Individual and situational correlates of motivation for skills upgrading: an empirical study

The present research examines the tenability of a number of factors thought to precede an individual's motivation for skills upgrading. Because motivation for skills upgrading is instrumental to training success and is highly malleable, knowing the factors that precede motivation for skills upgrading would help managers and policy makers a great deal in formulating strategies to raise the competitiveness of the workforce. We derive several testable hypotheses from the existing literature and empirically verify the selected antecedents of motivation for skills upgrading. Results based on responses from 413 employees suggest that an individual's attitude towards skills upgrading, self-efficacy, usefulness of skills upgrading, health condition and long-term orientation are positively related to motivation for skills upgrading. Implications for policy makers, managers and researchers are discussed.     

Improving human resources for health planning in developing economies

There is a universal consensus that human resources represent the heart and soul of effective health systems everywhere. However, despite this consensus, human resource planning in low income countries remains a neglected, often poorly implemented and ineffective component of health-system development. The planning exercises that do take place are often inefficient, use inappropriate planning models or fail to adequately prioritize human resource investment decisions. This article briefly discusses possible reasons why this failure occurs and describes four key steps that can help health system planners more effectively prioritize and link human resource for health investment decisions to health system strategy and programmatic initiatives. Implications for human resource development practice and national human resource development are discussed.     

Competition and The Operational Performance of Hospitals: The Role of Hospital Objectives

We examine the effect of a hospital's objective (i.e., non‐profit vs. for‐profit) in hospital markets for elective care. Using game‐theoretic analysis and queueing models to capture the operational performance of hospitals, we compare the equilibrium behavior of three market settings in terms of such criteria as waiting times and patient costs from waiting and hospital payments. In the first setting, a monopoly, patients are served exclusively by a single non‐profit hospital; in the second, a homogeneous duopoly, patients are served by two competing non‐profit hospitals. In our third setting, a heterogeneous duopoly, the market is served by one non‐profit hospital and one for‐profit hospital. A non‐profit hospital provides free care to patients, although they may have to wait; for‐profit hospitals charge a fee to provide care with minimal waiting. A comparison between the monopolistic and each of the duopolistic settings reveals that the introduction of competition can hamper a hospital's ability to attain economies of scale and can also increase waiting times. Moreover, the presence of a for‐profit sector may be desirable only when the hospital market is sufficiently competitive. A comparison across the duopolistic settings indicates that the choice between homogeneous and heterogeneous competition depends on the patients' willingness to wait before receiving care and the reimbursement level of the non‐profit sector. When the public funder is not financially constrained, the presence of a for‐profit sector may allow the funder to lower both the financial costs of providing coverage and the total costs to patients. Finally, our analysis suggests that the public funder should exercise caution when using policy tools that support the for‐profit sector—for example, patient subsidies—because such tools may increase patient costs in the long run; it might be preferable to raise the non‐profit sector's level of reimbursement.     

Perceptions of Ecological Risk Associated with Mountain Pine Beetle (Dendroctonus ponderosae) Infestations in Banff and Kootenay National Parks of Canada

Western Canada is experiencing an unprecedented outbreak of the mountain pine beetle (MPB). The MPB has the potential to impact some of Canada's national parks by affecting park ecosystems and the visitor experience. Controls have been initiated in some parks to lessen the impacts and to prevent the beetle from spreading beyond park boundaries. We examine the perception of ecological risk associated with MPB in two of Canada's national parks, the factors affecting perceptions of risk, and the influence of risk judgments on support for controlling MPB outbreaks in national parks. Data were collected using two studies of park visitors: a mail survey in 2003 and an onsite survey in 2005. The MPB was rated as posing a greater risk to the health and productivity of park ecosystems than anthropogenic hazards and other natural disturbance agents. Visitors who were familiar with MPB rated the ecological and visitor experience impacts as negative, unacceptable, and eliciting negative emotion. Knowledge and residency were the most consistent predictors of risk judgments. Of knowledge, risk, and demographic variables, only sex and risk to ecosystem domains influenced support for controlling the MPB in national parks. Implications for managing MPB in national parks, visitor education, and ecological integrity are discussed.     

能源消费背景下中国的环境质量与公众健康

在揭示中国能源消费的环境影响的基础上,利用因子分析方法对1990~2005年间中国环境质量与公众健康的总体水平进行了评价,并对环境质量与公众健康的作用进行了实证研究。研究结果表明,环境质量与公众健康状况具有相似的波动性协同变化趋势,环境质量及其构成要素对公众健康存在单向因果关系。调整能源结构,促进能源消费结构的"绿色化";加强能源消费的健康风险识别,全面实施污染物综合消减;运用市场化手段促进能源消费环境成本内部化仍然是控制污染物质的排放、改善中国环境质量与提高公众健康水平的重要途径。     

Economics of Disaster Risk,Social Vulnerability,and Mental Health Resilience

We investigate the relationship between exposure to Hurricanes Katrina and/or Rita and mental health resilience by vulnerability status, with particular focus on the mental health outcomes of single mothers versus the general public. We advance a measurable notion of mental health resilience to disaster events. We also calculate the economic costs of poor mental health days added by natural disaster exposure. Negative binomial analyses show that hurricane exposure increases the expected count of poor mental health days for all persons by 18.7% (95% confidence interval [CI], 7.44–31.14%), and by 71.88% (95% CI, 39.48–211.82%) for single females with children. Monthly time‐series show that single mothers have lower event resilience, experiencing higher added mental stress. Results also show that the count of poor mental health days is sensitive to hurricane intensity, increasing by a factor of 1.06 (95% CI, 1.02–1.10) for every billion (U.S.$) dollars of damage added for all exposed persons, and by a factor of 1.08 (95% CI, 1.03–1.14) for single mothers. We estimate that single mothers, as a group, suffered over $130 million in productivity loss from added postdisaster stress and disability. Results illustrate the measurability of mental health resilience as a two‐dimensional concept of resistance capacity and recovery time. Overall, we show that natural disasters regressively tax disadvantaged population strata.     

Behavioral Economics and Regulatory Analysis

Behavioral economics has captured the interest of scholars and the general public by demonstrating ways in which individuals make decisions that appear irrational. While increasing attention is being focused on the implications of this research for the design of risk‐reducing policies, less attention has been paid to how it affects the economic valuation of policy consequences. This article considers the latter issue, reviewing the behavioral economics literature and discussing its implications for the conduct of benefit‐cost analysis, particularly in the context of environmental, health, and safety regulations. We explore three concerns: using estimates of willingness to pay or willingness to accept compensation for valuation, considering the psychological aspects of risk when valuing mortality‐risk reductions, and discounting future consequences. In each case, we take the perspective that analysts should avoid making judgments about whether values are “rational” or “irrational.” Instead, they should make every effort to rely on well‐designed studies, using ranges, sensitivity analysis, or probabilistic modeling to reflect uncertainty. More generally, behavioral research has led some to argue for a more paternalistic approach to policy analysis. We argue instead for continued focus on describing the preferences of those affected, while working to ensure that these preferences are based on knowledge and careful reflection.     

高校心理健康工作的几个问题

从高校心理健康工作持续发展的角度对学生心理健康教育工作机制进行了探讨,并且论述了思想政治工作与心理咨询工作的区别与联系,以及如何把握好心理咨询工作中的角色和角色阻抗问题.     

Social Policy at the 2004 Election

Social policy appeared to be a key battleground at the 2004 Australian Federal election. Opposition Leader Latham announced major policies on Medicare, family support and taxation, and schools funding during the election campaign. Using sample survey data from the Australian Election Study 2004, this paper analyses how these policies may have influenced voters. In brief, although a significant proportion of electors identified these issues as being extremely important to them when they were deciding about how to vote, many made up their mind about how to vote around the time of the announcement of the election or before. This mitigated the potential effect that these major policies could have on the election outcome. Nevertheless, these policies were important and Labor had a significant policy advantage amongst those who were late deciders about how to cast their vote.     

The Significance of Shift Work: Current Status and Future Directions

This paper provides a review and synthesis of research literature on the effects of shift work on workers’ physical health, mental health/well-being, and family life. The focus is on current knowledge, unanswered questions, and new directions for future research. The selection of research literature is guided by a general conceptual framework that identifies predictor variables, moderating variables, and outcome variables. The paper concludes with a discussion of the variables that should be incorporated into an agenda for future research.