Pub Date : 2000-01-01DOI: 10.5172/hesr.2000.10.1.69
D. Gosden, C. Noble
Abstract This article explores subjective and political dimensions of the home birth movement which emerged in public discourse in Australia from the late 1970s. In re-defining their subjectivity around the act of childbirth, women participants created an emancipatory social movement that encouraged other women to resist medical/state control over that aspect of their lives. As they fought collectively to establish their right to birth at home, the personal and the political became entwined in their rejection of the dominant codes concerning childbirth.
{"title":"Social mobilisation around the act of childbirth: subjectivity and politics","authors":"D. Gosden, C. Noble","doi":"10.5172/hesr.2000.10.1.69","DOIUrl":"https://doi.org/10.5172/hesr.2000.10.1.69","url":null,"abstract":"Abstract This article explores subjective and political dimensions of the home birth movement which emerged in public discourse in Australia from the late 1970s. In re-defining their subjectivity around the act of childbirth, women participants created an emancipatory social movement that encouraged other women to resist medical/state control over that aspect of their lives. As they fought collectively to establish their right to birth at home, the personal and the political became entwined in their rejection of the dominant codes concerning childbirth.","PeriodicalId":121033,"journal":{"name":"Annual Review of Health Social Science","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128609921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-01-01DOI: 10.5172/hesr.2000.10.1.53
K. Reiger
Abstract The recent international resurgence of midwifery has involved the profession’s seeking to gain greater independence and the lessening of medical dominance. In such a context, issues currently facing Australian midwives are significant. This paper outlines the development of research questions with regard to midwives professional consciousness, and considers the structural context of maternity services. It then explores changing political consciousness and dilemmas. In particular, the emergence of an autonomous professional identity for midwives as articulated by the Australian College of Midwives Incorporated (ACMI), has not been straightforward. Unevenness of educational preparation and a projected shortage of midwives together with growing frustration at inadequate recognition of midwives’ distinctive knowledge and skills all pose challenges to policy moves to encourage a greater midwifery role in maternity car
{"title":"The politics of midwifery in Australia: tensions, debates and opportunities","authors":"K. Reiger","doi":"10.5172/hesr.2000.10.1.53","DOIUrl":"https://doi.org/10.5172/hesr.2000.10.1.53","url":null,"abstract":"Abstract The recent international resurgence of midwifery has involved the profession’s seeking to gain greater independence and the lessening of medical dominance. In such a context, issues currently facing Australian midwives are significant. This paper outlines the development of research questions with regard to midwives professional consciousness, and considers the structural context of maternity services. It then explores changing political consciousness and dilemmas. In particular, the emergence of an autonomous professional identity for midwives as articulated by the Australian College of Midwives Incorporated (ACMI), has not been straightforward. Unevenness of educational preparation and a projected shortage of midwives together with growing frustration at inadequate recognition of midwives’ distinctive knowledge and skills all pose challenges to policy moves to encourage a greater midwifery role in maternity car","PeriodicalId":121033,"journal":{"name":"Annual Review of Health Social Science","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114863191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-01-01DOI: 10.5172/hesr.2000.10.1.31
E. Willis
Abstract This paper explores the way in which a computerised workload system, Excelcare, rationalises nursing care. Excelcare enables management to track, control, time and cost nursing work – a task I will argue is increasingly necessary under Casemix funding. Using a case study approach I argue that Excelcare provides management with refined opportunities to further rationalise production systems through creating records of ‘virtual work time’ as opposed to real working time. The ambiguity surrounding the purpose of Excelcare, ensures worker compliance and provides management with data for further lean production work arrangements. It also illustrates the way in which time is used in the bureaucratic search for both equity and control.
{"title":"Computerised hospital work: Fordism and Faylorism revisited","authors":"E. Willis","doi":"10.5172/hesr.2000.10.1.31","DOIUrl":"https://doi.org/10.5172/hesr.2000.10.1.31","url":null,"abstract":"Abstract This paper explores the way in which a computerised workload system, Excelcare, rationalises nursing care. Excelcare enables management to track, control, time and cost nursing work – a task I will argue is increasingly necessary under Casemix funding. Using a case study approach I argue that Excelcare provides management with refined opportunities to further rationalise production systems through creating records of ‘virtual work time’ as opposed to real working time. The ambiguity surrounding the purpose of Excelcare, ensures worker compliance and provides management with data for further lean production work arrangements. It also illustrates the way in which time is used in the bureaucratic search for both equity and control.","PeriodicalId":121033,"journal":{"name":"Annual Review of Health Social Science","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131573029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-01-01DOI: 10.5172/hesr.2000.10.1.43
K. Lane
Abstract This paper reviews the Commonwealth government’s policy of ‘purposeful reporting to consumers’. I argue that the notion of consumer participation is under-developed. Consumers’ needs will not be fully met by confining consumer representation at the administrative level; that is, in assuming that consumer advocates may speak for other consumers of health care services. The partnership objective at the heart of ‘purposeful reporting’ may be addressed fully only when practitioners and providers recognise the reciprocal expertise of the consumer in defining their own health priorities. This would require a new model of knowledge, of ethics and of the clinical encounter. The problem is not one of information deficit but of contrasting views of knowledge.
{"title":"Multiple visions or multiple aversions? Consumer representation, consultation and participation in maternity issues","authors":"K. Lane","doi":"10.5172/hesr.2000.10.1.43","DOIUrl":"https://doi.org/10.5172/hesr.2000.10.1.43","url":null,"abstract":"Abstract This paper reviews the Commonwealth government’s policy of ‘purposeful reporting to consumers’. I argue that the notion of consumer participation is under-developed. Consumers’ needs will not be fully met by confining consumer representation at the administrative level; that is, in assuming that consumer advocates may speak for other consumers of health care services. The partnership objective at the heart of ‘purposeful reporting’ may be addressed fully only when practitioners and providers recognise the reciprocal expertise of the consumer in defining their own health priorities. This would require a new model of knowledge, of ethics and of the clinical encounter. The problem is not one of information deficit but of contrasting views of knowledge.","PeriodicalId":121033,"journal":{"name":"Annual Review of Health Social Science","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128335068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-01-01DOI: 10.5172/hesr.2000.10.1.19
Jan Sinclair-Jones
Abstract The application of new Information Communications Technologies (ICT) to the reorganisation and international relocation of service related work is becoming increasingly evident. There has been a good deal of attention given to this process of relocation in the literature in relation to customer service and high technology service industries such as software production. Despite the increasing body of evidence that e-medicine sites are proliferating on the world wide web there seems to be little discussion of this in terms of the implications for medical labour. This paper argues that medical labour is far from impervious to the possibilities of relocation. It uses a case study of international relocation of work in the health sector to illustrate the argument.
{"title":"E-medicine and e-work: the new international division of medical labour?","authors":"Jan Sinclair-Jones","doi":"10.5172/hesr.2000.10.1.19","DOIUrl":"https://doi.org/10.5172/hesr.2000.10.1.19","url":null,"abstract":"Abstract The application of new Information Communications Technologies (ICT) to the reorganisation and international relocation of service related work is becoming increasingly evident. There has been a good deal of attention given to this process of relocation in the literature in relation to customer service and high technology service industries such as software production. Despite the increasing body of evidence that e-medicine sites are proliferating on the world wide web there seems to be little discussion of this in terms of the implications for medical labour. This paper argues that medical labour is far from impervious to the possibilities of relocation. It uses a case study of international relocation of work in the health sector to illustrate the argument.","PeriodicalId":121033,"journal":{"name":"Annual Review of Health Social Science","volume":"105 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134576211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2000-01-01DOI: 10.5172/hesr.2000.10.1.5
K. White
Abstract The argument of this paper is that the processes of corporatisation - the purchase of general practices by investment corporations - in combination with state surveillance initiatives are fundamentally restructuring general practice in Australia. There are three components to this argument, operating at the sociological, the political-economic, and policy levels. First, within sociology, any recourse to the theoretical model of ‘medical dominance’ no longer holds the explanatory power it once did to explain the position of the medical profession. Secondly, at the level of political economy, it is argued that the development of corporate investment will significantly transform general practice, away from non-profitable interventions, the servicing of at risk groups, or those in the non-urban areas, to population groups and interventions that are profitable. Thirdly, at the policy level, it is suggested that these developments raise important questions about the continued funding of a universal health care system, where public moneys are being accessed for private corporate investors, backed by speculators on the share market. The importance of this issue cannot be overstated in the context of vertical integration - the ownership of general practices, radiology, and pathology services, under the one corporate umbrella - where these companies anticipate that this integration will be a way of producing referrals from the GP through the system, with the goal of increasing profitability.
{"title":"What’s happening in general practice: capitalist monopolisation and state administrative control: a profession bailing out?","authors":"K. White","doi":"10.5172/hesr.2000.10.1.5","DOIUrl":"https://doi.org/10.5172/hesr.2000.10.1.5","url":null,"abstract":"Abstract The argument of this paper is that the processes of corporatisation - the purchase of general practices by investment corporations - in combination with state surveillance initiatives are fundamentally restructuring general practice in Australia. There are three components to this argument, operating at the sociological, the political-economic, and policy levels. First, within sociology, any recourse to the theoretical model of ‘medical dominance’ no longer holds the explanatory power it once did to explain the position of the medical profession. Secondly, at the level of political economy, it is argued that the development of corporate investment will significantly transform general practice, away from non-profitable interventions, the servicing of at risk groups, or those in the non-urban areas, to population groups and interventions that are profitable. Thirdly, at the policy level, it is suggested that these developments raise important questions about the continued funding of a universal health care system, where public moneys are being accessed for private corporate investors, backed by speculators on the share market. The importance of this issue cannot be overstated in the context of vertical integration - the ownership of general practices, radiology, and pathology services, under the one corporate umbrella - where these companies anticipate that this integration will be a way of producing referrals from the GP through the system, with the goal of increasing profitability.","PeriodicalId":121033,"journal":{"name":"Annual Review of Health Social Science","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133153071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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