Many countries are developing primary care collaborative memory clinics (PCCMCs) to address the rising challenge of dementia. Previous research suggests that quality…
Many countries are developing primary care collaborative memory clinics (PCCMCs) to address the rising challenge of dementia. Previous research suggests that quality assurance should be a foundational element of an integrated system of dementia care. The purpose of this paper is to understand physicians’ and specialists’ perspectives on such a system and identify barriers to its implementation.
The authors used interviews and a constructivist framework to understand the perspectives on a quality assurance framework for dementia care and barriers to its implementation from ten primary care and ten specialist physicians affiliated with PCCMCs.
Interviewees found that the framework reflects quality dementia care, though most could not relate quality assurance to clinical practice. Quality assurance was viewed as an imposition on practitioners rather than as a measure of system integration. Disparities in resources among providers were seen as barriers to quality care. Greater integration with specialists was seen as a potential quality improvement mechanism. Standardized electronic medical records were seen as important to support both quality assurance and clinical care.
This work identified several challenges to the implementation of a quality assurance framework to support an integrated system of dementia care. Clinicians require education to better understand quality assurance. Additional challenges include inadequate resources, a need for closer collaboration between specialists and PCCMCs, and a need for a standardized electronic medical record.
Greater health system integration is necessary to provide quality dementia care, and quality assurance could be considered a foundational element driving system integration.
Stories govern the criminal justice system and consequently the millions of individuals under its control. In the US the harms experienced by those individuals, their…
Stories govern the criminal justice system and consequently the millions of individuals under its control. In the US the harms experienced by those individuals, their families and their communities are massive. A prominent system-sustaining story is that antisocial persons, who are essentially different from the rest of us, get that way through negligent parenting. The story's moral oppositions rest on textual absences concerning crime, work, care, humanity and the mind of the scholar. In this chapter, first, I discern what goes unsaid via close analysis of the story of antisociality constructed by Gottfredson and Hirschi in their 1990 book A General Theory of Crime. Second, I offer a method for cataloguing what goes unsaid in stories that effect control, by (1) evaluating figurative language and other means of ambiguation; (2) assessing patterns of elaboration and explanation and (3) asking what and whose knowledge is missing. Rigorously deployed with a reflexive stance on one's position as to what should be said, the method can help uncover subtext, understatement and silencing.
Michael Holquist (1990), one of the commentators on Mikhail Bakhtin’s monumental work, stated flatly that “human existence is dialogue,” and Ivana Markova (2003) declared that “dialogism is the ontology of humanity.” Bakhtin (1985;1986) himself said that such dialogues are conducted by using “speech genres.” From another angle Kenneth Burke asked, “What is involved when we say what people are doing and why they are doing it?” and claimed – and showed – that this question can be best answered by using what he called the “grammar of motives,” which consisted of a hexad of terms: act, attitude, scene, agent, agency, and purpose. In this chapter, I examine, by using various examples, how the Burkean grammar is used in the construction of one speech genre or the other to achieve rhetorically effective dialogic communication.
Purpose – Due to an absence of dialogue between sociology and the neurosciences, the scientific study of morality largely ignores cultural and structural influences. This…
Purpose – Due to an absence of dialogue between sociology and the neurosciences, the scientific study of morality largely ignores cultural and structural influences. This chapter offers a synthetic approach integrating these separate disciplines to aid a more complete understanding of morality.
Design/methodology/approach – This chapter reviews morality's bonding (a sense of groupness and belonging) and bounding (reproducing and reinforcing group boundaries) qualities across disciplines, and proposes three provisional principles to systematize an interdisciplinary model of morality. We then offer a preliminary illustration of how this model might be operationalized with functional MRI data.
Findings – Our proposed principles (as exemplified by our illustrative example) suggest that the sociology-neurology gap in understanding the domain of morality might shrink through an engagement with the underlying neural mechanisms that encompass issues of empathy, racial attitudes, and identity as potential platforms opening up a more “social” neuroscience.
Research limitations/implications – This chapter provides a starting-point for further research incorporating biological mechanisms into sociological theories in the area of morality. The illustrative case study should be replicated in a larger sample and/or in additional studies with different social groups.
Practical implications – This chapter is a useful source of information for sociologists seeking to find out more about the intersection of neuroscience and sociology as well as the neural dynamics of morality.
Originality/value – This chapter presents an introduction to an integrative approach recognizing our biological capacities for a socially constructed morality and the interaction between society and the mind. It includes one of the first sociologically oriented fMRI studies, offering avenues for new ways to bridge research disciplines.
Purpose – The purpose of this chapter is to be as comprehensive as possible about what is known about mirror neurons at this time.
Design/methodology/approach – This chapter offers a comprehensive critique including Churchland's hesitations about findings on mirror neurons (2011) which are balanced by Ramachandran's conviction that much of the research on mirror neurons is valid (2011). Following this is a summary of the results of the Mirror Neuron Forum (2011) wherein leading mirror neuron researchers exchange their views and conclusions about this subject.
Findings – The few single cells measures that we have show that they are much wider distributed throughout the brain than we have previously imagined. It should be stressed that single measures of mirror neurons have occurred albeit in limited situations. This establishes once and for all their relevance to humans.
Originality/value – The work on mirror neurons is a critical contribution from neuroscience to bringing the social brain into sociology and refining our understandings of intersubjectivity and of our biologically driven connections with others.
While the Affordable Care Act (ACA) promised to reduce inequalities in insurance coverage between Latinos and non-Latinos by expanding coverage, it also excluded a large…
While the Affordable Care Act (ACA) promised to reduce inequalities in insurance coverage between Latinos and non-Latinos by expanding coverage, it also excluded a large portion of noncitizen immigrants. Past research has demonstrated that among Latinos, further inequalities have developed between citizens and noncitizens after the ACA took effect, but it is unclear if this pattern is unique to Latinos or is evident among non-Latinos as well. I use data from the 2011 to 2016 waves of the National Health Interview Survey (NHIS) (n = 369,386) to test how the relationship between citizenship status (native citizen, naturalized citizen, or noncitizen) and insurance coverage changed after the ACA, adjusting for health, demographic, and socioeconomic factors. I disaggregate the analysis by ethnicity to test whether this change differs between Latinos and non-Latinos. The analysis finds that after the ACA, naturalized citizens across ethnic groups moved toward parity with native citizens in health insurance coverage while the benefits of the ACA for noncitizens were conditional on ethnicity. For non-Latinos, lacking citizenship became less disadvantageous for predicting insurance coverage while for Latinos, lacking citizenship became even more disadvantageous in predicting insurance coverage. This bifurcation among noncitizens by ethnicity implies that while the ACA has strengthened institutional boundaries between citizens and noncitizens, this distinction is primarily affecting Latinos. The conclusion offers considerations on how legal systems of stratification influence population health processes.
The purpose of this paper is to show how one of the biggest phenomena of the twenty‐first century is the internationalisation of professional sports and how premier league…
The purpose of this paper is to show how one of the biggest phenomena of the twenty‐first century is the internationalisation of professional sports and how premier league football epitomises this. With the influx of foreign players, managers and now owners, European League Football has become big business. This paper aims to provide a theoretical analysis of the management implications of foreign players in the English Premiership League football – renamed the Barclays Premier League to suit the needs of its major sponsors.
The approach adopted is purely qualitative in nature, evaluating the top Barclays Premier League teams and the impact of globalisation on their reconfigurations since the early 1990s to date. The study draws mainly from a review of the extant literature on sports and management, as well as a critical analysis of media reports.
Globalisation has emerged as a new force that has changed the way corporations are managed. Financial services, retail and information technology firms have all responded to this new wave – and so also has sports. Unfortunately while sports have the potential to teach lessons on management strategy, management researchers seem to have relegated sports to the sociology and psychology disciplines.
The Barclays Premier league football provides a unique environment for management decisions and processes to occur in a range of markets and at varied levels. However, the globalisation of professional sports has received relatively very little attention in the academic literature – especially in the field of business and management.
This paper contributes to the scant literature on the management implications of football by highlighting how globalisation has affected and reconfigured professional sports using the influx of foreign players into the English football league as a point of departure.
We propose an elaboration of the social structure and personality framework from sociological social psychology that is intended to promote integration across social…
We propose an elaboration of the social structure and personality framework from sociological social psychology that is intended to promote integration across social psychological traditions and between social psychology and sociology, using the study of inequality as an example.
We develop a conceptualization of “generic” proximate processes that produce and reproduce inequality in face-to-face interaction: status, identity, and justice.
The elaborated framework suggests fundamental questions that analysts can pose about the macro-micro dynamics of inequality. These questions direct attention to the “how” and “why” of macro-micro relations by connecting structural and cultural systems, local contexts, and the lives of individual persons; highlighting implicit processes; making meaning central; and directing our attention to how people act efficaciously in the face of constraint.
Applying this framework, scholars can use existing theories and generate new ones, and can do so inductively or deductively.
Research on inequality is enriched by social psychological analyses that draw on the full complement of relevant methods and theories.
We make visible the social psychological underpinnings of sociological research on inequality and provide a template for macro-micro analyses that emphasizes the centrality of social psychological processes.