L'implantation des conseils régionaux de la santé et des services sociaux: analyse d'un processus politique

1974 ◽  
Vol 7 (1) ◽  
pp. 52-69
Author(s):  
François Renaud ◽  
Brigitte von Schoenberg

The establishment of regional councils of health and social services: analysis of a political processBill 65 on the organization of health services and social services in Quebec interposed between the government and the community an intermediate level composed of regional councils of health and social services (crsss). Alongside people named by the different categories of institutions constituting the network of social concerns, one also finds within the councils people who are supposed to represent the population of the region. Using the concepts of resources, position, and power, the authors analyse the authority which the different actors have exercised in the course of the process which has given rise to the granting of positions on the crsss. The analysis of the process and of the composition of the first councils reveals that the minister's objective was only partially attained. The traditional institutions, whether the hospitals, the reception centres, or the social service centres, succeeded in delegating to the councils only those persons having important responsibilities within their respective institutions, while the other categories on whom the minister counted for the introduction of new figures (mayors for example) responded only weakly to these expectations. In sum, one can say that the most powerful categories of actors in the social affairs sector are still more powerful and conspicuous after the implementation of the crsss, and that the new categories of actors have not made a very significant breakthrough.

Author(s):  
Sebastien Savard ◽  
Denis Bourque ◽  
René Lachapelle

This article presents the context for and particular relations between the state and third-sector organizations in the province of Québec. A typology inspired by Coston and developed by Proulx, Bourque, and Savard is used to describe interactions between these actors. The article documents how an agreement that the private Fondation Lucie et André Chagnon signed with the Government of Québec had an impact on community organizations that respond to the social needs of vulnerable groups. A major repercussion has been the relegation of third-sector organizations to a model between subcontracting and coproductive. This is notable, as the sector had managed to establish itself as a central actor during the previous twenty years, particularly in health and social services, participating in the co-construction of public policies. RÉSUMÉ Cet article aborde la question des relations entre les organismes communautaires et l’État au Québec en mettant l’accent sur le contexte particulier et les dimensions qui les distinguent dans cette province. Une typologie adaptée de Coston par Proulx, Bourque et Savard est utilisée pour encadrer cette réflexion. Nous discutons de l’impact de l’arrivée de la Fondation Lucie et André Chagnon (FLAC) sur le rôle des organismes communautaires après la signature d’une entente entre la FLAC et l’État québécois. Nous observons qu’une des conséquences de cette entente a été de confiner les organismes communautaires à un rôle allant de la sous-traitance à la coproduction alors que, depuis vingt ans, ces organismes avaient réussi à s’établir comme partenaires centraux en contribuant, en co-construction avec l’État, à l’élaboration de politiques publiques.


1982 ◽  
Vol 4 (2) ◽  
pp. 5-5
Author(s):  
James Green ◽  
Hal Nelson

The articles presented here suggest the diversity of activities pursued by anthropologists working in health and social services. Social services in particular is an area where anthropologists have been more active in recent years. They have been involved at numerous levels—policy, planning, research, direct services, and training. This range of activity suggests that a background in the social sciences, and specifically in anthropology, can be useful to a career in the health and social service professions.


2021 ◽  
Vol 13 (1) ◽  
pp. 55-67
Author(s):  
Y Budiman ◽  
Farida Romaito Pohan ◽  
Aminah Aminah

The objectives and scope of this research are, among others, to find out how the efforts of the social services in carrying out their duties in dealing with people with special needs (disabilities) and to find out what supporting and inhibiting factors are in the process of implementing Regent Regulation number 52 of 2016 article 13 paragraph ( 2). The research method used in this research is descriptive qualitative. The results of this study include: the rights of persons with disabilities are still not being considered such as education, housing worthiness, lack of social services, health including accessibility to disabled services. Based on the results of the research, it can be concluded that in an effort to empower persons with disabilities, the government, in this case the social service, has made several efforts, including: providing assistive devices, providing social assistance to each person with disabilities both inside and outside the institution, and the government providing opportunities for persons with disabilities to participate in banana chips making training in Malang as an effort to open their own business. Supporting factors in this study include family and community support and inhibiting factors, including the limited government budget to allocate funds for the provision and accessibility of disability aids.


2005 ◽  
Vol 48 (5) ◽  
pp. 621-631 ◽  
Author(s):  
Lisa Morrison Puckett

Despite the small size of the Polish Romani population, the status and treatment of this group deserve special attention. This descriptive study identifies potential disconnects between the Roma and social services in the community and suggests practices to strengthen the connections between the marginalized Roma and the social service community. French Nonobstant la faible population Roma en Pologne, le statut et le traitement accordé à ce groupe mérite l'attention. Cette étude descriptive identifie des coupures potentielles entre les Roma et les services sociaux dans la communauté et suggère des pratiques visant à renforcer les liens entre les Roma marginalisés et les services sociaux. Spanish A pesar de la pequeña población de los Roma en Polonia, el estatus y tratamiento de este grupo merece especial atención. Este estudio descriptivo identifica la potencial desconexión entre los Roma y los servicios sociales en la comunidad; y sugiere prácticas para fortalecer las conexiones entre los Roma marginalizada y los servicios sociales comunitarios.


Author(s):  
J. Curtis McMillen ◽  
Danielle R. Adams

Social service settings offer numerous complexities in their staffing, consumers, and payer mix that require careful consideration in designing dissemination and implementation efforts. However, social services’ unique access to vulnerable populations with health problems may prove vital in efforts to improve the health status of many of our citizens and reduce health disparities. While a number of well-developed, blended dissemination and implementation models are being used in social service settings, they all require additional documentation, research, and field experience. Nonetheless, the lessons learned in the social services may help organizations in other sectors better implement health interventions with complex consumers in complex settings.


2019 ◽  
Vol 23 (01) ◽  
pp. 1-37
Author(s):  
Li Lin Lau ◽  
Farzana Quoquab ◽  
Abu Bakar Abdul Hamid

This case illustrates the issues pertaining to the “PutItOn” campaign promotion launched by the Malaysian AIDS Council (MAC). This case primarily discusses the social marketing challenges encountered by MAC with the task to promote intervention programs on condom use and women’s safe sex practices to influence social change. However, promoting condom use is regarded as taboo and is not allowed to be mentioned in Malaysian mainstream mass media because of restrictions by the Communications and Multimedia Act. The government also cannot openly advocate condom use because of sociocultural sensitivity. In addition, some people might misinterpret promoting condom use as encouraging promiscuity. On the other hand, official statistics show that new HIV cases have shifted the trend from men to women in recent years, and the major factor for women infected by HIV was through sexual transmission. Dr. Suzi, communication manager of MAC, is in charge of the “PutItOn” campaign. She faced difficulty in increasing awareness among women about the campaign with the consideration of social and cultural issues. The campaign was launched in December 2014, but not many people seemed aware of this campaign after four months of its launch. The chairman of MAF, Dr. Roselina, advised her to come up with an effective promotional strategy for the “PutItOn” campaign by April. Dr. Suzi had only one month to devise a plan to solve the problem; otherwise, MAC has to close the campaign. Dr. Suzi was worried about the sociocultural pressure to promote the “PutItOn” campaign.


Author(s):  
Olga Vasilyevna Zayats ◽  
Nadezhda Vladimirovna Osmachko

The paper reveals the essence and significance of digital socialization of older people, the importance of overcoming social exclusion by older citizens in terms of access to digital technologies. The purpose of the paper is to reveal the role of social service centers for the population, which act as agents of digital socialization of older people (based on the materials of a sociological study). The objects of the study were elderly people receiving social services in the Primorsky Center for Social Services of the Population, and senior citizens who were trained in computer literacy courses. The authors set the fol-lowing tasks: to determine elderly people’s interest in mastering computer literacy and how effective the “Internet ABC” program is. In addition, it was sup-posed to establish the importance of integrated cen-ters of social services for the population in ensuring computer literacy of pensioners. As a result of a sociological study, it was found that older people show a significant interest in modern information technologies. Computer courses organized on the basis of the center for social services help elderly people to get information about state and municipal services, work with the websites of the Pension Fund of the Russian Federation, the Social Insur-ance Fund, Public Services and Multifunctional Cen-ter.


2009 ◽  
Vol 33 (1) ◽  
pp. 3

THERE IS PLENTY OF ACTIVITY throughout the world focusing on encrypting personal health (and other) information on credit card-sized plastic ?smart? cards. These cards are embedded with a computer chip and could provide easy access to essential health information. As with many new technologies, there is debate about smart cards in health. In July 2004 the Federal Minister for Health and Ageing at that time, the Hon Tony Abbott, announced that ?Australians will have access to a new Medicare smart card as part of the government?s electronic health agenda to improve the quality and accessibility of patient information across the health system?.1 This led to the introduction of the Health and Social Services smart card initiative. The business case for this initiative suggested that this card could replace around 17 government issued ?health? cards, while improving proof of identify arrangements.2 While in opposition, the Labor Party opposed the notion of the smart card, claiming it was an identity card by stealth,3 and at the time of writing, it appears that the health smart card has been put on the backburner while the Government sorts out the priorities. In this issue, Mohd Rosli and his Melbourne colleagues report on a study of patient and staff perceptions about health smart cards (page 136). In this study, 270 emergency department patients and 92 staff completed self-administered questionnaires. The findings among patients and staff generally supported the introduction of smart cards with the majority reporting that the advantages outweighed the disadvantages. The majority of the respondents indicated that the cards should be brought into use, and that they would use one if offered. However, the study did find that a large proportion of staff and patients were not aware of health smart cards at all. A fundamental change in the structure of our relationship with the government had been proposed through the Health and Social Services smart card initiative, and yet the findings of this study suggest that the Australian public was ill prepared to discuss the implications. Where is the information sharing, the discussion and the debate that can help shape our health care system for the future? In our last issue of 2008 we included a call for student papers. I would like to remind all readers of this important initiative, reproduced overleaf, as I believe this is an effective way to begin to encourage the necessary discussion and debate.


Author(s):  
Mélanie Claude ◽  
Stéphanie Gaudet

Cet article pose un regard critique sur la catégorie de l’entrepreneur social présente dans le paysage socioéconomique québécois contemporain. L’objectif est de comprendre comment les processus de formalisation et d’informalisation de l’État participent à la construction de cette catégorie sociale. Pour ce faire, nous établissons quatre périodicités des dynamiques d’informalisation des services sociaux de l’État depuis les années 1960. Ces dynamiques ouvrent la voie à une ambiguïté grandissante du partage des responsabilités sociales. Ce mouvement d’informalisation cependant n’est ni unidirectionnel ni unidimensionnel. Nous expliquons qu’il s’agit de changements dans des dynamiques de partage de pouvoirs entre les sphères du marché et du communautaire que tente de réguler l’État. Ceux-ci bénéficient à certains acteurs institutionnels et ouvrent la voie à une nouvelle catégorie sociale elle-même empreinte d’ambiguïté : l’entrepreneur social.This article takes a critical look at the category of “social entrepreneur” present in the socioeconomic realm of contemporary Québec. Its objective is to understand how State processes of formalization and informalization contribute to the construction of such a social category. To that end, we describe four consecutive periods in the informalization of social services by the State since the 1960s. These four periods, as they unfold, contribute to an increasing ambiguity regarding how social responsibilities are to be shared. This process of informalization, however, is neither one-directional nor onedimensional. In our article, we observe that it reflects fluctuations in power between market and community that the State has been trying to regulate. These fluctuations benefit certain institutional actors and pave the way for a new, somewhat ambiguous, social category, that of the social entrepreneur.


1984 ◽  
Vol 25 (1) ◽  
pp. 77-92 ◽  
Author(s):  
Gebru Tareke

Weyane was a spontaneous, localized peasant uprising with limited objectives. It occurred in 1943 because several disaffected social groups in the eastern part of Tigrai believed that they could defeat or at least extract substantial concessions from a weak transitional government. The multiplicity of objectives roughly correspond to the divergent interests of the participants: the sectarian nobility wanted a greater share in the regional reallocation of power, the semi-pastoral communities of the lowlands were interested in pre-empting feudal incorporation, and the highland cultivators wanted to terminate the excessive demands of officialdom and militia. The convergence of these forces made Weyane possible; the disorganization of the ruling strata and the subsequent defection of a segment of the territorial nobility enormously enhanced the peasants' capacity for collective action. But this very heterogeneity comprised the peasants' objectives. The revolt lacked a coherent set of goals, nor did it have a specific program for social action. The rebels attacked neither the legitimacy of the monarchy nor the ideological basis of the Ethiopian aristocracy. In the end, Weyane buttressed the feudal order, and was probably instrumental in strengthening Ethiopia's neo-colonial link with the West. In the aftermath of rebellion, the Tigrai nobility did get its rights and prerogatives recognized, to the same extent that the nobility in the other northern provinces did. The government undercut the nobility's political autonomy, but paid the price of reinforcing their social position. On the other hand, in reaction to Weyane, the state destroyed the social basis of clan authority and autonomy, and reduced the Raya and Azebo to landless peasants. Weyane marked the end of conflict between centrifugal and centralizing forces, but did not eliminate the social roots of popular protest.


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