市场根源：儒家思想的角度

中国的医疗腐败问题成为社会关注的热点,其中一个重要的原因就是市场化过程中,一些不恰当的政策导致了医疗服务腐败的现象。核心就是忽视了中国传统的儒家思想对维护和改善医患关系的积极作用。应当重视儒家道德思想,并在此基础上重塑医学伦理。     

关于医学人文教学几个问题的认识

文化素质教育与人文教育有联系,但也有区别;对人文精神的理解,存在东方与西方、传统与现在的差异;人文精神的核心是人是一切的根本,人的生命、思想、理想应当受到关爱和尊重;人文精神或人文主义包括理念层次和实践层次;人文精神是一种普世价值而主要不是意识形态;人文知识不等于人文素养,医学人文教育的目标是提升学生对生命的尊重与关爱;医学人文教育应当渗透到医学专业教育之中。     

医学高新技术在现代医患关系中扮演的角色

医学高新技术在现代医患关系中扮演着重要的角色,然而在缺乏有效的政府监管、医院与医生逐利行为及社会不良导向等因素下,其自身的角色发生了异化。通过对异化现象、产生原因及采取措施等方面的分析,明确其正确的价值取向,以促进医患关系的健康、和谐发展。     

加强医学伦理学教育指导医疗实践

通过对五所医院医务人员和两所医科大学的学生从医学伦理学教育和伦理培训等四方面进行现场调查和分析,提出目前在医科大学,医学伦理学已经逐步被认识和接受;医学伦理在临床实践和医疗科研中已有较大的影响;医学伦理委员会的工作需要进一步加强;医学伦理教育任重道远.     

模拟员工招聘过程中的有意遗忘效应

以隐私信息和非隐私信息为目标信息,以66名大学生为被试,采用类似字表范式,探讨了模拟员工招聘过程中三种提示条件下的有意遗忘效应。结果发现:①在模拟员工招聘过程中,有意遗忘效应显著,不同的提示会影响决策的结果;②简历上的与工作无关的个人隐私信息对招聘者的决策过程有一定的消极影响;③一定的干预手段可以部分消除个人隐私信息对聘用决策的消极影响,但不能完全消除。     

Representing the ‘other’: a discursive analysis of prejudice and moral exclusion in talk about Romanies

This article investigates the particulars of prejudiced and moral exclusion discourse about ethnic minorities in a Romanian socio‐cultural context. It examines in detail the discourse of middle‐class Romanian professionals taking up different ideological positions on the issue of the fairness of extremist politics towards ethnic minorities. A comparison is made between participants ‘supporting’ extremist politics and those ‘opposing’ this kind of politics to see whether there are differences in the way participants from both categories talk about the Romanies. It is suggested that a very similar expression of moral exclusion discourse is to be found across both positions, a very similar use of various discursive and rhetorical strategies to blame the Romanies and ‘naturalize’ their characteristics, position them beyond the moral order, nationhood and difference. The analysis, inspired by a critical discursive approach will focus on the construction of ideological representations of Romanies. In examining prejudiced and moral exclusion discourse against Romanies, this article constitutes an attempt to understand the situated dynamics of prejudice and some of the ways in which particular ways of talking delegitimize and, sometimes, dehumanize the ‘other’. Copyright © 2006 John Wiley & Sons, Ltd.     

Investigating the Impact of Strength-Based Assessment on Youth with Emotional or Behavioral Disorders

The trend toward adopting a strengths approach to mental health practice with children and adolescents amounts to a paradigm shift from an emphasis on diagnosing disorders to tapping child capacities and assets toward the achievement of treatment goals. While the potential value and challenges associated with this shift has received ample attention in the literature, minimal research has been conducted to assess the benefits and barriers related to the use of strength-based strategies with youth. Utilizing an experimental design, this author examined the impact of strength-based assessment using the Behavioral and Emotional Rating Scale (BERS) with seriously emotionally or behaviorally disturbed children and adolescents. Results revealed that child functioning outcomes were significantly better for youth who received BERS-guided assessment versus the usual deficit-based assessment protocol only when the treating therapist reported an orientation toward service that reflects highly strength-based attitudes and practices. Furthermore, high adherence to the strength-based assessment protocol was associated with significantly higher parent satisfaction with services and lower rates of missed appointments. These findings highlight the importance of accounting for practitioner effects and treatment fidelity in future studies of strength-based practice effectiveness.     

Tactile orientation constancy: Do proprioception and attention affect the tactile vertical?1

Abstract: Tactile vertical, defined as the edge orientation that participants perceive to be vertical, was examined in four experiments. In Experiment 1, we touched the participants’ cheek, lips, or hand with an edge and asked them to judge its orientation with regard to gravitational vertical, both when the stimulated body part was upright (or, in the case of the lips, aligned), and when it was tilted (lips, distorted). We found that when the head or hand was tilted forward 30°, or when the lower lip was distorted approximately 38° to the left or right, the tactile vertical shifted in the same direction by only a fraction (8.7, 8.6, and 36.3% for the cheek, lips, and hand, respectively) of the change in orientation of the stimulated region. The results indicated considerable, but usually incomplete, orientation constancy. In Experiment 2, we measured tactile vertical on the hand for forward tilts from 0° to 45°. We found that as the hand was tilted, the tactile vertical increasingly shifted in the same direction as the hand (i.e., a tactile Aubert effect). In Experiment 3, the effect of attentional focus on tactile vertical was examined by comparing the tactile vertical of participants who attended to body‐centered coordinates, and others who attended to gravitation‐centered coordinates. We found that focusing on body‐centered coordinates caused a decrease in orientation constancy. We sought to examine the role of attention further in Experiment 4, measuring tactile vertical on the cheek of persons with temporomandibular disorders. Compared with normal participants, these participants displayed significantly lower constancy. The results were accounted for by a narrowing of attention to painful signals, so that proprioceptive information was attended to less. In conclusion, the degree of tactile orientation constancy that participants demonstrate varies as a function of body site and attentional focus.     

Productivity is not enough: A comparison of interactive and nominal brainstorming groups on idea generation and selection

The conclusion that nominal brainstorming groups outperform interactive brainstorming groups has been exclusively based on studies of idea generation. This study tested whether the productivity advantage of nominal groups would also result in better idea selection. Nominal and interactive groups performed a task that involved idea generation and selection. Idea generation and selection were strictly separated for half the groups, but were combined for the other half. Nominal groups generated more ideas than interactive groups, and the ideas generated by nominal groups were more original and less feasible than the ideas generated by interactive groups. However, there were no differences among conditions in quality of the selected ideas. Further, idea selection was not significantly better than chance. This suggests that high productivity in brainstorming is not sufficient to lead to better solutions.