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To examine a local primary health care infrastructure and the reality of primary health care from the perspective of residents of a small, urban community in the southern United States.

Data were derived from 13 semistructured focus groups, plus three semistructured interviews, and were analyzed inductively consistent with a grounded theory approach.

Structural barriers to the local primary health care infrastructure include transportation, clinic and appointment wait time, and co-payments and health insurance. Hidden barriers consist of knowledge about local health care services, nonphysician gatekeepers, and fear of medical care. Community residents have used home remedies and the emergency department at the local academic medical center to manage these structural and hidden barriers.

Findings might not generalize to primary health care infrastructures in other communities, respondent perspectives can be biased, and the data are subject to various interpretations and conceptual and thematic frameworks. Nevertheless, the structural and hidden barriers to the local primary health care infrastructure have considerably diminished the autonomy community residents have been able to exercise over their decisions about primary health care, ultimately suggesting that efforts concerned with increasing the access of medically underserved groups to primary health care in local communities should recognize the centrality and significance of power.

This study addresses a gap in the sociological literature regarding the impact of specific barriers to primary health care among medically underserved groups.

This chapter provides both an introduction to the volume and a review of literature on health disparities and social determinants.

Literature Review.

The chapter argues for the importance of greater consideration of social determinants of health disparities. This includes a consideration of race/ethnicity and socioeconomic status factors, geographic and place factors, and disparities especially linked to particular diseases.

Reviews the topic of health disparities and social determinants and previews this book.

This chapter summarizes many conceptual, theoretical, and methodological topics related to studying group communication using qualitative research methods. First, it explains five of the most common theoretical frameworks used by group communication scholars (i.e., symbolic convergence theory, bona fide group perspective, unobtrusive control theory, dialectical theory, and structuration theory). Next, it discusses best practices and issues related to different data collection methods including observations, historical case studies, ethnographies, focus groups, and interview studies. Then, the chapter describes two primary data analytic tools, various iterations of constant comparison method, and qualitative content analysis. Finally, the chapter describes several innovative qualitative methods that may lead to new understandings of group communication processes including discourse analysis and discourse tracing, as well as new approaches to collecting qualitative network data and mediated data. The chapter concludes with a discussion of future research suggestions.

The objective of this study is to investigate how country risk, different political actions from the government and bureaucratic behavior influence the activities in industry supply chains (SCs) in emerging markets. The main objective of this study is to investigate the influence of these external stakeholders’ elements to the demand-side and supply-side drivers and barriers for improving competitiveness of Ready-Made Garment (RMG) industry in the way of analyzing supply chain. Considering the phenomenon of recent change in the RMG business environment and the competitiveness issues this study uses the principles of stakeholder and resource dependence theory and aims to find out some factors which influence to make an efficient supply chain for improving competitiveness. The RMG industry of Bangladesh is the case application of this study. Following a positivist paradigm, this study adopts a two phase sequential mixed-method research design consisting of qualitative and quantitative approaches. A tentative research model is developed first based on extensive literature review. Qualitative field study is then carried out to fine tune the initial research model. Findings from the qualitative method are also used to develop measures and instruments for the next phase of quantitative method. A survey is carried out with sample of top and middle level executives of different garment companies of Dhaka city in Bangladesh and the collected quantitative data are analyzed by partial least square-based structural equation modeling. The findings support eight hypotheses. From the analysis the external stakeholders’ elements like bureaucratic behavior and country risk have significant influence to the barriers. From the internal stakeholders’ point of view the manufacturers’ and buyers’ drivers have significant influence on the competitiveness. Therefore, stakeholders need to take proper action to reduce the barriers and increase the drivers, as the drivers have positive influence to improve competitiveness.

This study has both theoretical and practical contributions. This study represents an important contribution to the theory by integrating two theoretical perceptions to identify factors of the RMG industry’s SC that affect the competitiveness of the RMG industry. This research study contributes to the understanding of both external and internal stakeholders of national and international perspectives in the RMG (textile and clothing) business. It combines the insights of stakeholder and resource dependence theories along with the concept of the SC in improving effectiveness. In a practical sense, this study certainly contributes to the Bangladeshi RMG industry. In accordance with the desire of the RMG manufacturers, the research has shown that some influential constructs of the RMG industry’s SC affect the competitiveness of the RMG industry. The outcome of the study is useful for various stakeholders of the Bangladeshi RMG industry sector ranging from the government to various private organizations. The applications of this study are extendable through further adaptation in other industries and various geographic contexts.

“It should also be noted that the objective of convergence and equal distribution, including across under-performing areas, can hinder efforts to generate growth. Contrariwise, the objective of competitiveness can exacerbate regional and social inequalities, by targeting efforts on zones of excellence where projects achieve greater returns (dynamic major cities, higher levels of general education, the most advanced projects, infrastructures with the heaviest traffic, and so on). If cohesion policy and the Lisbon Strategy come into conflict, it must be borne in mind that the former, for the moment, is founded on a rather more solid legal foundation than the latter” European Commission (2005, p. 9)Adaptation of Cohesion Policy to the Enlarged Europe and the Lisbon and Gothenburg Objectives.

This chapter focuses on the barriers women of color (WOC) in the professoriate face in their pursuit of tenure and promotion and provides selected strategies that build bridges for their success. It draws on critical race theory (CRT) to identify structural as well as individual changes that must be made in academe. The chapter addresses selected strategies for African-American, Latina American, and Asian/Pacific American women to successfully traverse the perilous road from untenured assistant professor to tenured full professor. The Newcomer Adjustment framework of the Organizational Socialization Model (OSM; Bauer, Bodner, Erdogan, Truxillo, & Tucker, 2007) is used as a systematic approach to addressing barriers and building bridges for WOC in the professoriate. Gaps in the research are also identified.

This research aims at explaining the phenomenon of the “black children” (heihaizi), a very little-known generation who lived with concealment under the one-child policy in China. The one-child policy was officially introduced to nationwide at the end of 1979 by permitting per couple to have one child only, later modified to a second child allowed if the first was a girl in rural China in 1984. It was officially replaced by a nation-wide two-child policy and most existing research focused on the parents’ sufferings and policy changes. The term “black children” has been mainly used to describe their absence from their family hukou registration and education. However, this research aims at expanding the meaning of being “black” to explain the children who were concealed more than at the level of family formal registration, but also physical freedom and emotional bond. What we do not yet know are the details of their lived experiences from a day-to-day base: where did they live? How were they raised up? Who were involved? Who benefited from it and who did not? In this way, this research challenges the existing scholarship on the one-child policy and repositions the “black children” as primary victims, and reveals the family as a key figure in co-producing their diminished status with the support of state power. It is very important to understand these children’s loss of citizenship and human freedom from the inside of the family because they were concealed in so many ways away from public view and interventions. This research focuses on illustrating how their lack of access to continued, stabilized, and reciprocally recognized family interactions framed their very idea of self-worth and identity.

Over 600,000 people are released from federal and state prisons each year, up from about 160,000 in 1980. As such, the reentry literature is framed around these individuals and the personal barriers to reintegration they face. Less work, however, explicitly investigates the role reentry professionals and organizations play in actively shaping the reentry terrain. Using ethnographic observations, document analysis, and interviews with both criminal justice professionals and ex-prisoners, this chapter examines how an organizational field constructs reentry as a racially colorblind process. Although race and racism shape criminal justice, labor market, and other institutional experiences, I find that the positioning of reentry as meritocracy operates to both explain and justify the inequalities experienced by ex-prisoners.

This chapter focuses on the experiences of disabled Tamil and Sinhalese women in Sri Lanka.

Using fieldwork observations and in-depth interviews obtained through Community-Based Rehabilitation (CBR) programs over 13 months across four distinct districts in Sri Lanka, we examine complex sociocultural issues at the intersection of gender and disability.

These women’s narratives about their lives show the physical and social barriers related to the accessibility of everyday activities, and also the complex gender norms relating to social expectations to stay hidden from public view, contradictory messages around love and marriage, and reactions to and consequences of being disabled women in public.

The results support calls to prioritize disabled voices in disability research in the Global South, which is currently dominated by a CBR approach in the name of “development.” These data also show the need to systematically address power relations currently at work in policies, practices, and communities that perpetuate disablement; document the need for communities and research to be more inclusive; and obligate scholars and practitioners to be more aware of how the CBR context may aim for development and change, yet often maintain highly gendered economic, political, and social processes of isolation. This project illustrates the ways in which careful attention to personal stories can illuminate complex socio-cultural processes. The chapter also brings voices of women in the Global South into the discourses on narratives and disability, both of which are dominated by perspectives from the industrialized west.

The purpose of this work is to determine the key barriers on the path of information economy’s formation in modern Russia and to determine the possibilities and perspectives of overcoming them.

In order to determine weak spots in the Russian practice of information economy’s formation, the values of the indicators that reflect the corresponding progress in technosphere, sociosphere, economic sphere, and target result in Russia are compared to average values for the leading countries of the world that achieved the largest success in the formation of information economy. For that, the method of comparative and problem analysis is used.

In the course of the research, the institutional barrier, which is related to the limitation of acceptance of priorities of information economy in the national strategy; structural barrier, which is based on insufficient development of the ICT spheres; and investment barrier, caused by deficit of investments in the ICT spheres, were found.

The determined barriers do not correlate with the national peculiarities of the socio-economic system of modern Russia. In particular, despite the incompleteness of market reformation, the level of informatization of the Russian economic system is very high. Despite the traditional public mode, sociosphere is the sector of the largest success in Russia in information economy’s formation, and the directive character of modernization of the socio-economic system stimulates quick formation of information economy due to timely establishment of the corresponding strategic course and implementation of state initiatives in the direction of its practical implementation.