行业伦理教育对报考心理咨询师人员双重关系伦理意识的影响

目的了解行业伦理培训对参加心理咨询培训人员在双重关系伦理意识方面的影响。方法采用问卷调查法和实验干预的办法,以自编“心理咨询和治疗伦理问题调查问卷（参加心理咨询师培训人员版）”作为评价工具,对广东范围内368名参加心理咨询师培训人员进行调查,其中203人没有接受行业伦理培训的课程,在本研究中设为1组;161人接受了行业伦理教育的课程,在本研究中设为2组。结果两组人员相比较,在涉及双重关系伦理意识的判定上,第2组选择“不清楚”人数比例与第1组相比。大部分条目上都出现了不同程度的下降。两组人员在有关双重关系伦理意识的判断上共有10个条目一致度（选择“不符合”者）分别都达到了80％及以上。两组人员在9个有关非性的双重关系的条目上在作出伦理意识的判断时都表现出了很大的争议;两组人员在5个关于非性的双重关系伦理意识条目的判断上表现出显著差异（P〈0．05）。结论对参加心理咨询师培训的人员进行行业伦理教育,能够帮助他们在双重关系方面树立起比较清晰的行业伦理意识;在对参加心理咨询师培训人员进行有关双重关系的行业伦理教育时,要注意有关非性双重关系伦理意识的本土特点;本研究有一定的局限性,参加心理咨询培训人员应该接受系统全面的行业伦理教育。     

Physicians' willingness and barriers to considering cost when prescribing

Many patients have difficulty affording medication. This pilot study examined physicians' willingness and barriers to considering cost when prescribing. Of 54 physicians surveyed, nearly all said considering cost was important (98%) but many reported lacking formulary (65%) or copayment information (59%). Insurers can help physicians by providing easy access to drug coverage information at the point of prescribing.     

开展师生座谈的研究与分析

目的探讨师生座谈在高职高专院校教育教学管理中的作用。方法从师生座谈开展时机的把握、参与对象的组织、座谈内容和形式的选择等方面进行综合研究与分析。结果师生座谈促进了教师、辅导员、学生三者间关系的和谐；为加强班级一系部一院校的建设、改革和管理，提供了更多建设性的意见；促进学生获得了更多有利于自身成人和成材的知识和技能。结论在国家大力推行高等学校人才培养水平评估的总体形势下，赋予师生座谈新的内涵并着力实施，具有极其重要的现实意义。     

医药卫生的管理咨询服务

着重探讨医学情报(信息)研究所在已有的网络工程和一次文献工程基础的优势上。如何发挥信息工作特点(新颖性、集成信息加工性、管理决策性)，将被动型文献咨询服务转化成资源计划型管理咨询服务。     

网络医药咨询的应用与管理

我院在Internet医院网站创建了与广大群众交互式医药咨询服务的平台,本文主要介绍了网络医药咨询流程、主要功能、回复情况、组织与实施.网络医药咨询的应用使医院建立了一种新型的医院服务模式,开辟了一个为病人服务的新途径,成为医院吸引病人的一种新方式.     

Physicians' assessment of deficiencies and desire for training in adolescent care

Over the past decade, there has been growing awareness among medical educators and care providers of the deficits in the training of primary care physicians to meet the health care needs of adolescents. The study reported here is the first national survey of primary care physicians' perceptions of their competency in dealing with adolescents' health concerns. In the survey, 351 internists, family practitioners, and pediatricians rated their competency in 19 areas of adolescent health care. Approximately three-quarters or more of the internists indicated deficits in all 19 areas. In areas related to gynecologic concerns, more pediatricians reported deficits than family physicians; but more family physicians than pediatricians reported deficiencies in managing acute conditions of youth (growth and developmental problems, endocrinopathies, school-based problems, and chronic illnesses). All physicians indicated deficiencies in dealing with high-risk health behaviors: eating disorders, drug and alcohol abuse, homosexuality, and delinquency. Finally, more than 45 percent of the physicians overall reported deficiencies in areas related to social and/or emotional concerns, including suicide, depression, and family conflicts. Despite these acknowledged deficits, most of the primary care physicians did not indicate adolescents to be the least desirable age group with which to work. However, few of the physicians expressed a desire to improve their skills. Overall, in none of the 19 areas did more than 30 percent of the physicians who had reported deficiencies in an area express interest in improving their competency.     

Consultation on Human Fertilisation and Embryology Act

Following the review of the Human Fertilisation and Embryology Act by the House of Commons select committee on science and technology (see Bulletin 208), the Department of Health issued a consultation paper on its proposals to change the law. Although the consultation period will be over before this issue is published, it seems worth reprinting the summary of the paper to record the department's thinking on a variety of issues.     

Informal parental traffic training and children's traffic accidents

The aims of the present study were (a) to assess the relationship between informal traffic training by parents and their children's involvement in traffic accidents and (b) to identify factors contributing to this relationship. The first two studies involved questionnaires on informal parental traffic education, the child's exposure to traffic and traffic-related accidents. Both studies showed that rate of accidents increased with training, particularly for outdoor training. An accident analysis indicated that most accidents involved the use of the bicycle, and that the major part of the accidents resulted in light injuries and occurred when the child was practicing the act of manoeuvring the bicycle. An interview study with 10 preschool teachers identified two quite disparate traffic education goals: emphasis on cautiousness versus emphasis on independence. The major implications of the study are that efforts in traffic training should give more emphasis to bicycle use and should be planned and carried out in cooperation with the parents.     

Informal parental traffic education and children's bicycling behaviour

The aim of this study was to analyze the relation between traffic intensity and traffic hazards in the local traffic environment, the parents' view of their child's traffic situation and the actions taken by the parents to cope with these hazards. 58 parents were interviewed. The traffic intensity in the vicinity of the home was estimated. 19% of the parents lived in inner city areas, 62% in suburbs and 19% in the countryside. Suburban children had a safe traffic environment. Inner city- and countryside children predominately lived in high-intensity traffic environment. Inner city- and suburb children frequently used the bike, in inner city as a tool for play and in the suburbs mainly as a means of transport. Countryside children seldom used their bicycle. In inner city areas carefulness in traffic and in the other two independence was emphasized. Only 16% reported cooperation between home and school on traffic matters. Traffic accidents were concentrated to children living in suburbs (p<0.01). 81% of accidents were reported by parents having independence as a goal for traffic training (p<0.01). The results underline that traffic accident risk is strongly contingent on the local traffic environment and informal parenteral education in traffic safety.