Search results

This chapter explores the ethics of a critical vulnerability suffered by migrant health professionals (MHPs): the problem of ‘pathways to nowhere’. This problem arises from dynamic change in the processes, practices and policies governing how migrant professionals achieve accreditation, training and employment in destination countries, whereby established pathways to professional practice are unexpectedly altered or removed. The authors detail the significance of this phenomenon in Australian and Canadian contexts. Drawing on the literature on legitimate expectations and the rule of law, the authors outline the ethical stakes and responsibilities that attach to states creating and then disappointing people’s legitimate expectations, and discuss how these considerations apply to destination countries’ treatment of MHPs.

Anger responding to government-imposed COVID-19 pandemic mandates is examined in relation to 2021 international reports of street protests in cities, with a focus on Perth, Western Australia. Angry protestors displayed a variety of signs and symbols, united under banners demanding freedom. A multi-disciplinary analysis attends to distrust in public health mandates in the global context of an insecure biosphere. Mandates can signify symbolic death, and anger an ‘immune’ response to lifeworld constraints. Anger among nurses and vaccine-hesitant protestors signifies ethical rejection of super-imposed mandates, and fear of alleged vaccine harms. Official pandemic communications are held to be ill-timed, lacking information meaningful to diverse citizens' needs, and offset by poorly contextualised data and unreliable pre-packaged interpretations communicated via digital technologies. A novel hypothesis proposes semiotic misrecognition of the global nature of communications from intersecting ecosocial crises may underlie protestors' anger. Modelling of a management system to validate broad contextual knowledges may restore meaningful balance and public solidarity, to creatively respond to future human crises.

Increasing the productivity of publicly funded infrastructure and human capital is an imperative faced by every nation, especially in the health sector, where most nations are struggling with almost continuous increases in the proportion of national budgets spent each year on health and health care. Efficiency is one aspect of the broader issue of productivity within the health sector. This case study examines how a generic Government-funded body, with no specific health or health care mandate, can stimulate improvements in efficiency in Government-funded hospitals and healthcare and thereby contribute to improved productivity in these vital services.

We present a description and analysis of the current reforms in the French system of “assurance maladie”, or its health insurance system, particularly as they bear on quality at the hospital level. The measurement and management of quality play a significant role in the reform, thus providing a particularly timely example for health care policy makers, researchers, and managers. We discovered several lessons from the French experience. First, the issue of workload influenced thinking about how best to build a given indicator, and led to careful evaluation of the added value of additional data collection. In some cases the indicators are actually more of a screen or filter than an actual assessment of quality, with particularly high or low values signaling the need for further investigation rather than serving as assessments per se. Second, the development and implementation of quality indicators (QIs) demand the involvement of professionals in the process. Third, process indicators seemed to be more useful than outcome indicators. Fourth, expectations for quality management should be aligned with feasibility and with the reality of measurement system. For example, the workload is closely tied to the state of the hospital data collection systems (indicators selection). Lastly, the twin objectives of quality improvement and accountability do not necessarily mesh easily or well.

This chapter explores the development of advertising regulations governing food advertising to children in Australia since the 1940s. By introducing the advertising and marketing self-regulatory system, the Australian Government is taking a neoliberal approach, advocating for the free market to initiate and sustain the country’s economic development, instead of greater government regulation. By examining the primary and secondary literature, such as government reports and research, and newspaper and academic articles, this chapter outlines different regulatory initiatives adopted by both the government and food industry to limit food and beverage advertising to children on television and online, in order to prevent obesity rates increasing in children. This chapter synthesizes and critically evaluates food industry and public health studies, government and non-government reviews, and other research studies to evaluate the influence of self-regulation on Australian television food advertising within the neoliberal context since the 1990s. It contributes to the literature on food advertising regulations for children in Australia by offering evidence of how the government, public health authorities and the food industry have attempted to keep pace with changes in the advertising, marketing and media industries by developing and reviewing advertising codes. It identifies the loopholes that exist in these self-regulatory codes and concludes that Australia’s current advertising regulatory arrangements are failing to protect our children from unhealthy food marketing on television, especially on relatively under-regulated online platforms such as social media and branded websites. The issues identified in this chapter could aid the food and beverage industry, as well as the self-regulatory system, to offer comprehensive and applicable solutions to combat Australia’s obesity crises by implementing new legislations that align with different marketing practices.

The following is an introductory profile of the fastest growing firms over the three-year period of the study listed by corporate reputation ranking order. The business activities in which the firms are engaged are outlined to provide background information for the reader.

Across countless generations, Aboriginal and Torres Strait Islander people have had a vision for the health and well-being of all elements of Australia and its people. This includes directions for preventing inequity, crime, environmental degradation and illness. But the paths to take – and the knowledges that exist – have long been flooded by a negative discourse about Aboriginal and Torres Strait Islander people that blames, shames and discriminates, locating over-representation in prisons and poor health and well-being as a cultural deficit, apportioned to individuals rather than the complex systems and politics of knowledge construction that surround it. Rural criminology has an opportunity to change tracks to redress the lack of cultural competence training and cultural safety planning among its workforce – the 97 percent who have the power to create change for the small and young population of Aboriginal and Torres Strait Islander people. This chapter identifies steps in the path to change and opportunities for rural criminology including identifying shared determinants of justice and health, decolonising evidence for decision-making and improving accountability including through partnerships with Aboriginal and Torres Strait Islander community leaders. This chapter asserts a freedom and confidence that emanates from decolonising methodologies, reflexivity in research and meeting aspirations of local community Elders and leaders with Aboriginal and Torres Strait Islander cultural values and strengths. ‘Next steps’ in constructing a more culturally responsive rural criminology are presented, with a summary of roles and spheres of influence to consider.