Fundamental contradiction and coordination mechanism of health economic evaluation between social perspective and hospital perspective / 中国卫生政策研究

This study analyzed the inconsistences between health economic evaluation of social perspective and hospital perspective,and based on the relevant theories of health economic evaluation demonstrated that for health technology,especially innovative ones, there was contradiction between study results of the social perspective and hospitals,leading to pricing decision-making problems. This article believes that involving multiple stakeholders in hospital decision making process and non-bundled pricing method for innovative health technology could be optional mechanisms for resolving this contradiction.

Ethical Roles of Dispute Processing Personnel in Medical Dispute / 中国医学伦理学

This paper focused on the role conflicts owing to the multiple identity of roles and professional limi -tations in the dispute processing personnel , analyzed the probability in the medical processes and results , appeal of the patients and pattern of medical dispute processing , and made the conclusion that the medical dispute processing personnel is volunteers promoting social harmony and a practitioner of new medical model from the social perspec -tive and should carry forward the dedication , fraternity, mutual assistance and progressive spirit , the concept of the biological -psychology -social medical model to analyze the loss of patients in dispute and appeal , truly safe-guard the health rights and interests of patients , and give some advices to perfect the role ethics dispute processing .

Concepções e práticas sócio-educativas promotoras de autonomia no ensino fundamental / Conceptions and social education practices promoted autonomy in primary education

A pesquisa investigou relações entre práticas sócio-educativas e desenvolvimento da autonomia, avaliando níveis de entendimento inter-pessoal segundo Selman. A coleta de dados conduzida em duas escolas, uma particular e outra pública, utilizou observação naturalística e um questionário semi-estruturado, aplicados a docentes e a alunos de ensino fundamental. Na escola particular os resultados indicam: maior homogeneidade de níveis no entendimento inter-pessoal dos alunos, relacionados a concepções e às práticas sócio-educativas dos docentes e maior equilíbrio entre as estratégias de negociação e experiências inter-pessoais compartilhadas. Na escola pública houve maior colaboração entre as crianças. Nas duas escolas, a concepção docente sobre suas práticas foi positiva com atribuição elevada ao ensino de valores morais, porém com justificativas ainda unilaterais. Níveis superiores de adoção de perspectiva social correlacionaram-se inversamente com a freqüência de pronunciamentos coercitivos e heterônomos. Os dados confirmam a importância do desenvolvimento da autonomia discente na escola condicionada a intervenções de professores.

The research investigated the relations between practices partner and the development of autonomy, evaluating dynamic of interpersonal agreement, by Selman. The colecta data instruments were the naturalistic study and a half questionnaire structuralized, composed of 7 categories, for application to teachers, and 4 categories, for pupils applied in the field on a private and a public schools. The data, pointing in the school A: to a more homogeneous relation between the your practice and educative procedures partner with the perceptions and levels of interpersonal agreement of the pupils; one high importance for the education of moral values, but its justifications had tends the unilateralism; bigger balance enter the shared strategies of negotiation and experiences in interpersonal dynamic in the school A; a bigger sense of cooperation enter the children of school B; in both the schools the superior levels of perspective adoption had evidenced minor frequency of coercive and heteronomic uprisings. The data show it's necessary interventions of the teachers, guided for the autonomic development of children in basic education.

El trabajo investigó relaciones entre prácticas socioeducativas y desarrollo de la autonomía , evaluando niveles de entendimiento interpersonal según Selman. La colecta de datos, conducida en dos escuelas - una privada y una pública - utilizó observación naturalística y un cuestionario semiestructurado, aplicados a docentes y alumnos de la educación primaria fundamental. En la escuela privada los resultados indican: mayor homogeneidad de niveles en el entendimiento interpersonal de los alumnos relacionados a concepciones y a las prácticas socioeducativas de los docentes y mayor equilibrio entre las estrategias de negociación y experiencias interpersonales compartidas. En la escuela pública hubo mayor colaboración entre los niños. En las dos escuelas, la concepción docente sobre sus prácticas fue positiva, con asignación elevada a la enseñanza de valores morales, pero con justificativas todavía unilaterales. Niveles superiores de adopción de perspectiva se correlacionaron inversamente con la frecuencia de pronunciamientos coercitivos y heterónomos. Los datos confirman la importancia del desarrollo de la autonomía discente en la escuela condicionada a intervenciones de profesores.