Social Representations of Immigrant Patients: Physicians’ Discourse

2020 ◽  
pp. 104973232097981
Author(s):  
Chatzimpyros Vasileios ◽  
Baka Aphrodite ◽  
Dikaiou Maria
Keyword(s):  
Health System ◽  
Public Health System ◽  
Social Representations ◽  
Social Representation ◽  
Health Issues ◽  
Human Right ◽  
The Public ◽  
Mental Health Issues ◽  
The Social ◽  
Global Increase

With the global increase of migration and the effects of the economic crisis, health systems around the world are facing new challenges. In this context, we investigated the social representations of health provision to immigrant patients, held by physicians. We conducted 40 interviews with Greek physicians working in the public health system, the private health system, the health system in jails, and nongovernmental organizations. Using principles from thematic analysis, results show a social representation of immigrant patients as a burden to the health system. This social representation is constructed by themes focusing on immigrant patients as a group with mental health issues and on the construction of the health system as unable to provide health to noncitizens. Results are discussed in relation to current issues of social exclusion and the need to protect the human right of health.

scholarly journals Social Representations of e-Mental Health Among the Actors of the Health Care System: Free-Association Study (Preprint)

2020 ◽  
Author(s):  
Margot Morgiève ◽  
Pierre Mesdjian ◽  
Olivier Las Vergnas ◽  
Patrick Bury ◽  
Vincent Demassiet ◽  
...  
Keyword(s):  
Mental Health ◽  
Health System ◽  
New Technologies ◽  
Mental Health Problems ◽  
Social Representations ◽  
Free Association ◽  
Well Being ◽  
Social Representation ◽  
System P ◽  
The Social

BACKGROUND Electronic mental (e-mental) health offers an opportunity to overcome many challenges such as cost, accessibility, and the stigma associated with mental health, and most people with lived experiences of mental problems are in favor of using applications and websites to manage their mental health problems. However, the use of these new technologies remains weak in the area of mental health and psychiatry. OBJECTIVE This study aimed to characterize the social representations associated with e-mental health by all actors to implement new technologies in the best possible way in the health system. METHODS A free-association task method was used. The data were subjected to a lexicometric analysis to qualify and quantify words by analyzing their statistical distribution, using the ALCESTE method with the IRaMuTeQ software. RESULTS In order of frequency, the terms most frequently used to describe e-mental health in the whole corpus are: “care” (n=21), “internet” (n=21), “computing” (n=15), “health” (n=14), “information” (n=13), “patient” (n=12), and “tool” (n=12). The corpus of text is divided into 2 themes, with technological and computing terms on one side and medical and public health terms on the other. The largest family is focused on “care,” “advances,” “research,” “life,” “quality,” and “well-being,” which was significantly associated with users. The nursing group used very medical terms such as “treatment,” “diagnosis,” “psychiatry”,” and “patient” to define e-mental health. CONCLUSIONS This study shows that there is a gap between the representations of users on e-mental health as a tool for improving their quality of life and those of health professionals (except nurses) that are more focused on the technological potential of these digital care tools. Developers, designers, clinicians, and users must be aware of the social representation of e-mental health conditions uses and intention of use. This understanding of everyone’s stakes will make it possible to redirect the development of tools to adapt them as much as possible to the needs and expectations of the actors of the mental health system.

scholarly journals Path taken by morbidly obese people in search of bariatric surgery in the public health system

2020 ◽  
Vol 28 ◽  
Author(s):  
Claudete Aparecida Conz ◽  
Maria Cristina Pinto de Jesus ◽  
Estela Kortchmar ◽  
Vanessa Augusta Souza Braga ◽  
Renata Evangelista Tavares Machado ◽  
...  
Keyword(s):  
Public Health ◽  
Bariatric Surgery ◽  
Health System ◽  
Professional Training ◽  
Social Inequalities ◽  
Public Health System ◽  
Morbidly Obese ◽  
Obese People ◽  
The Public ◽  
The Social

Objective: to understand the path taken in the public health system by people with morbid obesity in the search for bariatric surgery. Method: qualitative research based on the social phenomenology of Alfred Schütz, with 17 hospitalized morbidly obese people, with a scheduled date for bariatric surgery. The phenomenological interview with open questions was used and the statements were analyzed in the light of the theoretical-methodological framework and literature related to the theme. Results: the participants were able to schedule bariatric surgery by referring friends, family and public people. The waiting list for the procedure generated anguish and anxiety due to fear of surgery, weight gain, risk of worsening health and physical limitations, but it helped prepare for its performance. The experience lived in the search for bariatric surgery led these people to want continuity of care in the Basic Health Unit, after the surgery, by professionals trained to meet their needs. Conclusion: the aspects inscribed in the path of people in search of bariatric surgery signal the need to strengthen the assistance-related flows of the public health system and to invest in professional training to reduce the social inequalities in access to bariatric surgery and increased quality of services.

Obniżenie wieku rozpoczęcia obowiązku szkolnego – reprezentacje społeczne problemu w debacie publicznej

2016 ◽  
Vol 35 (4) ◽  
pp. 85-93
Author(s):  
Zuzanna Zbróg
Keyword(s):  
Social Representations ◽  
Social Representation ◽  
Media Discourse ◽  
School Age ◽  
Web Page ◽  
The Public ◽  
The Social ◽  
Social Representation Theory ◽  
On Line ◽  
The Media

The article shows, on the example of discussion about the lowering of the school age, how it can be analysed by means of communication mechanisms distinctive of the social representation theory (anchoring, objectification) and the procedure of media discourse research in what way the media and citizens create social representations concerning socio-political problems, including educational problems. Social representations as a key tool describing the reality give meanings within the frame of the perceived world and join the private and the public reality. The knowledge encompassed in the representations clarifies the reality. The author’s own analysis included press materials published in the on-line versions of Rzeczpospolita, Gazeta Wyborcza and the web page Interia in years 2013–2014.

scholarly journals Can Cost-effective Reallocation of Inputs Increase the Efficiency of the Public Health System in Pakistan?

1997 ◽  
Vol 36 (4II) ◽  
pp. 669-693
Author(s):  
M. Aynulhasan ◽  
Hafiz A. Pasha ◽  
Ajazm M. Rasheed
Keyword(s):  
Public Health ◽  
Health System ◽  
Urban Areas ◽  
Public Health System ◽  
Cost Effective ◽  
Critical Issue ◽  
Public Health Department ◽  
Social Sector ◽  
The Public ◽  
The Social

Heavy investment in many developing countries in the social sector including health is based on the premise that human capital is vital to the growth and development of a nation. However, Pakistan's spending on this sector has been one of the lowest in the region. In the present environment of high budget deficits, one does not expect substantial public funds to be forthcoming and diverted towards the social sector in the intermediate- or medium-term future. The critical issue facing the public sector should then be to design health policies which must be cost-effective and efficient. This study examines these health policy issues within the context of an optimisation framework for public health system, forecasts future upto (2002-03) and discusses an efficient optimal mix of health inputs, outputs, expenditures, and wage policies under alternative scenarios. The study recommends that, first, growth of health infrastructure building in the urban areas be slowed down in the short-term (two to three years), and some of the resources reallocated towards the rural sector either in terms of building new Basic Health Units or upgrading the existing Rural Health Centres. Second, not only attractive wage policies be formulated for health personnel, but the status of nurses in the public health system be also elevated by giving them higher grades. Third, for every rupee of development expenditure incurred, Public Health Department must plan or keep provisions for recurring outlays. All this reallocation of resources is feasible within the projected actual budget and it will lead to efficiency gains in the order of 8 to 10 percent for the entire public health system.

scholarly journals REPRESENTAÇÕES SOCIAIS DA ESCOLA: UM ESTUDO COM ADOLESCENTES EM ACOLHIMENTO INSTITUCIONAL NO MUNICÍPIO DE PONTA GROSSA/PR

polemica ◽  
2018 ◽  
Vol 18 (1) ◽  
pp. 16-36
Author(s):  
Diana Galone Somer ◽  
Constantino Ribeiro De Oliveira Junior ◽  
Solange Aparecida Barbosa de Moraes Barros
Keyword(s):  
Public Schools ◽  
Children And Adolescents ◽  
Social Representations ◽  
Social Representation ◽  
Social Risk ◽  
Exploratory Research ◽  
The Public ◽  
Radical Alterity ◽  
The Social ◽  
The Family

Resumo: Este texto refere-se a uma pesquisa realizada com o objetivo de entender as Representações Sociais que as adolescentes acolhidas, em abril de 2016, na Casa Santa Luiza de Marillac e na Associação de Promoção a Menina (APAM), em Ponta Grossa/PR, possuem em relação à escola. As representações sociais estão ligadas ao grupo, no qual os indivíduos compartilham de uma realidade comum a um conjunto social na vida cotidiana. Ainda, a vulnerabilidade e risco social e suas implicações, no plano subjetivo, são estudadas. Posto que, com a família em situação de risco social seus membros podem se encontrar em vulnerabilidade, especialmente a criança e adolescente, e essas situações podem levá-los ao acolhimento. A metodologia empregada para obtenção e análise dos dados foi: pesquisa exploratória; grupo focal; e análise de conteúdo de categorias temáticas. Com base nos resultados da pesquisa, conclui-se que as relações positivas na escola são com os amigos, trazendo um sentimento de pertencimento; enquanto que as relações e interações negativas são com algumas professoras (os) e pedagogas (os), que tem ações que implicam na ocorrência do: bullying, estigma e a alteridade radical. Esses elementos descobertos influenciam na construção da identidade das adolescentes acolhidas. Percebeu-se que as escolas públicas possuem dificuldades no atendimento das crianças e adolescentes que estão em acolhimento.Palavras-chaves: Alunas/adolescentes acolhidas. Representação social. Escola.Abstract: This text refers to a research carried out with the purpose of understanding the Social Representations that the adolescents refuged in April of 2016 in Casa Santa Luiza de Marillac and the Association of Girl Promotion (APAM), in Ponta Grossa / PR, have in relation to the school. Social representations are linked to the group, in which individuals share a reality common to a social set in everyday life. Furthermore, vulnerability and social risk and their implications, on a subjective level, are studied. With the family at social risk, their members may find themselves in vulnerability, especially children and adolescents, and these situations may lead them to refuge them. The methodology used to obtain and analyze the data was: exploratory research; focus group; and content analysis of thematic categories. Based on the results of the research, we conclude that positive relationships in school are with friends, bringing a sense of belonging; while the negative relations and interactions are with some teachers and pedagogues, who have actions that imply in the occurrence of: bullying, stigma and radical alterity. These uncovered elements influence the construction of the identity of the adolescents. It was noticed that the public schools have difficulties in the care of the children and adolescents that are in refuge.Keywords: Students/teenagers in care. Social representation. School.

scholarly journals In the final analysis, are we a consumer society or not? Implications for health

2015 ◽  
Vol 20 (1) ◽  
pp. 145-153
Author(s):  
Eduardo Caron ◽  
Fernando Lefèvre ◽  
Ana Maria Cavalcanti Lefèvre
Keyword(s):  
Health System ◽  
Private Hospital ◽  
Public Health System ◽  
Health Sector ◽  
Final Analysis ◽  
Research Data ◽  
Consumer Society ◽  
The Public ◽  
Unified Health System ◽  
The Social

In this paper, the question of Brazil's insertion today as a country with the characteristics of modern consumer societies is discussed, focusing on the commercialization of the health sector, the segmentation of the health system and the contradictions of the rights to health care in the social context in question. Some research data on these issues broadcast in the National News Bulletins of Globo TV during the year of 2012 are presented, in which the high technology private hospital as a consumer icon, the underfunding of the public health system and the rejection of a poor and deprived Unified Health System are analyzed.

Aufgabenwahrnehmung zwischen Partikularinteressen und Gemeinwohl: Steuerung des Gesundheitswesens durch die Selbstverwaltung

2019 ◽  
Vol 68 (6-7) ◽  
pp. 537-545
Author(s):  
Markus Hofmann ◽  
Robert Spiller
Keyword(s):  
Public Health ◽  
Health System ◽  
Social Insurance ◽  
Public Health System ◽  
Management Style ◽  
Social Self ◽  
Self Administration ◽  
The Public ◽  
The Social ◽  
Administrative Structures

Zusammenfassung Die Kompetenzen der Institution der Sozialen Selbstverwaltung in der Steuerung des öffentlichen deutschen Gesundheitssystems sind geprägt von der historisch und gesetzlich begründeten Legitimation der Sozialpartner, Verantwortung sowohl für eine am Versichertenbedarf auszurichtende Gesundheitsversorgung zu übernehmen als auch deren Wirksamkeit durch demokratische Partizipation und nachhaltige Finanzierung sicherzustellen. Verschiedene politische Initiativen haben in den vergangenen Jahren sukzessive dazu beigetragen, diese Bedeutung zugunsten einer strukturellen Professionalisierung zurückzudrängen, wodurch auch das Verständnis der ehrenamtlichen Ebene der sozialen Selbstverwaltung unter Druck gesetzt wurde. Dies geschah im Kontext einer am Primat des Wettbewerbs und der Wirtschaftlichkeitsorientierung ausgerichteten Gesundheitspolitik. Um die Solidargemeinschaft GKV gegen diese Tendenzen zu stärken, ist auch eine Stärkung des Solidaritätsprinzips und damit eine Stärkung des Systems der ehrenamtlichen sozialen Selbstverwaltung notwendig. Abstract The social self-administration asserts control over the German public health system according to both a broad historical and social legitimation and a legal consensus on the role and competences of the social partners. Policy readjustments led to a subsequent shift of power within these administrative structures towards a professional, economy-oriented management style in accordance with a new, broad health policy perception based on competition and market influence. Thus, it is necessary to strengthen both the principle of solidarity and the voluntary dimension of the social self-administration in order to realign the public health system with a focus on public interest, needs of the social insured and sustainability of the social insurance systems.

Common sense, science and social representations

1993 ◽  
Vol 2 (3) ◽  
pp. 189-204 ◽  
Author(s):  
Robert M. Farr
Keyword(s):  
Common Sense ◽  
Sociology Of Knowledge ◽  
Social Representations ◽  
Social Representation ◽  
Human Sciences ◽  
Health Issues ◽  
The Social ◽  
The Media ◽  
Understanding Of Science ◽  
French Tradition

The theory of social representations is perfectly suited to the empirical investigation of the public's understanding of science. A sharp distinction is drawn between a scientific theory and its social representation corresponding, respectively, to the contrasting worlds of science and of common sense. Representations of science are to be found in the media as well as in people's minds and need to be sampled and studied in both locations. Moscovici initiated this French tradition of research with his study, in the late 1950s, of psychoanalysis. It is a sociological form of social psychology with close affinities to the sociology of knowledge. The applicability to the natural sciences of a theory developed in relation to the social and human sciences is discussed. The views of Moscovici and of Wolpert are compared and contrasted, especially in regard to the relations between science and common sense. It is argued that the study of social representations is a form of social science that natural scientists need to take seriously if their advice to governments is to become more effective. This is discussed in relation to such health issues as the purity of water and the conduct of government-sponsored campaigns to contain the spread of HIV/AIDS as well as in regard to the wider issues of threats to the ecosystem.

Commitment to pro- versus counter-attitudinal behavior and the dynamics of social representations

2002 ◽  
Vol 61 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Eric Tafani ◽  
Lionel Souchet
Keyword(s):  
Higher Education ◽  
Social Representations ◽  
Cognitive Restructuring ◽  
Social Representation ◽  
Two Dimensional ◽  
Dimensional Model ◽  
Social Actions ◽  
The Social ◽  
Two Dimensional Model ◽  
Students Attitudes

This research uses the counter-attitudinal essay paradigm ( Janis & King, 1954 ) to test the effects of social actions on social representations. Thus, students wrote either a pro- or a counter-attitudinal essay on Higher Education. Three forms of counter-attitudinal essays were manipulated countering respectively a) students’ attitudes towards higher education; b) peripheral beliefs or c) central beliefs associated with this representation object. After writing the essay, students expressed their attitudes towards higher education and evaluated different beliefs associated with it. The structural status of these beliefs was also assessed by a “calling into question” test ( Flament, 1994a ). Results show that behavior challenging either an attitude or peripheral beliefs induces a rationalization process, giving rise to minor modifications of the representational field. These modifications are only on the social evaluative dimension of the social representation. On the other hand, when the behavior challenges central beliefs, the same rationalization process induces a cognitive restructuring of the representational field, i.e., a structural change in the representation. These results and their implications for the experimental study of representational dynamics are discussed with regard to the two-dimensional model of social representations ( Moliner, 1994 ) and rationalization theory ( Beauvois & Joule, 1996 ).

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