The role of the medical school in health care in Oklahoma. A case study

JAMA ◽  
1967 ◽  
Vol 202 (5) ◽  
pp. 407-410
Author(s):  
J. L. Dennis
Keyword(s):  
Author(s):  
James Hopkins

Abstract This paper addresses a gap in our understanding of medical history - the architecture of medical schools - and demonstrates the ways in which architectural form can be used to better understand medical epistemology and pedagogy. It examines an instructive case study - the late-nineteenth-century medical school buildings in Manchester - and examines the concepts that were drawn together and expressed in the buildings. Through its exploration, the paper argues first, that medical schools and spaces for medical education should be given greater consideration as a significant category in the history of medical buildings. Second, that buildings such as its case study are an important source of evidence and means to understand the role of medicine in society and the ideas with which its contemporary practitioners and educators were concerned. Third, the paper argues that, to make best use of buildings as sources, we should view them as agents which have assembled divergent ideas and incorporated them into the built form. In this way, such buildings have woven into them an inventory of ideas which can be untangled using designs and physical evidence.


2019 ◽  
Vol 53 (1) ◽  
pp. 107-132
Author(s):  
Gabriel Winant

Abstract This article argues for a view of “actually existing neoliberalism,” identifying points of continuity from midcentury social democracy and showing how American neoliberalism developed unevenly across a preexisting landscape. It does so with a case study of labor market transformation in Pittsburgh, showing a causal relationship between the New Deal state’s institutional structures and the rise of low-wage employment in health care in the 1970s and 1980s. The low-wage service economy did not only come after the high-wage industrial economy: it grew out of it, sped by the decline of steel manufacturing and shaped within the distinctive matrix of the postwar public-private welfare. In establishing this historical process, the article also suggests that social history can play a useful conceptual role linking Foucauldian and Marxist accounts of neoliberalism, by showing concretely the role of the production of subjectivity and the governance of population in the establishment of the neoliberal economic regime. Pointing to a homology between the structural role of incarceration in neoliberalism and that of health care, the article suggests the term “biopolitical Keynesianism” for understanding this conceptual synthesis, which uncovers new contradictions within neoliberalism.


Author(s):  
Margaret G. Matthews ◽  
Jacqueline M. Van Wyk

Background: Good communication is integral to social accountability, and training is included in medical curricula internationally. In KwaZulu-Natal, training is conducted in English, in spite of most public sector patients being mother tongue isiZulu speakers. Communication challenges with patients are common, but good communication and African language teaching are not emphasised in teaching.Aim: This study explored communication training and how it related to social accountability at a single institution in KwaZulu-Natal.Setting: This exploratory, qualitative case study design at the medical school explored participants’ perceptions about communication and social accountability and reviewed relevant educational documentation for evidence.Methods: Purposive sampling was used to select medical students, educators and stakeholders from the educational and service platforms. Focus group discussions and semi-structured interviews were conducted. The data were thematically analysed with reference to Boelen’s social obligation scale for medical schools.Results: Good communication was valued, but often poorly role-modelled. Participants agreed that communication and isiZulu teaching were insufficiently supported to respond adequately to the needs of local communities. Social accountability was not well understood by students, while medical school educators and other stakeholders indicated that, despite aspirations, this goal had not yet been achieved.Conclusions: Learning isiZulu language and culture in an integrated manner in both preclinical and clinical phases would improve communication with patients, contribute to socially responsive health care, and better address health care needs. Incorporating a social accountability framework in curriculum review would highlight the importance of measuring health outcomes and community impacts, and so enhance the educational mission of the medical school.


JAMA ◽  
1967 ◽  
Vol 202 (5) ◽  
pp. 407
Author(s):  
James L. Dennis
Keyword(s):  

2014 ◽  
Vol 8 (1) ◽  
pp. 51-74
Author(s):  
Fateh Muhmmad Burfat ◽  
Muhammad Yaqub ◽  
Naima Saeed ◽  
Misbah B. Qureshi

The present study “Promotion of Primary Health Care in Pakistan: A Case Study of the Role of Non-Governmental Organizations (NGOs) in Promoting Primary Health Care in Karachi” is aimed at determining the role of NGOs in the promotion of primary health Care sector in Pakistan with special reference to Karachi. The primary objective of this research is to evaluate the role and performance of relevant NGOs working in Karachi in the health sector. It is a quantitative research. A questionnaire based to obtain the opinions of respondents. The health care is the basic responsibility of the state. However, the NGOs play their role in promoting the health care facilities. It was noted that the primary health care system is still not working properly. NGO sector was given a wide room and finances but unfortunately they did not make the required contribution. Their lack of technical knowledge and accountability was a factor in their failure. The prevailing attitude towards health care among the masses has not changed despite the efforts of the NGO sector. Therefore the basic health conditions of the masses at the grass roots level continue to be poor. The stake holders in the health care sector should rethink about their strategies to improve health care facilities in Karachi.


2007 ◽  
Vol 12 (1) ◽  
pp. 42 ◽  
Author(s):  
Ana Carolina S. Queiroz ◽  
Daniel Augusto Moreira

<p align="justify">The rate by which the implementation of new technologies has grown in all sectors of the economy increased organizational complexity and uncertainty. As a result, companies and their members now face a number of new challenges. This paper analyzes one case study that contemplates the implementation of new technologies in a radiotherapy unit of a large private health care organization. Its main objective is to analyze the growth in social complexity, which derives from the use of technologies and to verify its implications for organization. Furthermore, it intends to investigate the role of trust as a variable of adjustment of the organization to the external environmental needs. </p><p align="justify">Key words: Organization Studies. Innovation. New Technologies. Trust.</p>


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