Cultural Health Capital on the margins: Cultural resources for navigating healthcare in communities with limited access

2015 ◽  
Vol 133 ◽  
pp. 145-152 ◽  
Author(s):  
Erin Fanning Madden
Keyword(s):  
Cultural Resources ◽  
Health Capital ◽  
Limited Access

Cultural Health Capital

2016 ◽  
Author(s):  
Janet K. Shim ◽  
Jamie Suki Chang ◽  
Leslie A. Dubbin
Keyword(s):  
Health Care ◽  
Underserved Populations ◽  
Primary Source ◽  
The United States ◽  
Cultural Resources ◽  
Health Capital ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Patient Protection ◽  
Centered Care

The 2010 Patient Protection and Affordable Care Act promulgated a number of fundamental changes to the United States health-care system. Less visible and controversial aspects included the creation of institutions and strategies to reduce health disparities and enhance the quality and patient-centeredness of health care. In this chapter, we offer the concept of cultural health capital (CHC) as a sociological intervention for analyzing these changes aimed at making health care more patient-centered, particularly for historically underserved populations. In particular, we use the notion of CHC to illustrate how patient-centered care is accomplished or undone through complex interpersonal and interactional work that is highly dependent on access to stratified cultural resources that both patients and providers bring to health-care interactions. In so doing, we aim to contest that racism in health care is the primary source of health inequalities. Instead we argue that patients’ and providers’ cultural assets and interactional styles—themselves the product of complex social, cultural, historical, political, and economic contexts—influence their abilities to communicate with and understand one another.

Inland Geographic Response Plan (GRP) for Complex, Variable, Limited Access River Settings

2017 ◽  
Vol 2017 (1) ◽  
pp. 1784-1794
Author(s):  
Greg McGowan ◽  
Michael Algots ◽  
Josh Gravenmier
Keyword(s):  
Steering Committee ◽  
Cultural Resources ◽  
Limited Access ◽  
Response Strategies ◽  
Response Information ◽  
Seasonal Flow ◽  
Efficiency And Effectiveness ◽  
Challenging Environment ◽  
High Hazard ◽  
Hazard Area

ABSTRACT 2017-427 Geographic Response Plans (GRPs) are a key tool in response preparedness, but are limited in inland settings, especially in remote areas. Development of a GRP for 200 miles of the Feather River in California required consideration of highly variable seasonal flow conditions, extremely limited access, and numerous sensitive ecological and cultural resources. This setting required adjustments to the typical prioritization of GRP response strategies based on the sensitivity of potentially exposed resources at risk, and instead increased focus on access and infrastructure locations in relation to natural and man-made collection areas. With a highway on one side of the steep-walled canyon, and a state-designated “high-hazard area” for the railroad line on the other, the GRP also needed to consider a wide variety of potentially released material types and source points. The scoping and GRP development was led by a steering committee including the Union Pacific Railroad and BNSF Railway, the U.S. EPA (Region 9), CA Department of Fish and Wildlife Office of Oil Spill Prevention and Response (OSPR), ARCADIS, and numerous regional and local organizations as well as response contractors. The resulting GRP is a pragmatic document that provides critical response information to optimize the efficiency and effectiveness of the first 24 – 48 hours of incident response in this challenging environment. This paper discusses the challenges faced and the resultant strategic measures addressing limited access, fast-water booming, resource mapping, and other critical planning parameters to develop a pragmatic and effective GRP.

scholarly journals Prenatal care of Venezuelans in Colombia: migrants navigating the healthcare system

2021 ◽  
Vol 55 ◽  
pp. 49
Author(s):  
Vanesa Giraldo ◽  
Rita Sobczyk ◽  
Julián Alfredo Fernández-Niño ◽  
Maylen Liseth Rojas-Botero ◽  
Ietza Bojorquez
Keyword(s):  
Social Capital ◽  
Social Protection ◽  
Economic Capital ◽  
Personal Networks ◽  
Cultural Resources ◽  
Health Capital ◽  
Prenatal Health ◽  
Qualitative Component ◽  
Migrant Organizations ◽  
Gain Access

OBJECTIVES To explore the experiences of irregular (undocumented) Venezuelan migrants in accessing prenatal health services in Colombia and to examine the economic, social, and cultural resources mobilized by them to gain access to care. METHODS Data was retrieved from the qualitative component of a multi-method research conducted with pregnant immigrants in Barranquilla, Colombia, between 2018 and 2019, and triangulated with a review of regulations established by the Ministry of Health and Social Protection. RESULTS Having limited economic capital, participants use social capital from personal networks and migrant organizations. They obtain cultural health capital in the form of information on the health system and use their cultural competencies to interact with this system. CONCLUSIONS Migrants exert their agency through the use of capitals, although with certain constraints. Policies aimed at this social group should consider the strengths of migrants.

Value Orientation and Awareness of Limited Access to Oppurtunity Scales

1964 ◽  
Author(s):  
Judson R. Landis ◽  
Simon Dinitz ◽  
Walter C. Reckless
Keyword(s):  
Value Orientation ◽  
Limited Access

Right to contestation, patron-client networks, and corruption

2012 ◽  
pp. 101-117 ◽  
Author(s):  
P. Orekhovsky
Keyword(s):  
Open Access ◽  
Political Life ◽  
Limited Access ◽  
The Right ◽  
Main Factor

In the paper the nature of Russian corruption is considered along the lines proposed by D. North, J. Wallis, and B. Weingast. The author considers patron-client networks as basic political and economic actors of the limited access order. The redistributive rent allocated within patron-client networks is not a corruption phenomenon. The main factor that is able to destroy patron-client networks and autonomous centers of power is the right to contestation (liberalization) according to R. Dahl. Realization of that right together with the right to participate in political life enables transition to the open access society.

In the Shadow of Violence: Lessons for Limited Access Societies

2012 ◽  
pp. 4-31 ◽  
Author(s):  
D. North ◽  
J. Wallis ◽  
S. Webb ◽  
B. Weingast
Keyword(s):  
Developing Countries ◽  
Economic Development ◽  
Open Access ◽  
Political Stability ◽  
Gradual Transition ◽  
Major Conclusion ◽  
Economic Competition ◽  
Limited Access ◽  
Forthcoming Book ◽  
Personal Connections

The paper presents a summary of the forthcoming book by the authors and discusses the sample study of the 9 developing countries. While admitting the non-linearity of economic development they claim that the developing countries make a transition from the limited access orders (where the coalition of powerful elite groups plays a major role, that is based on personal connections and hampers free political and economic competition) to the open access orders with democratic government and efficient decentralized economic system. The major conclusion of this article is that what the limited access societies should do is not simply introducing open access institutions, but reorganizing the incentives of the elites so that to limit violence, provide economic and political stability and make a gradual transition to the open access order beneficial for the elites.

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