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At least 559 records · Page 31Linked to original sources
PubMed2004

Social inclusion/exclusion: dancing the dialectic.

The last decade has seen many of the 'community' concepts in health (community empowerment, community capacity) replaced by 'social' concepts (social capital, social cohesion). The continuous re-labelling of roughly similar phenomena may be a necessary stratagem to attract attention to the economic and power inequalities that arise from undisciplined markets. Social concepts also have an advantage over community ones by directing that attention to higher orders of political systems. The latest construct being wielded by health practitioners, researchers and policy-makers are the twinned concepts of social inclusion and social exclusion. These represent a conceptual sophistication over social capital and social cohesion. Like their predecessors, however, there are risks in their adoption without a critical examination of the premises that underpin them. For example, how can one 'include' people and groups into structured systems that have systematically 'excluded' them in the first place? The cautions expressed in this article do not dissuade use of the concepts. Their utility, however, particularly at a time when not only inequalities, but also their rate of growth, is increasing, requires careful questioning.

Cultural Diversity↗
PubMed1995

Rationing in the NHS: the dance of the seven veils-in reverse.

The 1991 reforms of the National Health Service set up the expectation that rationing would in future be explicit instead of, as in the past, implicit. This has not happened. Research carried out at the University of Bath shows that very few health authorities are rationing by exclusion on the Oregon model. Instead, both central Government and health authorities are continuing to diffuse responsibility among the medical profession. This paper analyses the reasons why. Rationing by delay and dilution are more significant-as well as less visible-than rationing by exclusion. And it is the medical profession which controls the flow of patients through waiting lists and the way in which resources are used during treatment. Similarly, it is in the self-interest of both central Government and health authorities that their resource decisions should continue to be disguised behind the veils of clinical discretion. Despite pressures for greater transparency, Britain's opaque form of rationing may therefore survive.

Forecasting↗
PubMed2000

First person account: I and I, dancing fool, challenge you the world to a duel.

The article that follows is part of the Schizophrenia Bulletin's ongoing First Person Account series. We hope that mental health professionals-the Bulletin's primary audience-will take this opportunity to learn about the issues and difficulties confronted by consumers of mental health care. In addition, we hope that these accounts will give patients and families a better sense of not being alone in confronting the problems that can be anticipated by persons with serious emotional difficulties. We welcome other contributions from patients, ex-patients, or family members. Our major editorial requirement is that such contributions be clearly written and organized, and that a novel or unique aspect of schizophrenia be described, with special emphasis on points that will be important for professionals. Clinicians who see articulate patients with experiences they believe should be shared might encourage these patients to submit their articles to Schizophrenia Bulletin, First Person Accounts, EEI Communications, 66 Canal Center Plaza, Suite 200, Alexandria, VA 22314.-The Editors.

Adult↗
PubMedDate not supplied

Dance of the call bells: using ethnography to evaluate patient satisfaction with quality of care.

Ethnographic methods can provide insights into patients' perceptions of quality of care. We used ethnographic methods to examine problems related to answering patient call lights on one inpatient unit in the hospital. Communication through call bells consisted of 3 interrelated components. These included answering the call bell, communicating the patient's request, and following through with the request. Results of this study provided a deeper understanding of the nuances of power and control embedded within the issue of patient-caregiver communication and empowered unit staff to find solutions to the call bell problem.

Anthropology, Cultural↗
PubMed1996

The leadership dance.

Explore the source record for details and available documents.

Delivery of Health Care, Integrated↗
PubMed2002

Nurse administrator's role in health policy: teaching the elephant to dance.

Historically, policies guiding the American health care delivery system have focused primarily on financing disease care. This emphasis on disease, rather than health, has sustained the idea of medical primacy while resulting in poor economic and health outcomes. Nursing's unique health-oriented contributions are undervalued and underutilized in the present system. This article addresses how and why nurse administrators should become involved in the policy arena. The article also emphasizes the need for skilled nurse leaders to influence the national agenda through political activism so that comprehensive nursing care is available and accessible.

Delivery of Health Care↗