我国乡镇卫生资源二次配置模式探讨

长期以来,我国卫生资源配置城乡不均衡的局面比较严峻,大量优质卫生资源主要积聚在大中城市,而乡镇基层医疗机构的卫生资源比较稀缺。以增加政府财政投入,引入私人资本与第三部门力量等方式来提高农村卫生资源增量势必会遇到投入缓慢、资金不足、技术瓶颈等现实障碍。通过改革公立医院,调整城市卫生资源存量,把大中城市公立医院中的富余卫生资源以二次配置方式转移到农村卫生服务机构,是破解农村卫生资源存量不足、增长缓慢的困境,提高农村卫生服务能力和水平,改善农民就医问药问题的新途径。     

选购两难中折衷效应的发生规律

当人们置身于两难困境时,折衷策略是一个合理的解决方案。研究者分析选购两难中消费者的信息处理与折衷效应的关系。研究发现：选购两难中信息的低精致化处理更易导致折衷效应,产品涉入贡献于精致化处理从而抑制折衷效应,产品的认知相似性和情感抑制精致化处理从而促进折衷效应。研究结果表明,当消费者面对选购两难时,信息的精致化程度和心理水平影响他对于中性产品的选择。     

Moral Dilemma in the War against Terror: Political Attitudes and Regular Versus Reserve Military Service

The current study examines moral dilemmas related to the war against terror: the amounts of force used to arrest or harm a “most wanted” terrorist: the greater the use of force, the higher the risk for harming civilians and the lower the risk to the soldiers and vice versa. The study focuses on the association between moral decisions, confidence, and level of difficulty in making the decisions and political attitudes among Israeli Defense Forces soldiers. In addition, the study examines the differences between regular (202) and reserve (144) combat infantry soldiers regarding these variables. According to study hypotheses results indicate (a) more right-wing political attitudes predicted greater use of force and fewer difficulties in making moral decisions, and (b) reserve soldiers reported higher use of fire, higher confidence, and lower level of difficulty in making moral decisions compared with regular soldiers.     

Contemporary perspectives on the study of psychological climate: A commentary

At the individual level of analysis, we address how work environment perceptions (psychological climate) are conceptualized and measured with respect to three perspectives in the applied psychology literature: (1) social constructionist, (2) general psychological, and (3) multiple stakeholder. Similarities and differences between these perspectives regarding the hypothesized bases of work environment perceptions, factor models for capturing these perceptions, and the generality/specificity of psychological climate factors are discussed. A general framework for conceptualizing and measuring climate perceptions with respect to different referents, organizational levels, industries or sectors, and stakeholder groups is then presented. This framework is posited to include core, generalizable dimensions associated with each relevant stakeholder group. Finally, we recommend methods and discuss future research directions related to the aggregation of individual level climate perceptions to organizational levels.     

Development of the Couples Resource Map Scales

Abstract

This article describes the initial phases of development of the Couples Resource Map Scales (CRMS). These scales are designed to assess the degree of support couples receive from various personal, relationship, and contextual resources. The first phase involved the initial item development and an expert review of an extended list of potential items. The second phase involved a survey of university seniors (n = 397) involved in monogamous, intimate relationships to test the psychometric properties of the instrument. The third phase involved an analysis of variance in CRMS scores based on participants' self-reported level of satisfaction with their relationship. The results provide preliminary support for the reliability and validity of the CRMS.     

No commonality between attentional capture and attentional blink

Visual search for a unique target is impaired when a salient distractor is presented (attentional capture). This phenomenon is said to occur because attention is diverted to a distractor before it reaches the target. Similarly, perception of the second of two targets embedded in a rapid stream of nontargets is impaired, suggesting attentional deprivation due to the processing of the first target (attentional blink). We examined whether these phenomena emerge from a common underlying attentional mechanism by using correlation studies. If these phenomena share a common foundation, the magnitude of these deficits should show within-subject correlations. Participants (N?=?135) revealed significant attentional deficits during spatial and temporal capture and the attentional blink tasks. However, no significant correlation was found among these tasks. Experiment 2 (N?=?95) replicated this finding using the same procedure as that used in Experiment 1 but included another attentional blink task that required spatial switching between the two targets. Strong correlations emerged only between the two attentional blink tasks (with/without spatial switching). The present results suggest that attentional deficits during spatial and temporal capture and the attentional blink tasks reflect different aspects of attention.     

A Kantian-Brandomian View of Concepts and The Problem of a Regress of Norms

ABSTRACT

According to the Kantian-Brandomian view of concepts, we can understand concepts in terms of norms or rules that bind those who apply them, and the application of a concept requires that the concept-user be sensitive to the norms governing its application. But this view faces some serious objections. In particular, according to Rosen, Glüer and Wikforss, this view leads to a vicious regress of norms. The purpose of this paper is to defend a version of the Kantian-Brandomian view of concepts against this objection. I argue that we can deal with this problem along the lines of a coherentist account of justification.     

The Abridgement Paradox

When axiomatizing a body of truths, one first concentrates on obtaining a set of axioms that entail all and only those truths. The theorist expects that this complete system will have some needlessly strong axioms that can later be weakened or even deleted. What happens if the theorist includes in his system recognition of this superfluity? Contradiction! Even admitting the possibility of superfluity dashes all hope of consistency. Any suspicion of superfluous information must be voiced from outside the system.     

Cooperativeness and competitiveness as two distinct constructs: Validating the Cooperative and Competitive Personality Scale in a social dilemma context

The present research validated the construct and criterion validities of the Cooperative and Competitive Personality Scale (CCPS) in a social dilemma context. The results from three studies supported the notion that cooperativeness and competitiveness are two independent dimensions, challenging the traditional view that they are two ends of a single continuum. First, confirmatory factor analyses revealed that a two‐factor structure fit the data significantly better than a one‐factor structure. Moreover, cooperativeness and competitiveness were either not significantly correlated (Studies 1 and 3) or only moderately positively correlated (Study 2). Second, cooperativeness and competitiveness were differentially associated with Schwartz's Personal Values. These results further supported the idea that cooperativeness and competitiveness are two distinct constructs. Specifically, the individuals who were highly cooperative emphasized self‐transcendent values (i.e., universalism and benevolence) more, whereas the individuals who were highly competitive emphasized self‐enhancement values (i.e., power and achievement) more. Finally, the CCPS, which adheres to the trait perspective of personality, was found to be a useful supplement to more prevalent social motive measures (i.e., social value orientation) in predicting cooperative behaviors. Specifically, in Study 2, when social value orientation was controlled for, the CCPS significantly predicted cooperative behaviors in a public goods dilemma (individuals who score higher on cooperativeness scale contributed more to the public goods). In Study 3, when social value orientation was controlled for, the CCPS significantly predicted cooperative behaviors in commons dilemmas (individuals who score higher on cooperativeness scale requested fewer resources from the common resource pool). The practical implications of the CCPS in conflict resolution, as well as in recruitment and selection settings, are discussed.     

HOW SHOULD WE BEHAVE? A REVIEW OF REASONS AND PERSONS BY DEREK PARFIT

In this book Parfit attempts to develop a rational, non-religious ethics. Instead of asking, “What does God tell us to do?” he asks, “What does reason tell us to do?” Given a set of simple assumptions, he considers whether it is possible to be consistently selfish or consistently good. Analyses of personal dilemmas (problems of self-control) and moral dilemmas (problems of social cooperation) show that neither consistent selfishness nor consistent goodness is logically possible. Instead, a fine balance must be maintained between, on the one hand, our immediate versus long-term good and, on the other, our own good versus that of other people. Ultimately Parfit fails to develop a formula by which such a balance may be struck. Parfit''s analysis is consistent with behavioral analysis in its reductionistic view of the self and the parallel it draws between relations with other people and relations with oneself at other times. Parfit''s analysis is inconsistent with behaviorism in its view of the mind as internal, available to introspection, and able to cause behavior. His nonfunctional mentalism leads Parfit to inconsistencies and blocks the path to a consistent ethics. Teleological behaviorism''s view of the mind in terms of patterns of overt behavior is not hampered by these inconsistencies and may lead to a functional rather than purely rational ethics.