scholarly journals Equality, Liberty and the Limits of Person-centred Care’s Principle of Co-production

2018 ◽  
Vol 12 (2) ◽  
pp. 176-187
Author(s):  
Gabriele Badano
Keyword(s):  
Political Philosophy ◽  
Access To Care ◽  
Gender Inequality ◽  
Healthcare Providers ◽  
Civic Virtue ◽  
Equal Access ◽  
Voluntary Organizations

Abstract The idea that healthcare should become more person-centred is extremely influential. By using recent English policy developments as a case study, this article aims to critically analyse an important element of person-centred care, namely, the belief that to treat patients as persons is to think that care should be ‘co-produced’ by formal healthcare providers and patients together with unpaid carers and voluntary organizations. I draw on insights from political philosophy to highlight overlooked tensions between co-production and values like equality and liberty. Regarding equality, I argue that co-production compounds both problems of gender inequality in the distribution of care labour and the challenges associated with securing equal access to care. Turning to liberty, I identify important commonalities between co-production and republicanism in political philosophy, given their shared insistence on common citizens’ civic virtue. Then, I use against co-production some liberal arguments against republicanism, to highlight a problem of over-demandingness. In bringing my argument to a close, however, I wish to caution against hastily rejecting co-production as a policy programme.

scholarly journals BRINGING SYSTEMIC DESIGN IN THE EDUCATIONAL PRACTICE: THE CASE OF GENDER EQUALITY IN AN ACADEMIC CONTEXT

2021 ◽  
Vol 1 ◽  
pp. 581-590
Author(s):  
Alexis JP Jacoby ◽  
Kristel Van Ael
Keyword(s):  
Gender Inequality ◽  
Design Education ◽  
Educational Practice ◽  
Design Approach ◽  
Academic Context ◽  
Traditional Design ◽  
Systemic Problems ◽  
Societal Problems ◽  
Systemic Design

AbstractThe field of design practice and design education is reaching out to address problems that cannot be solved by introducing a single product or service. Complex societal problems such as gender inequality cannot be solved using a traditional problem-solving oriented design approach. The specific characteristics of these problems require new ways of dealing with the dynamics, scale and complexity of the problem.Systemic design is a design approach integrating systems thinking in combination with more traditional design methodologies, addressing complex and systemic problems. This paper reports a systemic design approach in an educational context for the case of academic gender inequality. We show the way the problem was addressed and how design students were invited to take a systemic perspective, provide integrated interventions and take first steps in providing instruments for implementation. We conclude with the learnings from this case study, both on the process and the results.

Satisfaction of tuberculosis patients with health services in Ghana

2017 ◽  
Vol 30 (6) ◽  
pp. 545-553 ◽  
Author(s):  
Frank Bonsu ◽  
Felix Afutu ◽  
Nii Nortey Hanson-Nortey ◽  
Mary-Anne Ahiabu ◽  
Joshua Amo-Adjei
Keyword(s):  
Client Satisfaction ◽  
Service Providers ◽  
Healthcare Providers ◽  
Large Body ◽  
Service Users ◽  
Content Type ◽  
Sputum Production ◽  
Interview Guide

Purpose Within human services, client satisfaction is highly prioritised and considered a mark of responsiveness in service delivery. A large body of research has examined the concept of satisfaction from the perspective of service users. However, not much is known about how service providers construct client satisfaction. The purpose of this paper is to throw light on healthcare professionals’ perspectives on patient satisfaction, using tuberculosis (TB) clinics as a case study. Design/methodology/approach In-depth interviews were conducted with 35 TB clinic supervisors purposively sampled from six out of the ten regions of Ghana. An unstructured interview guide was employed. The recorded IDIs were transcribed, edited and entered into QSR NVivo 10.0 and analysed inductively. Findings Respondents defined service satisfaction as involving education/counselling (on drugs, nature of condition, sputum production, caregivers and contacts of patients), patient follow-up, assignment of reliable treatment supporters as well as being attentive and receptive to patients, service availability (e.g. punctuality at work, availability of commodities), positive assurances about disease prognosis and respect for patients. Practical implications Complementing opinions of health service users with those of providers can offer key performance improvement areas for health managers. Originality/value To the best of the authors’ knowledge, this is a first study that has examined healthcare providers’ views on what makes their clients satisfied with the services they provide.

scholarly journals On the reproduction of gender inequality in the premium effect of the Internet on wage: A case study based on data from the Chinese Women’s Status Survey (third phase)

2018 ◽  
Vol 4 (1) ◽  
pp. 145-163
Author(s):  
Jiachi Zhuang ◽  
Aiyu Liu ◽  
Chao Sun
Keyword(s):  
Gender Differences ◽  
Human Capital ◽  
Gender Inequality ◽  
The Internet ◽  
Average Wage ◽  
Internet Resources ◽  
Third Phase ◽  
Gender Perception ◽  
Internet Users

By using the Propensity Score Matching model, this study proves the existence of an Internet premium effect. After other factors are controlled, it is found that the average wage income of Internet users is 1.38 times that of non-users. At the same time, there are significant gender differences in the premium effect of the Internet on wages: Women’s Internet wage premium is 90.6% that of men. Furthermore, it is found that the Internet premium effect on wages is highly related to users’ online behaviors. Compared with female users, male users are more inclined to use Internet resources to acquire knowledge and human capital; among female users, those with a greater conception of gender equality are more inclined to use the Internet for learning and accumulation of human capital. Using the framework of previous research on gender inequality in cyberspace, this study focuses on how gender perception influences Internet users’ preferences and ways of using the Internet, which is an important cause and mechanism of reproduction of gender inequality in cyberspace.

scholarly journals AN ANALYSIS OF CODE SWITCHING USED BY ENGLISH TEACHER BASED ON GENDER INEQUALITY

2019 ◽  
Vol 2 (1) ◽  
pp. 48-58
Author(s):  
Chotibul Umam ◽  
Dita Sukawati ◽  
Fadilla Oktaviana
Keyword(s):  
Gender Inequality ◽  
Qualitative Method ◽  
Video Recording ◽  
Code Switching ◽  
The Other ◽  
English Teacher ◽  
Other Hand ◽  
Made In

In this research, the writer was aimed to find out the types of code switching that used by English teacher based on gender inequality and the reasons of using code switching that used by English teacher based on gender inequality. The writer was conducted case study in qualitative method. In collecting the data, the writer used observation by using video recording and interview. The result of the research shows that the writer found three types from each teacher based on gender inequality by observation. The types are inter-sentential, intra-sentential and tag switching. In the other hand, each types that used by English teacher based on gender inequality was made in number percentages, for female English teacher are inter sentential code switching 54%, intra sentential code switching 38% and tag switching 8%. Moreover, for male English teacher are inter sentential code switching 42%, intra sentential code switching 41% and tag switching 18%. In the other words, interview was used to find out the reasons that used by English teacher based on gender inequality. The reasons are talking about particular topic, repetition, Interjection and Raising status.

“Die Empörten Weiber”: Gender, Authority and Protestant Modernism in Jeremiah 44

2021 ◽  
pp. 030908922110190
Author(s):  
Melvin Sensenig
Keyword(s):  
Gender Bias ◽  
20Th Century ◽  
Gender Inequality ◽  
Gender Stereotypes ◽  
Cultural Context ◽  
Religious Activity ◽  
Israelite Religion ◽  
Social Elite ◽  
Elite Status

Because of Protestant modernism’s reconstrual of older Protestant views of inspiration around the Romantic notion of the male charismatic prophet, it unintentionally opened doors for the latent gender inequality of its misogynist cultural context when interpreting female religious activity in the prophets. Because of Protestant modernism’s inability to distinguish itself from its 19th-20th century social elite status, it can end up enabling gender stereotypes of its time and thus engage in unexamined gender bias. Vestiges at times remain in literature that assumes the non- or reduced agency of women in Israelite religion. This is a case study in one of the founders of historical-critical Jeremiah study, Sigmund Mowinckel, focusing not on Protestant modernism broadly but rather on Mowinckel’s clear expression of the modernist Protestant notion of the inspiration of sacred speech.

Chapter 9: Regional disparities and equal access to healthcare: A case study of Romania

2015 ◽  
pp. 209-220
Author(s):  
Daniela-Luminita Constantin ◽  
Raluca Mariana Grosu ◽  
Claudiu Herteliu ◽  
Adriana Dardala
Keyword(s):  
Access To Healthcare ◽  
Regional Disparities ◽  
Equal Access

Governing healthcare: the case of Universal Health Insurance – by competition

2017 ◽  
Author(s):  
Cliona Loughnane
Keyword(s):  
Health Insurance ◽  
Health System ◽  
Access To Care ◽  
Equal Access ◽  
Universal Health Insurance ◽  
Social State ◽  
The Social ◽  
Liberal Government ◽  
The Government ◽  
Universal Health

In 2011, the Government committed to the introduction of Universal Health Insurance (UHI) ‘with equal access to care for all’ by 2016 (Government of Ireland 2011: 2). This chapter explores how proposals to implement a system in which every member of the population would be expected to take out health insurance – and mooted by politicians as a way to end Ireland’s two-tier health system – exhibited particular characteristics of advanced liberal modes of governing.Specifically, drawing on Rose and Miller’s (1992) conceptualisation of the ‘aspirations’ of advanced liberal government – governing at a distance, the management of risk, engendering individuals to take responsibility through choice, and the fragmentation of the social state into multiple communities – this chapter demonstrates how while a political rhetoric may have stressed the significance of UHI as a basis for promoting solidarity and fairness, it is hard to avoid the conclusion that the policy would have represented a further shift towards the marketization of Irish healthcare.

Theorizing the Firm

2019 ◽  
pp. 187-201
Author(s):  
Mathias Risse ◽  
Gabriel Wollner
Keyword(s):  
Political Philosophy ◽  
Political Theory ◽  
Internal Structure ◽  
Division Of Labor ◽  
Moral Responsibilities ◽  
Market Pressure ◽  
Moral Requirements

This chapter explores the corporation as a subject of moral and political theory. Companies have been neglected as a subject of political philosophy and of theories of trade in particular. This chapter defends the idea that firms are actors with moral responsibilities and subject to trade justice. It identifies questions about both the moral requirements applying to the corporation’s internal structure, including treatment of employees, and its responsibility to outside actors, including communities, other firms, or states as matters of trade justice. Firms ought to refrain from violations, and they ought to respect and they ought to support the principles of trade justice. Arguments that firms are, morally speaking, off the hook in matters of trade justice do not succeed. With regards to trade, arguments about market pressure, adversarial practices, obligations to shareholders and a division of labor fail. The chapter introduces a case study about Nike that allows the formulation of several questions about obligations of firms that the remaining chapters answer.

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