scholarly journals Healthcare bricolage in Europe’s superdiverse neighbourhoods: a mixed methods study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jenny Phillimore ◽  
Tilman Brand ◽  
Hannah Bradby ◽  
Beatriz Padilla
Keyword(s):  
Mixed Methods ◽  
Healthcare Access ◽  
Functional Limitation ◽  
Household Survey ◽  
Health Concern ◽  
Public Healthcare ◽  
Multiple Resources ◽  
Low Levels ◽  
Trust In Physicians ◽  
The Relationship

Abstract Background Studies of the relationship between diverse populations, healthcare access and health outcomes have been dominated by approaches focusing on ethno-national groups or specific healthcare sectors. Healthcare bricolage conceptualises the processes by which individuals use multiple resources to address health concerns. It is relevant in superdiverse neighbourhoods with complex populations. This paper is original in its application of mixed methods to examine the extent to which, and the reasons why, individuals engage in healthcare bricolage. Methods The study utilized a parallel sequential methodology. Eight superdiverse neighbourhoods were selected, two in each of Bremen, Birmingham, Lisbon and Uppsala. Ethnographic research scoping the nature of each healthcare ecosystem was followed by 160 interviews (20 each neighbourhood) with a maximum variation sample of residents undertaken October 2015 to December 2016. Interviewees were asked to recall a health concern and describe actions taken to attempt resolution. Data was coded with a MAXQDA codebook checked for inter-coder reliability. Interview findings enabled identification of five types of bricolage, the nature of healthcare resources utilised and the factors which influenced residents’ tactics. Results were used to design a household survey using new questions and validated epidemiological instruments implemented January to October 2017. Respondents were identified using random address files and interviewed in person or by telephone. Multinomal logistic regressions were used to estimate the effect of changing the values of determinants on the probability of observing an outcome. Results Age, gender, level of education, migration background and extent of functional limitation were associated with bricolage tactics. Individuals demonstrating high levels of agency were more likely than those with low levels to engage in bricolage. Residents with high levels of trust in physicians were less likely to bricolage than those with lower levels of trust. Levels of health literacy showed no significant effects. Conclusions The nature and severity of health concern, trust in physicians and agency shaped residents’ bricolage tactics. The concept of bricolage enabled us to make visible the actions and resources utilised around public healthcare systems that would otherwise remain outwith healthcare access research. Actions were frequently undertaken via networks offering insights into healthcare-seeking behaviour.

scholarly journals Assessing the relationship between measures of healthcare access and functional limitations among individuals with Chronic Obstructive Pulmonary Disease (COPD)

2022 ◽  
Author(s):  
Oluwaseun John Adeyemi ◽  
Ahmed A Arif ◽  
Rajib Paul
Keyword(s):  
Survey Methods ◽  
Functional Limitations ◽  
Healthcare Access ◽  
Functional Limitation ◽  
Outcome Variable ◽  
Chronic Obstructive ◽  
Respiratory Impairment ◽  
The Poor ◽  
Healthcare Coverage ◽  
The Relationship

Objectives: Functional limitation from COPD manifests more from physical rather than respiratory impairment. To what extent health access affects the functional limitation among individuals with COPD is yet to be known. This study aims to assess the relationship between healthcare access and functional limitations among individuals with COPD. Study Design: Retrospective analysis of a cross-sectional population-based survey Methods: This study pooled 11 years of (2008 to 2018) data from the Integrated Public Use Microdata Series, National Health Interview Survey (IPUMS NHIS). We restricted the data to respondents with self reported COPD, aged 40 years and older. The independent variables were sociodemographic and behavioral characteristics. The exploratory variables were measures of healthcare access ( healthcare coverage, delayed appointment, affordable care, and a usual place for care). The outcome variable was the presence or absence of functional limitations. Results: The age, race, educational attainment, marital status, smoking status, and poverty income ratio had a significant association with functional limitation (p<0.001) We found statistically significant associations between functional limitation and healthcare coverage, delayed appointment, affordable care, and a usual place for care. Poverty modified the relationship between functional limitations and the four measures of healthcare access, with the odds of functional limitation increased among the poor with no healthcare coverage, delayed appointment, unaffordable care, and no usual place for care. Conclusions: A strong relationship exists between the quartet of healthcare coverage, delayed appointment, affordable care, and usual place for care and self reported functional limitation among individuals with COPD. Poverty was an effect modifier, with the odds of functional limitation worse among the poor.

scholarly journals Cultural Sets Shape Adult Conceptualizations and Relationships to Nature

2021 ◽  
Vol 13 (20) ◽  
pp. 11266
Author(s):  
Linda Powers Tomasso ◽  
Jose Guillermo Cedeño Laurent ◽  
Jarvis T. Chen ◽  
Paul J. Catalano ◽  
John D. Spengler
Keyword(s):  
Mixed Methods ◽  
The United States ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Nature Imagery ◽  
Health Studies ◽  
Low Levels ◽  
Nature Connectedness ◽  
The Relationship ◽  
Nature Experience

The variability of nature and the nature construct have complicated interpretations of empirical evidence from nature-based health studies. The challenge of defining nature exposure for purposes of methodological standardization may encompass constructs beyond vegetated landcover. This study offers a new construct for defining ‘nature exposure’ that considers cultural sets and nature familiarity. Focus group discussions across the United States (N = 126) explored the concept of what constitutes the relationship to nature. The participant diversity included regions, cultural demographics, cumulative nature experience, and everyday nature exposure. Mixed methods of semi-structured discussion and a photo exercise that prompted nature connectedness allowed for data triangulation and the detection of contradictions between approaches. Individuals conceptualized nature in ways reflecting highly personal and differentiated experiences, which defied consensus toward a single nature construct. The group scoring of photo imagery showed consistent high and low levels of nature connectedness with respect to wildness and outdoor urban venues, respectively, but diverged in the assessment of nature within the built environment. Everyday nature exposure significantly differentiated how groups conceptualized and related to nature imagery. This result may indicate an unmet biophilic need among groups with low backgrounds of nature exposure. The contrasts between the discussion content and the observed reactions to nature imagery showed the value of using mixed methods in qualitative research.

What Does Human Development Index Rating Mean in Terms of Individualism/Collectivism?

2003 ◽  
Vol 8 (2) ◽  
pp. 97-100 ◽  
Author(s):  
Maria José Sotelo ◽  
Luis Gimeno
Keyword(s):  
Human Development ◽  
Human Development Index ◽  
Principal Component ◽  
General Idea ◽  
Development Index ◽  
Low Levels ◽  
The Relationship

The authors explore an alternative way of analyzing the relationship between human development and individualism. The method is based on the first principal component of Hofstede's individualism index in the Human Development Index rating domain. Results suggest that the general idea that greater wealth brings more individualism is only true for countries with high levels of development, while for middle or low levels of development the inverse is true.

Ups and downs on the roller coaster of task conflict: the role of group cognitive complexity, collective emotional intelligence and team creativity

2020 ◽  
Vol 18 (1) ◽  
pp. 23-37
Author(s):  
Andreea Gheorghe ◽  
Oana Fodor ◽  
Anișoara Pavelea
Keyword(s):  
Emotional Intelligence ◽  
Cognitive Complexity ◽  
Empirical Support ◽  
Task Conflict ◽  
Team Creativity ◽  
Mediating Role ◽  
Low Levels ◽  
Explanatory Mechanism ◽  
The Relationship

This study explores the association between task conflict and team creativity and the role of group cognitive complexity (GCC) as a potential explanatory mechanism in a sample of 159 students organized in 49 groups. Moreover, we analyzed the moderating effect of collective emotional intelligence (CEI)in the relationship between task conflict and GCC.As hypothesized, we found that task conflict has a nonlinear relationship with GCC, but contrary to our expectations, it follows a U-shaped association, not an inversed U-shape. In addition,the moderating role of CEI was significant only at low levels. Contrary to our expectation, the mediating role of GCC did not receive empirical support. Theoretical and practical contributions are discussed.

Illicit Economies and Political Violence in Central Asia

2020 ◽  
Author(s):  
Lawrence P. Markowitz ◽  
Mariya Y. Omelicheva
Keyword(s):  
Central Asia ◽  
Political Violence ◽  
Drug Trade ◽  
Weak States ◽  
Collaborative Relationships ◽  
Organized Violence ◽  
Muslim Majority ◽  
Low Levels ◽  
The Relationship ◽  
Terrorist Violence

This chapter examines low levels of terrorist violence in Muslim-majority societies. Studies of terrorism have tended to view the relationship between religion and violence through the narrow lens of security, thereby overpredicting the extent of terrorist violence across societies. After reviewing the various explanations for terrorist violence, and applying them to Central Asia, this chapter explores the conditions under which a state’s involvement in illicit economies—specifically its collusion in the drug trade—can dampen levels of terrorist violence. Combining quantitative analysis (including GIS-enabled tools) with a series of in-depth expert interviews conducted in Central Asia, it emphasizes the complex political economy of security that defines infrastructurally weak states, where political and security apparatuses are often immersed in informal and illicit economies. This approach helps uncover the complex links between religion and organized violence, where state apparatuses are often drawn into collaborative relationships with nonstate actors.

scholarly journals The Nexus between Rural Household Livelihoods and Agricultural Functions: Evidence from China

Agriculture ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 241
Author(s):  
Bencheng Liu ◽  
Yangang Fang
Keyword(s):  
Social Security ◽  
Household Survey ◽  
Livelihood Strategies ◽  
Agricultural Product ◽  
Full Time ◽  
Cultural Function ◽  
Livelihood Assets ◽  
Part Time ◽  
The Relationship ◽  
Farming Households

Understanding the relationship between households’ livelihoods and agricultural functions is important for regulating and balancing households’ and macrosocieties’ agricultural functional needs and formulating better agricultural policies and rural revitalization strategies. This paper uses peasant household survey data obtained from the China Family Panel Studies (CFPS) and statistical analysis methods, to analyze the differences in livelihood assets and agricultural functions of households with different livelihood strategies and the relationship between livelihood assets and agricultural functions. Households are categorized based on their livelihood strategies as full-time farming households, part-time farming I households, part-time farming II households, and non-farming households. The agricultural product supply and negative effects of the ecological service function of full-time farming households are higher than those of part-time farming and non-farming households. Part-time farming I households have the strongest social security function, while non-farming households have the weakest social security function. Non-farming households have the strongest leisure and cultural function, while part-time farming I households have the weakest leisure and cultural function. Households’ demand for agricultural functions is affected by livelihood assets. Effective measures should be taken to address contradictions in the agricultural functional demands of households and macrosocieties.

scholarly journals A mixed methods study to evaluate the impact of a student-run clinic on undergraduate medical education

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathan G. Rockey ◽  
Taylor M. Weiskittel ◽  
Katharine E. Linder ◽  
Jennifer L. Ridgeway ◽  
Mark L. Wieland
Keyword(s):  
Mixed Methods ◽  
Patient Care ◽  
Social Factors ◽  
Healthcare Access ◽  
Community Services ◽  
Student Understanding ◽  
Learning Objectives ◽  
Barriers To Healthcare ◽  
The Impact ◽  
Barriers To Healthcare Access

Abstract Background The purpose of this study was to evaluate the extent to which a longitudinal student-run clinic (SRC) is meeting its stated learning objectives, including providing critical community services and developing physicians who more fully appreciate the social factors affecting their patients’ health. Methods This was a mixed methods program evaluation of an SRC at Mayo Clinic Alix School of Medicine (MCASOM). A survey was conducted of medical students who had participated in the clinic and seven interviews and three focus groups were conducted with SRC patients, students, faculty, staff, and board members. Transcripts were coded for systematic themes and sub-themes. Major themes were reported. Survey and interview data were integrated by comparing findings and discussing areas of convergence or divergence in order to more fully understand program success and potential areas for improvement. Results Greater than 85% of student survey respondents (N = 90) agreed or strongly agreed that the SRC met each of its objectives: to provide a vital community service, to explore social determinants of health (SDH), to understand barriers to healthcare access and to practice patience-centered examination. Qualitative data revealed that the SRC contextualized authentic patient care experiences early in students’ medical school careers, but the depth of learning was variable between students. Furthermore, exposure to SDH through the program did not necessarily translate to student understanding of the impact of these social factors on patient’s health nor did it clearly influence students’ future practice goals. Conclusions The MCASOM SRC experience met core learning objectives, but opportunities to improve long-term impact on students were identified. Participation in the SRC enabled students to engage in patient care early in training that is representative of future practices. SRCs are an avenue by which students can gain exposure to real-world applications of SDH and barriers to healthcare access, but additional focus on faculty development and intentional reflection may be needed to translate this exposure to actionable student understanding of social factors that impact patient care.

Sign in / Sign up

Export Citation Format

Share Document