scholarly journals A Social Capital Perspective on Social-Medical Collaboration in Community End-of-Life Care in Hong Kong

2022 ◽  
pp. 003022282110666
Author(s):  
Wing-sun Chan ◽  
Laura Funk ◽  
Genevieve Thompson

Recent developments in Hong Kong end-of-life (EOL) care have shifted some caring work for dying people and their families to cross-disciplinary collaboration in community settings. Social-medical collaboration becomes especially important. This study aims to use social capital as an analytical lens to examine the processes and mechanisms of social-medical collaboration in EOL care and elucidate practice implications for engaging in the care of dying people and their families. Qualitative data were collected using in-depth interviews. Three major conceptual categories were generated through grounded theory methodology. They are (a) establishing trust through keeping clear and simple boundaries, (b) cultivating mutuality in the multi-disciplinary meeting, and (c) fostering social-medical collaboration in EOL care. Each new stage is based on the social capital accumulated in the previous one through the social interactions between professionals. Such theorization also provides insights into how to achieve effective social-medical collaboration in this context.

2020 ◽  
Vol 31 (1) ◽  
pp. 135-152
Author(s):  
Umi Hanik ◽  
Moh. Turmudi

This article was written with the aim to describe the interaction of religion and culture that occurred in the people of Tanon Village, Papar District, Kediri Regency, East Java. The issue of tolerance between religious communities will always be interesting to discuss, this is because religion is often a source of conflict. A pluralist and inclusive attitude becomes the social capital of the people to live in harmony. This study uses a qualitative method with a phenomenological approach. In-depth interviews became the main technique in collecting data and then analyzed using the Haberman and Milles flow techniques. The results showed that the social interactions developed by the Tanon villagers were able to create harmony in the life between religious communities


2021 ◽  
Vol 13 (7) ◽  
pp. 3879
Author(s):  
Olabisi S. Obaitor ◽  
Taibat O. Lawanson ◽  
Marion Stellmes ◽  
Tobia Lakes

Different slums exhibit different levels of resilience against the threat of eviction. However, little is known about the role of the social capital of the slum community in this context. This study investigates the factors contributing to slum resilience in the Lagos Metropolis, Nigeria, through a social capital lens. This study first investigates land allocation in slums, then the available social capital, and subsequently how this capital influences resilience to the threat of eviction in slums. Data were collected in two slum communities, in Lagos, through in-depth interviews and focus groups discussion. This study shows that land allocation is done by the traditional heads, contrarily to the mandate of the Nigeria Land Use Act of 1978. Furthermore, there is a form of structural social capital through the presence of government registered community development associations in the slums; however, their activities, decision-making process and the perception of the residents’ towards their respective associations, differs. This led to differences in trust, social cohesion and bonding ties among residents of the slum, thereby influencing resilience to the threat of eviction in slums. Since community group associations, through the appointed executives, drive the efficient utilization of social capital in slums, this study therefore recommends their restructuring in order to support a sustainable solution to the threat of eviction in slums in Lagos.


2020 ◽  
Vol 8 (1) ◽  
pp. 30-46
Author(s):  
Taane La Ola ◽  
Nur Isiyana Wianti ◽  
Muslim Tadjuddah

The purpose of this paper is to provide an overview of the differences in the strength of social capital that is bonding and bridging two community groups, namely land-dwellers and Sama Bajo boat-dwellers in three islands in Wakatobi Marine National Park. This study used a post-positivistic research paradigm, and the primary data were collected by using a questionnaire to 240 respondents who represented the group of land-dwellers and Sama Bajo boat-dwellers on the islands of Wangi-wangi, Kaledupa, and Tomia. This research was also supported by qualitative data through in-depth interviews from several informants and desk studies. The results showed that bridging social capital relations tend to be weak in the two forms of interactions between the Sama Bajo and the land-dwellers on Wangi-wangi Island and Kaledupa Island, while bridging social capital tend to be secured in Tomia Island. We found that the social context through the historical links in the past and identity played a role in the relationship of bridging social capital and bonding social capital in the three communities as an analytical unit of this research.  


2015 ◽  
Vol 14 (03) ◽  
pp. 1550024 ◽  
Author(s):  
Houshang Taghizadeh ◽  
Abdolhossein Shokri

The main purpose of the present research is to identify the internal relationships among the dimensions of knowledge management from the viewpoint of social capital. The statistical population includes 50 Professors and experts in the field, who have been defined as connoisseurs. The data have been collected through the use of the researcher-designed questionnaire. The validity of the questionnaire was confirmed by content validity, and its reliability was determined by test–retest method. The results indicate that the dimensions of knowledge management, from the social capital perspective, have relatively strong, reciprocal systemic relations with each other. Among the dimensions of knowledge management studied in the research, the "leadership and management" dimension has been identified as the strongest dimension from the viewpoint of leading power, and the "intellectual capital" has been recognised as having the highest rate of dependence on the other dimensions of knowledge management regarding the social capital of knowledge management. The results obtained from the identification and evaluation of the systematic relations can be used as a guide by managers and decision-makers in designing strategic programs concerning knowledge management within the organisation while having social capital in mind.


2015 ◽  
Vol 13 (6) ◽  
pp. 1711-1720 ◽  
Author(s):  
Chong-Wen Wang ◽  
Cecilia L.W. Chan

ABSTRACTObjective:This systematic review aimed to examine end-of-life (EoL) care research undertaken in an Eastern cultural context—Hong Kong—with the hope of better informing EoL care professionals and policy makers and providing lessons for other countries or areas that share similar EoL care challenges.Method:Eight databases were searched from their respective inception through to August of 2014. All of the resulting studies conducted in Hong Kong and relevant to EoL care or palliative care were examined. The included studies were assessed with respect to study design, care settings, participants, research themes, and major findings.Results:Some 107 publications published between 1991 and 2014 were identified. These studies were undertaken at a range of places by different professionals. Of the total, 44 were led by physicians, 36 by nurses, 17 by social workers, and 10 by other professionals. Participants included both inpatients and outpatients with different illnesses, nursing home residents, older community-dwelling adults, deceased individuals, care staff, and informal caregivers. A total of 13 research themes were identified: (1) attitudes to or perceptions of death and dying; (2) utilization of healthcare services, (3) physical symptoms or medical problems; (4) death anxiety or mental health issues; (5) quality of life; (6) advance directives or advance care planning; (7) supportive care needs, (8) decision making; (9) spirituality; (10) cost-effectiveness or utility studies; (11) care professionals' education and training; (12) informal caregivers' perceptions and experience; and (13) scale development or validation.Significance of results:While there has been a wide and diverse range of research activities in Hong Kong, EoL care services at primary care settings should be strengthened. Some priority areas for further research are recommended.


2019 ◽  
Vol 34 (8) ◽  
pp. 767-786 ◽  
Author(s):  
Andrea Porras-Paez ◽  
Jana Schmutzler

During the recent years, the question of whether an Entrepreneurial Ecosystem emerges organically or is man-made has been disputed. This paper explores the case of an Entrepreneurial Ecosystem in a developing country. We argue that in the context of lagging industrial development and weak institutions, a lead actor needs to step in to aid the emergence of an Entrepreneurial Ecosystem. We argue that only a locally embedded actor who has the resource endowment and the legitimacy to do so can assume such a role. By applying social capital theory, we show that deliberate strategies by this lead actor to densify the social network within the Entrepreneurial Ecosystem will assist in establishing trust and future collaboration, which will result in productive entrepreneurship.


2020 ◽  
Vol 38 (1) ◽  
pp. 25-31
Author(s):  
Yat Chun Chan ◽  
Marc L. C. Yang ◽  
Hiu Fai Ho

Background: This study describes the characteristics and outcomes of patients referred to an emergency department (ED)-based end-of-life (EOL) service in a tertiary acute hospital in Hong Kong. We examine how emergency physicians (EPs) perform in recognizing and managing dying patients. Methods: From September 2010 to April 2018, patients referred to this EOL service in this hospital were included. A group of 5 EPs assessed whether the referred patient would die within a few days. Dying patients (EOL group) were admitted to ED-based EOL service whereas those not likely dying within few days (non-EOL group) would continue management in respective specialty wards. Baseline characteristics of these 2 groups were compared. The time-to-death and use of opioids and anticholinergics were compared. Results: In total, 783 of 830 patients assessed were recognized as being in dying phase, with 688 admitted under ED-based EOL care. Their demographics and characteristics were described. Mean time from assessment to death (time-to-death) was significantly less in EOL group (38.93 hours) than in non-EOL group (250.36 hours; P = .004). Mean time-to-death was not significantly different between those under EP-based EOL service or not. The ED-based EOL care had significantly more patients receiving symptomatic treatment. Interpretation: The characteristics of patients under an ED-based EOL service are described. Emergency physicians are capable of recognizing dying patients. Emergency department-based EOL service does not alter the dying process and offers adequate palliation of symptoms. Emergency physician should assume a more active role in providing adequate EOL care to suitable patients.


2016 ◽  
Vol 17 (3) ◽  
pp. 570-589 ◽  
Author(s):  
Andrea Furlan ◽  
Roberto Grandinetti

Purpose – The purpose of this paper is to integrate knowledge inheritance theory with the social capital perspective to explain the initial endowments of spinoffs. Design/methodology/approach – The authors maintain that social capital plays a crucial part, both as a mechanism supporting the generation of intellectual capital prior to a spinoff’s foundation, and as an endowment that complements this capital once the spinoff is founded. Knowledge inheritance remains a fundamental mechanism for the formation of a spinoff’s intellectual capital. Its other endowment, social capital, derives from three types of relationship that future entrepreneurs develop within, through and outside their parent firm, all three of which are crucial to the formation of a spinoff’s intellectual capital. Findings – The first result of the theoretical research is an integrative framework of a spinoff’s endowments. Moreover, the authors apply this framework to address two key research questions in the spinoff literature, i.e. whether spinoffs can differ from their parents in terms of intellectual capital; and why spinoffs tend to co-locate near their parents, in geographical clusters. The integrative approach helps to tackle these questions. Originality/value – This conceptual paper offers a more comprehensive explanation of the emergence of spinoffs in terms of their initial endowments than the knowledge inheritance theory.


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