总结经验 推进新一轮卫生改革

着眼于实现为人人提供保健服务目标的医疗改革,要求卫生服务与医药购销制度的改革必须适应广覆盖、低成本的医疗保险制度;确保公共卫生、社区卫生与合作医疗在整个保健服务体系中的主体地位,在基本卫生保健服务机构与大医院之间建立合作、互补、互制的关系;坚定地对大医院实行调整和管理;构建医药分开的管理与流通体制;政府主导作用到位,投入方向合理,以顺利推进新一轮医疗改革。     

突发公共卫生事件与政府应急能力建设

政府如何加强应急体系建设,提升应对突发公共卫生事件的能力,是关系社会秩序能否稳定和谐的重大问题。为此应在坚持行政应急性原则的基础上,从公共卫生应急资源的准备供给、管理供给和补偿供给三方面形成实现应急能力的支持系统,以消解突发公共卫生事件所引发的社会影响或动荡。     

建立县级领导干部绩效结构和考核指标体系的思考

县级领导干部的绩效考核一直是党和国家关注的焦点,而实践中县级领导干部的绩效考核多年来一直是个难点问题。该文通过回顾国内外绩效考核的相关理论和文献,对应该如何建立科学有效的县级领导干部绩效结构及考核指标体系进行了探讨,并进一步提出了其研究的创新和意义所在。     

If and Then: A Critique of Speculative NanoEthics

Most known technology serves to ingeniously adapt the world to the physical and mental limitations of human beings. Humankind has acquired awesome power with its rather limited means. Nanotechnological capabilities further this power. On some accounts, however, nanotechnological research will contribute to a rather different kind of technological development, namely one that changes human beings so as to remove or reduce their physical and mental limitations. The prospect of this technological development has inspired a fair amount of ethical debate. Here, proponents and opponents of such visions of human enhancement are criticized alike for engaging in speculative ethics. This critique exposes a general pattern that extends to other nano-, bio-, or neuroethical debates. While it does not apply to all discussions of “enhancement technologies” it does apply to all ethical discourse that constructs and validates an incredible future which it only then proceeds to endorse or critique. This discourse violates conditions of intelligibility, squanders the scarce and valuable resource of ethical concern, and misleads by casting remote possibilities or philosophical thought-experiments as foresight about likely technical developments. In effect, it deflects consideration from the transformative technologies of the present.

行为公共管理学视角下公共决策的社会许可机制：“一提两抑”

公共管理的本质是公共决策。“公共决策的社会许可”指当地民众对于公共决策的持续接受和支持程度, 是公共决策合法性的基石。本研究借助“行为公共管理学”的理论视角, 通过两个调查实验(N = 354 + 354), 一个现场调查(N = 520), 全面考察公共决策透明(过程透明和内容透明)与社会许可之间的因果关系, 进而明确这一关系的作用边界。结果发现：1) 决策过程透明与内容透明正向影响社会许可; 2) 政府信任调节决策内容透明与社会许可的关系; 3) 结果依赖调节两类透明与社会许可的关系。基于这些结果, 作者总结出正性的“决策透明效应”以及“谨慎的不介意”和“有选择的忽视”之双缓冲作用, 即“一提两抑”, 以更好地理解公共决策的社会许可机制。     

Territorial sense of community,ethnic prejudice and political orientation

This research focused on territorial sense of community and ethnic prejudice. In particular, we related these two constructs and investigated their relationship to individual characteristics (personal political orientation, contact with immigrants, etc.) and community‐level ones (such as ethnic composition and the political orientation of the local government). Two studies were conducted in four small towns in central and southern Italy. For each study, 160 people were contacted. The instruments used were a questionnaire, the Italian Sense of Community Scale and the Blatant Prejudice Scale. The results showed that territorial sense of community is not related to ethnic prejudice or to the ethnic heterogeneity of the territory. It was also found that people with right‐wing political sympathies revealed higher levels of prejudice than people with left‐wing sympathies. Finally, in a town with a stable and consolidated left‐wing orientation of the local government we found, when the influence of personal political orientation was controlled for, lower levels of prejudice than in a town with a right‐wing orientation. Copyright © 2008 John Wiley & Sons, Ltd.     

论我国艾滋病防治工作中的政府职能

艾滋病是世界性的重大公共卫生问题和社会问题。近年来,我国艾滋病的流行呈现快速上升趋势,流行范围广,局部地区疫情相当严重,疫情正在从高危人群向一般人群传播。政府的组织领导是做好我国艾滋病防治工作的根本保证,各级政府要强化政府的公共卫生职责,发挥政府的主导作用,动员足够的防治资源和力量,引导社会各方面力量的广泛参与,打一场防治艾滋病的“人民战争”,我们一定能够控制艾滋病的流行。     

Welfare Rights and Conflicts of Rights

The fact that welfare rights – rights to food, shelter and medical care – will conflict with one another is often taken to be good reason to exclude welfare rights from the catalogue of genuine rights. Rather than respond to this objection by pointing out that all rights conflict, welfare rights proponents need to take the conflicts objection seriously. The existence of potentially conflicting and more weighty normative considerations counts against a claim’s status as a genuine right. To think otherwise would be to threaten the peremptory force – and hence the analytical integrity – of rights. The conflicts objection is made more pressing once we have conceded that welfare rights give people entitlements to what are potentially scarce goods. I argue that welfare rights can survive the conflicts objection if, and only if, we take scarcity into account in the framing of a given welfare right. Earlier versions of this paper were presented at the Nuffield Political Theory Workshop in Oxford and the Canadian Philosophical Association Congress 2006 at York University. I am grateful to Adam Swift, David Miller, Idil Boran, Sarah McCallum and two anonymous referees for their comments, and to the Economic and Social Research Council for research funding.     

Asians as the model minority: Implications for US Government's policies

Asian Americans are often perceived as a 'model minority'– an ethnic minority that are high achieving, hardworking, self-reliant, law-abiding, as well as having few social and mental health problems. Although the impact of the model minority image on the US government's redistributive policies is a widely contested topic in public discourses, there has been little research on the association between the model minority image, people's worldviews, and attitudes towards the US government's redistributive policies. In an experiment that measured American participants' worldviews and manipulated the salience of the model minority image, we have demonstrated that those who believed in a malleable social reality were relatively unsupportive of government policies that help the Asian American ( vs African American) communities. Theoretical and practical implications of this finding are discussed.     

The Importance of Assessing Impairment Associated With Limited Prosocial Emotions

Limited prosocial emotions (LPE) are characterized by a lack of remorse or guilt, callousness/lack of empathy, being unconcerned about performance, and shallow/deficient affect. While previous research has largely focused on the presence or absence of LPE in youth, there is considerable evidence that symptom presence/absence and symptom impairment are separable dimensions, where impairment often is found to play a significant, unique role in assessing child psychopathology. The current study utilized a newly developed questionnaire with the purpose of exploring its psychometric properties and better understand the dual and potentially differential role LPE symptom presence and LPE-related impairment have in youth. Mothers (n = 265) of children (M_age = 8.04, SD = 2.07) completed questionnaires assessing LPE impairment, LPE symptoms, externalizing disorder symptoms, and functional impairment. Results demonstrated strong support for the psychometric properties of the newly developed measure of LPE impairment. Importantly, LPE-related impairment uniquely predicted all impairment domains above-and-beyond the effects of LPE symptoms, oppositional defiant disorder, and CD symptoms (as well as child age and sex covariates). Moreover, youth in the top 25th percentile on both LPE symptoms and LPE-related impairment (compared to youth only in the top 25th percentile in LPE symptoms) had greater mean externalizing symptoms and functional impairment. The preliminary evidence provided suggests researchers and clinicians may benefit from assessing both LPE symptoms and LPE-related impairment when attempting to identify youth with high levels of conduct problem symptoms and/or psychosocial impairment. Future research should aim to replicate and expand our findings to other clinical populations.