It is time to talk about people: a human-centered healthcare system

Examining vulnerabilities within our current healthcare system we propose borrowing two tools from the fields of engineering and design: a) Reason's system approach [1] and b) User-centered design [2,3]. Both approaches are human-centered in that they consider common patterns of human behavior when analyzing systems to identify problems and generate solutions. This paper examines these two human-centered approaches in the context of healthcare. We argue that maintaining a human-centered orientation in clinical care, research, training, and governance is critical to the evolution of an effective and sustainable healthcare system

Computational Models of Classical Conditioning guest editors’ introduction

In the present special issue, the performance of current computational models of classical conditioning was evaluated under three requirements: (1) Models were to be tested against a list of previously agreed-upon phenomena; (2) the parameters were fixed across simulations; and (3) the simulations used to test the models had to be made available. These requirements resulted in three major products: (a) a list of fundamental classical-conditioning results for which there is a consensus about their reliability; (b) the necessary information to evaluate each of the models on the basis of its ordinal successes in accounting for the experimental data; and (c) a repository of computational models ready to generate simulations. We believe that the contents of this issue represent the 2012 state of the art in computational modeling of classical conditioning and provide a way to find promising avenues for future model development

Probability of response and probability of reinforcement in a response-defined analogue of an interval schedule

Variable interval (VI) responding was hypothesized to be a function of differential reinforcement susceptibilities of various unspecified behavior chains that mediate interresponse times (IRTs). To test this hypothesis, probabilities of reinforcement were regulated for the lengths of chains of key pecking responses of pigeons, analogous to the way that VI regulates probabilities of reinforcement for IRTs. This procedure generated a number of VI-like effects, supporting the notion that VI behavior can be construed as a special case of an interaction between the organism's function relating reinforcement susceptibilities to chain length and the experimenter's function relating probabilities of reinforcement to chain length

Random interval schedules of reinforcement

A method for generating a reinforcement schedule that closely approximates idealized VI schedules in which reinforcement assignments occur randomly in time (RI schedules) is described. Response rates of pigeons exposed for 20 sessions to this schedule appeared very similar to response rates characteristic of arithmetic series VIs. The distribution function describing these schedules was derived and its relations to other VI distributions, as well as to FI and random ratio (RR) were shown