Violations of Service Fairness and Legal Ramifications: The Case of the Managed Care Industry

Adapted from Chan's (2000) model depicting success of litigation, this paper argues that with the application of various legislation, health maintenance organizations' (HMOs') violations of service fairness to each group: enrollees, physicians, and hospitals give rise to each group's lawsuits against the HMOs. Various authors (Bowen et al., 1999; Seiders and Berry, 1998) indicate that justice concepts such as distributive, procedural, and interactional justice can be applied to the area of service fairness. The violation of these underlying justice principles with HMOs' service unfairness to enrollees, physicians, and hospitals is examined. A general synopsis of the ethical issues in the managed care industry is provided. The various lawsuits launched by each group: enrollees, physicians, and hospitals together with the key statutes used are discussed. This paper also highlights the provisions and ramifications of the 11 April 2000 landmark agreement that Aetna made with Texas Attorney General John Cornyn to settle the 1998 lawsuit brought against the company. Lastly, the current ethical issues in the managed care industry are further discussed. The value of this paper can be adapted to the study of organizations' service fairness violations in other industries or in the educational, governmental, and not-for-profit sectors both nationally and internationally.     

企业处理顾客、供销商、同业者关系的战略观点

为了可持续发展,忠诚的顾客关系建立在企业集中战略资源满足顾客合理需求的基础上,是具有真实性、价值性和持久性的营销。稳定的供销关系,对于企业保证产品和服务质量、降低原材料采购和市场拓展成本、降低市场风险具有重要意义,是互惠互利、休戚与共的关系。而基于公平合作同业者关系,可以使企业与同业者分享技能、信息、技术和市场机会,分担成本。     

论公正及其与自由、平等的关系

尽管学术界对自由、平等和公正问题有许多研究和阐释,但较少将自由、平等与公正问题联系起来从总体上进行考察和研究,以致关于自由、平等和公正及其关系问题成了人们最说不清、道不明的问题。本文试图立足于当代人类社会现实及其走向,着重从与自由、平等相互关联的视角研究公正问题,力求纲要性地对公正及其与自由、平等之间的关系提供一些阐释和见解,最终论证这样一种基本观点:现代公正是一种综合性的价值要求,它要求社会自由和平等,也要求对自由和平等可能导致的社会问题给予适当解决。     

Canadian and American Reactions to Drug and Alcohol Testing Programs in the Workplace

We investigated U.S. and Canadian reactions to workplace drug and alcohol testing programs. Canadian truck drivers (n = 183) deemed drug and alcohol testing policies less fair, and were less accepting of these policies, than their American counterparts (n = 153). We also compared the perspectives of recipients versus third-party observers with regard to their reactions to a drug testing program. Unlike the pattern observed among American observers, the responses by Canadian observers were highly similar to those of the recipients. Canadian observers were more inclined to file a formal protest regarding the implementation of a drug and alcohol testing program than were U.S. observers. The results also showed that procedural and interactional justice principles contributed to the program's fairness, acceptance, and lower levels of protest intentions in both Canada and the United States. We propose that scholars and practitioners can gain a better understanding of multinational reactions to drug and alcohol testing by considering not only cultural but also historical, social, political, and other environmental factors that can shape reactions to personnel practices.     

Relationships among pay inequity,perceptions of procedural justice,and organizational citizenship

This study explored relationships between employee dissatisfaction with pay, perceptions of procedural justice, and organizational citizenship behavior. It was hypothesized that pay inequity would be negatively related to citizenship, while favorable perceptions of procedural and interpersonal justice would be positively related. Results provided strong support for the hypotheses only with regard to a dimension of citizenship labeled “compliance.” Implications for employee behavior in the workplace and the expression of grievances are discussed; future research directions are also offered.     

差异化人才管理对员工创新绩效的“双刃剑”效应

基于调节焦点理论和公平启发理论,运用结构方程模型考量差异化人才管理对员工创新绩效的影响机制。结果显示：促进定向工作重塑在差异化人才管理与员工创新绩效之间起正向中介作用,防御定向工作重塑在二者间起负向中介作用;组织公平感正向调节差异化人才管理与促进定向工作重塑之间的关系,负向调节差异化人才管理与防御定向工作重塑之间的关系;组织公平感增强促进定向工作重塑的正向中介作用,削弱防御定向工作重塑的负向中介作用。     

住房差异与居民社会公平感——基于社会阶层视角

依据2017年中国综合社会调查数据,运用有序概率模型,考量住房差异对居民社会公平感的影响及作用机理。结果显示：较少住房面积和无住房产权负向影响居民社会公平感;较多住房面积和拥有住房产权正向影响居民社会公平感;一套住房产权比多套住房产权更能促进居民社会公平感的提升。社会阶层认同和社会阶层预期在较少住房面积和无住房产权群体中表现出正向调节作用;在较多住房面积和拥有住房产权群体中表现出中介作用。住房差异在社会阶层上向流动时正向影响居民社会公平感。鉴于此,应保障住房权利,强化社会阶层预期,提高居民社会公平感。     

从开放社会维度谈正义的迷失之源

“正义”一词源于柏拉图且对后世政治理论影响深远。柏拉图为了建构没有变化的理想国而主张实行森严的等级制度和个人服从国家的绝对信仰,而这些恰恰是与以平等主义和个人主义为核心的人文主义的正义理念完全相反的,并且他不但从理论建构上曲解了而且从背叛苏格拉底的实践上彻底地践踏了正义,这是正义迷失之源。     

司法公正与构建社会主义和谐社会

构建社会主义和谐社会是中国共产党在新时期的一个重大任务,而司法公正是构建社会主义和谐社会内在的、必然的要求.针对司法实践中存在的诸如司法权力地方化、司法人员的非职业化、审判权与执行权的混合化及司法腐败等问题,笔者提出实现司法公正、建设社会主义和谐社会应打破司法区划与行政区划合一的局面,单独划分司法区;加强司法能力建设;完善司法监督等.     

旅游企业员工招聘程序公平性的实证研究

对广东省几所高校和中等专科学校旅游管理及相关专业应届毕业生进行了一次调研，对美国学者鲍尔等人设计的员工招聘程序公平性计量尺度进行了实证检验。数据分析结果表明：(1)这个计量尺度有较好的可靠性和有效性；(2)管理人员在员工招聘工作中坚持公平性原则，可增强旅游企业吸引优秀人才的能力。