Pub Date : 2017-07-01DOI: 10.1177/0020731415614512
S. Quah
This study discusses the main barriers to partnership between family and health services in the context of schizophrenia and de-institutionalization (reduction of the length of hospitalization whenever possible and returning the patient to the community) addressed to deal with the increasing costs and demand for health care services. Thus, in de-institutionalization the burden of care is not resolved but shared with the family, under the assumption that the patient has someone-a family caregiver-who can take up the responsibility of care at home. Despite the high burden of care faced by the family caregiver in mental illness, the necessary systematic partnership between the medical team and the family caregiver is missing. Subjects were 47 family caregivers of persons living with schizophrenia. Data were collected using in-depth interviews, structured questionnaires and attitudinal scales. Data analysis included factor analysis and odds ratios. Two types of barriers to partnership are identified in the literature: health services barriers and barriers attributed to the family. The findings confirm the health services barriers but reject the assumed family barriers.
{"title":"Partnership: The Missing Link in the Process of De-Institutionalization of Mental Health Care.","authors":"S. Quah","doi":"10.1177/0020731415614512","DOIUrl":"https://doi.org/10.1177/0020731415614512","url":null,"abstract":"This study discusses the main barriers to partnership between family and health services in the context of schizophrenia and de-institutionalization (reduction of the length of hospitalization whenever possible and returning the patient to the community) addressed to deal with the increasing costs and demand for health care services. Thus, in de-institutionalization the burden of care is not resolved but shared with the family, under the assumption that the patient has someone-a family caregiver-who can take up the responsibility of care at home. Despite the high burden of care faced by the family caregiver in mental illness, the necessary systematic partnership between the medical team and the family caregiver is missing. Subjects were 47 family caregivers of persons living with schizophrenia. Data were collected using in-depth interviews, structured questionnaires and attitudinal scales. Data analysis included factor analysis and odds ratios. Two types of barriers to partnership are identified in the literature: health services barriers and barriers attributed to the family. The findings confirm the health services barriers but reject the assumed family barriers.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125140532","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 : 2016-10-01DOI: 10.1177/0020731416667333
{"title":"International Journal of Health Services: Volume 46, 2016.","authors":"","doi":"10.1177/0020731416667333","DOIUrl":"https://doi.org/10.1177/0020731416667333","url":null,"abstract":"","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130474663","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 : 1996-09-03DOI: 10.14452/MR-048-04-1996-08_3
J. Newsinger
The author examines the origins of the "mad cow" crisis in Britain, identifying the responsibility of the Conservative government with its policy of deregulation, and details government attempts to "cover up" the problem and to prevent discussion of the question of responsibility by conducting a campaign of anti-Europeanism. The possible public health consequences are considered.
{"title":"The roast beef of old England.","authors":"J. Newsinger","doi":"10.14452/MR-048-04-1996-08_3","DOIUrl":"https://doi.org/10.14452/MR-048-04-1996-08_3","url":null,"abstract":"The author examines the origins of the \"mad cow\" crisis in Britain, identifying the responsibility of the Conservative government with its policy of deregulation, and details government attempts to \"cover up\" the problem and to prevent discussion of the question of responsibility by conducting a campaign of anti-Europeanism. The possible public health consequences are considered.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1996-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121764366","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 : 1994-06-01DOI: 10.1215/03616878-19-3-677
L. Weil
The Common Cause study presents data on medical-industry PAC contributions to Members of Congress during the period January 1, 1981, through June 30, 1991. Included are listings of the top 25 congressional recipients, the top 25 Senate recipients, and the top 50 House recipients of contributions from medical-industry PACs; medical-industry PAC contributions to members of the four key congressional committees and to the congressional leadership; top congressional recipients of contributions from medical professionals' PACs, including the American Medical Association, from health insurance PACs from pharmaceutical PACs, and from hospitals and care-provider PACs; and the top medical-industry PACs. State-by-state lists of medical-industry PAC contributions to Senators and to Representatives, including breakdowns of insurance, AMA, and pharmaceutical contributions, are given in the appendixes.
{"title":"Why the United States does not have a national health program: the medical-industry complex and its PAC contributions to congressional candidates, January 1, 1981, through June 30, 1991. Common Cause.","authors":"L. Weil","doi":"10.1215/03616878-19-3-677","DOIUrl":"https://doi.org/10.1215/03616878-19-3-677","url":null,"abstract":"The Common Cause study presents data on medical-industry PAC contributions to Members of Congress during the period January 1, 1981, through June 30, 1991. Included are listings of the top 25 congressional recipients, the top 25 Senate recipients, and the top 50 House recipients of contributions from medical-industry PACs; medical-industry PAC contributions to members of the four key congressional committees and to the congressional leadership; top congressional recipients of contributions from medical professionals' PACs, including the American Medical Association, from health insurance PACs from pharmaceutical PACs, and from hospitals and care-provider PACs; and the top medical-industry PACs. State-by-state lists of medical-industry PAC contributions to Senators and to Representatives, including breakdowns of insurance, AMA, and pharmaceutical contributions, are given in the appendixes.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1994-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115469668","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 : 1990-12-03DOI: 10.14452/MR-042-07-1990-11_3
P. Burkett
Politicians, the mainstream media, and orthodox social science have all been telling us of a final victory of capitalism over socialism, suggesting that capitalism is the only viable option for solving the world's problems. Yet, the global capitalist system is itself entering the third decade of a profound structural crisis, the costs of which have been borne largely by the exploited and oppressed peoples of the underdeveloped periphery. While the World Bank's latest World Development Report recognizes the current poverty crisis in the third world, its "two-part strategy" for alleviating poverty is based on an inadequate analysis of how peripheral capitalist development marginalizes the basic needs of the third world poor. Hence, the World Bank's assertion that free-market policies are consistent with effective antipoverty programs does not confront the class structures and global capitalist interests bound up with the reproduction of mass poverty in the third world. The World Bank's subordination of the basic needs of the poor to free-market adjustments and reforms in fact suggests that the real purpose of its "two-part strategy" is to ensure continued extraction of surplus from third world countries by maintaining the basic structure of imperialist underdevelopment.
{"title":"Poverty crisis in the Third World: the contradictions of World Bank policy.","authors":"P. Burkett","doi":"10.14452/MR-042-07-1990-11_3","DOIUrl":"https://doi.org/10.14452/MR-042-07-1990-11_3","url":null,"abstract":"Politicians, the mainstream media, and orthodox social science have all been telling us of a final victory of capitalism over socialism, suggesting that capitalism is the only viable option for solving the world's problems. Yet, the global capitalist system is itself entering the third decade of a profound structural crisis, the costs of which have been borne largely by the exploited and oppressed peoples of the underdeveloped periphery. While the World Bank's latest World Development Report recognizes the current poverty crisis in the third world, its \"two-part strategy\" for alleviating poverty is based on an inadequate analysis of how peripheral capitalist development marginalizes the basic needs of the third world poor. Hence, the World Bank's assertion that free-market policies are consistent with effective antipoverty programs does not confront the class structures and global capitalist interests bound up with the reproduction of mass poverty in the third world. The World Bank's subordination of the basic needs of the poor to free-market adjustments and reforms in fact suggests that the real purpose of its \"two-part strategy\" is to ensure continued extraction of surplus from third world countries by maintaining the basic structure of imperialist underdevelopment.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"24 7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133938924","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 : 1990-01-12DOI: 10.1001/JAMA.1990.03440020096040
V. Mayster, H. Waitzkin, F. Hubbell, L. Rucker
Access to health care for the medically indigent has emerged as a major policy issue throughout the United States. Because no national health program assures entitlement to basic services, practitioners and patients must cope with barriers to access on the local level. The authors report several separate but integrated strategies that a community-based coalition has used to achieve improvements in indigent care within a single county. Research strategies have involved short-term investigations of barriers to needed services, so that local awareness of the problem would increase rapidly. Political strategies have attempted to improve the county government's administrative procedures and financial support of services for the poor, to modify the practices of local health care institutions, and to influence statewide and national policies affecting local conditions. Legal strategies have involved the participation of attorneys who represent clients unable to receive care and who could initiate litigation as appropriate. Each of these strategies contains weaknesses as well as strengths. Although such advocacy efforts do not achieve a coherent system guaranteeing access, they can substantially improve the availability of local services.
{"title":"Local advocacy for the medically indigent: strategies and accomplishments in one county.","authors":"V. Mayster, H. Waitzkin, F. Hubbell, L. Rucker","doi":"10.1001/JAMA.1990.03440020096040","DOIUrl":"https://doi.org/10.1001/JAMA.1990.03440020096040","url":null,"abstract":"Access to health care for the medically indigent has emerged as a major policy issue throughout the United States. Because no national health program assures entitlement to basic services, practitioners and patients must cope with barriers to access on the local level. The authors report several separate but integrated strategies that a community-based coalition has used to achieve improvements in indigent care within a single county. Research strategies have involved short-term investigations of barriers to needed services, so that local awareness of the problem would increase rapidly. Political strategies have attempted to improve the county government's administrative procedures and financial support of services for the poor, to modify the practices of local health care institutions, and to influence statewide and national policies affecting local conditions. Legal strategies have involved the participation of attorneys who represent clients unable to receive care and who could initiate litigation as appropriate. Each of these strategies contains weaknesses as well as strengths. Although such advocacy efforts do not achieve a coherent system guaranteeing access, they can substantially improve the availability of local services.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"41 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1990-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132756508","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 : 1985-02-02DOI: 10.14452/MR-036-09-1985-02_2
T. Wright, F. Rodríguez, H. Waitzkin
Corporate and philanthropic involvement in the peace movement is growing. In considering medical peace groups as examples, we have studied the ways that corporate and philanthropic funding have shaped the course of activism. Our methods have included: review of the Foundations Grant Index from 1974-1983; analysis of corporations' and foundations' criteria for grants in the categories of peace, arms control, and disarmament; interviews with leaders of activist organizations and with foundation officials; and our own experiences in the peace movement. Corporate interests in preventing nuclear war stem from a concern for global stability in which world markets may expand, and from a hope to frame issues posed by the peace movement in a way that will not challenge basic structures of power and finance. Several general features make peace groups respectable and attractive to philanthropies; an uncritical stance toward corporate participation in the arms race; a viewpoint that the main danger of nuclear war stems from a profound, bilateral conflict between the United States and the Soviet Union; and a single-issue focus that does not deal with the many related problems reflecting the injustices of capitalism. The two major medical groups working for peace, Physicians for Social Responsibility (PSR) and International Physicians for the Prevention of Nuclear War (IPPNW), have accomplished many goals; however, their adherence to subtle criteria of respectability and their dependence on philanthropic funding have limited the scope of their activism. The struggle for peace can not succeed without fundamental changes in the corporate system that initiates, maintains, and promotes the arms race.
{"title":"Corporate interests, philanthropies, and the peace movement.","authors":"T. Wright, F. Rodríguez, H. Waitzkin","doi":"10.14452/MR-036-09-1985-02_2","DOIUrl":"https://doi.org/10.14452/MR-036-09-1985-02_2","url":null,"abstract":"Corporate and philanthropic involvement in the peace movement is growing. In considering medical peace groups as examples, we have studied the ways that corporate and philanthropic funding have shaped the course of activism. Our methods have included: review of the Foundations Grant Index from 1974-1983; analysis of corporations' and foundations' criteria for grants in the categories of peace, arms control, and disarmament; interviews with leaders of activist organizations and with foundation officials; and our own experiences in the peace movement. Corporate interests in preventing nuclear war stem from a concern for global stability in which world markets may expand, and from a hope to frame issues posed by the peace movement in a way that will not challenge basic structures of power and finance. Several general features make peace groups respectable and attractive to philanthropies; an uncritical stance toward corporate participation in the arms race; a viewpoint that the main danger of nuclear war stems from a profound, bilateral conflict between the United States and the Soviet Union; and a single-issue focus that does not deal with the many related problems reflecting the injustices of capitalism. The two major medical groups working for peace, Physicians for Social Responsibility (PSR) and International Physicians for the Prevention of Nuclear War (IPPNW), have accomplished many goals; however, their adherence to subtle criteria of respectability and their dependence on philanthropic funding have limited the scope of their activism. The struggle for peace can not succeed without fundamental changes in the corporate system that initiates, maintains, and promotes the arms race.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1985-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122161778","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 : 1976-07-06DOI: 10.14452/MR-028-03-1976-07_6
G. Stevenson
This paper presents a Marxist analysis of human service occupations. As the forces of monopoly capitalism increased the need for human services and destroyed the social institutions which previously satisfied those needs, employment in the human service industries grew rapidly, and may now exceed that in manufacturing. The nature of human services is discussed: production and consumption occur simultaneously; the social relations of consumption and production are closely related; and service workers play a direct social control role. These characteristics generate contradictions between service and control in service work, and between service workers' roles as both oppressed workers and oppressors. Discussions of the ideologies impacting on the relationships between workers and "clients," the dynamics of these relationships, and the struggles to which they give rise conclude the paper.
{"title":"Social relations of production and consumption in the human service occupations.","authors":"G. Stevenson","doi":"10.14452/MR-028-03-1976-07_6","DOIUrl":"https://doi.org/10.14452/MR-028-03-1976-07_6","url":null,"abstract":"This paper presents a Marxist analysis of human service occupations. As the forces of monopoly capitalism increased the need for human services and destroyed the social institutions which previously satisfied those needs, employment in the human service industries grew rapidly, and may now exceed that in manufacturing. The nature of human services is discussed: production and consumption occur simultaneously; the social relations of consumption and production are closely related; and service workers play a direct social control role. These characteristics generate contradictions between service and control in service work, and between service workers' roles as both oppressed workers and oppressors. Discussions of the ideologies impacting on the relationships between workers and \"clients,\" the dynamics of these relationships, and the struggles to which they give rise conclude the paper.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1976-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124896111","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 : 1971-02-01DOI: 10.1080/0034408880830101
V. Navarro
{"title":"Editorial: a beginning.","authors":"V. Navarro","doi":"10.1080/0034408880830101","DOIUrl":"https://doi.org/10.1080/0034408880830101","url":null,"abstract":"","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"1 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1971-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130702415","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 : 1900-01-01DOI: 10.4324/9781315223957-12
B. Bullough
Barriers to the nurse practitioner movement are explored in this article. Historically, the subordination of women and the sex segregation of nursing and medicine have helped to establish interaction patterns between the two professions which included a subordination of nurses as well as informal doctor-nurse games. These patterns were reinforced by hospital training schools and state laws which restricted the roles of nurses. Recent changes in state movement, but the stereotyped communication patterns between nurses and physicians remain as a barrier to the full use of the talents of nurses in practitioner roles.
{"title":"Barriers to the nurse practitioner movement: problems of women in a woman's field.","authors":"B. Bullough","doi":"10.4324/9781315223957-12","DOIUrl":"https://doi.org/10.4324/9781315223957-12","url":null,"abstract":"Barriers to the nurse practitioner movement are explored in this article. Historically, the subordination of women and the sex segregation of nursing and medicine have helped to establish interaction patterns between the two professions which included a subordination of nurses as well as informal doctor-nurse games. These patterns were reinforced by hospital training schools and state laws which restricted the roles of nurses. Recent changes in state movement, but the stereotyped communication patterns between nurses and physicians remain as a barrier to the full use of the talents of nurses in practitioner roles.","PeriodicalId":174409,"journal":{"name":"International journal of health services : planning, administration, evaluation","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126721038","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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