Hype, evidence gaps and digital divides: Telehealth blind spots in rural Australia

2021 ◽  
pp. 136345932110607
Author(s):  
Deborah Warr ◽  
Georgina Luscombe ◽  
Danielle Couch
Keyword(s):  
Rural Areas ◽  
Ad Hoc ◽  
Evidence Base ◽  
Blind Spot ◽  
Limited Attention ◽  
Community Needs ◽  
Digital Divides ◽  
The Social ◽  
Rural Australia ◽  
Blind Spots

Despite high unmet demand for health services across rural Australia, uptake of telehealth has been slow, piecemeal and ad hoc. We argue that widespread failure to understand telehealth as a socio-technical practice is key to understanding this slow progress. To develop this argument, we explore how technocentric approaches to telehealth have contributed to critical blind spots. First, the ‘hype’ associated with the technological possibilities of telehealth discourages thoughtful consideration of the unanticipated consequences when technologies are rolled out into complex social fields. Second, it contributes to critical gaps in the telehealth evidence base, and particularly a paucity of analyses focussing on the experiences of service users and patients. A third blind spot concerns the limited attention paid to the social determinants of health and digital divides in rural areas. The final blind spot we consider is an apparent reluctance to engage community stakeholders in co-designing and coproducing telehealth services. We used an iterative approach to identify studies and commentary from a range of academic fields to explain the significance of the telehealth blind spots and how they might be addressed. Insights suggest how expanding understanding of the social dimensions of telehealth could enhance its accessibility, effectiveness and responsiveness to community needs and contexts.

The Federal Republic at Twenty: Of Blind Spots and Peripheral Visions

2010 ◽  
Vol 28 (2) ◽  
pp. 17-33
Author(s):  
Jeffrey J. Anderson
Keyword(s):  
Federal Republic ◽  
Public Discourse ◽  
Social Economic ◽  
Blind Spot ◽  
The Other ◽  
Recent Past ◽  
The Social ◽  
Political Dimensions ◽  
Blank Spot ◽  
Blind Spots

Twenty years after all the excitement, Germans seem to be genuinely of two conflicting minds about unification. One is characterized by awe over the accomplishments of 1989-1990, the other by disappointment and even bitterness over unfulfilled ambitions and promises. These contrasting interpretations and assessments of unification are fluid, but surface repeatedly in the quality print media. This chapter examines the recurring themes, interpretations, and narratives about unification twenty years on, and seeks to trace the interconnections between the social, economic, and political dimensions of unification. As such, these contemporary printed narratives can tell us a great deal about how a people views its recent past, what its priorities are, and how it is facing the future. The analysis reveals that public discourse on unification twenty years after the fact resembles a blind spot—look straight at it, and it disappears, replaced by blank spot—a seemingly irreducible gap between East and West. Avert one's gaze, and the spot fills in, almost seamlessly.

Success of Self Help Group – Bank Linkage Program in India under Financial Inclusion

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Ritu Singh
Keyword(s):  
Rural Areas ◽  
Commercial Banks ◽  
Financial Inclusion ◽  
Functional Reach ◽  
Self Help ◽  
Geographical Spread ◽  
The Social ◽  
Linkage Program ◽  
Self Help Group

The ‘social banking’ policies being followed by the country resulted in widening the geographical spread and functional reach of commercial banks in rural areas in the period that followed the nationalization of banks. This paper is concluded with a view that SHG – Bank Linkage program is a success in our country India and helping many people to make their life better.

Empathy not quarantined: Association between people’s empathy to others and the COVID-19 pandemic situations based on a national survey study (Preprint)

2020 ◽  
Author(s):  
Zhibin Jiang ◽  
Fan Yang ◽  
Bu Zhong ◽  
Xuebing Qin
Keyword(s):  
Social Support ◽  
Social Media ◽  
National Survey ◽  
Low Income ◽  
Rural Areas ◽  
Critical Role ◽  
Affective Response ◽  
Survey Study ◽  
Income Levels ◽  
The Social

BACKGROUND The Covid-19 pandemic had turned the world upside down, but not much is known about how people’s empathy might be affected by the pandemic. OBJECTIVE This study examined 1) how empathy towards others might be influenced by the social support people obtained by using social media; and 2) how the individual demographics (e.g., age, income) may affect empathy. METHODS A national survey (N = 943) was conducted in China in February 2020, in which the participants read three real scenarios about low-income urban workers (Scenario I), small business owners in cities (Scenario II), and farmers in rural areas (Scenario III) who underwent hardship due to COVID-19. After exposure to others’ difficulties in the scenarios, the participants’ empathy and anxiety levels were measured. We also measured the social support they had by using social media. RESULTS Results show that social support not only positively impacted empathy, β = .30, P < .001 for Scenario I, β = .30, P < .001 for Scenario II, and β = .29, P < .001 for Scenario III, but also interacted with anxiety in influencing the degree to which participants could maintain empathy towards others, β = .08, P = .010 for Scenario I, and β = .07, P = .033 for scenario II. Age negatively predicted empathy for Scenario I, β = -.08, P = .018 and Scenario III, β = -.08, P = .009, but not for Scenario II, β = -.03, P = .40. Income levels – low, medium, high – positively predicted empathy for Scenario III, F (2, 940) = 8.10, P < .001, but not for Scenario I, F (2, 940) = 2.14, P = .12, or Scenario II, F (2, 940) = 2.93, P = .06. Participants living in big cities expressed greater empathy towards others for Scenario III, F (2, 940) = 4.03, P =.018, but not for Scenario I, F (2, 940) = .81, P = .45, or Scenario II, F (2, 940) = 1.46, P =.23. CONCLUSIONS This study contributes to the literature by discovering the critical role empathy plays in people’s affective response to others during the pandemic. Anxiety did not decrease empathy. However, those gaining more social support on social media showed more empathy for others. Those who resided in cities with higher income levels were more empathetic during the COVID-19 outbreak. This study reveals that the social support people obtained helped maintain empathy to others, making them resilient in challenging times.

History Teaching in Rural Areas: The University of Venda

1996 ◽  
Vol 24 (1) ◽  
pp. 17-23
Author(s):  
Alan Kirkaldy
Keyword(s):  
Rural Areas ◽  
Whole Body ◽  
Social Forces ◽  
Historical Writing ◽  
Social Formation ◽  
History Teaching ◽  
The Past ◽  
The Social ◽  
The University

I would argue that history students should understand that the whole body of historical writing consists of interpretations of the past. They should be able to analyse a wide variety of texts and form their own opinions on a historical topic, and should be able to construct a coherent argument, using evidence to support their opinion. In doing so, they should be actively aware that their argument is no more “true” than that offered by any other historian. It is as much a product of their personal biography and the social formation in which they live as of the evidence used in its construction. Even this evidence is the product of other personal biographies and other social forces.

scholarly journals The Social Aspects of Sexual Health: A Twitter-Based Analysis of Valentine’s Day Perception

Sexes ◽  
2021 ◽  
Vol 2 (1) ◽  
pp. 50-59
Author(s):  
Andrea Sansone ◽  
Angelo Cignarelli ◽  
Daniele Mollaioli ◽  
Giacomo Ciocca ◽  
Erika Limoncin ◽  
...  
Keyword(s):  
Social Networks ◽  
Sexual Behavior ◽  
Sexual Health ◽  
Ad Hoc ◽  
Healthcare Research ◽  
Social Aspects ◽  
The Social ◽  
The Us ◽  
Valentine's Day ◽  
The Uk

Sentiment analysis (SA) is a technique aimed at extracting opinions and sentiments through the analysis of text, often used in healthcare research to understand patients’ needs and interests. Data from social networks, such as Twitter, can provide useful insights on sexual behavior. We aimed to assess the perception of Valentine’s Day by performing SA on tweets we collected between 28 January and 13 February 2019. Analysis was done using ad hoc software. A total of 883,615 unique tweets containing the word “valentine” in their text were collected. Geo-localization was available for 48,918 tweets; most the tweets came from the US (36,889, 75.41%), the UK (2605, 5.33%) and Canada (1661, 3.4%). The number of tweets increased approaching February 14. “Love” was the most recurring word, appearing in 111,981 tweets, followed by “gift” (55,136), “special” (34,518) and “happy” (33,913). Overall, 7318 tweets mentioned “sex”: among these tweets, the most recurring words were “sexy” (2317 tweets), “love” (1394) and “gift” (679); words pertaining to intimacy and sexual activity, such as “lingerie”, “porn”, and “date” were less common. In conclusion, tweets about Valentine’s Day mostly focus on the emotions, or on the material aspect of the celebration, and the sexual aspect of Valentine’s Day is rarely mentioned.

scholarly journals Nurses and the acceptance of innovations in technology-intensive contexts: the need for tailored management strategies

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chiara Barchielli ◽  
Cristina Marullo ◽  
Manila Bonciani ◽  
Milena Vainieri
Keyword(s):  
Social Influence ◽  
Ad Hoc ◽  
New Technologies ◽  
Management Strategies ◽  
Technological Innovations ◽  
Utaut Model ◽  
Use Of Technology ◽  
The Social ◽  
Depth Analysis ◽  
Facilitating Conditions

Abstract Background Several technological innovations have been introduced in healthcare over the years, and their implementation proved crucial in addressing challenges of modern health. Healthcare workers have frequently been called upon to become familiar with technological innovations that pervade every aspect of their profession, changing their working schedule, habits, and daily actions. Purpose An in-depth analysis of the paths towards the acceptance and use of technology may facilitate the crafting and adoption of specific personnel policies taking into consideration definite levers, which appear to be different in relation to the age of nurses. Approach The strength of this study is the application of UTAUT model to analyse the acceptance of innovations by nurses in technology-intensive healthcare contexts. Multidimensional Item Response Theory is applied to identify the main dimensions characterizing the UTAUT model. Paths are tested through two stage regression models and validated using a SEM covariance analysis. Results The age is a moderator for the social influence: social influence, or peer opinion, matters more for young nurse. Conclusion The use of MIRT to identify the most important items for each construct of UTAUT model and an in-depth path analysis helps to identify which factors should be considered a leverage to foster nurses’ acceptance and intention to use new technologies (o technology-intensive devices). Practical implications Young nurses may benefit from the structuring of shifts with the most passionate colleagues (thus exploiting the social influence), the participation in ad hoc training courses (thus exploiting the facilitating conditions), while other nurses could benefit from policies that rely on the stressing of the perception of their expectations or the downsizing of their expectancy of the effort in using new technologies.

scholarly journals What Are the Impacts of Social Innovation? A Synthetic Review and Case Study of Community Forestry in the Scottish Highlands

2021 ◽  
Vol 13 (8) ◽  
pp. 4359
Author(s):  
Carla Barlagne ◽  
Mariana Melnykovych ◽  
David Miller ◽  
Richard J. Hewitt ◽  
Laura Secco ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Community Forestry ◽  
Social Innovation ◽  
Local Development ◽  
Evidence Base ◽  
Social Dimension ◽  
Vulnerable Groups ◽  
Study Approach

In a context of political and economic austerity, social innovation has been presented as a solution to many social challenges, old and new. It aims to support the introduction of new ideas in response to the current urgent needs and challenges of vulnerable groups and seems to offer promising solutions to the challenges faced by rural areas. Yet the evidence base of the impacts on the sustainable development of rural communities remains scarce. In this paper, we explore social innovation in the context of community forestry and provide a brief synthetic review of key themes linking the two concepts. We examine a case of social innovation in the context of community forestry and analyse its type, extent, and scale of impact in a marginalized rural area of Scotland. Using an in-depth case study approach, we apply a mixed research methodology using quantitative indicators of impact as well as qualitative data. Our results show that social innovation reinforces the social dimension of community forestry. Impacts are highlighted across domains (environmental, social, economic, and institutional/governance) but are mainly limited to local territory. We discuss the significance of those results in the context of community forestry as well as for local development. We formulate policy recommendations to foster and sustain social innovation in rural areas.

Civic Participation and Social Embeddedness: Differences Between Urban and Rural Communities

2021 ◽  
Vol 3 (1) ◽  
pp. 45-67
Author(s):  
Tuuli-Marja Kleiner
Keyword(s):  
Social Network ◽  
Rural Communities ◽  
Survey Data ◽  
Rural Areas ◽  
Urban Areas ◽  
Civic Participation ◽  
Regional Level ◽  
Social Embeddedness ◽  
The Social ◽  
Multi Level

Does civic participation lead to a large social network? This study claims that high levels of civic participation may obstruct individual social embeddedness. Using survey data from the German Survey on Volunteering (Deutscher Freiwilligensurvey; 1999–2009), this study conducts macro- as well as multi-level regressions to examine the link between civic participation and social embeddedness. Findings reveal that civic participation on the sub-national regional level is not generally associated with social embeddedness, but it affects the participants’ and non-participants’ possibilities for friendships differently. This holds especially true in urban areas, but the effect cannot be found in rural areas. The analysis has implications for further research to enhance the social embeddedness of the excluded.

“Thinking the Unthinkable”: The Prospect of Compulsory Sterilization in India

1977 ◽  
Vol 7 (2) ◽  
pp. 237-248 ◽  
Author(s):  
Meredith Minkler
Keyword(s):  
Rural Areas ◽  
Birth Rate ◽  
Population Policy ◽  
Policy Statement ◽  
Ethical Implications ◽  
The Social ◽  
Compulsory Sterilization ◽  
The Government ◽  
Demographic Impact ◽  
Medical Infrastructure

The National Population Policy Statement adopted by the Government of India in April 1976 gave states the mandate to adopt coercive and compulsory sterilization measures toward the end of bringing under control the nation's massive population growth. Many states have since adopted stringent measures which penalize couples having three or more children, and four states additionally have proposed legislation for compulsory sterilization. While the demographic impact of compulsory sterilization after the third child is undisputed, the administrative feasibility of such an undertaking has been widely questioned, particularly in light of the inadequacy of India's medical infrastructure in the rural areas. Critics further have raised questions concerning the social and ethical implications of compulsory sterilization and of measures which penalize the poor through means which may have adverse effects on their health and welfare. Finally, opponents of the new sterilization measures have suggested that they divert attention from the need for more basic changes in the nation's economic and social structure. While the need for bringing down India's continued high birth rate is widely recognized, alternative population measures—e.g. increased abortion facilities and an enforcement of the raised age at marriage-have been advocated in lieu of the compulsory sterilization measures currently being proposed.

scholarly journals Hedgerows and Enclosures in Rural Areas: Traditional vs. Modern Land Use in Mediterranean Mountains

Land ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 57
Author(s):  
Fernando Allende Álvarez ◽  
Gillian Gómez-Mediavilla ◽  
Nieves López-Estébanez ◽  
Pedro Molina Holgado ◽  
Judith Ares Barajas
Keyword(s):  
Land Use ◽  
Rural Areas ◽  
Land Use Changes ◽  
Economic Benefits ◽  
Main Role ◽  
Land Uses ◽  
Social Ecological ◽  
The Social ◽  
Mediterranean Mountains ◽  
Agroforestry Practices

The present paper highlights the importance of hedgerows and enclosures in the mountains of Central Spain. Now, these landscapes have suffered profound variations in terms of agroforestry practices, especially in the Mediterranean mountains where the characteristic multifunctional has largely been lost. The article analyzes land uses changes, dynamics, and their morphological features between the first half of the 20th Century (1956) and the second decade of the present time (2019). The paper was divided into three sections. First, the identification of land uses using orthophotograph and aerial photograph; after that the info was checked with fieldwork. Eleven categories were identified according to the dominant use and land use changes and size of land parcels were taken into consideration. Second, the configuration and the information collected through the type and intensity of change in land uses made it possible to recognise and quantify their distribution and trend between these two dates. Also, the kernel density algorithm available in the Arcgis 10.5 software was used to obtain density and changes in land parcels. Finally, an overview is given of the main role that this agroforestry plays due to the social, ecological, and economic benefits that they provide for allowing sustainable development.

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