Stiffen the sinews, summon up the blood, and strain upon the start: enfranchising the medical profession for clinically proximate advocacy of improved healthcare

2021 ◽  
pp. 103985622110250
Author(s):  
Jeffrey C L Looi ◽  
Stephen Allison ◽  
Stephen R Kisely ◽  
Tarun Bastiampillai

Objective: To discuss and reflect upon the role of medical practitioners, including psychiatrists, as health advocates on behalf of patients, carers and staff. Conclusions: Health advocacy is a key professional competency of medical practitioners, and is part of the RANZCP framework for training and continuing professional development. Since advocacy is often a team activity, there is much that is gained experientially from volunteering and working with other more experienced health advocates within structurally and financially independent (of health systems and governments) representative groups (RANZCP, AMA, unions). Doctors may begin with clinically proximate advocacy for improved healthcare in health systems, across the public and private sectors. Health advocacy requires skill and courage, but can ultimately influence systemic outcomes, sway policy decisions, and improve resource allocation.

Author(s):  
Leigh W. Cellucci ◽  
Carla Wiggins ◽  
Kenneth Trimmer

Many policymakers, industry experts, and medical practitioners contend that the U.S. healthcare system—in both the public and private sectors—is in crisis. Among the numerous policy issues associated with the provision of US healthcare is the call for increased adoption and use of healthcare information technology (HIT) to address structural inefficiencies and care quality issues (GAO, 2005 p. 33). This chapter reports the first steps in a multi-phased research effort into Electronic Medical Records system adoption. The first two phases of our research apply the Unified Theory of Acceptance and Use of Technology as a lens through which to interpret the responses of physicians completing their residency in Family Medicine; the third phase examines the role of organizational culture as a critical variable for effective strategy implementation in the same setting.


1992 ◽  
Vol 31 (4I) ◽  
pp. 431-447
Author(s):  
Peter A. Cornelisse ◽  
Elma Van De Mortel

The severe shocks that rocked the world economy in the 1970s and the ensuing efforts to adjust and to renew economic growth have had a profound effect on the economic literature. Especially the external and public debt problems which reached critical dimensions in many countries attracted much attention. Thus, in the field of macroeconomics financial issues have gained more prominence over the last two decades. Studies relating to the fiscal deficit have been particularly numerous. The critical size of national public debts, the contribution of the public debt to external debt, the reduced confidence in the state as the guide in socioeconomic development and the role of fiscal policy in adjustment processes are among the main reasons for this increased interest.


2005 ◽  
Vol 20 (2) ◽  
pp. 183-204 ◽  
Author(s):  
Gary Warnaby ◽  
David Bennison ◽  
Barry J. Davies

The role of town centre management (TCM) schemes in the UK has expanded to incorporate a more overt and explicit focus on marketing and promotion. This paper considers the marketing/promotional activities of TCM schemes in the UK. TCM schemes operate at the interface of the public and private sectors. The implications of this are discussed, including the need for a consensual approach by a wide range of urban stakeholders, and the actual activities undertaken, influenced by the funding imperative under which such schemes operate (which impacts on the feasibility of certain activities and the efforts made to evaluate them). Comparisons are drawn between specific place marketing practice by TCM schemes and wider place marketing strategies.


Work ◽  
2021 ◽  
pp. 1-13
Author(s):  
Annick Parent-Lamarche ◽  
Maude Boulet

BACKGROUND: The COVID-19 pandemic has had a profound effect on all aspects of society, including mental health. Many employees have had to pivot suddenly to teleworking to prevent the virus from spreading. While teleworking may have some negative consequences, it may also represent a human resources practice that may improve employee well-being. OBJECTIVE: The study main objective was to determine if teleworking played a moderating role in the relation between potential stressors and employee well-being during the first months of the COVID-19 pandemic when working from home. This was based on the theory of conservation of resources. METHODS: Multivariate regression analyses were conducted with Stata 13 software to determine the contribution of potential stressors on employee well-being, as well as the moderating role of teleworking on a sample of 480 Canadian employees. Data were collected once for white and blue collar from both public (67.08%) and private (32.92%) business sectors. RESULTS: Results indicated that work-life imbalances, workload, and marital tension were associated with lower levels of well-being. On the other hand, teleworking and household income were associated with higher levels of well-being. Teleworking also moderated the differences in well-being between the public and private sectors. Teleworking in the public sector seems to increase employee well-being. Conversely, working on-site in the public sector seems to decrease well-being. CONCLUSIONS: Employers need to proactively address work-life imbalances, workloads, and teleworking to maintain employee well-being. Specific recommendations are offered to ensure that teleworking remains positive for employee well-being both during a pandemic and afterward.


2015 ◽  
Vol 4 (3) ◽  
pp. 50
Author(s):  
Elizabete David Novaes

<p><strong>Resumo:</strong> O presente artigo busca evidenciar o papel social das mulheres nos movimentos sociais promovidos no decorrer da história. Para cumprir com tal propósito, discute o caráter patriarcal da ciência cartesiana; apresenta uma reflexão acerca da articulação entre o público e privado; elabora uma revisão teórica acerca da historiografia da mulher, ressaltando a ação da mulher em diferentes momentos da história, buscando evidenciá-la como sujeito ativo, capaz de integrar o público e o privado, participando da conquista de direitos. Para enfatizar as articulações existentes entre as dimensões pública e privada, este artigo defende que historicamente a mulher politiza vias não políticas do cotidiano, atuando em movimentos sociais promotores de reivindicações e manifestações sociais, de modo a superar limites ideologicamente traçados pelo viés patriarcal da ciência moderna, de base cartesiana, atuando na luta por direitos e participação política na história.</p><p><strong>Palavras-chave:</strong> gênero; historiografia; público e privado; movimentos sociais; direitos.</p><p><strong>Abstract:</strong> This paper describes evidences of the social role of the women inside different social movements occurred during our history. It began with a discussion the patriarchal character of Cartesian science, presents reflections about the public and private articulation, a theoretical review of the women´s historiography, emphasizing their action at different times in history and trying to emphazise them as active subject which is capable to integrate the public and private, participating of the conquer their rights. To emphasize all the previous articulations between the public and private dimensions, this manuscript argues that historically women politicize daily non-political pathways. Their actuations in social movements promote the demands and social manifestations in order to ideologically overcome the limitations set by the the patriarchal bias of modern science, acting in the the fight (ou struggle) for rights and political participation in history.</p><p><strong>Keywords:</strong> gender, historiography, public and private; social movement; rights.</p>


2020 ◽  
pp. appi.ps.2020000
Author(s):  
Alberto Minoletti ◽  
Gonzalo Soto-Brandt ◽  
Olga Toro ◽  
Matías Irarrázaval ◽  
Rozendo Zanga ◽  
...  

Author(s):  
Alannah Tomkins

Medical practitioners who were accused of committing violent crime against the bodies of people other than patients presented both the profession and the public with a problem. Both professional bodies and the lay public desired doctors to be social heroes, inhabiting the role of expert witness and protecting the body rather than appearing as a defendant. This study of practitioners accused of either rape or murder finds the limits of medical competition, as men accused of rape were likely to be acquitted to courtroom applause. Medical murderers, on the other hand, offered the profession viable scapegoats to reinforce the impression that the medical fraternity was willing to admit to limited instances of wrong-doing.


Author(s):  
Víctor Hernández-Santaolalla

Social media brings to the forefront two very important factors to today's politics: the prominent role of the internet and the importance of personalisation which is closely tied to a tendency of political candidates to overexpose their private lives. This does not mean that the candidate becomes more relevant than the political party or the ideological platforms thereof, but the interest tends to fall on the candidate's lifestyle; on their personal characteristics and their most intimate surroundings, which blurs the line between the public and private spheres. Online profiles are used as a showcase for the public agenda of the politician at the same time as they gather, on a daily basis, the thoughts, tastes and leisure time activities of the candidates. This chapter offers a reflection of the ways in which political leaders develop their digital narratives, and how they use the social media environment to approach citizens.


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