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Research has long focused on the notion of access and the trajectory towards a healthcare encounter but has neglected what happens to patients after these initial…
Research has long focused on the notion of access and the trajectory towards a healthcare encounter but has neglected what happens to patients after these initial encounters. This paper focuses attention on what happens after an initial healthcare encounter leading to a more nuanced understanding of how patients from a diverse range of backgrounds make sense of medical advice, how they mix this knowledge with other forms of information and how they make decisions about what to do next.
Drawing on 160 in-depth interviews across four European countries the paper problematizes the notion of access; expands the definition of “decision partners”; and reframes the medical encounter as a journey, where one encounter leads to and informs the next.
This approach reveals the significant unseen, unrecognised and unacknowledged work that patients undertake to solve their health concerns.
De-centring the professional from the healthcare encounter allows us to understand why patients take particular pathways to care and how resources might be more appropriately leveraged to support both patients and professionals along this journey.
The chapter summarises issues associated with the effectiveness of urban policy interventions. In particular it emphasises the importance of sites, scales and spaces of…
The chapter summarises issues associated with the effectiveness of urban policy interventions. In particular it emphasises the importance of sites, scales and spaces of state activity and the implications for the current and future nature of regeneration governance, policy and practice.
The chapter draws upon strategic-relational state theory.
With reference to the United Kingdom (UK), there are significant changes taking place that are affecting the site, scale and nature of urban regeneration. However, there is considerable uncertainty over the extent to which discrepancies in performance between areas will be addressed.
Further research will be required on the consequences for regeneration of the rescaling of state power, the changing institutions of the state and the emergence of new political forces and strategies.
Originality/value of the chapter
The chapter provides a theoretical and empirical framework to understand both the current and future nature of urban regeneration governance in the UK and beyond.
The purpose of this article is to explore whether it is possible to analyse if Black and other racial minorities (BRM) groups in Liverpool are benefiting from processes of…
The purpose of this article is to explore whether it is possible to analyse if Black and other racial minorities (BRM) groups in Liverpool are benefiting from processes of regeneration, and their impact on levels of BRM employment and economic activity.
The article draws on official social and economic statistics and on qualitative interview data to provide a case study analysis.
It is argued that local regeneration initiatives do not always reflect and address the needs of different BRM groups and that this has contributed to the underperformance of the Liverpool's BME population.
There are important research implications from this piece. The work has demonstrated that the limited data collection practices of a number of agencies that operate at a local level, struggle to understand the broad and diverse range of BRM needs.
Addressing the needs of BRM groups is hampered by methods of community engagement with BRM groups. While some examples of good practice are starting to emerge, challenges remain in relation to sharing such practice and the co‐ordination of data collection.
The article provides an original overview of the information requirements to better understand how BRM groups can be supported through regeneration.
Families conduct their affairs through processes that are built upon those of previous generations and also social capacities such as culture, class, oppression and…
Families conduct their affairs through processes that are built upon those of previous generations and also social capacities such as culture, class, oppression and poverty. The media has played a part in stereotyping the lower classes through their portrayal on the television programmes such as Benefits Street and Jeremy Kyle and tabloid newspaper stories. This chapter is a case study of two families who are at the opposing ends of the social scale, the Horrobin/Carter and Aldridge families. The two families were chosen due to them being linked by marriage in the younger generation. Through the use of genograms, we explore how the families differ in their attitudes towards relationships within their individual families, and also how they relate to each other as separate family groups. Despite the many differences, there are also a number of key similarities, particularly regarding the key females in the families, in terms of family background and snobbery. We also show that there is little family loyalty in the more privileged family and a power differential between the two families (oppressors vs. oppressed) in terms of the crimes committed.
The Grundys are the alternative world of Ambridge. Invariably down on their luck, often portrayed as lazy if not feckless and usually incompetent. This chapter speaks up for the downtrodden of Borsetshire and in particular the Grundys. It looks at the development of the Grundy family in The Archers over almost 50 years now. It relates key elements in their lives, looking not just at the class struggle in the village but also the importance of gender in this. It draws on key players in the Grundy story from the 1970s including the late radio DJ John Peel who was for a time an enthusiast for The Archers and who played Eddie Grundy's records on his BBC Radio One show. It also looks at the views of key Archers figures such as Vanessa Whitburn and Keri Davies and how they have approached the Grundys. It uses the work of Marx and Engels to try to explain how it is that the Grundys moved from being small farmers to landless labourers. What the chapter doesn't do is to map out a strategy for the liberation of the Grundys from their oppression. It does however look forward to a world turned upside down when at 19.02 hours on a weekday evening on BBC Radio 4 we hear a programme called not The Archers, but The Grundys.
Our perceptions of real crime, law and justice can be manipulated by fiction. This chapter addresses whether The Archers helps us better understand today's offenders…
Our perceptions of real crime, law and justice can be manipulated by fiction. This chapter addresses whether The Archers helps us better understand today's offenders, their crimes and its policing. Some of Ambridge's known offenders are split into three categories to help explore whether usual criminal story lines and characters, seen and heard elsewhere, are perpetuated or subverted in Borsetshire. If they support usual tropes, this tells us how we view the management of crime in the twenty-first century rural idyll: outsiders are not to be trusted, the misdemeanours of the pastoral poor are tolerated, and the actions of elites brushed aside. In Ambridge, we regularly hear examples of reintegrative shaming supporting desistance from crime. Those propping up the Bull's bar might disapprove of criminal actions, but they recognise people's roles in village cohesion. Sgt. Harrison Burns preserves his identity as a dedicated police officer. Being a rural copper often means having to deal with a wide range of crimes – from attempted murder to anti-social behaviour – but on a less frequent basis than those based in Felpersham. While Harrison might not have great detective skills, he regularly supports colleagues from specialist units, and as the only officer in the village, should use his social networks and tea spots to help maintain Ambridge's mostly orderly conduct. It is questionable to what extent he does this, being at times perceptive about and dismissive of clues to significant criminal activity going on under his nose.