新型农村合作医疗的受益公平性研究

2003年,我国开展了新型农村合作医疗制度(以下简称“新农合”)试点工作。利用新农合试点县卫生服务调查资料,从卫生服务需要量、利用率、医疗费用以及从新农合得到的费用补偿等方面分析不同收入水平的参合农民的受益情况。结果显示,贫困农民卫生服务需要量大,卫生服务需求的未满足程度较高,从合作医疗中受益相对较少。认为不同经济状况的参合农民在卫生服务利用中存在不公平现象。     

The relationship between person–team fit with supervisor–subordinate guanxi and organizational justice in a Chinese state‐owned enterprise

The study examines how subordinates’ perceptions of justice in Chinese working teams are influenced by the person–team fit (or the misfit) of the supervisor–subordinate guanxi (SSG). We tested our hypotheses on a sample of 1,086 employees from 149 work groups in one state‐owned enterprise; using a combination of cross‐level polynomial regression and response surface analysis. The results showed that subordinates’ perceptions of justice, in terms of procedural, interactional, and distributive justice, were higher when individual SSG was congruent with the average SSG in the team (TSSG) at a high level than when an individual SSG was congruent with TSSG at a low level. Meanwhile, in the misfit situation, subordinates’ perceptions of the three dimensions of justice were higher when the individual SSG relative to TSSG (relative SSG, or RSSG) was surplus (individual SSG exceeded TSSG) versus RSSG deficient (TSSG exceeded individual SSG). Nevertheless, the subordinates’ perceptions of distributive justice were the highest when SSG and TSSG were almost equal in high level, as observed by integrating the fit with the misfit line. These findings highlight the important boundary cultural conditions of the psychological processes of justice and provide useful insights for international managers conducting their business in China.     

Assessing long‐term maintenance of staff performance following behavior skills training in a home‐based setting

We used a multiple baseline across participant design to evaluate the effects of behavior skills training on teaching three behavior therapists to implement discrete trial teaching (DTT) and evaluate the long‐term maintenance of skills acquired through behavioral skills training. For participants whose skills did not maintain, the authors evaluated an independent self‐evaluation procedure on their performance. Following DTT implementation training, maintenance probes were assessed at 2‐, 4‐, 6‐, and 8‐week follow‐ups. The results demonstrated that one participant maintained 100% procedural integrity (PI) through all follow‐ups, one participant decreased below mastery criterion at the 2‐week follow‐up, and one participant dropped below mastery criterion at the 4‐week follow‐up. Those participants that demonstrated decreased accuracy of implementation of DTT programs and were taught to implement a self‐evaluation procedure. Following self‐evaluation, PI maintained for up to 7 weeks for one participant. Our results suggest that if PI does not maintain, self‐evaluation may be a supplementary intervention to increase and maintain PI of new employees.     

Procedural Perceptions and Support for the U.S. Supreme Court

This paper examines public support toward the U.S. Supreme Court. Although previous scholars have rightly focused on policy outcomes in explaining public attitudes toward the Court, outcome‐based theories are unable to explain why support for the Court remains high despite public disagreement with Court decisions. Some scholars argue the low visibility of the Court shields it from public scrutiny. The exposure explanation, however, is inconsistent with the empirical finding that to know the Court is to love it. This paper reconciles these differences by showing how media coverage of the Court can influence procedural perceptions and subsequent support for the Court. Expanding on recent studies examining media coverage of the Court and perceptions of fairness, this study examines how procedural perceptions mediate support for the Court. An experimental design shows that the media's portrayal of procedural information as either fair or unfair influences public evaluations of procedural fairness and subsequently support for the Court as an institution and the individual justices serving on the Court's bench.     

Advantages of Flexible over Traditional Benefits: A Procedural Justice Explanation

This study investigates the relationship between employee benefits plans and employees’ attitudes towards their benefits and the organization. In addition, this study examines the mediating role of perceived procedural justice (decision and process controls) to explain why the provision of benefits affects such attitudes. From a matched sample of two hotels, one offering fixed benefits and the other offering flexible benefits, the results showed that employees’ had higher levels of satisfaction with flexible benefits because of greater decision control in choosing the benefits they desired. Contrary to predictions, employees’ process control in flexible benefits plans had no significant effects on benefits satisfaction. Also, employees did not significantly perceive that their benefits had greater value when they were allowed to choose the benefits that they desired. Employees who were satisfied with their flexible benefits were more committed to their organizations and had lower intentions to quit.     

组织公正感理论及其在企业人力资源管理中的运用

组织公正感的研究近些年在美国受到了众多学者的关注,其研究成果也越来越多地被运用于公司管理的实践。而在中国,组织公正感理论还鲜为人知。本文试图对组织公正感理论的内容及其研究成果作一系统的分析,并在此基础上,阐述其对中国人力资源管理实践的意义,以及如何运用组织公正感理论。     

Priority setting in health care: on the relation between reasonable choices on the micro-level and the macro-level

There has been much discussion about how to obtain legitimacy at macro-level priority setting in health care by use of fair procedures, but how should we consider priority setting by individual clinicians or health workers at the micro-level? Despite the fact that just health care totally hinges upon their decisions, surprisingly little attention seems being paid to the legitimacy of these decisions. This paper addresses the following question: what are the conditions that have to be met in order to ensure that individual claims on health care are well aligned with an overall concept of just health care? Drawing upon a distinction between individual and aggregated needs, I argue that even though we assume the legitimacy of macro-level guidelines, this legitimacy is not directly transferable to decisions at micro-level simply by adherence to the guidelines’ recommendation. Further, I argue that individual claims are subject to the formal principle of equality and the demands of vertical and horizontal equity in a way that gives context- and patient-related equity concerns precedence over equity concerns captured at the macro-level. I conclude that if we aim to achieve just health care, we need to develop a complementary framework for legitimising individual judgment of patients’ claims on health care resources. Moreover, I suggest the basic structure of such a framework.     

Infant Distress During Immunization: A Multimethod Assessment

The purpose of this study was to comprehensively describe infant procedural distress and pain across assessment modalities, and to compare similarities and differences across measures. A multimethod assessment of distress was conducted to investigate infants (N = 37) undergoing routine immunizations. Measures of infant distress included Parent report, nurse report, infant heart rate, and an observational measure of infant distress. Parents rated their infant's distress and pain significantly higher than did nurses. Observational and physiological ratings of infant distress were found to vary significantly by phase, and there were no correlations between adult ratings of pain and distress and physiological ratings. Findings suggest that infant procedural distress can be assessed in a number of manners. The discordance between these measures emphasizes the need for multimethod assessment of pediatric procedural distress in both research and clinical settings. Given the differences between parent and nurse ratings, clinicians should be aware that different assessment methods might lead to different conclusions about infant procedural distress.     

学前儿童对“知道”和“会”的认知

72名3至5岁儿童接受了陈述性知识和程序性知识的学习任务,探查他们在获得新知识前后对自己是否“知道”和 “会”的认知和知识获取方式的认知 。结果显示,有部分学前儿童在不知道或不会的情况下报告自己“知道”或“会”,对自己的判断倾向于作出肯定回答;在学习新知识之后,学前儿童对自己是否“知道”的认识要比是否“会”的认知准确;儿童对陈述性知识的获取方式的认识好于程序性知识,3岁儿童对知识获取方式的认识存在困难。     

Framing and Risky Choice as Influenced by Comparison of One's Achievements with Others: The Case of Investment in the Stock Exchange

Based on social comparison theory and equity theory, the first aim of this study was to examine the hypothesis that framing is affected not only by previous success or failure, but also by comparisons with relevant others' outcomes as well. The second aim of the study was to examine prospect theory propositions that people are risk aversive for gains and risk seeking for losses. A total of 220 students were administered scenarios that described outcomes of their stock investments (gains or losses). In addition, they were provided with information about their close friends' outcomes investing in similar stocks. Generally, the hypothesis regarding the influence of others' outcomes on framing was confirmed. However, results showed that, in contradiction to prospect theory, gain framing rather than loss framing was related to risk seeking behavior. Specifically, in the gain framing situation, the readiness to take risks was highest when the others' outcomes were equal to those of the participants. The limitations of prospect theory are discussed.