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Gender employment contradictions in Israeli nonprofit organizations providing social care 以色列提供社会关怀的非营利组织中的性别就业矛盾
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-02-23 DOI: 10.1108/ijssp-10-2023-0248
Inbar Livnat, Michal Almog-Bar

Purpose

This article asks how gender, ethnicity and other identities intersect and shape the employment experiences of social workers. During recent decades, governments have contracted social care to for-profit and nonprofit organizations (NPOs) globally as a part of the adaption of the neoliberal approach. Most employees in these organizations are women. However, there is a lack of knowledge about women working in social service NPOs and their unique working environments.

Design/methodology/approach

This article explores the experiences of women employed as social workers in social care NPOs in Israel regarding intersectionality. 27 in-depth interviews were conducted with women social workers working in social service NPOs. Participants reflected diversity in ethnicity, religion and full-time and part-time jobs. Thematic analysis was used.

Findings

The findings shed light on: (1) the contradiction social workers experienced between the stated values of the social care NPO and those values’ conduct, (2) intersectional discrimination among social workers from vulnerable populations and (3) the lack of gender-aware policies.

Social implications

The need to raise awareness of the social care sector and governments to those contradictions and to promote diversity through gender-aware policies and practices.

Originality/value

The article suggests a conceptualization describing gender employment contradictions in social care NPOs, discusses how the angle of intersectionality expands the understanding of the complexities and pressures exerted on social workers from minority groups and emphasizes the need for social care NPOs to acknowledge and deal with these contradictions.

本文旨在探讨性别、种族和其他身份是如何相互交织并影响社会工作者的就业经历的。近几十年来,作为适应新自由主义方法的一部分,各国政府在全球范围内将社会服务承包给营利性和非营利性组织(NPO)。这些组织的大多数雇员都是女性。本文探讨了受雇于以色列社会护理 NPO 的女性社会工作者在交叉性方面的经验。我们对在社会服务 NPO 工作的女性社会工作者进行了 27 次深入访谈。参与者在种族、宗教、全职和兼职工作方面体现出多样性。社会影响需要提高社会服务部门和政府对这些矛盾的认识,并通过具有性别意识的政策和实践来促进多样性。原创性/价值本文提出了一种描述社会关怀非营利组织中性别就业矛盾的概念化方法,讨论了交叉性角度如何扩展对少数群体社会工作者所面临的复杂性和压力的理解,并强调了社会关怀非营利组织承认和处理这些矛盾的必要性。
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引用次数: 0
Female immigrant entrepreneurship – predicted by women’s empowerment in host country 女性移民创业--根据东道国妇女赋权情况预测
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-02-15 DOI: 10.1108/ijssp-12-2023-0334
Aleksandra Gaweł, Timo Toikko

Purpose

The social inclusion of immigrants has been a central public policy issue in European countries, and entrepreneurship is often promoted as a form of integration. Female immigrants face double discrimination of gender and ethnicity while becoming entrepreneurs. The aim of the paper is to investigate the female empowerment in the host country as a predictor of immigrant women engagement in entrepreneurship.

Design/methodology/approach

Based on panel data for European Union countries for years 2006–2021, female immigrant entrepreneurship was modelled by the impact of variables showing the empowerment of women in host countries. Data availability was the determinant regarding the inclusion of 22 countries: Austria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Luxembourg, Malta, Netherlands, Poland, Portugal, Slovenia, Spain and Sweden were all in the research sample.

Findings

Although immigrant entrepreneurship is highly context-oriented and locale-specific (as in the physical setting for relationships among people), some universal patterns for a group of countries are found. A stronger political and managerial position of power for the women in host countries encourages female immigrant entrepreneurship, while the gender pay gap is statistically insignificant.

Originality/value

The originality of the paper is due to the multi-country level and female-focused research perspectives in immigrant entrepreneurship. The study refers to the intersectionality of gender and ethnicity, arguing that the empowerment of women in host countries affects female immigrant entrepreneurship at the macro-level.

目的 移民的社会融合一直是欧洲国家公共政策的核心问题,而创业往往被视为一种融合形式。女性移民在成为企业家的过程中面临着性别和种族的双重歧视。本文旨在研究东道国女性赋权情况对移民妇女参与创业的预测作用。设计/方法/途径基于 2006-2021 年欧盟国家的面板数据,通过显示东道国女性赋权情况的变量的影响来模拟移民妇女的创业情况。数据的可获得性是纳入 22 个国家的决定因素:研究结果虽然移民创业在很大程度上以环境为导向,具有地方特色(如人与人之间关系的物理环境),但在一组国家中发现了一些普遍模式。东道国妇女在政治和管理方面的权力地位越高,就越能鼓励女性移民创业,而两性薪酬差距在统计上并不显著。 原创性/价值本文的原创性在于其在移民创业方面的多国研究和以女性为重点的研究视角。研究提到了性别和种族的交叉性,认为东道国妇女的赋权在宏观层面上影响着女性移民创业。
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引用次数: 0
Bibliometric analysis on positive work–family interface 关于积极的工作与家庭关系的文献计量分析
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-02-05 DOI: 10.1108/ijssp-11-2023-0300
Mounika Mude, J. Reeves Wesley

Purpose

Research on work–family interface (WFI) is almost two decades old. It is widely believed that the archetype of work and family after COVID has changed. Post-COVID emphases and outcomes would be different. Accordingly, a bibliometric analysis of the research would help to understand the state of the research and positive WFI patterns that guide further investigations. The present study used measures such as journals, citations, etc. to determine the bibliometric patterns from 2003 to August 2023 using VOSviewer software.

Design/methodology/approach

Data were obtained from Scopus. 1,601 works were found in the first search. This figure was narrowed down to 525 based on a few conditions. The most commonly referenced journals, sources, authors, etc. were used for the analysis.

Findings

Research on positive WFI has increased in recent years. The total number of articles in positive WFI was 525 between 2003 and August 2023. Greenhaus, Powell and Carlson were the most cited authors in this field. Carlson had produced the highest number of documents in WFI. Most WFI authors focused on antecedents, treating positive WFI as the outcome variable.

Research limitations/implications

This is the first bibliometric analysis conducted on a positive WFI, although there have been a few on work–family conflict. However, other sources such as the Australian Business Deans Council (ABDC) and Web of Science may throw different results on journals, citations, etc. Hence, future researchers might emphasize if the same results originate from data in other databases. Other analytical tools may be used in the place of VOSviewer.

Originality/value

This is the first article on bibliometric analysis of positive WFI. This paper’s primary objective is to understand the patterns of literature available on positive WFI and its significance comprehensively.

研究工作与家庭的关系(WFI)已有近二十年的历史。人们普遍认为,在 COVID 之后,工作与家庭的原型已经发生了变化。后 COVID 时代的重点和结果将有所不同。因此,对研究进行文献计量分析将有助于了解研究现状和积极的 WFI 模式,为进一步调查提供指导。本研究使用 VOSviewer 软件,通过期刊、引文等指标来确定 2003 年至 2023 年 8 月的文献计量模式。在第一次搜索中发现了 1,601 篇作品。根据一些条件将这一数字缩小到 525。分析中使用了最常被引用的期刊、来源、作者等。研究结果近年来,关于积极 WFI 的研究不断增加。2003 年至 2023 年 8 月间,有关积极 WFI 的文章总数为 525 篇。格林豪斯、鲍威尔和卡尔森是该领域被引用次数最多的作者。卡尔森撰写的 WFI 文献数量最多。大多数 WFI 作者关注的是前因后果,将积极的 WFI 视为结果变量。不过,澳大利亚商学院院长委员会(ABDC)和科学网等其他来源可能会在期刊、引文等方面得出不同的结果。因此,未来的研究人员可能会强调相同的结果是否源自其他数据库中的数据。原创性/价值这是第一篇关于正向 WFI 文献计量分析的文章。本文的主要目的是全面了解有关正向 WFI 的现有文献模式及其意义。
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引用次数: 0
Corrosion beneath the surface? The emotional navigation of managerialist regulation in German welfare organizations 表面下的腐蚀?德国福利机构中管理主义监管的情感导航
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-01-31 DOI: 10.1108/ijssp-10-2023-0259
Sigrid Betzelt, Ingo Bode, Sarina Parschick

Purpose

Regarding how the public regulation of human services is perceived within welfare organizations and how the latter cope with it, the role of emotions (as mediators between structure and agency) proves highly relevant while often being hidden beneath the surface. This article shows how a specific approach to such regulation – here: managerialism – may impact on “emotional regimes” at the organizational and individual level, affecting the attainment of organizational goals and workers' health.

Design/methodology/approach

The article primarily draws on multiple qualitative case studies across two welfare sectors (four organizations) in Germany (continuing education/active inclusion; long-term care). The study research was conducted between 2020 and 2022 and based on 36 interviews with caseworkers and managers, focus group interviews and expert dialogues at industry level.

Findings

The results suggest that the managerialist regulation of welfare services breeds complex and ambiguous emotional regimes. Business-like management techniques elicit various emotions, affecting the motivational basis of human service work. While the experience of hard challenges may raise positive feelings, coping patterns often put strain on organizations and staff alike. In the short run, related emotional regimes tend to make service delivery proceed smoothly, yet in the long run they may have corrosive effects and problematic repercussions on macro-level developments.

Originality/value

The study highlights the role of emotions in publicly regulated human service settings by intermingling macro- and micro-level processes and thereby broadens the perspective of welfare state research as it reveals the impact of (managerialist) regulation on the dynamic organizational chemistry of such settings.

目的关于福利组织内部如何看待对人类服务的公共监管以及后者如何应对这种监管,情感(作为结构和机构之间的媒介)的作用被证明是高度相关的,但却往往隐藏在表面之下。本文展示了这种监管的特定方法--这里指的是管理主义--如何在组织和个人层面影响 "情绪制度",从而影响组织目标的实现和员工的健康。设计/方法/途径本文主要借鉴了德国两个福利部门(四个组织)(继续教育/积极融入;长期护理)的多个定性案例研究。研究在 2020 年至 2022 年期间进行,基于对个案工作者和管理人员的 36 次访谈、焦点小组访谈以及行业层面的专家对话。研究结果研究结果表明,对福利服务的管理主义监管滋生了复杂而模糊的情感制度。类似企业的管理技术会引发各种情绪,影响到人类服务工作的动机基础。虽然经历艰难挑战可能会产生积极情绪,但应对模式往往会给组织和工作人员带来压力。在短期内,相关的情绪机制往往会使服务的提供顺利进行,但从长远来看,它们可能会对宏观层面的发展产生腐蚀作用和问题反响。原创性/价值这项研究通过将宏观和微观层面的过程相互融合,强调了情绪在公共监管的人类服务环境中的作用,从而拓宽了福利国家研究的视角,因为它揭示了(管理主义)监管对此类环境的动态组织化学的影响。
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引用次数: 0
Tanzanian social policy in the new millennium – a cross-sectoral analysis from a gender perspective 新千年的坦桑尼亚社会政策--从性别角度进行的跨部门分析
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-01-19 DOI: 10.1108/ijssp-01-2023-0007
Roosa Amanda Lambin, Milla Nyyssölä

Purpose

Mainland Tanzania has seen two decades of significant social policy reforms and transformations in its social and economic structures, whilst the country continues to grapple with persisting gender inequalities. This article examines Tanzania's social policy developments from a gender perspective. The authors analyse the level, reach and quality of social policy delivery to working-age women across the areas of health policy, social protection and employment policy during 2000–2021.

Design/methodology/approach

The article draws on qualitative research deploying the scoping review method. The data consist of diverse secondary materials, including academic publications, government policy documents, relevant statistics and other types of “grey” literature.

Findings

Tanzania has made significant advancements in the legal frameworks around welfare provision and has instituted increasingly gender-responsive government policy plans. The health and social protection sectors, in particular, have witnessed the introduction of large-scale measures expanding social policy implementation. However, social policy delivery remains two-tiered, with differences in provisions for women in the formal and informal sectors.

Originality/value

Social policy delivery and implementation have increased and diversified in Sub-Saharan Africa (SSA) during the new millennium, with a growing integration of gender-specific policy objectives. However, limited social policy scholarship has focused on the gendered effects of broader social policy models in SSA. The article remedies the concomitant knowledge gaps by examining various social policies and their impacts on working-age women in Mainland Tanzania. The authors also engage with the theoretical welfare regime literature and present an analytical framework for gender-sensitive assessment of emerging social policy models in the Global South.

目的 坦桑尼亚大陆二十年来经历了重大的社会政策改革以及社会和经济结构的转型,与此同时,该国仍在努力解决长期存在的性别不平等问题。本文从性别角度探讨了坦桑尼亚的社会政策发展。作者分析了 2000-2021 年间在卫生政策、社会保护和就业政策等领域向工龄妇女提供社会政策的水平、范围和质量。数据由各种二手资料组成,包括学术出版物、政府政策文件、相关统计数据和其他类型的 "灰色 "文献。研究结果坦桑尼亚在福利提供的法律框架方面取得了重大进展,并制定了越来越多促进性别平等的政府政策计划。特别是在卫生和社会保护部门,采取了扩大社会政策实施范围的大规模措施。原创性/价值在新千年期间,撒哈拉以南非洲地区(SSA)的社会政策实施和执行工作有所增加,并呈现出多样化趋势,针对不同性别的政策目标也日益融合。然而,社会政策学术界对撒哈拉以南非洲更广泛的社会政策模式的性别影响的关注有限。本文通过研究坦桑尼亚大陆的各种社会政策及其对工龄妇女的影响,弥补了相应的知识空白。作者还参与了福利制度理论文献的研究,并提出了一个分析框架,用于对全球南部新出现的社会政策模式进行对性别问题有敏感认识的评估。
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引用次数: 0
Consumer trust in Thai street food vendors: implications for the post-pandemic era 消费者对泰国街头小贩的信任:对后流行病时代的影响
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-01-19 DOI: 10.1108/ijssp-09-2023-0220
Teerapong Teangsompong, Pichaporn Yamapewan, Weerachon Sawangproh

Purpose

This study aims to investigate the impact of service quality (SQ), perceived value (PV) and consumer satisfaction on Thai street food, with customer satisfaction (CS) as a mediator for customer loyalty and repurchase intention (RI). It also explores how consumer trust (CT) in Thai street food safety moderates these relationships.

Design/methodology/approach

Structural equation modelling (SEM) was utilised to analyse the complex interrelationships between various constructs. Multi-group analyses were conducted to investigate the moderating effects of CT on the structural model, considering two distinct groups based on trust levels: low and high.

Findings

The findings revealed that SQ and PV significantly influenced CS and behavioural intention, while the perceived quality of Thai street food had no significant impact on post-COVID-19 consumer satisfaction. The study highlighted the critical role of CT in moderating the relationships between SQ, PV and CS, with distinct effects observed in groups with varying trust levels.

Social implications

The research emphasises the importance of enhancing SQ and delivering value to customers in the context of Thai street food, which can contribute to increased CS, RI and positive word-of-mouth. Furthermore, the study underscores the critical role of building CT in fostering enduring customer relationships and promoting consumer satisfaction and loyalty.

Originality/value

This research offers valuable insights into consumer behaviour and decision-making processes, particularly within the realm of Thai street food. It underscores the significance of understanding and nurturing CT, especially in the post-COVID-19 landscape, emphasising the need for effective business strategies and consumer engagement.

目的 本研究旨在调查服务质量(SQ)、感知价值(PV)和消费者满意度对泰国街头食品的影响,并以顾客满意度(CS)作为顾客忠诚度和再购意向(RI)的中介。本研究还探讨了消费者对泰国街头食品安全的信任(CT)如何调节这些关系。设计/方法/途径利用结构方程建模(SEM)来分析各种构念之间复杂的相互关系。研究结果表明,SQ 和 PV 对 CS 和行为意向有显著影响,而泰国街头食品的感知质量对 COVID-19 后的消费者满意度没有显著影响。该研究强调了 CT 在调节 SQ、PV 和 CS 之间关系中的关键作用,在不同信任度的群体中观察到了不同的影响。 社会意义该研究强调了在泰国街头食品中提高 SQ 和为顾客提供价值的重要性,这有助于增加 CS、RI 和积极的口碑。此外,该研究还强调了在培养持久的客户关系、提高消费者满意度和忠诚度方面建立客户关系的关键作用。 原创性/价值该研究为消费者行为和决策过程提供了宝贵的见解,尤其是在泰国街头食品领域。它强调了了解和培养消费者关系的重要性,尤其是在后 COVID-19 时代,强调了有效的商业战略和消费者参与的必要性。
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引用次数: 0
Exploring gender inequality and sociocultural factors in Fiji: unveiling the “pink unicorns” 探索斐济的性别不平等和社会文化因素:揭开 "粉色独角兽 "的面纱
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-01-16 DOI: 10.1108/ijssp-08-2023-0184
C.A. Saliya

Purpose

The purpose of this study is to explore the roles that sociocultural systems such as traditions, religious practices, and rituals play in upholding gender imbalance in Fiji.

Design/methodology/approach

This qualitative study relies on results from semi-structured interviews with auditors, educationalists, academics, partners from leading accounting/audit firms, company directors and high-ranked government officers. Thematic analysis was conducted both manually and using MAXQDA software, and the themes that emerged from both analyses are complementary. A few more complementary analyses were also conducted such as Word Cloud.

Findings

The results support the claim that the religious traditions and rituals are strongly linked to gender-inequitable beliefs and suggest sociocultural factors impose on women experiencing self-effacing emotions and passive acceptance of lower status, contributing to the persistence of gender inequality. It also emphasizes the need to challenge certain sociocultural practices to promote greater gender equality, which is the theme emerged from thematic analysis. Additionally, this paper proposes four distinct types of attitudes in this regard as self-effacing feminist, self-effacing traditional, self-effacing modesty and talented driven.

Research limitations/implications

Respondents' openness authenticity may be limited by factors like selection bias, small sample size and other potential constraints in this study.

Practical implications

The findings might influence stakeholders to advocate for policy changes to promote women's representation in leadership positions. The results give voice to various segments of society who are advocating greater gender diversity on board representation in Fiji. The themes immerged and theories developed would make a substantial contribution to the existing literature.

Social implications

The findings highlight the importance of addressing gender inequality in leadership positions to promote inclusive and sustainable growth.

Originality/value

This study sheds light on the less-explored domain of internal barriers to gender equality within Fiji. It adds a novel dimension to the understanding of how cultural norms intersect with individual perceptions to shape gender inequality.

目的 本研究旨在探讨斐济的传统、宗教习俗和仪式等社会文化体系在维护性别失衡方面所起的作用。主题分析是通过人工和 MAXQDA 软件进行的,两种分析所产生的主题是互补的。研究结果 支持了宗教传统和仪式与性别不平等观念密切相关的说法,并表明社会文化因素强加于女性,使其体验到自我贬低的情绪和被动接受较低的地位,从而导致性别不平等的持续存在。本文还强调了挑战某些社会文化习俗以促进性别平等的必要性,这也是专题分析中提出的主题。此外,本文还就此提出了四种不同类型的态度,即自我贬低的女权主义者态度、自我贬低的传统态度、自我贬低的谦虚态度和才华驱动的态度。研究局限/影响 受访者的开放性真实性可能会受到本研究中的选择偏差、样本量小和其他潜在制约因素等因素的限制。研究结果为主张提高斐济董事会性别多样性的社会各界提供了声音。社会影响 研究结果凸显了解决领导职位中性别不平等问题以促进包容性和可持续增长的重要性。它为了解文化规范与个人观念如何交织在一起形成性别不平等增添了一个新的维度。
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引用次数: 0
Street-level bureaucrats in the professional context of primary care social services in Spain 西班牙基层医疗社会服务专业背景下的街道官僚
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-01-15 DOI: 10.1108/ijssp-04-2023-0091
Sergio Sánchez-Castiñeira

Purpose

This study aims to identify the street-level approaches of professional workers in complex public social service organisations when attending to social assistance claimants.

Design/methodology/approach

The study employed a multifaceted approach comprising documentary analysis, semi-structured individual interviews (17) and focus group discussions (8) with qualified frontline social workers from primary care social services in Tarragona.

Findings

Social workers embodied three specific sets of cognitive, normative and emotional dispositions when attending to people with low incomes. First, the compassionate approach conceives clients as defensive regarding social services and emotionally vulnerable because of deprivation. Second, the instructional approach frames clients as being baffled by a new, precarious, institutional and economic context. They also lack information, abilities and the proper mindset to conceive of and attain available welfare and occupational resources. Third, the enforcement approach tends to define clients as suspicious, trying to obtain an excessive and unfair advantage of the welfare system that would eventually hamper their social opportunities.

Originality/value

Research thus far has tended to define public social assistance programmes in Southern welfare state contexts as mostly inefficient and hardly relevant residual social policies. The street-level approach shows that social workers try to resist the mere administrative processing of benefits, which is a professionally troubling and organisationally unsustainable way to proceed. They attempt to help clients by providing inclusive content in order to implement their benefits.

本研究旨在确定复杂的公共社会服务组织中的专业工作人员在接待社会援助申请者时所采取的街头工作方法。研究采用了一种多层面的方法,包括文献分析、半结构式个人访谈(17 人)和焦点小组讨论(8 人),访谈对象是塔拉戈纳基层医疗社会服务机构的合格一线社会工作者。首先,"同情 "方法认为服务对象对社会服务有抵触情绪,并因贫困而在情感上易受伤害。其次,指导性方法认为服务对象对新的、不稳定的制度和经济环境感到困惑。他们还缺乏信息、能力和正确的心态来构想和获取可用的福利和职业资源。第三,执行方法倾向于将受助者定义为多疑的人,他们试图从福利制度中获取过度的、不公平的利益,而这种利益最终会阻碍他们的社会机会。街头研究表明,社会工作者试图抵制仅仅通过行政手段来处理福利问题的做法,这种做法在专业上令人不安,在组织上也难以为继。他们试图通过提供包容性的内容来帮助服务对象落实福利。
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引用次数: 0
Are small- and medium-sized enterprises more likely to innovate when facing informal competition? Evidence from Kazakhstan 中小型企业在面临非正式竞争时是否更有可能创新?来自哈萨克斯坦的证据
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-01-15 DOI: 10.1108/ijssp-11-2023-0303
Tommaso Aguzzi, Rodica Ianole-Calin, Susanne Durst

Purpose

This paper aims to investigate whether Kazakh small- and medium-sized enterprises (SMEs) that claim to compete with the informal sector are more likely to invest in innovation than their competitors who do not perceive such pressure.

Design/methodology/approach

Logistic regression and classification trees are performed on the Business Environment and Enterprise Performance Survey (2018–2020) to examine whether the degree of informal competition correlates with a firm's propensity to innovate.

Findings

The findings show that informal sector competition is a critical factor that shapes the organizational behaviour of Kazakh SMEs. There is a stimulating positive effect of informal competition on both product and process innovation, depending on its perceived intensity.

Originality/value

This study challenges conventional thinking that still views informal sector competition as a barrier to innovation and entrepreneurship by assessing whether innovation is compatible with informal entrepreneurial practice.

设计/方法/途径对商业环境和企业绩效调查(2018-2020 年)进行逻辑回归和分类树,以研究非正式竞争程度是否与企业的创新倾向相关。研究结果研究结果表明,非正式部门竞争是影响哈萨克斯坦中小企业组织行为的一个关键因素。本研究通过评估创新是否与非正规创业实践相容,挑战了仍将非正规部门竞争视为创新和创业障碍的传统思维。
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引用次数: 0
Institutional and organisational influence on mental health management in Spanish and Italian primary care 机构和组织对西班牙和意大利基层医疗机构心理健康管理的影响
IF 2.7 Q3 SOCIOLOGY Pub Date : 2024-01-11 DOI: 10.1108/ijssp-03-2023-0081
Roberto Giosa

Purpose

This study aims to investigate how institutional and organisational factors affect case management of patients with mental disorders by GPs in Italy and Spain. The paper highlights the importance of improving the effectiveness of primary care to ensure easy access to mental health services, which is crucial in responding to the increasing incidence of mental disorders and preventing negative outcomes.

Design/methodology/approach

This article details a qualitative research study that examines the management of patients with mental disorders by general practitioners (GPs) in Italy and Spain, using cross-national comparison and in-depth interviews with GPs as research methods.

Findings

The study revealed that Italian self-employed GPs have more scheduling autonomy than Spanish Health Centre GPs. Both face high work pressure and resource scarcity, highlighting the need for targeted training. The COVID-19 pandemic led to a rise in phone consultations.

Originality/value

This study provides novel insights into mental health management by examining the case management of patients with mental disorders by GPs in Italy and Spain, with a focus on the impact of institutional and organisational factors. The cross-national comparison and in-depth interviews enhance the originality of the study, offering a nuanced understanding of the constraints faced by GPs in their work context. Furthermore, the comparison of the similar primary care frameworks of Italy and Spain may offer insight into their evolution.

目的 本研究旨在探讨机构和组织因素如何影响意大利和西班牙全科医生对精神障碍患者的个案管理。本文强调了提高初级医疗保健的有效性以确保人们能够方便地获得精神健康服务的重要性,这对于应对精神障碍发病率的不断上升和预防负面结果的发生至关重要。两者都面临着工作压力大和资源稀缺的问题,这突出表明需要开展有针对性的培训。本研究通过考察意大利和西班牙全科医生对精神障碍患者的病例管理,重点关注机构和组织因素的影响,为精神健康管理提供了新的见解。跨国比较和深入访谈增强了研究的原创性,使人们对全科医生在工作环境中所面临的制约因素有了细致入微的了解。此外,对意大利和西班牙类似的初级保健框架进行比较,可以深入了解其演变情况。
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International Journal of Sociology and Social Policy
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