Negotiating Care

2021 ◽  
Vol 2021 (139) ◽  
pp. 166-177
Author(s):  
Maya C. Sandler
Keyword(s):  
Preventive Care ◽  
Health Reform ◽  
Healthy Aging ◽  
Local Network ◽  
Health Clinic ◽  
Public Agencies ◽  
Activist Group ◽  
East Bay ◽  
The Creation ◽  
Early Operations

Abstract This article explores the creation of the Over 60 Health Clinic in Berkeley, California, during the mid-1970s. Developed by a local network of the activist group Gray Panthers, the clinic offered screening and preventive care to elderly clients and was intended to serve as a catalyst for broader health reform. Drawing on the proposals, contracts, and reports that structured the clinic’s early operations, the article traces the clinic’s efforts to imagine new modes of care, even within the constraints of collaboration with bureaucratic public agencies. In so doing, the East Bay Gray Panthers articulated a distinct understanding of “healthy aging” as relational and contingent on the maintenance of existing intergenerational communities.

scholarly journals Preventive Care for Low-Income Women in Massachusetts Post–Health Reform

2014 ◽  
Vol 23 (6) ◽  
pp. 493-498 ◽  
Author(s):  
Cheryl R. Clark ◽  
Jane Soukup ◽  
Heather Riden ◽  
Dora Tovar ◽  
Piper Orton ◽  
...  
Keyword(s):  
Preventive Care ◽  
Low Income ◽  
Health Reform ◽  
Low Income Women

Ethos Construction, Identification, and Authenticity in the Discourses of AWSA

2020 ◽  
pp. 1629-1655
Author(s):  
Samaa Gamie
Keyword(s):  
Identity Construction ◽  
San Francisco ◽  
Critical Examination ◽  
Hegemonic Discourse ◽  
Virtual Spaces ◽  
Activist Group ◽  
The Creation ◽  
Critical Investigation

The chapter explores the complex emergent feminist ethos in two virtual spaces created by the San Francisco chapter of AWSA—the Arab Women's Solidarity Association International, an Arab women's activist group. First, the chapter discusses ethos and identity construction in cyberspace. Second, the chapter analyzes AWSA's cyber discourses to uncover the characteristics of its feminist ethos and the opportunities allowed or lost for authenticity and the role of anonymity in constructing its feminist ethos. Third, the chapter questions whether anonymity allows for the critical examination of the discourses and ideologies of the powerful in addition to the creation of a sustainable counter-hegemonic discourse or whether it heightens the threat of homogeneity and streamlining in cyberspace. The chapter, in its conclusion, calls for a critical investigation of the potential of the digital domain to challenge the concentration of power in virtual spaces and uncover frameworks through which revolutionary discourses can be sustained and disseminated.

Presidential Reorganization and the Politics of Public Agencies

2020 ◽  
pp. 009539972094596
Author(s):  
Andrew B. Whitford
Keyword(s):  
Health Education ◽  
National Health ◽  
Evolutionary Process ◽  
Public Welfare ◽  
Public Agencies ◽  
Critical Juncture ◽  
Department Of Health ◽  
The Creation ◽  
Welfare Agencies ◽  
Micro Foundations

Modern American public welfare agencies are the results of the continual reorganization of multiple agencies, departments, and programs. I develop four themes about the micro-foundations of reorganization in this article to illustrate how politics intersect with agency structure and the reshaping of the national bureaucracy. The empirical part of this article examines President Dwight D. Eisenhower’s assembling of a national health, education, and public welfare agency. The creation of the Department of Health, Education, and Welfare (HEW) in 1953 represents a critical juncture in that evolutionary process.

scholarly journals Giudizi universali. Reti devozionali e tensioni escatologiche attorno ai gesuati milanesi

2020 ◽  
pp. 189-225
Author(s):  
Edoardo Rossetti
Keyword(s):  
Sixteenth Century ◽  
Fifteenth Century ◽  
Urban Area ◽  
Local Network ◽  
Documentary Evidence ◽  
The Creation

This essay provides an outline of the familial, social, and cultural network of the Milanese Jesuati between the end of the fifteenth century and the first decades of the sixteenth century. Particular attention is given to their interactions with Cardinal Bernardino López de Carvajal, one of the protagonists of the schismatic Council of Pisa-Milan (1510-1512). Starting from the creation of their settlement of San Girolamo, new documentary evidence is employed to show how the surrounding urban area and the physical buildings that should have been erected there actually mirrored the local network of both the Jesuati and Carvajal. The patronage of the cardinal in San Girolamo and the creation of a Last Judgement fresco are then discussed and connected to the eschatological tensions stirring Milan at the time.

Ethos Construction, Identification, and Authenticity in the Discourses of AWSA

2017 ◽  
pp. 163-189 ◽  
Author(s):  
Samaa Gamie
Keyword(s):  
Identity Construction ◽  
San Francisco ◽  
Critical Examination ◽  
Hegemonic Discourse ◽  
Virtual Spaces ◽  
Activist Group ◽  
The Creation ◽  
Critical Investigation

The chapter explores the complex emergent feminist ethos in two virtual spaces created by the San Francisco chapter of AWSA—the Arab Women's Solidarity Association International, an Arab women's activist group. First, the chapter discusses ethos and identity construction in cyberspace. Second, the chapter analyzes AWSA's cyber discourses to uncover the characteristics of its feminist ethos and the opportunities allowed or lost for authenticity and the role of anonymity in constructing its feminist ethos. Third, the chapter questions whether anonymity allows for the critical examination of the discourses and ideologies of the powerful in addition to the creation of a sustainable counter-hegemonic discourse or whether it heightens the threat of homogeneity and streamlining in cyberspace. The chapter, in its conclusion, calls for a critical investigation of the potential of the digital domain to challenge the concentration of power in virtual spaces and uncover frameworks through which revolutionary discourses can be sustained and disseminated.

scholarly journals Changes in preventive care utilisation and its influencing factors among Chinese adults before and after the healthcare reform: cross-sectional evidence from the China Health and Nutrition Survey in 2004–2015

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038763
Author(s):  
Ting Ting Wu ◽  
Wei Wei Liu ◽  
Mao Zou ◽  
Xun Lei ◽  
Qiang Yang ◽  
...  
Keyword(s):  
Preventive Care ◽  
Health Reform ◽  
Healthcare Reform ◽  
Medical Insurance ◽  
Nutrition Survey ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Care Utilisation ◽  
History Of Disease ◽  
History Of

ObjectiveChina launched its health reform in 2009. This study aimed to assess changes in preventive care utilisation (PCU) and its relationship with the healthcare reform.DesignA cross-sectional study using demographic characteristics, socioeconomic status, environmental factors, and lifestyle and health status data of adults from five waves (2004–2015) of the China Health and Nutrition Survey (CHNS) was conducted. Multilevel mixed-effects logistic regression models were used.SettingData were derived from urban and rural communities of nine provinces in China.ParticipantsData were obtained from five waves of the CHNS, with 9960 participants in 2004, 9888 in 2006, 10 286 in 2009, 9709 in 2011, and 10 628 in 2015.OutcomeThe primary outcome was PCU.ResultsPCU in 2004–2015 among adults was 3.29%, 3.13%, 3.77%, 4.95% and 2.73%, respectively. Whether before or after the health reform, having a history of disease and female gender were positive influencing factors of PCU. Before 2009, PCU was significantly associated with gender, income, medical insurance status and region. Age, medical insurance status, history of drinking and education level significantly affected PCU in 2009–2011. Having medical insurance was no longer a positive influencing factor of PCU, while high income had a negative effect on PCU, in 2011–2015.ConclusionsPCU from 2004 to 2015 was low and the health reform in China may lack sustainable effect on PCU. Further studies on how to ensure sustainability of PCU are necessary, and further reforms on preventive care services should be aimed at different ages, rural areas and participants without history of disease.

scholarly journals Self-Reported Uptake of Clinical Preventive Services by Vision Impairment Status

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 215-215
Author(s):  
Lama Assi ◽  
Ahmed Shakarchi ◽  
Orla Sheehan ◽  
Nicholas Reed ◽  
Bonnielin Swenor
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Preventive Care ◽  
Healthy Aging ◽  
Pneumococcal Vaccination ◽  
Preventive Services ◽  
Vision Impairment ◽  
Clinical Preventive Services

Abstract Disease prevention is central to healthy aging. People with vision impairment are more likely than those without to report barriers to accessing health care and have unmet health care needs. We examined the association between functional vision impairment and preventive care uptake among adults aged 65 years and older in the 2016 and 2018 Behavioral Risk Factor Surveillance System (BRFSS) survey. The outcome of interest was being up-to-date with the recommended core clinical preventive services, as defined by Healthy People 2020: influenza and pneumococcal vaccination, and colorectal cancer screening for men, with the addition of breast cancer screening for women. Self-reported vision impairment was defined as blindness or serious difficulty seeing, even when wearing glasses. In models adjusted for sociodemographic characteristics (including age), access to care, and health/functional status, there was no difference in the odds of reporting being up-to-date with the recommended core preventive services among men with vision impairment compared to those without (odds ratio [OR]=0.90, 95% confidence interval [CI]=0.8-1.01); however, men with vision impairment were 0.82 times (95% CI=0.71-0.94) less likely than those without to report being up-to-date with colorectal cancer screening. Women with vision impairment were less likely than those without to report being up-to-date with the recommended core preventive services (OR=0.77, 95% CI=0.69-0.87); among the different services, the odds were lowest for reporting breast and colorectal cancer screening. These findings suggest that to achieve higher rates of preventive care uptake, especially cancer screening, older adults with vision impairment may be a special group to target.

Residents’ educational attainment and preventive care utilization in China

2018 ◽  
Vol 31 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Yen-Han Lee ◽  
Timothy Chiang ◽  
Ching-Ti Liu
Keyword(s):  
Logistic Regression ◽  
Preventive Care ◽  
Health Reform ◽  
Regression Models ◽  
Education Level ◽  
Care Utilization ◽  
Content Type ◽  
Logistic Regression Models ◽  
Multivariable Logistic Regression ◽  
Before And After

Purpose China launched a comprehensive health reform in 2009 to improve healthcare quality. Because preventive care utilization in China has not been frequently discussed, the purpose of this paper is to focus on the association between education level and preventive care before and after the initiation of the reform. Education has been referred to as the best health outcome indicator and China’s educational reform has been progressive, such as the health reform. Design/methodology/approach The authors analyzed data from four China Health and Nutrition Surveys (CHNS): 2004 (n=9,617); 2006 (n=9,527); 2009 (n=9,873); and 2011 (n=9,430). Variables were selected based on Andersen’s healthcare utilization model (predisposing, enabling and need factors). Multivariable logistic regression models, odds ratios (ORs) and 95 percent confidence intervals (95 percent CI) were conducted and reported. Findings In the adjusted multivariable logistic regression models, the authors found that general education was associated (p<0.05) with access to preventive care in 2004, 2009 and 2011, but not in 2006. Individuals with higher education had higher ORs for utilizing preventive care, compared with lower education (primary school education or none). Practical implications Policy implications include providing educational protocols regarding preventive care’s significance to residents educated at lower level schools, especially younger individuals. Originality/value To the authors’ knowledge, this is the first comparative assessment on education level and preventive care utilization before and after the implementation of the Chinese health reform.

Cross-border Hostilities and Regional Planning in the United States and Canada: What Role for Expertise, Insulated from the “Hurry and Strife of Politics”?1

2018 ◽  
Vol 18 (4) ◽  
pp. 239-257
Author(s):  
Jameson W. Doig ◽  
Mary Durfee
Keyword(s):  
United States ◽  
Regional Planning ◽  
Social Problems ◽  
The United States ◽  
Public Agencies ◽  
Woodrow Wilson ◽  
Governmental Agencies ◽  
Cross Border ◽  
The Creation

Woodrow Wilson argued in a celebrated essay that governmental agencies could be insulated from political pressures, so regional planners and other experts could identify social problems systematically and implement desirable solutions efficiently. That goal is unrealistic under most circumstances. But are there conditions under which Wilson’s aspiration might be achieved? We argue that public agencies with divided “sovereignty” may, under certain conditions, insulate experts who can meet these goals. We specify factors that led to the creation of two such agencies and the variables that have permitted them to achieve significant success, but that have led, at times, to disappointment.

scholarly journals The Impact of Women's Health Clinic Closures on Preventive Care

2016 ◽  
Vol 8 (3) ◽  
pp. 100-124 ◽  
Author(s):  
Yao Lu ◽  
David J. G. Slusky
Keyword(s):  
Women’S Health ◽  
Women's Health ◽  
Preventive Care ◽  
Pap Test ◽  
Health Clinic ◽  
Utilization Rate ◽  
Behavioral Risk ◽  
Behavioral Risk Factor Surveillance ◽  
Clinical Breast ◽  
The Impact

We examine the impact of women's health clinic closures on women's preventive care use in Texas and Wisconsin using a unique policy context, data on clinic street addresses, and confidential respondent ZIP codes from the Behavioral Risk Factor Surveillance System. From a within-ZIP-code analysis, we conclude that an increase of 100 miles to the nearest clinic results in a decrease in the annual utilization rate of a clinical breast exam by 11 percent, a mammogram by 18 percent, and a Pap test by 14 percent. These estimates are generally larger for women of lower educational attainment. (JEL H75, I11, I18, J13, J16)

Sign in / Sign up

Export Citation Format

Share Document