医疗保险与基层医疗卫生资源配置机制转型

基层医疗卫生事业的健康发展取决于医疗卫生资源的均衡配置。要促进医疗卫生资源的均衡配置,必须重构医疗卫生资源的配置机制。由于基层医疗机构缺乏较高的行政级别和较厚的盈利空间,所以医疗卫生资源的市场配置机制和计划配置机制均会陷入失灵。基于这个观点,提出以计划与市场联手为途径配置基层医疗卫生资源的思路,即让医疗保险承担对基层医疗卫生资源的配置功能。医疗保险配置基层医疗卫生资源主要通过三种途径：设立门诊统筹账户、建构购买服务机制、采取按人头预付费方式。     

护士工作要求-资源问卷的编制

目的：探讨护士群体面临哪些工作要求和工作资源,为护士预防工作倦怠提供依据.方法：对120名护士初始测试后进行探索性因素分析,然后对360名护士正式测验结果进行验证性因素分析.结果：探索性因素分析结果表明,护士工作要求问卷包括工作量、倒班、情感要求、环境、心理和时间六个因素;护士工作资源问卷包括社会支持、奖励、技能多样性、工作控制和决策参与五个因素.验证性因素分析结果表明,护士工作要求问卷所提取的六个因素、工作资源问卷所提取的五个因素与构想模型拟合较好.结论：护士工作要求-资源问卷具有良好的信度和效度.     

3～6岁幼儿目标取向、自我效能感与自我控制的关系

自我控制是自我意识的重要成分,是儿童自主发展的重要前提。通过问卷调查法对241名3~6岁幼儿被试进行调查,考察其目标取向、自我效能感和自我控制的发展及三者关系。结果发现:(1)3~6岁幼儿的任务目标取向居于主导,女孩的他人目标取向比男孩明显,幼儿四类目标取向的发展皆呈现先上升后下降复又上升的趋势;幼儿的自我效能感居于中等水平,自我控制居于中等偏上水平;女孩的自觉性和自制力水平明显高于男孩;幼儿的自我延迟满足在4岁发生明显转折;(2)自我提升目标取向显著正向预测自我控制;(3)自我效能感在自我提升目标取向与自我控制关系间存在部分中介效应。     

The role of work–family role integration in a job demands–resources model among Chinese secondary school teachers

The current study examines an integrative demands–resources model of the work–family interface in a sample of 259 Chinese secondary school teachers. Participants completed questionnaires relating to job demands, job resources, work‐to‐family conflict, work‐to‐family enrichment, work–family role integration (WFRI) and burnout scale. Results show that: (i) job demands were strongly and positively associated with work‐to‐family conflict, which further led to an increase in burnout; job resources were strongly and positively associated with work‐to‐family enrichment, and consequently to a decrease in burnout. Job demands also had a significant direct impact on burnout; (ii) a newly proposed construct, WFRI, was found to partially mediate the relationship between job demands and work‐to‐family conflict, as well as between job resources and work‐to‐family enrichment. Theoretical and practical implications are discussed, and future research directions are provided.     

Morningness–Eveningness and Risk Taking

ABSTRACT. Depending on individual differences in biological rhythms and diurnal preferences, people have long been described as either “larks” or “owls.” Larks and owls differ greatly in personality aspects, but from the behavioral perspective it is unclear whether they have significant differences in terms of risky behaviors. Whether morning types or evening types are consistently more risk-taking or risk-averse in different domains remains unknown. This study adopted a general American adult sample to systematically investigate the relationship between chronotype and individuals’ risky behaviors in different domains. By using different methods to measure risky behaviors in different domains, the current research obtained convergent results that morningness was negatively related only to financially risky behaviors for American adults. More specifically, by using the composite scale of morningness and the domain-specific risk attitude scale, Study 1 showed that for American adults, morning types were less likely than evening types to engage in financially risky behaviors (N = 212). In Study 2, after scenario-based methods were used to measure risky behavior, results showed that that participants engaged less in risky behaviors in the domains of gambling and investment (N = 187). A mediator test showed that the negative relationship between morningness and financially risky behaviors was partly mediated by individuals’ self-control ability (self-control scale, Study 1).     

Distribution and Neighborhood Correlates of Sober Living House Locations in Los Angeles

Sober living houses (SLHs) are alcohol and drug‐free living environments for individuals in recovery. The goal of this study was to map the distribution of SLHs in Los Angeles (LA) County, California (N = 260) and examine neighborhood correlates of SLH density. Locations of SLHs were geocoded and linked to tract‐level Census data as well as to publicly available information on alcohol outlets and recovery resources. Neighborhoods with SLHs differed from neighborhoods without them on measures of socioeconomic disadvantage and accessibility of recovery resources. In multivariate, spatially lagged hurdle models stratified by monthly fees charged (less than $1400/month vs. $1400/month or greater), minority composition, and accessibility of treatment were associated with the presence of affordable SLHs. Accessibility of treatment was also associated with the number of affordable SLHs in those neighborhoods. Higher median housing value and accessibility of treatment were associated with whether a neighborhood had high‐cost SLHs, and lower population density was associated with the number of high‐cost SLHs in those neighborhoods. Neighborhood factors are associated with the availability of SLHs, and research is needed to better understand how these factors affect resident outcomes, as well as how SLHs may affect neighborhoods over time.     

How psychological resources mediate and perceived social support moderates the relationship between depressive symptoms and help-seeking intentions in college students

There is a high prevalence of depression among college students, which is linked to lower levels of help-seeking intentions. However, there has been a lack of research examining variables that may help explain this relationship. The present study aimed to address this gap by examining whether psychological resources (optimism and self-esteem) mediate the relationship between depressive symptoms and help-seeking intentions, and whether this relationship is moderated by perceived social support. Participants were 8121 college students (66% female) aged 17–25 years (M?=?20.42, SD?=?1.90), who completed the My World Survey Post-Second Level, a national survey on youth mental health. Linear regression analysis confirmed that depressive symptoms predicted lower informal help-seeking intentions. Moderated mediation indicated that social support moderated the direct relationship between depressive symptoms and informal help-seeking intentions and that optimism and self-esteem mediated this relationship, when gender was controlled for. Findings indicate that social support and psychological resources help further our understanding of the relationship between depressive symptoms and help-seeking in young people. Campaigns promoting help-seeking in college students should focus on the beneficial role of social support and on fostering optimism and self-esteem as facilitators of help-seeking intentions.     

The role of workaholism in the job demands-resources model

Background and Objectives: The present study tries to gain more insight in workaholism by investigating its antecedents and consequences using the job demands-resources model. Design: We hypothesized that job demands would be positively related to workaholism, particularly when job resources are low. In addition, we hypothesized that workaholism would be positively related to negative outcomes in three important life domains: health, family, and work. Methods: The research involved 617 Italian workers (employees and self-employed). To test the hypotheses we applied structural equation modeling (SEM) and moderated structural equation modeling (MSEM) using Mplus 6. Results: The results of SEM showed a good model where workload, cognitive demands, emotional demands, and customer-related social stressors were positively related to workaholism and work–family conflict (WFC) (partial mediation). Additionally, workaholism was indirectly related to exhaustion and intentions to change jobs through WFC. Moreover, MSEM analyses confirmed that job resources (job security and opportunities for development) buffered the relationship between job demands and workaholism. Particularly, the interaction effects were statistically significant in five out of eight combinations. Conclusions: These findings suggest that workaholism is a function of a suboptimal work environment and predicts unfavorable employee outcomes. We discuss the theoretical and practical implications of these findings.     

The relation between off-job recovery and job resources: person-level differences and day-level dynamics

It is well-known that recovery from work and job resources can counteract negative effects of high job demands, but less is known about how off-job recovery and job resources are related to each other. In this two-level daily diary study, 67 employees filled out daily surveys over the course of 8 days to examine this issue. Consistent with our expectations, multilevel analyses revealed that previous day’s detachment from work is positively related to the state of being recovered before going to work, and that the state of being recovered is positively related to one’s level of job resources. Moreover, the results indicated that both person-level differences and day-level dynamics play a role in these relations. Our study highlights the importance of recovering from work in the sense that it does not only help individuals by repairing negative strain effects but can also function as a catalyst in the activation of job resources.