医疗改革中行政指导相关问题研究

随着我国法治进程的不断加快和医疗卫生环境的不断变化,行政指导作为＂市场经济国家关于市场功能、政府角色和行政模式的政策选择不断演进的结果,＂具有柔和、民主的色彩,既体现了行政行为的目的性,又兼顾了市场经济的自由性,已成为政府主导医疗改革不可或缺的重要手段。但是,由于我国行政指导法律机制不健全以及现实中政府责任意识淡薄,使得行政指导影响了医疗改革的效果及目标的实现。对此,本文认为,行政指导法治化是促进医疗改革的重要途径。     

From Big Data to Knowledge: An Ontological Approach to Big Data Analytics

The introduction of Big Data sets in the healthcare domain has presented opportunities to engage in analytics of very large sets containing both structured and unstructured data. With advances in information technology (IT), these data sets have become available from diverse sources at greatly increased rates. The availability of Big Data sets has introduced complexities that we must address, not only in terms of semantics and analytics but also in terms of data management, storage, and distribution. Currently, the capabilities to ingest, analyze, and manage multipetabyte data sets have underscored the limitations of our analytics capabilities supported by relational database management systems. This essay argues that an ontology‐based approach to data analytics provides a practical framework to address the semantic challenges presented by Big Data sets. No ontological framework can address the operational and management requirements introduced by the availability of Big Data sets, however. There are also a number of IT architectural factors that must be considered in implementing such a framework.     

What motivates adherence to medical recommendations? The procedural justice approach to gaining deference in the medical arena

Although it is within their long‐term interest, patients often fail to follow health care recommendations made by medical experts. This failure results in the widespread occurrence of preventable health problems and a significant increase in health care costs. Taking a new approach to confronting this issue, this paper examines whether the procedural justice model, which has been useful in explaining cooperation with legal and managerial authorities, can provide a basis for increasing patients' willingness to voluntarily adhere to health care recommendations. Three studies tested and supported this proposition. Study 1 experimentally manipulated physicians' procedural fairness or unfairness to explore its influence on patients' acceptance of doctors' recommendations. Study 2 used patients' reports about the fairness of their personal physicians and linked those evaluations to their willingness to follow their doctor's recommendations. Finally, study 3 explored the role of general procedural justice judgments in promoting willingness to accept health policies when they are advocated by private doctors and government health care authorities. The results of all three studies support the argument that when health care authorities use fair procedures, patients are more likely to accept their recommendations. Importantly, this procedural justice effect is distinct from, and in some cases stronger than, the influence of competence.     

中华民族传统体育发展思考

弘扬民族体育文化 ,继承和发展中华民族传统体育 ,是本世纪把我国建设成世界体育强国的重要途径。本文针对目前我国民族传统体育的发展状况及影响民族传统体育发展的因素进行深入剖析 ,提出了中华民族传统体育走向世界的战略思考     

论患者权利类型

患者权利类型的确定是构建患者权利保护体系的理论基础，应分为两大类：患者作为“人”在医疗领域所享有的个体权利和作为“公共卫生体系使用人”的集体权利。前者是患者在接受医疗服务过程中基本人权的实现，包括人格尊严权、不受歧视的权利、私生活和秘密被尊重的权利、生命健康权、获得有质量的医疗服务的权利等。后者则包括患者群体通过自己的社团——患者组织——在卫生法规决策过程中的介入权、在卫生机构中的代表权、在卫生监督部门中的参与权等等，与国家公权力机关共同实现卫生领域的民主，以构建和谐的医患关系及促进医疗水平提高。在现有立法、司法及理论对患者个人权利已逐步承认并加强保障的情况下，认识患者集体权利的实现具有更强的理论意义及实践价值。     

Compulsory mental health care in Norway: The treatment criterion

The Norwegian government has chosen to retain a treatment criterion in the Mental Health Care Act despite the opposition of several user organizations. From a critical user perspective, the only reason for using coercion to require mental health treatment is that the individuals are in a state where they are an immediate danger to themselves and/or their surroundings. This articles aims, first, to provide an overview of research studies concerning the benefits or harmfulness of involuntary treatment after coerced admission and, second, to evaluate studies that try to compare involuntary with voluntary treatment. A systematic overview of studies of compulsory mental health care with regard to treatment criteria, coercion in mental health, and involuntary admission published over the last decade was examined in detail, along with a secondary manual search of references cited in identified publications. Few studies have been conducted on the effect of compulsory mental health care, and the results have been contradictory. More randomized studies are needed to document the kinds of effects that the use of compulsory treatment has on treatment results. Another issue that needs further examination is whether the use of coercion should be transferred to legal bodies with an adjudicatory process.     

Chapter 7. Mental Health Intervention with Dominican Immigrants

Abstract

Dominicans are a significant force in the changing composition of Hispanic immigration in the United States, and all indications are that they will continue to be in the years to come. A framework has been applied in which Dominican culture, psychosocial strengths and risks, and treatment implications are explored in the context of how Dominicans appear to be similar to and different from other Hispanic groups in the U.S. Much more needs to be done in terms of elaborating this combination of homogeneity and heterogeneity. Mental health practitioners who are open to such inquiry, and to keeping an open mind regarding the possibilities of modifications in therapeutic techniques and modality choices, will find Dominicans to be a clinically responsive, and an enjoyable population to work with.     

Mariah Carey 2014 Tour in Chengdu

正Date:October 12,2014Place:Chengdu Sports Center Price:RMB 180/280/380/480/680/980/1280/1680As one of the most popular female vocalists,Mariah Carey has sold more than 200 million albums all over the world and has had 18 No.1 singles recorded in Billboard,which exceeds records set by the likes of Elvis Presley and Michael Jackson.She has won i ve Grammy Awards and is credited with innovating     

高职书记官专业法律类课程实训教学研究

高职书记官专业法律类课程是专业核心课程,为书记官专业人才培养目标实现提供必要的法律素养支撑.结合该专业人才培养需求和培养现状,探讨法律类课程实训的相关问题.