特需医疗服务供方意向调查分析

剖析目前特需医疗服务供方所存在的主要问题,初步探讨在我国发展特需医疗服务适宜的承担主体。采用个别访谈和问卷调查的方法对来自不同性质的医院的医护人员和医院管理人员进行了意向调查。结果显示,医院发展特需医疗服务并不是解决医务人员收入问题的有效手段;公立医院发展特需医疗服务势必会对其普通医疗服务带来负面影响。建议在确保大部分公立医院只提供普通医疗服务的基础上,由私立医院和一部分公立医院作为特需医疗服务的承担机构。     

Reliability and Validity of the Vicarious Trauma Organizational Readiness Guide (VT‐ORG)

The Vicarious Trauma Organizational Readiness Guide (VT‐ORG) is an assessment of an organization's readiness to address vicarious trauma (VT), which is exposure to the traumatic experiences of people served. This study reports on the psychometric properties of the VT‐ORG. Employees of first responder agencies (e.g., law enforcement, fire, emergency services) and victim assistance agencies are at a high risk for vicarious traumatization, which can lead to PTSD, substance use, and suicidal ideation, among other negative impacts. Organizations that do not address VT may see such effects as employee turnover, reduced efficiency, and negative work environments. The VT‐ORG is an assessment tool designed to help organizations complete the first step of organizational change—conducting a needs assessment. Study participants were 3,018 employees across 13 first responder and victim assistance agencies who completed the 67‐item VT‐ORG and additional measures for evaluation of its validity and reliability. The VT‐ORG was found to have excellent internal consistency (Cronbach's α = .98). A structural equation model demonstrated that the subscales of the VT‐ORG predicted criterion measures of turnover intention, compassion satisfaction, and organizational resilience, with an overall model fit of CFI = .99, RMSEA = .053. This study found the VT‐ORG to be a reliable and valid assessment of organizational responses to vicarious trauma.     

The effect of emotional clarity and attention to emotion on job satisfaction: A mediating role of emotion regulation among Chinese medical staff

The present study examined the relationships among attention to emotion, emotional clarity, emotion regulation, and job satisfaction, and tested whether the plausible associations between emotional processes (e.g., attention to emotion, emotional clarity) and job satisfaction can be mediated by emotion regulation in a sample of Chinese medical staff. In total, 1,766 medical staff in Guangdong province completed questionnaires including the demographics, the Minnesota Satisfaction Questionnaire, Emotional Clarity, Attention to Emotion, and the Emotion Regulation Questionnaire. Results showed significant direct effect of emotional clarity, but not attention to emotion on job satisfaction. Cognitive reappraisal significantly mediated the associations between emotional processes (e.g., attention to emotion, emotional clarity) and job satisfaction whereas expressive suppression was not a statistically significant mediator. These results suggest that attention to emotion and emotional clarity contribute to job satisfaction by increasing certain emotion regulation strategies such as reappraisal. Intervention or medical education programs targeting enhancing emotional clarity and reappraisal may be beneficial for increasing job satisfaction of medical staff in China.     

1993至2016年医学生心理健康变迁的横断历史研究

为考察我国医学生心理健康水平随年代的变迁趋势, 运用横断历史研究的方法, 对1993至2016年间181篇采用90项症状自评量表(SCL-90)测量医学生心理健康水平的研究报告(被试为129613名医学生)进行元分析。研究发现：(1)除恐怖因子外, SCL-90其余8个因子均与年代呈显著负相关, 这说明, 我国医学生的心理健康水平在逐年提升。(2)当年和5年前的2个社会指标(卫生总费用和注册医师数)与SCL-90的8个因子均值呈显著负相关, 说明这些社会指标可能是预测医学生心理健康水平的重要因素。(3)与男生相比, 女生心理健康水平的上升趋势更为明显, 但心理健康水平的性别差异并不显著。(4)医学新生心理健康水平的上升趋势要比非新生更明显和全面。     

The Relative Effects of Abstract Versus Concrete Processing on Proactivity in Depression

Low levels of proactivity are characteristic of individuals with depression. Two studies were conducted to compare the relative effects of abstract versus concrete processing on proactivity in high dysphoric individuals. In Study 1, participants read information about an upcoming research study and were then randomly allocated to a writing task that induced them to think about participating in that study in either an abstract (e.g., Why you would participate in the study?; n = 25) or concrete (e.g., How you will participate in the study?; n = 25) way. Participants were then asked to indicate whether they would sign up to the study. As expected, more participants indicated that they would take part in the study in the concrete condition (76%) than in the abstract condition (36%). In Study 2, high dysphoric participants were asked to identify their ideal part-time job and were then randomly allocated to a writing task that induced them to think about applying for the job in an abstract (n = 26) or concrete (n = 25) way. There was no difference between conditions in self-reported intentions of proactivity. However, significantly more participants in the concrete condition opted to look at an employment assistance website and returned to the lab to collect a job application package. Overall, these findings suggest that abstract processing could contribute to low levels of proactivity in depression, and that facilitating the use of concrete processing could help to alleviate this problem. Our results also point to the need for greater conceptual clarification of the distinction between concrete processing about proactive behavior and implementation intentions (identifying specific steps for completing an action/goal).     

现代医学存在自身缺陷的依据、原因、现象及其后果

目的 探讨现代医学理论体系存在的自身缺陷、根本原因和现象以及由此而产生的后果。方法 明确指出现代医学的理论主体就是实验医学,指出现代医学理论体系所存在的自身缺陷是由于过于依赖实验医学的研究方法而造成的,通过对世界医学发展史上医学与哲学之间关系上的变化进行深入分析,全面阐述了现代医学在对人体研究上的片面性和不完整性,指出现代医学理论之所以存在自身缺陷的根本原因就是没有科学地认识实验医学和经验医学各自的优点并加以合理地利用,列举了现代医学理论存在自身缺陷在基础与临床方面的具体现象及其后果。结论 现代医学理论体系存在着难以自我完善的自身缺陷,并使其发展举步维艰。     

加入WTO对我国医药卫生科学研究的影响及对策

中国加入WTO,不仅对我国经济和社会的发展带来机遇和挑战,而且对我们的医药卫生科学研究的发展,产生巨大的影响。这就需要我们采取积极的措施,变压力为动力,加速我国医药卫生科学研究和学科建设的发展。     

WTO与医学生人文素质的培养

加入WTO对医学生培养带来全方位的挑战,其主要的方面则表现在人文素质的差距上,必须努力建设具有中国特色的医学教育文化,构建医学生人文素质教育课程体系,加强组织保障和评估,以赢得竞争。     

正确认识和对待"举证责任倒置"

“举证责任倒置”作为处理民事诉讼中的例外原则运用于医疗纠纷的处理必将对医患关系的根本好转提供有利的措施保证,如何认识和对待“举主责任倒置”是一个崭新的课题,就此,我们谈点不成熟的看法。     

加入WTO对医疗服务的挑战及相应对策

加入世界贸易组织（WTO）使我国医疗服务面临新的挑战,如国外医疗机构将进入我国,对公立医院管理体制的冲击等,对此提出了我国应采取的对策如深化医疗卫生体制改革等。