scholarly journals The Challenges and Strategies of Affordable Care Act Navigators and In-Person Assisters with Enrolling Uninsured, Violently Injured Young Black Men into Healthcare Insurance Coverage

2021 ◽  
Vol 15 (2) ◽  
pp. 155798832110055
Author(s):  
Joseph B. Richardson ◽  
William Wical ◽  
Nipun Kottage ◽  
Mihir Chaudhary ◽  
Nicholas Galloway ◽  
...  

Low-income young Black men experience a disproportionate burden of violent injury in the United States. These men face significant disparities in healthcare insurance coverage and access to care. The Affordable Care Act (ACA) created a new healthcare workforce, Navigators and In-Person Assisters (IPAs), to support low-income minority populations with insurance enrollment. Using a longitudinal qualitative case study approach with Navigators and IPAs at the two busiest urban trauma centers in Maryland, this study identifies the culturally and structurally responsive enrollment strategies used by three Navigators/IPAs as they enrolled violently injured young Black men in healthcare insurance coverage. These approaches included gaining their trust and building rapport and engaging female caregivers during enrollment. Navigators and IPAs faced significant barriers, including identity verification, health literacy, privacy and confidentiality, and technological issues. These findings offer novel insight into the vital work performed by Navigators and IPAs, as they attempt to decrease health disparities for young Black male survivors of violence. Despite high rates of victimization due to violent firearm injury, little is known about how this population gains access to healthcare insurance. Although the generalizability of this research may be limited due to the small sample size of participants, the qualitative case study approach offers critical exploratory data suggesting the importance of trauma-informed care in insurance enrollment by Navigators and IPAs. They also emphasize the need to further address structural issues, which affect insurance enrollment and thus undermine the well-being of young Black men who have survived violent injury.

2019 ◽  
Vol 12 (2) ◽  
pp. 265-280 ◽  
Author(s):  
S. Sunarti ◽  
Joesron Alie Syahbana ◽  
Asnawi Manaf

PurposeWithin low-income communities in urban slums, access to housing is limited because individuals in these communities cannot afford to purchase homes. One area of Indonesia with these conditions is Kampung Kajen, Danukusuman, Surakarta, where, oftentimes, a single house is inhabited by several families and is passed down from generation to generation. This causes a change in space, a narrowing of that which is inhabited by the next generation. This paper aims to examine the transformation of space within low-income homes in Kampong Kajen.Design/methodology/approachThe research method was a qualitative case study approach, and data were collected through direct interviews and field observation. Informants in this study were classified into three groups: residents, non-residents and government agencies.FindingsThe space transformation that occurred in the studied samples was partial. The transformation continued to occur as the new families grew, and the area of space used by the new families experienced a narrowing for future generations.Originality/valueThe novelty of this research is in regard to the findings about the partial transformation of the house from generation to generation, which details changes in the layout and the extent of the house interior, the narrowing of the house, the change of owners and the changing behaviour of the house inhabitants. Partial transformation continues to occur in line with the addition of new families living in one house.


2021 ◽  
Vol 13 (15) ◽  
pp. 8642
Author(s):  
Lucas Kohnke ◽  
Andrew Jarvis

COVID-19 and the shift to online teaching necessitated a change in approach for English for Academic Purposes (EAP) teachers in preparing their students for university studies. This study explored how EAP instructors coped with and adapted their provision for emergency remote teaching. The study was conducted at an English-medium university in Hong Kong and a qualitative case study approach was adopted. The results revealed two overarching themes of opportunity and challenge. While the sudden shift to online teaching forced innovation and fostered collaborative learning and feedback, teachers experienced difficulties in communicating with students and monitoring their learning. The study voices teacher perspectives in delivering EAP courses online and highlights important implications for the successful delivery of future online EAP provisions.


Pythagoras ◽  
2021 ◽  
Vol 42 (1) ◽  
Author(s):  
Methuseli Moyo ◽  
France M. Machaba

Our research with Grade 9 learners at a school in Soweto was conducted to explore learners’ understanding of fundamental fraction concepts used in applications required at that level of schooling. The study was based on the theory of constructivism in a bid to understand whether learners’ transition from whole numbers to rational numbers enabled them to deal with the more complex concept of fractions. A qualitative case study approach was followed. A test was administered to 40 learners. Based on their written responses, eight learners were purposefully selected for an interview. The findings revealed that learners’ definitions of fraction were neither complete nor precise. Particularly pertinent were challenges related to the concept of equivalent fractions that include fraction elements, namely the numerator and denominator in the phase of rational number. These gaps in understanding may have originated in the early stages of schooling when learners first conceptualised fractions during the late concrete learning phase. For this reason, we suggest a developmental intervention using physical manipulatives to promote understanding of fractions before inductively guiding learners to construct algorithms and transition to the more abstract applications of fractions required in Grade 9.


Author(s):  
Tamara Phelan

Purpose: The purpose of this study was to analyze how selected senior instructors in physical therapist educational programs define and seek to impart information on professional behavior. Methods: A qualitative case study approach was used to gather data from eight instructors teaching in four physical therapist educational programs in a selected region. Each interview was analyzed as an individual case study, followed by a cross case analysis to identify common themes. Results: Interpretational analysis using a process of constant comparison revealed nine common themes: 1) Instructors found it difficult to broadly define professional behavior. 2) Instructors expect students to be on time. 3) Instructors expect students to speak and act with courtesy and respect. 4) Instructors expect students to communicate appropriately. 5) Instructors expect students to dress appropriately. 6) Instructors expect students to participate in class. 7) Instructors consciously model professional behavior as a way to communicate their expectations. 8) Instructors give instructions and provide students with feedback about professional behavior. 9) Instructors do not attach a specific grade to professional behavior. Conclusions: Although instructors indicated a lack of confidence in consistency regarding professional behavior expectations, the themes that emerged in this study fit within existing descriptions of professional behavior for clinical physical therapists. Instructor perceptions of strategies for conveying information about professional behavior to students were consistent with existing literature on modeling and explicit teaching. .


2020 ◽  
Vol 8 (1) ◽  
pp. 7
Author(s):  
Auliyaaurohmah Auliyaaurohmah ◽  
Khoirul Umam

The effort to preserve the beauty of the environment is an obligation for every social creature that lives on this earth. These efforts are carried out and planned so that every human being has a caring attitude and responsibility with the surrounding environment. In educational institutions the role of a teacher cannot be separated in the educational process. To realize students as quality resources cannot be separated from the environment. This article intends to explain about environmental education in Madrasah Aliyah Negeri 7 Jombang. With a qualitative case study approach, this research was carried out through observation, interviews and documentation. The results of the discussion from the research show that, in the implementation of their roles and participation in forming and increasing environmental awareness by teachers, students are well implemented. Most of them have a caring attitude to their environment, which is proven by their daily habits, which is to dispose of waste according to the space provided. It's just that for minorities who are still indifferent to the environment, support and encouragement from teachers need to be increased so that all madrasa residents, especially students, have positive behavior, be aware and care about the surrounding environmen


2016 ◽  
Vol 52 (1) ◽  
pp. 68-81 ◽  
Author(s):  
Saloshna Vandeyar ◽  
Thirusellvan Vandeyar

Utilising a qualitative case study approach, this research study set out to understand discrimination experienced by immigrant students in their interactions with South African students and the prejudice immigrant students expressed against Black South African students. Findings reveal that the discrimination experienced by immigrant students could be clustered into four broad themes, namely categorisations and prototypes; practised stereotypes; academic and social exclusion; and work ethic. Furthermore, statements immigrant students make about South African students seem to fall into two broad categories, namely lack of value for moral integrity and lack of value for education. Educating students to value human dignity and to view each other as cosmopolitan citizens of the world could be a way to ensure social cohesion and harmony of future generations to come.


Author(s):  
Walimbwa Michael ◽  
Shopi M. Julius ◽  
Nampijja Diana

Pedagogical integration of technologies is a fairly new concept in education. Educational institutions need to have prerequisite planning for leadership in pedagogical integration of emerging technologies. This chapter investigates institutional leadership that enables educators to build capacity to effectively integrate technology into pedagogy. Using a qualitative case study approach, leaders were interviewed and official documents analyzed. The data analyzed indicate that institutional leadership facilitates increased acquisition of and access to technology devices and facilities. It is found that institutional leadership is pivotal in supporting, training, and innovatively exploring various ways of integrating technologies into the curriculum. It is thus concluded that in this era institutions need leaders who proactively engage in planning for integration of technologies for transformed pedagogic practices.


2016 ◽  
Vol 6 (1) ◽  
pp. 63 ◽  
Author(s):  
Fatih Saltan

The aim of this study was to investigate the learning experience of students studying pedagogic formation in blended design with regard to attendance, self confidence, and attitudes toward both Pedagogic Formation Program (PFP) and the teaching profession. In order to achieve this aim, a qualitative case study approach was carried out. The participants of this study consisted of 154 graduated Faculty of Arts and Sciences students who were enrolled in the first blended PFP in Turkey. A qualitative case study was conducted. Data were obtained through an open-ended questionnaire (n=154) and focus group interviews (n=8). The qualitative data were analyzed by using content analysis techniques. Overall, the results indicated that blended PFP was highly promising regarding professional development, self-confidence, accessibility and eliminating some disadvantages of distance education. Specifically, inherent problems of online education continued to take place in blended design but a balanced blended approach could minimize these weaknesses. Participants indicated that face-to-face sections were more applied, authentic and effective than the online part. On the other hand, most of the participants preferred to attend the online lessons regularly.  It was mainly because of availability concerns, travelling, and comfort of their home.


2019 ◽  
Vol 4 (2) ◽  
pp. 209-221
Author(s):  
Kislay Kumar Singh

The disappearance of young men in on-going armed conflict over the last 3 decades in Kashmir has given birth to a new identity to the women. This identity is called half-widows. The term, half-widows, signifies those women whose husbands have disappeared in armed conflict but are not declared dead yet. Men are directly involved in the armed conflicts and are the direct victims of it, but women are the ones who have been going through all the consequences of armed conflict. This article contextualizes the phenomenon of enforced disappearance in Kashmir and its grave consequences on women. Based on the qualitative case-study approach, 15 half-widows were interviewed in 2017 to examine their social, economic and psychological problems. Information from secondary sources was also incorporated.


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