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Book part
Publication date: 8 December 2007

Azizur R. Molla

This study examines the decision process of household members in visiting local health care providers. It also explores the effect of various household level socioeconomic factors…

Abstract

This study examines the decision process of household members in visiting local health care providers. It also explores the effect of various household level socioeconomic factors on motivating rural people to visit traditional versus modern health care providers in rural Bangladesh. I used the Population, Environment, and Poverty data collected from eight villages of rural Bangladesh in 1998 in addition to self-collected ethnographic survey information. The data suggest that a large majority of rural households attempt to visit locally available untrained health care providers first, and then trained doctors as the sickness worsens. The data also suggest that socio-cultural and economic factors are important in shaping their decision to visit traditional as opposed to modern health care providers. Training the traditional and untrained health care providers will be a wise option to ensure health care to the villagers.

Details

The Economics of Health and Wellness: Anthropological Perspectives
Type: Book
ISBN: 978-1-84950-490-4

Article
Publication date: 23 November 2020

Christian Kwaku Osei, Edward Nketiah-Amponsah and Monica Puoma Lambon-Quayefio

In 2016, the World Health Organization (WHO) revised upwards the recommended contacts for antenatal care (ANC) by expectant mothers with a health provider from a minimum of four…

Abstract

Purpose

In 2016, the World Health Organization (WHO) revised upwards the recommended contacts for antenatal care (ANC) by expectant mothers with a health provider from a minimum of four to eight over the pregnancy period. Although Ghana is yet to adopt the new recommendation, some women choose to adhere to the new protocol because of its enormous health benefits to the expecting mother and the unborn child. As part of ANC, family planning services are also provided to ensure child spacing and birth control. To reduce health costs, government introduced the free maternal health policy, Community-based Health Planning Services, Livelihood Empowerment Against Poverty and established the Northern Development Authority to increase access to healthcare and also create wealth. Given these interventions, the study hypothesizes that household wealth would not have a significant influence on antenatal visits and modern contraceptive use. Therefore, this paper aims to examine whether household wealth would play any significant role on the new minimum contacts proxied by antenatal visits and also on the use of modern contraceptives as a family planning counselling tool during ANC visits. The study further examines a possible heterogeneity effect of paternal characteristic on maternal health service utilization.

Design/methodology/approach

The study used data from the most recent Ghana Demographic and Health Survey (GDHS, 2014). Both bivariate and multivariate analyses were used to investigate the effects of household wealth on the number of antenatal visits and modern contraceptive use. The bivariate analysis employed the use of chi-square test whiles, the multivariate analysis involved estimations using logistic regressions.

Findings

The findings show that household wealth would play a critical role given the revised WHO minimum ANC contacts by expectant mothers. Household wealth exerts a positive and significant effect on ANC for all wealth quintiles for women who attended at least eight ANC visits, but was insignificant for the poorer and middle quintiles of those who attended four to seven visits. Wealth, however, had an insignificant relationship with modern contraceptive use. Generally, education, age, birth order, media exposure as well as geographical locations had a significant influence on both ANC visits and modern contraceptive use. The study further revealed a heterogeneous effect on ANC attendance. In particular, despite the relatively poor conditions, women in rural areas whose partners/husbands have attained a minimum of secondary education are about twice more likely to attend 4–7 antenatal visits compared to their counterparts whose husbands/partners are without education. Hence, a holistic health education, which includes husbands/partners in the rural areas as well as strengthening interventions that improve livelihoods, is crucial.

Originality/value

Health guidelines are constantly reviewed, and government policies must adapt accordingly. This paper looks at the significant role household wealth still plays on modern contraceptive use and ANC visits, given the revised WHO minimum ANC contacts and uniquely underscores the influence of paternal characteristics on the utilization of these maternal health services.

Details

International Journal of Social Economics, vol. 48 no. 1
Type: Research Article
ISSN: 0306-8293

Keywords

Article
Publication date: 3 June 2014

Hatem Bugshan, M. Nick Hajli, Xiaolin Lin, Mauricio Featherman and Ivan Cohen

The purpose of this paper is to explore in depth how Web 2.0 (focusing on social media) contributes to create a better communication channel to provide information, support and…

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Abstract

Purpose

The purpose of this paper is to explore in depth how Web 2.0 (focusing on social media) contributes to create a better communication channel to provide information, support and assistance to patients. Social relationships of individuals on the Internet through social media have created added value for many industries. This phenomenon can be an opportunity for the health care industry, which has encountered huge challenges such as increasing demands, budget cuts, growing numbers of patients and more demanding patient expectations. Web 2.0 and social media have the potential value to make possible an increase in the productivity of modern health care and a reduction in cost to the central government. Social media introduces better channels of communication with patients to increase the value of e-health. Social media are building more social communities that empower patients to share their personalized health information and treatments.

Design/methodology/approach

Grounded on social support and transaction cost theories, this paper evaluates the current potential of social media to discuss values it can offer for the overall benefit of the health care industry.

Findings

The results show how the social relationship of individuals provides online social support and reduction of cost through social media, leading to the development of modern health care. Implications and limitations are discussed at the end of the paper.

Originality/value

The analysis results indicated that social media provides strong social support for patients who seek help online. Informational support and emotional support have been confirmed as two main dimensions of social support in online health care. It makes a contribution to the health care literature by extending it to online health care support in the context of social media. It may inform and provide some initial understanding to guide future research. In addition, this study indicates that social support theory and transaction cost are appropriate theoretical foundations for studies of online health care. This finding is very valuable, as it helps researchers to advance the understanding of how social media support online health care.

Details

Qualitative Market Research: An International Journal, vol. 17 no. 3
Type: Research Article
ISSN: 1352-2752

Keywords

Article
Publication date: 4 January 2008

Sirpa Wrede

Recent scholarship reveals the imagery of the professional as the “ideal citizen”. The linkage between professionalism and citizenship is here approached from the perspective of…

Abstract

Purpose

Recent scholarship reveals the imagery of the professional as the “ideal citizen”. The linkage between professionalism and citizenship is here approached from the perspective of democratic social justice in order to examine the persistence of gendered inequalities in the health care system. The paper aims to examine the ideas framing professionalism, both in sociological theory and historically, asking what gendered hierarchies mean in modern health care systems, and why and how they persist in the conditions of liberal democracy.

Design/methodology/approach

The question is approached through both sociological literature and an analysis of historical framings of professionalism; the Finnish health care system is employed as a case. The reason for keeping the discussion close to a specific case is that different professional fields, countries and historic contexts differ from each other in democratically relevant respects.

Findings

Traditional sociological theory assumed that professional privilege was based on essentially neutral expertise that benefits democracy only if protected from bureaucracy and politics. The recent theoretical turn reframes professional knowledge as socially defined, but the destabilisation of professional knowledge claims is not without problems. The paper refers to the persisting tensions between changing governance and gendered hierarchies in health care and argues for new approaches that suggest ways through which professional expertise can be democratically represented in politics.

Originality/value

The interdisciplinary framework uses political theory on social justice to examine how health care politics frame professionalism.

Details

Equal Opportunities International, vol. 27 no. 1
Type: Research Article
ISSN: 0261-0159

Keywords

Book part
Publication date: 8 June 2020

Patricia Clarke

At the heart of health and social care services is the pursuit of safety and dignity. Legislation and organizational policies are the main way in which statutory and independent…

Abstract

At the heart of health and social care services is the pursuit of safety and dignity. Legislation and organizational policies are the main way in which statutory and independent organizations’ are tasked with enabling adults with mental health services along the road to recovery. Safety is an intrinsic motivator and basic need.

There is increased political recognition that social policy including the Mental Health Act 2007, which is a cornerstone, is in need of reform. A Conservative Manifesto pledge to reform mental health legislation is based upon the need to mitigate discrimination.

The chapter will explore the interrelationship between “poor outcomes” within the black community and safety; consider the opportunities to move from organizational complacency as a result of new policy and legal frameworks; and promote the view that developing a new discourse around safety is an integral part of improving outcomes for service users, particularly those who are poorly served currently.

A literature review plus reference to case studies will form the basis of the chapter ent and modern racism?

Details

The International Handbook of Black Community Mental Health
Type: Book
ISBN: 978-1-83909-965-6

Abstract

Details

Empirical Nursing
Type: Book
ISBN: 978-1-78743-814-9

Article
Publication date: 8 August 2023

Joel Bolton, Michele E. Yoder and Ke Gong

This study aims to observe and discuss an emerging disintermediation in transportation, finance and health care, and explain how these three key areas depend on intermediary…

Abstract

Purpose

This study aims to observe and discuss an emerging disintermediation in transportation, finance and health care, and explain how these three key areas depend on intermediary institutions that are the fruit of modern corporate governance conditions that find their roots in classical sociological theory.

Design/methodology/approach

The authors review and incorporate a diversity of research literature to explain the likelihood for the development and continuation of disintermediation.

Findings

The authors map two sociological perspectives (Emile Durkheim’s theory of interdependence and Herbert Spencer’s theory of contracts) to two modern corporate governance theories (resource dependence theory and agency theory). The authors then discuss the challenging social situation resulting from modern corporate governance and show how these conditions create the potential for a continuum of disintermediation across the specific and crucial economic sectors of transportation, finance and health care.

Originality/value

The implications of this theoretical integration can help organizational leaders navigate complex social and strategic issues and prepare for the consequences that may result from the emerging disintermediation.

Details

Society and Business Review, vol. 19 no. 2
Type: Research Article
ISSN: 1746-5680

Keywords

Article
Publication date: 9 September 2021

Dana Abdulla Alrahbi, Mehmood Khan, Shivam Gupta, Sachin Modgil and Charbel Jose Chiappetta Jabbour

The health-care industry has multiple stakeholders, with knowledge dispersed among clinicians, experts and patients and their families. As the adoption of health-care information…

Abstract

Purpose

The health-care industry has multiple stakeholders, with knowledge dispersed among clinicians, experts and patients and their families. As the adoption of health-care information technologies (HITs) depends on multiple factors, this study aims to uncover the motivators for adopting them.

Design/methodology/approach

The study considers 391 respondents, representing the health-care sector, to evaluate the motivators for adopting HITs for better-dispersed knowledge management. The authors analyze the responses using exploratory factor analysis (EFA) to identify the actual structure of the factors, followed by confirmatory factor analysis (CFA).

Findings

EFA categorized the factors into four classes: quality management; information sharing; strategic governance; and available technological infrastructure. CFA revealed that the strategic governance factor is most predictive of successfully adopting HITs that model the normative pressure of Institutional theory in health-care organizations. These results indicate that, along with considerations of finances, care quality and infrastructure, effective government involvement and policy-making are important for successful HIT adoption.

Practical implications

Results reveal that stakeholders’ motivating factors for HIT adoption in a developed economy like the United Arab Emirates are based on considering HITs as a knowledge management mechanism. These factors may help other nations in HIT implementation and drive valuable innovations in the health-care sector. This research presents the implications for health-care professionals and stakeholders in relation to adopting HITs and their role in knowledge flow for efficient care.

Originality/value

HITs offer an affordable and convenient platform for collaboration among diverse teams in the health-care sector. Apart from this, it helps in facilitating an interactive platform for knowledge creation and transfer for the benefit of users and providers.

Details

Journal of Knowledge Management, vol. 26 no. 6
Type: Research Article
ISSN: 1367-3270

Keywords

Article
Publication date: 1 June 2008

Mick McKeown, Steve Robertson, Zemikael Habte‐Mariam and Mark Stowell‐Smith

This paper reports on key findings from the practice survey wing of a broader knowledge review into mental health advocacy with African and Caribbean men funded by the Social Care

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Abstract

This paper reports on key findings from the practice survey wing of a broader knowledge review into mental health advocacy with African and Caribbean men funded by the Social Care Institute for Excellence (SCIE). Selected themes from the analysis are discussed in the light of theory regarding ethnicity, masculinity and mental health. Conclusions are drawn that suggest that understandings of mental health and advocacy within black communities are congruent with ideologies of holism, recovery and transformational goals for services and society at large. This is in contrast to experiences in mainstream mental health services which privilege a relatively narrow medical model and treatments that are emasculating. The empowerment and emancipatory potential wrapped up in both individual and collective notions of advocacy can be seen as one part of a resistance to oppressive practices and a means of reclaiming personal efficacy and potency by virtue of challenging emasculation in services.

Details

Ethnicity and Inequalities in Health and Social Care, vol. 1 no. 1
Type: Research Article
ISSN: 1757-0980

Keywords

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