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Article
Publication date: 1 March 1979

Thomas Blumenthal

An analysis of community health, its history, successes and failures, depends on an understanding of its scope, but there is little consensus as to precisely what the discipline…

Abstract

An analysis of community health, its history, successes and failures, depends on an understanding of its scope, but there is little consensus as to precisely what the discipline entails. Some view it as a strict scientific discipline, others see it as a social movement, and still others conceive of it as a conglomerate of various disciplines. It is useful initially to identify the medical components of community health, and then to approach its interdisciplinary aspects. Community health, strictly defined, includes such fields as disease control, environmental sanitation, maternal and child care, dental health, nutrition, school health, geriatrics, occupational health, and the treatment of drug and alcohol abuse. This limited definition, though accurate, does not differentiate the field from the much older area of public health. Within community health, the disease focus of traditional public health epidemiology, the total health focus of community medicine, and the outcome focus of health services research are interconnected. Community health combines the public health concern for health issues of defined populations with the preventive therapeutic approach of clinical medicine. An emphasis on personal health care is the result of this combination. Robert Kane describes the field accurately and succinctly: “We envision community medicine as a general organizational framework which draws upon a number of disciplines for its tools. In this sense, it is an applied discipline which adopts the knowledge and skills of other areas in its effort to solve community health problems. The tools described here include community diagnosis (which draws upon such diverse fields as sociology, political science, economics, biostatistics, and epidemiology), epidemiology itself, and health services research (the application of epidemiologic techniques on analyzing the effects of medical care on health).”

Details

Collection Building, vol. 1 no. 3
Type: Research Article
ISSN: 0160-4953

Abstract

Details

Integrated Care: Reflections on Change in Health Services
Type: Book
ISBN: 978-1-80117-978-2

Open Access
Article
Publication date: 12 June 2017

Silvana Rugolotto, Alice Larotonda and Sjaak van der Geest

The purpose of this paper is to describe how migration affects the care of older people in Italy.

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Abstract

Purpose

The purpose of this paper is to describe how migration affects the care of older people in Italy.

Design/methodology/approach

The paper is based on anthropological fieldwork by one of the authors. This consisted of in-depth interviews with 20 “badanti” (migrant caregivers), with relatives of older people and with social workers in the city of Verona, Italy. It further included extensive study of secondary materials on the topic of migrant care of older people.

Findings

Badanti, Italian families and older people find themselves locked in an uneasy contract: badanti because they are exploited and often unable to find better, formal employment; Italian families because they are aware that they fail to render their moral duty to their aged parents and grandparents; and older people because they feel neglected and maltreated by their children. Yet the three parties also rely on each other to make the best of a precarious situation. The relationship between badanti and Italian elderly highlights the contradictions within Italian politics on care and migration. This case study shows how migrants help Italian families to hold on to the tradition of family care for ageing parents.

Research limitations/implications

The small sample of badanti and families provides a detailed and profound insight of the complexity of elder care in Italy but does not allow generalisation for developments in the country as a whole.

Practical implications

Policy makers should take notice of the indispensability of informal migrant care in present day Italy.

Originality/value

The originality of the paper lies in the in-depth conversations with badanti and in the way in which elderly care is contextualised in the Italian tradition of care and present day politics.

Details

International Journal of Migration, Health and Social Care, vol. 13 no. 2
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 23 March 2012

Chiara Pussetti and Vitor Barros

In the public arena, immigrants are easily recognized as “vulnerable” but also “as a risk” for the social environment. They are associated with stigmatized infectious‐contagious…

311

Abstract

Purpose

In the public arena, immigrants are easily recognized as “vulnerable” but also “as a risk” for the social environment. They are associated with stigmatized infectious‐contagious health conditions, with deviant or disturbed behaviours, with poor education and hygiene, and with dubious morality and parental competence. This paper aims to analyse the complex array of targeted programmes designed in the last decades in Europe in order to intervene on immigrants' health practices and lifestyles.

Design/methodology/approach

The paper was designed to engage with a critical approach to the healthcare sector, rendering visible the rationale behind such programmes of intervention by focusing on the relations between the representation of immigrants' health, the symbolic and physical borders of the body and the nation, the welfare state, and the contemporary politics of care.

Findings

The paper highlights: the racialization of public health and social care policy, which have been constituting migrant populations as unsanitary citizens; the intervention of social care programmes as technologies of citizenship in order to guide these populations towards specific models of body, health, behaviour and life projects; and the paradigmatic shifts in the way healthcare is perceived and deployed, and its ethical and political implications.

Originality/value

Building on the contributions from medical anthropology, historical sociology, and governmentality studies, the paper sheds a new light on the subject by positioning the practices of healthcare on a racialized post‐colonial setting of intervening on populations constituting vulnerabilities and managing risks through medical expertise.

Details

International Journal of Migration, Health and Social Care, vol. 8 no. 1
Type: Research Article
ISSN: 1747-9894

Keywords

Article
Publication date: 18 December 2020

Tauchid Komara Yuda

The objective of this paper is to understand changes and progress of the Korean childcare regime by examining the evolutional process of childcare initiatives that were developed…

Abstract

Purpose

The objective of this paper is to understand changes and progress of the Korean childcare regime by examining the evolutional process of childcare initiatives that were developed since the Japanese colonial rule.

Design/methodology/approach

This study employed a qualitative-based research design with a particular emphasis on explanatory research. Meanwhile, the data were gathered through the peer-reviewed literature and reports.

Findings

The findings indicate that Korea has had three types of childcare regimes: effective-informal, productivist and inclusive-liberal orientation. It also pinpoints that while the care regime development followed the European regime, the egalitarian society, which is a social prerequisite for modern welfare state-building, has not yet been fully established. This paradoxical situation eventually impedes the development of universal childcare aimed at promoting gender equality and a work-life balance.

Originality/value

This article offers a model and characteristics of the Korean childcare regime dating back to the Japanese colonial period up until the Moon Jae-In administration, where it still receives less attention in most of the social policy literature (see Table 1).

Details

International Journal of Sociology and Social Policy, vol. 41 no. 9/10
Type: Research Article
ISSN: 0144-333X

Keywords

Abstract

Details

Reproduction, Health, and Medicine
Type: Book
ISBN: 978-1-78756-172-4

Article
Publication date: 13 May 2019

Moutasem Zakkar

Patient experience is a complex multidimensional phenomenon that has been linked to constructs that are also complex to conceptualize, such as patient-centeredness, patient…

Abstract

Purpose

Patient experience is a complex multidimensional phenomenon that has been linked to constructs that are also complex to conceptualize, such as patient-centeredness, patient expectations and patient satisfaction. The purpose of this paper is to shed light on the different dimensions of patient experience, including those that receive inadequate attention from policymakers such as the patient’s lived experience of illness and the impact of healthcare politics. The paper proposes a simple classification for these dimensions, which differentiates between two types of dimensions: the determinants and the manifestations of patient experience.

Design/methodology/approach

This paper uses a narrative review of the literature to explore select constructs and initiatives developed for theorizing or operationalizing patient experience. Literature topics reviewed include healthcare quality, medical anthropology, health policy, healthcare system and public health.

Findings

The paper identifies five determinants for patient experience: the experience of illness, patient’s subjective influences, quality of healthcare services, health system responsiveness and the politics of healthcare. The paper identifies two manifestations of patient experience: patient satisfaction and patient engagement.

Originality/value

The paper proposes a classification scheme of the dimensions of patient experience and a concept map that links together heterogeneous constructs related to patient experience. The proposed classification and the concept map provide a holistic view of patient experience and help healthcare providers, quality managers and policymakers organize and focus their healthcare quality improvement endeavors on specific dimensions of patient experience while taking into consideration the other dimensions.

Details

International Journal of Health Governance, vol. 24 no. 2
Type: Research Article
ISSN: 2059-4631

Keywords

Book part
Publication date: 14 December 2023

Anneloes Smitsman

The call for a new paradigm in politics and governance has become a planetary imperative. Humanity is at a critical juncture; unless we mature as a species and become net-positive…

Abstract

The call for a new paradigm in politics and governance has become a planetary imperative. Humanity is at a critical juncture; unless we mature as a species and become net-positive to nature the human experiment may (soon) end. We have become our own biggest threat. This chapter explores the foundations, as well as systemic barriers, for the shift to a new and life-centred paradigm in politics and governance. Offering a systemic exploration of the root causes of our sustainability crises and how to address this, based on the cosmology and evolutionary principles of complex living systems. Applying Living Systems Protocols from the EARTHwise Constitution for a Planetary Civilization, and its framework of five Future Archetypes, for developing our transformative capacities to address the systemic thrivability barriers of mechanistic systems and worldviews. With case-study examples of new paradigm tools, systems and technologies that enable a decentralization of governance and democratization of ownership. As such empowering the systemic conditions and maturation pathways for a thriving planetary civilization. The chapter completes with a brief practice for developing our future human capacities and inner consciousness shifts for a new paradigm in politics and governance.

Details

Applied Spirituality and Sustainable Development Policy
Type: Book
ISBN: 978-1-83753-381-7

Keywords

Article
Publication date: 4 January 2008

Lea Henriksson

This study seeks to examine the reconfiguration of professional groups in welfare service work through the lens of gendered inequalities in order to develop an inclusive research…

Abstract

Purpose

This study seeks to examine the reconfiguration of professional groups in welfare service work through the lens of gendered inequalities in order to develop an inclusive research horizon that extends to the middle grade of care workers.

Design/methodology/approach

The research design positions workforce change within a wider social and cultural context by highlighting occupational, educational and unionist orders from the viewpoint of Finnish practical nurses.

Findings

A weakening anchorage in the welfare state and a differentiation of the patterns of recruitment, employment and industrial relations create segmentation, particular forms of exclusion, and identity instabilities. The article identifies the special vulnerability of the practical nurses institutionally embedded “in‐between” the upper and lower grades, the social and health sector, and the union traditions.

Research limitations/implications

The national policy agenda on workforce change mainly follows the sectoral split and focuses on the established health professions. The unionist agenda of practical nurses in turn reflects interprofessional relationships and tribalism.

Practical implications

This analysis of welfare service work provides insight into social and cultural transformations related to workforce change in a segmented and culturally diverse labour force and offers reflections on the changing nature of craft unionism.

Originality/value

This article argues for the added value of historicised, gender and culture sensitive analysis of the tensions between policy aims, educational, occupational and unionist orders for understanding reconfiguration through inequality‐producing processes.

Details

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

Keywords

Book part
Publication date: 25 October 2019

Susannah Clement

In public health and sustainable transport campaigns, walking is positioned as an important way families can become more active, fit and spend quality time together. However, few…

Abstract

In public health and sustainable transport campaigns, walking is positioned as an important way families can become more active, fit and spend quality time together. However, few studies specifically examine how family members move together on-foot and how this is constitutive of individual and collective familial identities. Combining the notion of a feminist ethics of care with assemblage thinking, the chapter offers the notion of the familial walking assemblage as a way to consider the careful doing of motherhood, childhood and family on-foot. Looking at the walking experiences of mothers and children living in the regional city of Wollongong, Australia, the chapter explores how the provisioning and enactment of care is deeply embedded in the becoming of family on-the-move. The chapter considers interrelated moments of care – becoming prepared, together, watchful, playful, ‘grown up’ and frustrated – where mothers and children make sense of and enact their familial subjectivities. It is through these moments that the family as a performative becoming, that is always in motion, becomes visible. The chapter aims to provide further insights into the embodied experience of walking for families in order to better inform campaigns which encourage walking.

Details

Families in Motion: Ebbing and Flowing through Space and Time
Type: Book
ISBN: 978-1-78769-416-3

Keywords

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