scholarly journals NICE and Society: Health Technology Appraisal and the Cultivation of Social Relations

2019 ◽  
Vol 25 (2) ◽  
pp. 165-183
Author(s):  
Matthias Benzer
Keyword(s):  
Social Relations ◽  
Health Technology ◽  
General Terms ◽  
Sociological Inquiry ◽  
The Social ◽  
Patient Groups ◽  
The Uk ◽  
Health Technology Appraisal ◽  
Insight Into

This article presents a sociological inquiry into the politics of the UK National Institute for Health and Care Excellence’s (NICE) approach to health technology appraisals. It is based on analyses of documents published by NICE and of a 2005–2008 interdisciplinary debate about the ethics of its activities. Simultaneously, the article brings further perspectives to this debate by clarifying that NICE, through the comparisons central to its approach, arranges a competition in producing health between different treatments applied to their respective particular patient groups. In fostering competition for differentiation, NICE’s approach resembles objectives for shaping social relationships often attributed to neoliberal politics. Yet closer scrutiny reveals that NICE’s creation of positions for, and relations between, patients is simultaneously more problematic. A comparison between NICE’s work and long-standing sociological conceptions of the social relationship offers insight into the quality of the social relations NICE’s approach supports in more general terms.

scholarly journals Three Strategies for Describing Social Interactions of Adolescents in a Multicultural Environment—Indicators for the Quality of Life Research

2021 ◽  
Vol 18 (15) ◽  
pp. 8166
Author(s):  
Alicja Szerląg ◽  
Arkadiusz Urbanek ◽  
Kamila Gandecka
Keyword(s):  
Quality Of Life ◽  
Social Interactions ◽  
Social Relationships ◽  
Social Relations ◽  
Living Environment ◽  
Life Assessment ◽  
Multicultural Environment ◽  
Multicultural Community ◽  
The Social

Background: The analysis has involved social interactions in a multicultural environment. The social context has been defined by the Vilnius region (Lithuania), where national, religious, and cultural differences exist across generations (multicultural community). The space of “social relationships”, as one of the modules of the WHO quality of life assessment, has been studied. An innovation of the research has been related to the analysis of the phenomenon of community of nationalities and cultures as a predictor of quality of life (QoL). The social motive of the research has been the historical continuity (for centuries) of the construction of the Vilnius cultural borderland. Here, the local community evolves from a group of many cultures to an intercultural community. Interpreting the data, therefore, requires a long perspective (a few generations) to understand the quality of relationships. We see social interactions and strategies for building them as a potential for social QoL in multicultural environments. Methods: The research has been conducted on a sample of 374 respondents, including Poles (172), Lithuanians (133), and Russians (69). A diagnostic poll has been used. The respondents were adolescents (15–16 years). The research answers the question: What variables form the interaction strategies of adolescents in a multicultural environment? The findings relate to interpreting the social interactions of adolescents within the boundaries of their living environment. The description of the social relations of adolescents provides an opportunity to implement the findings for further research on QoL. Results: An innovative outcome of the research is the analysis of 3 interaction strategies (attachment to national identification, intercultural dialogue, and multicultural community building) as a background for interpreting QoL in a multicultural environment. Their understanding is a useful knowledge for QoL researchers. The data analysis has taken into account cultural and generational (historical) sensitivities. Therefore, the team studying the data has consisted of researchers and residents of the Vilnius region. We used the interaction strategies of adolescents to describe the category of “social relationships” in nationally and culturally diverse settings.

scholarly journals Migration infrastructures and the production of migrants’ irregularity in Japan and the United Kingdom

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nando Sigona ◽  
Jotaro Kato ◽  
Irina Kuznetsova
Keyword(s):  
Legal Status ◽  
Qualitative Interviews ◽  
Legal Violence ◽  
The United Kingdom ◽  
The Social ◽  
Access And Quality ◽  
The Uk ◽  
The Impact

AbstractThe article examines the migration infrastructures and pathways through which migrants move into, through and out of irregular status in Japan and the UK and how these infrastructures uniquely shape their migrant experiences of irregularity at key stages of their migration projects.Our analysis brings together two bodies of migration scholarship, namely critical work on the social and legal production of illegality and the impact of legal violence on the lives of immigrants with precarious legal status, and on the role of migration infrastructures in shaping mobility pathways.Drawing upon in-depth qualitative interviews with irregular and precarious migrants in Japan and the UK collected over a ten-year period, this article develops a three-pronged analysis of the infrastructures of irregularity, focusing on infrastructures of entry, settlement and exit, casting a comparative light on the mechanisms that produce precarious and expendable migrant lives in relation to access to labour and labour conditions, access and quality of housing and law enforcement, and how migrants adapt, cope, resist or eventually are overpowered by them.

scholarly journals Social support network, mental health and quality of life: a cross-sectional study in primary care

2016 ◽  
Vol 32 (12) ◽  
Author(s):  
Flávia Batista Portugal ◽  
Mônica Rodrigues Campos ◽  
Celina Ragoni Correia ◽  
Daniel Almeida Gonçalves ◽  
Dinarte Ballester ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Social Relations ◽  
Cross Sectional Study ◽  
Support Network ◽  
Sectional Study ◽  
Social Support Network ◽  
Cross Sectional ◽  
The Social

The objective of this study was to identify the association between emotional distress and social support networks with quality of life in primary care patients. This was a cross-sectional study involving 1,466 patients in the cities of São Paulo and Rio de Janeiro, Brazil, in 2009/2010. The General Health Questionnaire, the Hospital Anxiety and Depression Scale and the brief version of the World Health Organization Quality of Life Instrument were used. The Social Support Network Index classified patients with the highest and lowest index as socially integrated or isolated. A bivariate analysis and four multiple linear regressions were conducted for each quality of life outcome. The means scores for the physical, psychological, social relations, and environment domains were, respectively, 64.7; 64.2; 68.5 and 49.1. In the multivariate analysis, the psychological domain was negatively associated with isolation, whereas the social relations and environment domains were positively associated with integration. Integration and isolation proved to be important factors for those in emotional distress as they minimize or maximize negative effects on quality of life.

scholarly journals Fragile Visions of the Social: Rethinking Solidarity with the Performance Piece Faust and the TV-series Skam

2021 ◽  
Author(s):  
Claudia Schumann
Keyword(s):  
Social Relations ◽  
Late Capitalism ◽  
Award Winning ◽  
The Social ◽  
Venice Biennale ◽  
Insight Into ◽  
The Way

AbstractThe paper explores the portrayal of social relations among youth in the popular Norwegian TV-series Skam and places this analysis in relation to Anne Imhof’s award-winning performance piece Faust, which received the Golden Lion at the 2017 Venice Biennale for the German Pavilion. As expressions of how today’s youth experience social relations under the conditions of late capitalism, I examine the way in which the TV-series and the performance work respectively explore when and how ‘we’ is shaped. I argue that they provide particular insight into the limits and possibilities for the formation of relations of solidarity today.

scholarly journals Age categories differences in subjective quality of life of women with physical disabilities

2021 ◽  
Vol 60 (2) ◽  
pp. 124-130
Author(s):  
Dagmar Nemček ◽  
Patrícia Shtin Baňárová ◽  
Petra Kurková
Keyword(s):  
Quality Of Life ◽  
Physical Health ◽  
Social Relations ◽  
Psychological Health ◽  
Physical Disabilities ◽  
Subjective Quality ◽  
Subjective Quality Of Life ◽  
The Social ◽  
Women With Physical Disabilities

Abstract Objective The objective of the study was to analyse and compare the subjective quality of life (S-QoL) of women with physical disabilities (PDs) through satisfaction with the quality of life domains and the overall quality of life assessment. Methods The sample comprised of women with PDs (n=137), divided into 4 age categories: 19-29 yrs. (n=53); 30-44 yrs. (n=25); 45-59 yrs. (n=24) and over 60 yrs. (n=35). The Subjective Quality of Life Analyses questionnaire and the WHO User Manual were used as a primary research method. The Wilcoxon Signed Rank Test was used to assess the differences between QoLDs, Kruskal Wallis test to assess differences in S-QoL among four independent groups and Mann Whitney U-test between two age categories. Results The highest satisfaction in all age categories of women was found in the social relations domain, and in the 19-29 yr-old women equally in the social relations and physical health domains. The highest dissatisfaction was reported with the psychological health and environment domains. The key finding is that the main differences are between the youngest category (aged 19-29 yrs) and the three older categories with regard to physical health, environment and overall QoL. Conclusions It is necessary to continue this line of research with a greater focus on exploring the ways in which the psychological health domain can be improved as an integral part of S-QoL, and to also focus on the QoL indicators that make up the environment domain and search for ways to enhance these.

Reflections on the social epidemiologic dimension of health technology assessment

2004 ◽  
Vol 20 (2) ◽  
pp. 167-173 ◽  
Author(s):  
Arminée Kazanjian
Keyword(s):  
Health Technology Assessment ◽  
Cultural Values ◽  
Social Relations ◽  
Technology Assessment ◽  
Technological Development ◽  
Social Institutions ◽  
Health Technology ◽  
Sex And Gender ◽  
Published Evidence ◽  
The Social

Certain key parameters such as safety, efficacy, effectiveness, and cost effectiveness have long been established as key in HTA analysis. Equally important, however, are sociolegal and epidemiologic perspectives. A comprehensive analytic framework will consider the implications of using a technology in the context of societal norms, cultural values, and social institutions and relations. The methodology in which this expanded framework has been developed is termed ‘Strategic HTA’ to denote its power for the decision-making process. In addition to systematic reviews of published evidence, it incorporates analyses of the influence of dominant social relations on technological development and diffusion. This essay discusses the social epidemiologic aspects of health technology assessment, which includes factors such as sex and gender. It seeks to show how it is possible to bring data from wide-ranging disciplinary perspectives within the parameters of a single scientific inquiry; to draw from them scientifically defensible conclusions; and thereby to realize a deeper understanding of technology impact within a health care system. Armed with such an understanding, policy officials will be better prepared to resolve the competitive clamor of stakeholder voices, and to make the most “equitable” use of the available resources.

Sustainable Communities: Affordable Housing and Socio-economic Relations

2008 ◽  
Vol 23 (4) ◽  
pp. 267-276 ◽  
Author(s):  
Vida Maliene ◽  
Joseph Howe ◽  
Naglis Malys
Keyword(s):  
Affordable Housing ◽  
Sustainable Communities ◽  
Key Factors ◽  
Economic Relations ◽  
Sustainable Housing ◽  
The Social ◽  
The Uk ◽  
The Impact ◽  
Existing Housing

Recent UK government objectives are focused on creating sustainable communities to improve quality of life. Housing is a key issue to consider in delivering healthy and attractive communities. In certain areas of housing, lack of supply and consequent problems of affordability have created persistent social and economic pressure. For sustainable communities, housing should be easily available, high-quality, economic, ecological, aesthetically designed and comfortable, thus better suiting the needs of a person. Moreover, the housing must be affordable according to the local and national situation. This article addresses the issue of sustainable communities from the perspectives of housing markets and socio-economics. The study focuses on key factors that are believed to contribute to the currently existing housing situation, assessing the impact of regulated socio-economics upon the sustainable housing and communities. The study also reviews past and current government initiatives and policies relevant to housing and regeneration in the UK. The article finishes with the interview-based study carried out in the Northwest with a reflection on the notion of the sustainable communities plan and its eight key components, the housing market and its dependence on the economic, the social and political environment and it offers recommendations for the further sustainable communities' development within the UK.

Shining a light on care homes during the COVID 19 pandemic in the UK 2020

2020 ◽  
Vol 21 (4) ◽  
pp. 217-228
Author(s):  
Annie Stevenson
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Age Discrimination ◽  
Care Homes ◽  
Content Type ◽  
Human Rights Act ◽  
Human Rights Act 1998 ◽  
The Uk ◽  
Insight Into

Purpose The purpose of this paper is to explore the link between age discrimination and the injustices that have taken place in our care homes during the COVID-19 pandemic in this country. It seeks to show how destructive age discrimination is to those who live in our care homes and attempts to shake up our attitudes to older people, as the pandemic continues. It is hoped that shifts in attitude would lead to a societal revolution in care and support for older people as the pandemic shows us how the current system is breaking down. Design/methodology/approach This is a personal insight into the plight of the care home sector during the COVID-19 pandemic in the UK. The writer has worked in the field of social care and older people’s services for many years and felt compelled to share her learning and observations. This led to venturing more deeply into understanding why those who live, work and visit care homes have been so neglected and “cast into the shadows” in the face of such desperate danger. Whilst tracking the media narrative during the first wave, she attempts to apply her knowledge, in particular gained from working for Help the Aged (now Age UK) as a policy manager for Quality Care, but also draws on experiences as a social worker, commissioner and care provider from the 1980’s to the present. By “shining a light” on care homes, revealing that the darker practices that have taken place contravene the Human Rights Act 1998, it is hoped that the recognition of age discrimination will happen at every level and become better known in its application. The paper observes how deeply rooted it is in us all. Findings Having highlighted some shocking examples of bad practice from the authorities relating to care homes, the article concludes that Government policy on care homes from March to July 2020 was discriminatory and questions how far lessons have been learned. The legislation is in place in the form of the Human Rights Act 1998 to protect older people in care homes but is not being widely implemented at regional policy level. Government rhetoric remains far from reality Instead of redressing the gap and admitting mistakes, there is evidence at a high level of continued denial and the projection of blame on to the care homes themselves. Originality/value The author’s professional background includes meeting the founder of the Gray Panthers, Maggie Kuhn, in the United States in the 1988. This was a defining moment that gave her an original insight into age discrimination and influenced her entire career. It eventually led to her working in national policy for one of the most influential charities for older people at the turn of the millennium, Help the Aged. Here, she co-founded the My Home Life Programme (promoting quality of life in care homes). The paper offers a unique insight into why it is so challenging to achieve quality of life for older people needing care and should be of interest to policymakers, clinical commissioning groups, local authorities, older people’s care providers and carer and user organisations.

Enterprising Professionals

2004 ◽  
Vol 5 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Laurie Cohen ◽  
Gill Musson ◽  
Joanne Duberley
Keyword(s):  
Public Sector ◽  
Social Relations ◽  
Customer Orientation ◽  
Policy Changes ◽  
Medical Practitioners ◽  
The Social ◽  
Financial Consequences ◽  
Working Practices ◽  
The Uk ◽  
General Medical Practitioners

The last 20 years have heralded a fundamental change in approach towards the UK public sector. Successive governments have enacted policy changes aimed at bringing public services closer to the market. This paper examines how this re-framing has been experienced by public sector scientists and general medical practitioners. Whereas for scientists the concept of the customer was seen to describe adequately the social relations and financial consequences embedded in their work, GPs were largely more resistant to the label. The evidence presented reveals the diversity of ‘customers’ faced by these scientists and GPs, and their wide-ranging and sometimes contradictory needs and expectations. This increased customer orientation is seen to have implications for GPs' and scientists' working practices and their sense of professional expertise.

scholarly journals Review of the Evidence Landscape on the Risk Communication and Community Engagement Interventions Among the Rohingya Refugees to Enhance Healthcare Seeking Behaviours in Cox's Bazar

2021 ◽  
Author(s):  
Emilie Yonally ◽  
Nadia Butler ◽  
Santiago Ripoll ◽  
Olivia Tulloch
Keyword(s):  
Community Engagement ◽  
Risk Communication ◽  
Healthcare Services ◽  
Healthcare Seeking ◽  
Humanitarian Action ◽  
The Social ◽  
Evidence Quality ◽  
Engagement Interventions ◽  
The Uk

This report is the first output in a body of work undertaken to identify operationally feasible suggestions to improve risk communication and community engagement efforts (RCCE) with displaced Rohingya people in Cox’s Bazar. Specifically, these should seek to improve healthcare seeking behaviour and acceptance of essential health services in the camps where the Rohingya reside. It was developed by the Social Science in Humanitarian Action Platform (SSHAP) at the request of the UK Foreign, Commonwealth & Development Office in Bangladesh. As a first step in this process, this review paper synthesises and assesses the quality of evidence landscape available in Cox’s Bazar and how the Rohingya seek and access healthcare services in Cox’s Bazar and presents the findings from key informant interviews on the topic. Findings are structured in five discussion sections: (1) evidence quality; (2) major themes and variations in the evidence; (3) learnings drawn and recommendations commonly made; (4) persistent bottlenecks; and (5) areas for further research. This synthesis will inform a roundtable discussion with key actors working for the Rohingya refugees to identify next steps for RCCE and research efforts in Cox’s Bazar to improve health outcomes among the Rohingya.

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