Perspectives on advocacy of medical doctors

2019 ◽  
pp. 83-88
Author(s):  
Mohammad Wasay

The healthcare system has changed substantially in recent decades. Governments and business organizations have become important stakeholders in the healthcare system. The role of the doctor has also been modified over the period of the past 40–50 years. Patients are seen and taken care by a team of healthcare experts in a multidisciplinary healthcare model. Managed care is a newer health model which is run by business experts. The doctor’s role in this model is very limited. The social healthcare model is most popular in European countries. It is largely supported by taxes and managed by government organizations. This chapter discusses the emerging and future role of doctors as leaders of healthcare systems, in patient support groups, and as advocates for patients. Medical doctors have to learn and adapt to these roles by training and skills development.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Tommaso Gravante ◽  
Alice Poma

PurposeThe purpose of this paper is to empirically investigate the role of emotions in the polarization that emerged during the first months of the pandemic. So, the authors will analyze the social response of two opposing social actors: political elites that have minimized the risks of the pandemic and grassroots groups that have promoted mutual support for vulnerable people suffering from the various effects of the pandemic.Design/methodology/approachFor the analysis, the authors will primarily refer to Hochschild's proposal and the recent literature on emotions and protest. The method is to analyze official statements by politicians from the UK, USA, Mexico, Brazil, Spain and Italy and the social responses that have emerged from different mutual support groups and solidarity networks in those countries, as well as in Chile and Argentina.FindingsThe authors will show how the conflicting responses can exacerbate social polarization in our societies. This polarization goes beyond the political spectrum, and in some cases even social classes, and reaches into the realms of values, emotions and practices. The authors will also show how the response from grassroots activism makes it possible to overcome guilt, shame and other emotions of trauma, among other things.Originality/valueAn analysis of the emotional dimension of two opposing responses to the pandemic will show how these responses have a deep impact on society, ranging from demands for values and practices that legitimize a status quo, to discussing, breaking away from or overcoming social behavior based on individualism and social determinism.


2021 ◽  
pp. 94-101
Author(s):  
Svetlana Vladimirovna Chernobrovkina ◽  

The innovative potential of the organization’s employees is a significant factor in its competitiveness. Modern research shows that even in those organizations for which innovation is a fundamental type of labor activity, the innovative activity of workers in the structure of their general labor activity is not the leading one. The main difficulty lies in the inability of the company to organize effective mechanisms for identifying and managing the innovative potential of employees. In modern domestic psychological science, the phenomenon of the innovative potential of an organization’s employee has not been sufficiently studied. Innovation potential is viewed as a resource that allows an employee to participate in the implementation of the company’s innovative activities. Employees are carriers of the company’s innovative potential, while the innovative potential of employees is manifested in their willingness, first of all, to be involved in the innovation process in the role of executors, not initiators. Most of the studies devoted to the study of the innovative potential of personnel are carried out at large enterprises and business organizations. Our research expands the scope of studying the innovative potential of personnel. The study involved employees of a budgetary organization that provides psychological and pedagogical support to the population. The article presents the results of an empirical study of the innovative potential of employees of a budgetary organization – a social and psychological center that provides psychological, pedagogical and legal assistance to foster parents, graduates of boarding schools, children left without parental care. By means of factor analysis, a model of the innovative potential of the organization’s employees was built, the main directions of its support and development were determined.


2018 ◽  
Author(s):  
◽  
Natalie Davies

Background Currently, chiropractic is not incorporated into the South African public healthcare sector despite its emphasis on the values of wellness and health. This is due to a poor relationship with mainstream medical practitioners, the construct of chiropractic education and its long standing isolation within the healthcare system within South Africa. The public healthcare sector in South Africa is strained. Low back pain is one of the main reasons patients seek medical attention from primary medical doctors. A growing body of evidence is now emerging which supports the role of chiropractic in post-­surgical rehabilitation and the treatment of extraspinal non-­pathological musculoskeletal conditions. Based on the findings of these studies, an argument could be made for the transition of chiropractic from a mainly private practice base to one that would enable it to reach to the wider population in the public healthcare sector. Aim The aim of the research study was to explore and describe the perceptions that chiropractors have about the integration of the chiropractic profession into the South African public healthcare sector. Method A descriptive exploratory qualitative approach was used to guide the study. In-­ depth interviews were conducted with ten chiropractors within the eThekwini municipality. The main research question for this study was “What are the perceptions of chiropractors in the eThekwini Municipality on the integration of chiropractic into the public healthcare sector of South Africa?” The data was analysed through thematic analysis. Results The main themes that emerged were the role of chiropractic in the healthcare system, the integration of chiropractic into the healthcare sector and the challenges facing chiropractors in the healthcare system. The themes and sub-­ themes were as follows;; • Theme 1 Role of chiropractic in the healthcare system Sub-­theme 1.1 Primary contact for neuromuscular medicine. • Theme 2 Integration of chiropractors into the public healthcare sector Sub-­theme 2.1 Relief of overworked healthcare workers. Sub-­theme 2.2 Decrease costs in surgical and medication use. Sub-­theme 2.3 Increased learning opportunities. Sub-­theme 2.4 Use of chiropractic in post-­surgical care. Sub-­theme 2.5 Need for pre-­surgical assessment. Sub-­theme 2.6 Integration facilitated by the Chiropractic Association of South Africa (CASA). • Theme 3 Challenges facing chiropractors in the public healthcare sector Sub-­theme 3.1 Opposition from medical doctors. Sub-­theme 3.2 Opposition from within the chiropractic profession. Sub-­theme 3.3 Inability to function as the primary practitioners. Sub-­theme 3.4 Unfamiliar structure of the public health care sector. Conclusion A lack of clarity on the identity and role of chiropractic in the public healthcare sector emerged from the findings of this study. Individual chiropractors, the professional body (CASA) and the Allied Health Professions Council of South Africa (AHPCSA) need to engage in active roles in the integration of chiropractic into the public healthcare sector of South Africa.


2019 ◽  
pp. 135-152
Author(s):  
Apoorva Pauranik

The spectrum of advocacy for neurology is very wide. This chapter aims to describe and analyse advocacy on the geographical or spatial axis—that is, advocacy at the local level (micro), regional level (meso), and national level (macro). These distinctions may appear arbitrary with hazy boundaries and many overlaps. Yet they serve a tangible purpose for the sake of our understanding. The first two main sections dwell upon (i) education and awareness at different levels and (ii) engagement with various institutions of government. The later three briefer sections cover (iii) role of patient support groups; (iv) roping in of charities, non-government organizations (NGOs), and celebrities; and finally (v) advocacy within our own professional associations. This chapter will cite examples of a wide variety of advocacy actions plans for neurology, so that more action plans can be conceived and executed at various levels. Another chapter of this book deals with advocacy at the international level (Chapter 14, ‘Advocacy in the international arena’). This chapter concludes with an emphasis on role of humanities as an aid in advocacy efforts, the need for a balance between vertical and horizontal approaches to healthcare, and the importance of research into efficacy of advocacy.


2017 ◽  
Vol 80 (2) ◽  
pp. 175-201 ◽  
Author(s):  
Chris Shields ◽  
Kate Russo ◽  
Michele Kavanagh

Despite the increasing number of people being bereaved by suicide, little is understood concerning the experiences of those bereaved by suicide as they struggle to make sense of a loved one’s death. The current study explored the experiences of four mothers who had been bereaved by suicide and the role of support groups in the meaning-making process following bereavement by suicide. Participants were interviewed and transcribed interviews were then analysed from an interpretative phenomenological perspective. Four main themes were identified: Continuing role of the mother; A never-ending quest; Finding sanctuary; and Rising up from the ashes. These themes relate to a range of emotions following bereavement by suicide, the meaning-making process, the social context and the role of the support group. Clinical implications are discussed in relation to these findings.


2005 ◽  
Vol 13 (S1) ◽  
pp. 187-212 ◽  
Author(s):  
HEINZ ROTHGANG ◽  
MIRELLA CACACE ◽  
SIMONE GRIMMEISEN ◽  
CLAUS WENDT

This article focuses on two major questions concerning the changing role of the state in the healthcare systems of OECD countries. First, we ask whether major changes in the level of state involvement (in healthcare systems) have occurred in the past 30 years. Given the fact that three types of healthcare system, each of which is characterized by a distinct role of the state, evolved during the ‘Golden Age’, we discuss how this distinctiveness – or more technically, variance – has changed in the period under scrutiny. While many authors analysing health policy changes exclusively concentrate on finance and expenditure data, we simultaneously consider financing, service provision and regulation. As far as financing is concerned, we observe a small shift from the public to the private sphere, with a tendency towards convergence in this dimension. The few data available on service provision, in contrast, show neither signs of retreat of the state nor of convergence. In the regulatory dimension – which we analyse by focusing on major health system reforms in Germany, the United Kingdom and the United States – we see the introduction or strengthening of those coordination mechanisms (hierarchy, markets and self-regulation) which were traditionally weak in the respective type of healthcare system. Putting these findings together we find a tendency of convergence from distinct types towards mixed types of healthcare systems.


2020 ◽  
Vol 11 (2) ◽  
pp. 23-29
Author(s):  
S. G. Ajvazyan ◽  
Y. G. Ellanskiy ◽  
E. S. Mirzoyan ◽  
R. G. Ilyukhun ◽  
A. A. Komarevtsev

The article deals with changes in sociological models of the professional role of a physician in a market economy. The article analyzes the importance of marketing in healthcare and models of providing medical services in Russian and foreign healthcare systems. Based on the accumulated literature data, it is possible to trace the dynamics of the relationship between the patient and the healthcare system towards the formation of consumer ideology and the importance of sociological research of the status and role parameters of the physician in order to improve the eff ectiveness and quality of provided medical care.


Practice ◽  
1996 ◽  
Vol 8 (4) ◽  
pp. 43-52 ◽  
Author(s):  
Fraser Mitchell

2018 ◽  
Vol 23 (3) ◽  
pp. 233-249 ◽  
Author(s):  
Eric Bonetto ◽  
Fabien Girandola ◽  
Grégory Lo Monaco

Abstract. This contribution consists of a critical review of the literature about the articulation of two traditionally separated theoretical fields: social representations and commitment. Besides consulting various works and communications, a bibliographic search was carried out (between February and December, 2016) on various databases using the keywords “commitment” and “social representation,” in the singular and in the plural, in French and in English. Articles published in English or in French, that explicitly made reference to both terms, were included. The relations between commitment and social representations are approached according to two approaches or complementary lines. The first line follows the role of commitment in the representational dynamics: how can commitment transform the representations? This articulation gathers most of the work on the topic. The second line envisages the social representations as determinants of commitment procedures: how can these representations influence the effects of commitment procedures? This literature review will identify unexploited tracks, as well as research perspectives for both areas of research.


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