To investigate the phenomenon of patient–physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi-structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient-physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust leads to increased levels of fear and self-protection by doctors which exacerbate difficulties (...) in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient-physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit-driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism—the primacy of patient welfare—as well as the traditional Chinese ideal of “medicine as the art of humanity”. Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures. (shrink)

Chengbing WangShanxi University, Taiyuan, ChinaMichael A. PetersBeijing Normal University, Beijing, ChinaContemporary Chinese Marxism is not only an important theory in the humanities and social sc...

Despite the role of public health interventions in controlling disease transmission and protecting the public during the COVID-19 emergency, the implementation of quarantine restrictions has raised serious ethical concerns, especially in relation to the well-being of vulnerable populations. Drawing on the lived experiences of rural Chinese migrants who are subject to pandemic control, the authors highlight their inadequate capacities to manage the risks associated with the pandemic and adjust to quarantine restrictions. Informed by an ethical discourse of vulnerability, we show (...) that underpinning this group’s deficient coping strategies is a range of detrimental social structures and institutions that have developed under the persistent rural–urban divide in China. These structural constraints and pathologies expose rural migrants to serious risks and uncertainties while depriving them of the means and resources necessary to protect their own interests in the process of complying with quarantine restrictions. Understanding the plight of rural Chinese migrants as a structural problem also has implications for the global response to the COVID-19 pandemic. We further suggest a need for state intervention to mitigate structural deficiencies and empower the vulnerable during the COVID-19 era. (shrink)

This paper examines older people’s access to care experiences in rural China by integrating anthropological investigation with ethical inquiry. Six months of fieldwork in a post-reform primary hospital show how rural residents struggle to access gerontological and nursing care under socially disadvantageous conditions. This anthropological investigation highlights the unmet needs in medical and nursing care for older people, as well as some social, institutional and structural elements that impede access to care. Centring on protecting the vulnerable as informed by feminist (...) ethics scholarship, this paper argues that the failure to meet older people’s dependency needs is unjust, on the premise that it suggests a denial of the inherent value, rights and dignity of older people. This paper appeals for the provision of greater care and support by the state through putting in place social arrangements that better advance older people’s access to care. Some policy recommendations concerning health and social care reform for older people in rural China are also proposed. (shrink)

In China's healthcare sector, a popular and socio-culturally distinctive phenomenon known as guanxi jiuyi, whereby patients draw on their guanxi with physicians when seeking healthcare, is thriving. Integrating anthropological investigation with normative inquiry, this paper examines medical guanxi through the lens of patient–physician trust and mistrust. The first-hand empirical data acquired – on the lived experiences and perspectives of both patients and physicians – is based on six months' fieldwork carried out in a county hospital in Guangdong, southern China, which (...) included in-depth interviews with 20 patients and 20 medical professionals. Patients who emphasized the positive effects of guanxi on patient–physician trust believed that it facilitates access to experienced medical specialists, enhances clinical communication, and reduces the financial and medical risks of over diagnosis and overtreatment by physicians. At the same time, these findings reveal patients' strong sense of mistrust, not only towards individual health professionals but also to the medical profession and China's commercialized healthcare industry. While some health professionals in the study responded favourably to medical guanxi, most were opposed to it on the grounds that it undermines professional standards and equitable healthcare. We found that the practice of medical guanxi is not morally justifiable, chiefly because it reinforces the present high levels of patient–physician mistrust and erodes trust between patients and the medical profession as a whole. In China, both the medical profession and the state need to promote patient–physician trust based on medical professionalism and institutional norms, rather than on guanxi or individual relationships. (shrink)

Background:In China, the conventional family-based ageing care model is under pressure from social transitions, raising the question of whether and to what extent families are still capable of dealing with the care of the aged.Objective:This article examines the vulnerability and inadequacy of families to bear responsibility for the care of the aged against a backdrop of socioeconomic transformation and diminishing institutional support in rural China.Research design:This article adopts an empirical ethical approach that integrates empirical investigation with ethical inquiry.Participants and research (...) context:The empirical component of this article focuses on the lived experiences of caring for a wife and mother with dementia in one rural Chinese family, collected from a 6-month fieldwork study conducted at one primary hospital.Ethical considerations:Approval was obtained from the university ethics committee.Findings:The empirical study highlights a conflicted family process of managing and negotiating care that indicates the inadequacies and limited ability of families to deal with aged care tasks. In addition, inadequate structures and institutional deficiencies exacerbate the vulnerability of rural families and their inability to offer adequate care.Conclusion:Acknowledging the vulnerability of families as ageing care providers, this article calls for a socially supported family care model for rural older people in China and also proposes policy recommendations. (shrink)

Background:The pressing issue of aged care has made gendered caregiving a growing subject of feminist bioethical enquiry. However, the impact of feminism on empirical studies in the area of gendered care in Chinese sociocultural contexts has been less influential.Objectives:To examine female members’ lived experiences of gendered care in rural China and offer proper normative evaluation based on their experiences.Research design:This article adopted an empirical ethical approach that integrates ethnographical investigation and feminist ethical inquiry.Participants and research context:This article focused on three (...) cases of gendered caregiving for sick older members collected from a 6-month fieldwork conducted in a primary hospital in rural China.Ethical consideration:Approval was obtained from the university ethics committee.Findings:The empirical work highlights caregivers’ voices of weiqu (a sense of unfairness) resulting from their constrained choice when being pressured to engage in caregiving, which is associated with a disadvantageous socio-institutional and structural backdrop in current rural China. Informed by the conception of structural injustice, the normative analysis of this article traced various forms of social norms, structural deficiencies and ageing welfare institutions, as they intertwine and transmit into additional care deficiencies against rural families and their female caregivers.Conclusion:This article identified the constraint of gender hierarchy and its intersection with external social structure that exacerbate gendered oppression and exploitation of female labour in rural China. Normatively, this article argues that the current configuration of rural family care, featured by structural impediments and exploration of female labour, is unjust. Some policy recommendations are proposed to empower caregivers and advance care for rural older people. (shrink)

This paper examines caregiving for sick older family members in the context of socio‐economic transformations in rural China, combining empirical investigation with normative inquiry. The empirical part of this paper is based on a case study, taken from fieldwork in a rural Chinese hospital, of a son who took care of his hospitalized mother. This empirical study highlighted family members’ weiqu (sense of unfairness)—a mental status from experiencing mistreatment and oppression in family care, yet with constrained power to explicitly protest (...) or make care‐related choices. Underpinning people’s weiqu and constrained choice, as informed by the conception of structural injustice, is the impact of unjust social structures, organized by unfavourable norms, discriminatory social policies and institutions targeting rural populations. By restraining individual choices and capacities in supporting health care for aging populations, these unjust structures create additional difficulties for and discriminations against rural families and their older members. Some policy recommendations are proposed to mitigate structural injustice so as to empower families and promote care for older people in rural settings. (shrink)

The increase of ETC vehicles on expressways has changed the proportion of ETC/MTC lanes at toll stations. Based on a driving simulator, three toll gate lane warning sign schemes were proposed in this study. Driving simulation experiments were conducted to study the influence of figures in warning signs at the manual toll station on the lane change timing of drivers. It was found that the addition of arrows to the warning signs can significantly shorten the response time and guide the (...) driver to make lane change decisions earlier to reduce the congestion between MTC vehicles and the mainline ETC vehicles at the toll plaza, thereby improving the traffic capacity and safety. (shrink)

Photovoltaic power forecasting can provide strong support for the safe operation of the power system. Existing forecasting methods are ineffective for grid scheduling decisions or risk analysis. The novel multicluster interval prediction method is proposed to consider the volatility and randomness of PV power output. First, this method utilizes the sparse autoencoder and Bayesian regularized NARX network for point forecasting of PV power. Second, density peak clustering improved by kernel Mahalanobis distance is applied to classify the dataset into multiple clusters, (...) including forecasting error and meteorological factors. Finally, the joint probability density is established by multivariate kernel density estimation to accomplish the PV power interval prediction. The proposed hybrid method is applied for the interval prediction of PV power at Yulara, Australia. Comparative research of point forecasting is implemented to evaluate the machine learning and deep learning methods, with the proposed SAE-BRNARX under four different periods. Results shows that the average values of nRMSE, MRE, nMAE, and R2 for the four periods are 4.45%, 0.90%, −0.15%, 3.39%, and 95.93%, respectively. Moreover, the results of interval prediction obtained by the other interval prediction approaches are compared with the proposed KMDDPC-MKDE. It shows that the average values of PICP, PINAW, ACE, and nMPICD for four periods are 93.93%, 9.50%, 3.93%, and 7.10% at 90% confidence level, respectively. Outcomes demonstrate that the proposed method can obtain more accuracy, a higher coverage rate, narrower average bandwidth, and a closer distance between the middle of interval and actual value than other methods. (shrink)

Resumo: No contexto da “era da leitura de imagens”, a animação também é um produto moderno, e a animação chinesa sempre foi uma “transmissão de imagens por meio de imagens”. Os autores acostumaram-se a pegar emprestado desenhos animados de países, como o Japão ou países europeus, e sua criatividade no pensamento de animação foi bastante suprimida, o que é um golpe devastador. Ao rastrear a origem do pensamento de animação, a partir de uma perspectiva filosófica, a evolução do pensamento e (...) da expressão humana pode ser mais bem compreendida. Isso ajuda os pesquisadores a entender a evolução e as inovações da cultura humana e, assim, perceber melhor a relação entre cultura, arte e filosofia. O pensamento objetal enfatiza a divisão de problemas complexos em componentes menores, ou seja, os objetos. Na animação, isso pode ser interpretado como a divisão de cenas e ações complexas em objetos, personagens e elementos separados. Essa abstração e correlação de objetos ajudam os animadores a entender e projetar melhor as interações entre os personagens, o movimento dos objetos e a dinâmica da animação geral. Embora o estudo do “pensamento Xiang” tenha se desenvolvido na história da filosofia, ele não está diretamente relacionado ao rastreamento do pensamento de animação e à reconstrução artística. De fato, ele tem um impacto significativo no pensamento da animação. Por meio da análise do texto filosófico das obras de animação, os pesquisadores podem descobrir os temas filosóficos, os símbolos e os significados da animação. Isso pode incluir a interpretação de um trabalho de animação específico e como determinados pensamentos filosóficos são expressos, por meio da narrativa, dos personagens, dos elementos visuais etc. Portanto, o estudo do pensamento objetal tem um significado prático importante, para explicar a singularidade do pensamento de animação. Um dos objetivos da pesquisa pode ser descobrir a intertextualidade entre animação e filosofia, o que inclui explorar como os escritos e pensamentos filosóficos são representados na animação e, consequentemente, como a animação afeta o pensamento filosófico. (shrink)

本书是作者的论文集,包括科技革命与两种社会制度的嬗变、全球化问题研究、“第三条道路”与社会福利制度改革三部分。附:新科技革命对两种社会制度的挑战——高放教授访谈录。.

本书是一本研究建筑学的书籍, 全书包括有《现象学与建筑学的思考》、《建筑中的神性》等多篇文章.

本书是一部美学理论专著。以20世纪中国美学的历史为论题,包括“百年美学概观”、“现代化过程中的艺术及其哲学”、“走向跨文化美学”、“构建中国马克思主义美学”、“美育与人的全面发展”五篇内容。.

本书系统地分析和探讨了清教伦理思想、启蒙伦理思想、先验主义伦理思想、实用主义伦理思想、唯心主义伦理思想、自然主义伦理思想、元伦理学、应用伦理学在美国的发展状况,展现了美国伦理思潮演变的历史脉络,勾画了 其中比较清晰的三条线索:重个人的倾向;重实用的倾向;与宗教捆绑的倾向。.

本书是美国著名汉学家艾兰女士研究中国早期哲学思想中的本喻的新著,其切入点非常独特、方法新颖、具有创造性,对国内中国哲学思想史的研究会有积极的推动作用。.

本书从本体论、认识论和方法论的角度考察法官与规则的关系问题,对法律推理这一司法技术进行法理学的反思,以建立和谐的法律推理模式。.

本书阐述了思想政治工作是一门治党治国的科学、思想政治工作是推动社会生产力发展的可靠保证、思想政治工作的基本任务是培养社会主义新人和调动人们的积极性等10个方面的新课题。.

本书收有1987年11月北京召开的首届“政治科学学研讨会”论文20篇,文章用政治科学学观点对近代一些著名的政治科学现象进行了分析研究。.

本书分上下两篇。上篇论述了中国传统文化的根本精神、和谐精神的基本特征及其评价、和谐精神产生的基本条件、和谐精神的三大内涵;下篇系统阐述了儒家、道家、禅宗的和谐美学,并对其进行了比较。.

本书从比较文学跨文化视野出发,以全球化语境中流动的文化事实为基点,论述了后现代主义在西方的起源、在中国的传播、中国学者对后现代主义诠释的变形现象、中国传统文化的后现代主义思维、中国当代文化中的后现代主 义表征、后现代主义文化的中国幻象、后现代主义强势文化下的中国立场等问题。.

余英時（美國普林斯頓大學榮休教授）推薦！ 《智者的現世關懷：牟宗三的政治與社會思想》 遍檢《牟宗三先生全集》相關文獻 利用新發現的佚著和《全集》未收的通信 將牟宗三的政治與社會思想 置於其所在社會、歷史與思想的整體脈絡中， 予以全面與深入的梳理和考察 探討牟宗三的「現世關懷」 作為現代新儒學的代表人物，牟宗三（1909-1995）不僅有其心性之學的詮釋與建構，同時有其政治與社會的關懷與思考。從20世紀30年代到90年代，其政治與社會思想一直都有表達。從早年對唯物辯證法和唯物 史觀的批判、對中國社會史和中國農村問題的探究，到晚年對兩岸關係與臺灣認同的申論，以及一生批判共產主義，在反省與檢討的基礎上提倡自由、民主，都是力圖要為現代中國政治社會的實踐提供一個正確的思想基礎。 彭國翔透過本書遍檢《牟宗三先生全集》相關文獻，利用新發現的佚著和《全集》未收的通信，將牟宗三的政治與社會思想置於其所在社會、歷史與思想的整體脈絡之中，予以了全面與深入的梳理和考察。本書採取了微觀分析和 宏觀綜合交互為用的研究方式，依據具體內涵，將牟宗三的「現世關懷」分成七章，一一詳加論述；通過概念的分析和澄清，微觀的功效在全書中獲得了充分的發揮。但著者並不是為分析而分析，把每一章當作一種孤立現象來處 理。相反的，他的目的是展現牟宗三的「現世關懷」的全貌。因此，各章之間都互相關聯，合而讀之，即成一宏觀的整體。本書的另一重大特色是網羅牟宗三的著作鉅細不遺，從佚文到未刊書信，凡是和「現世關懷」相關的文獻 ，已搜集到應有盡有的地步。 本書第一章是牟宗三對於唯物辯證法和唯物史觀的批判。第二章是牟宗三關於中國社會史發展階段和形態的主張。第三章是牟宗三關於中國農村問題的看法。第四章是牟宗三一生對於共產主義的批判。第五章是牟宗三關於「自由 」和「自由主義」的看法。第六章是牟宗三對於民主政治的肯定和反省。第七章是牟宗三關於中國大陸與台灣兩岸關係的見解。 《智者的現世關懷》既從結構上展現了牟宗三政治與社會思想的各個方面，也大體照顧了牟宗三政治與社會思想在時間發展上的順序。此外，如果第一章到第四章主要反映牟宗三政治與社會思想中「破」的方面，第五至第七章則 主要反映他政治與社會思想中「立」的方面。 總的來說，本書顧及牟宗三一生政治與社會思想的各個方面，同時力求對每一個方面都予以徹底的把握和分析。其二、以盡可能全面掌握牟宗三的各種原始文獻作為研究的基礎。其三，對牟宗三政治與社會思想的處理方式。.