医疗服务价格调整与医疗费用控制的关系研究

因政府、社会和病人无法承受越来越高的医疗费用,以致于控制医疗费用已成为我国卫生政策的核心。现代医院应将医疗服务价格调整作为切入点,降低医疗成本,用比较低廉的费用提供比较优质的医疗服务。     

The Good Professor

This paper seeks to provide a philosophical analysis of the features of an excellent professor, but a well-balanced one, professionally speaking. What makes for excellence in research, teaching and service is explored in some detail, with attention paid to the contexts of four-year colleges and comprehensive universities in the united states.     

我国老年人的社会支持与服务

鉴于我国老龄化现状,简要地回顾了社会支持的定义与种类,考察了我国传统的孝顺价值观和行为;并着重分析了我国老年人的社会支持与服务,包括老年人的社会支持与幸福感,老年人的家庭支持与照料,老年组织与公共老年服务;以及我国老年人社会支持的城乡差异。     

Rural Marriage and Family Therapists: A Pilot Study

Marriage and family therapists practice in more than a third of the rural counties in the United States. However, little is known about the practice patterns of marriage and family therapists who practice in rural settings. This pilot study examined the clinical practice and community involvement of a sample of licensed marriage and family therapists in rural Texas. The results contribute to a small but developing body of research about a relatively unknown group of practitioners.     

综合医院开展临床预防服务的可行性

临床预防服务是预防医学的重要组成部分,也是临床医学的重要内容。鉴于慢性非传染性疾病对社会、家庭及个人的负担越来越重,在各级医院尤其综合医院开展临床预防服务,对预防慢性病的发生、发展,降低死亡率、减轻社会、家庭负担,将起到事半功倍的作用,产生深远影响。     

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。     

Voluntary sector counselling: Has inadequate research resulted in a misunderstood and underutilised resource?

Although much counselling already takes place in the voluntary sector, little is known about the nature of the work being done or about its effectiveness or the training and experience of its practitioners. Given the gap between the demand for and supply of psychological therapies in Britain today, lack of research into the effectiveness of this work could mean that a valuable resource is being under‐utilised. This paper describes a study of a large, generic counselling centre and, using the CORE monitoring and evaluation system, makes comparisons between its work and that of a number of NHS psychological therapy services. It shows; that it is of at least as complex or severe a nature; and that it is as effective. It also shows that the therapy carried out in this agency is done by appropriately qualified and experienced practitioners.     

青少年神经质人格、互联网服务偏好与网络成瘾的关系

采用问卷法,以339名中学生为被试,通过无拘束结构方程模型分析方法探讨了神经质人格特征与互联网服务偏好的交互作用对网络成瘾的影响。研究发现在对网络成瘾的影响上,神经质人格与互联网社交、娱乐和信息使用偏好存在显著的交互作用,但与互联网交易服务不存在显著的交互作用：（1）从平均影响来看,互联网社交、娱乐和交易使用偏好以及神经质人格对网络成瘾有显著的正向影响,而互联网信息使用偏好对网络成瘾没有显著影响;（2）在神经质高分组中,互联网社交、娱乐和信息服务偏好与PIU的正向关系都是最强的;在神经质低分组中,互联网社交服务偏好与PIU的正向关系最弱,而互联网娱乐和信息服务偏好与PIU甚至呈现出微弱的反向关系;（3）即便是高神经质人格类型的青少年,对信息服务的偏好也不容易使其卷入PIU;而对于低神经质人格类型的青少年来说,即便是偏好社交和娱乐服务,也不容易卷入PIU     

An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury

Post-9/11 service members may return from military service with a complicated set of symptoms and conditions, such as posttraumatic stress disorder (PTSD), depression, substance misuse, and traumatic brain injury (TBI), that interfere with reintegration and impair functioning. Although evidence-based treatments that facilitate recovery exist, their successful delivery at a sufficient dose is limited. Barriers to accessing treatment combined with challenges compiling a comprehensive treatment team further delay delivery of effective evidence-based care for PTSD, TBI, and co-occurring mental health conditions. This paper describes the development of a comprehensive, multidisciplinary, 2-week intensive day program for post-9/11 veterans with complex mental health concerns. The treatment program combines skill building groups, family education, and integrative health approaches with evidence-based individual PTSD or TBI care. Initial results from the first 132 participants were notable for a 97% completion rate, as well as statistically significant and clinically meaningful reductions in PTSD, neurobehavioral, and depression symptom severity for the 107 veterans who completed the PTSD track and the 21 who completed the TBI track. These data suggest the intensive program approach is an effective, well-tolerated model of treatment for post-9/11 veterans with PTSD and/or TBI. Future controlled studies should examine the effectiveness of this intensive model compared to standard evidence-based therapy delivery, as well as longitudinal outcomes.     

必须加强对卫生组织问题的理论研究

分析并研究了卫生管理中具有战略地位的卫生组织领域的背景和文献后认为,对卫生组织的特征与类型的研究、卫生部门的绩效管理研究、卫生组织的变异与权力制约研究、卫生组织战略管理研究等,是当前我国卫生组织领域中值得研究的主要理论问题;对卫生管理组织理论的创新研究应给予高度重视。