scholarly journals The Patterns of Explicit and Subtle Racism and Self-reported Color in Health Services

2020 ◽  
Vol 7 ◽  
Author(s):  
Cristina Gomes

In this research, racism is defined as a multidimensional configuration of beliefs, emotions and behavioral guidelines to discriminate against black individuals. A representative survey was applied to 634 workers of public and private health services in the municipality of Camaçari, State of Bahia, Brazil, to explore technical knowledge, perceptions, attitudes and behaviors regarding to inequalities and racism. Principal Component Analysis was used to reduce and classify 40 sentences into standardized profiles of sets of components represent the sharing of social attitudes, beliefs on racism among health personnel. Results show that racism is expressed mainly through subtle expressions. Most of the health personnel disagree to asking the patients’ color. Health personnel who self-declare as white would accept explicit expressions of racism: that black patients would be more violent by nature; those who self-declared as brown would accept that humiliating jokes against black patients are normal expressions of Brazilian culture. These perceptions are based more on social prejudices, oriented by ideology, with contradictions and ambiguities in racism perceptions and with the values in modern society, such as universalism and equality. Racism in health services works as a barrier to complete and improve data on color-race inequalities in health and to implement affirmative policies.

1989 ◽  
Vol 44 (8) ◽  
pp. 1133-1137 ◽  
Author(s):  
Leonard Bickman ◽  
Paul R. Dokecki

2021 ◽  
Vol 11 (9) ◽  
pp. 4105
Author(s):  
Luis Daniel Samper-Escalante ◽  
Octavio Loyola-González ◽  
Raúl Monroy ◽  
Miguel Angel Medina-Pérez

The reach and influence of social networks over modern society and its functioning have created new challenges and opportunities to prevent the misuse or tampering of such powerful tools of social interaction. Twitter, a social networking service that specializes in online news and information exchange involving billions of users world-wide, has been infested by bots for several years. In this paper, we analyze both public and private databases from the literature of bot detection on Twitter. We summarize their advantages, disadvantages, and differences, recommending which is more suitable to work with depending on the necessities of the researcher. From this analysis, we present five distinct behaviors in automated accounts exhibited across all the bot datasets analyzed from these databases. We measure their level of presence in each dataset using a radar chart for visual comparison. Finally, we identify four challenges that researchers of bot detection on Twitter have to face when using these databases from the literature.


2017 ◽  
Vol 59 (6) ◽  
pp. 550-564 ◽  
Author(s):  
Mario Duarte Canever ◽  
Maria Renata Martínez Barral ◽  
Felipe Garcia Ribeiro

Purpose The purpose of this paper is to explore the causal links between public and private university environments and the entrepreneurial intention (EI) of students. Design/methodology/approach The impact of different university environments on the students’ EI was checked using a model adapted from Krueger et al. (2000). The study comprised a sample of students enrolled in business administration from three public and three private universities at first semester (freshmen) and at the last two semesters (senior) in Brazil. The model was measured through various questions and later assessed by principal component analysis to build constructs. Via t-test and path analysis the EI and the antecedents were subjected to a comparative analysis to test the equality of the models across the four categories emerged. Findings The two main types of Brazilian university environments (public and private) do not present significant differences in the way they influence EI and its antecedents. Both the tests of means and the tests of measurement of the structural relations between constructs confirm this finding with only a few exceptions. The result of this study is opposed to other studies carried out in Brazil, by showing that the public university environment is not worse for the entrepreneurship than the private. The environmental effects are mostly equal and they as a whole are not conducive to the development of EI. Research limitations/implications The study comprises business students only, and enrolled on regular universities. It is worth highlighting that evidence was brought to the debate for a group of universities in Brazil. Replicating the study with students from other areas and other universities, as well as students in Master’s and Doctorate programs could enrich the analyses. Practical implications This study provides insight into entrepreneurship education, as to which the university environment is conducive to the entrepreneurship. It brings insights for the development of entrepreneurial universities. Originality/value This study contributes to understanding the differences between the public and private universities environment regarding students’ EI.


2015 ◽  
Vol 13 (3) ◽  
pp. 410-416
Author(s):  
Aline Pinheiro dos Santos Cortada ◽  
Telma Gomes da Silva ◽  
André Campos da Silva ◽  
Ricardo Prado Golmia ◽  
Renata Leborato Guerra ◽  
...  

Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean (standard deviation) according to the type of care delivered (by public or private organization).Results A total of 215 patients were evaluated, and 56.3% were submitted to knee surgery and 43.7%, to hip replacement. Approximately 88% and 98% of patients from public and private health services, respectively, received some form of venous thromboembolism prophylaxis, and enoxaparin was the drug most widely used in both systems. The total cost of prophylaxis was R$ 1,873.01 (R$ 26.38 per patient) in the public service and R$ 21,559.73 (R$ 163.33 per patient) in the private service. For the individuals who presented with thromboembolism, the average cost of hospitalization was R$ 6,210.80 and R$ 43,792.59 per patient in public and private health services, respectively.Conclusion Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio.


2014 ◽  
Vol 17 (suppl 1) ◽  
pp. 256-266 ◽  
Author(s):  
Carlos Henrique Campos Castanheira ◽  
Adriano Marçal Pimenta ◽  
Francisco Carlos Félix Lana ◽  
Deborah Carvalho Malta

OBJECTIVE: To analyze the differences in health services utilization by users of Brazilian Unified Health System (SUS) and beneficiaries of Supplemental Health (SH). METHODS: A total of 288 adult subjects, residing in Belo Horizonte, who participated in the VIGITEL telephone survey in 2009, composed the sample, whose variables were analyzed according to the classification as users of SUS or beneficiaries of SH. Prevalence Ratios (PR), adjusted for sex, age and schooling, were calculated to evaluate differences between groups. RESULTS: Need and demand for health services were similar between groups, and users of SUS were less successful in obtaining service (PR = 0.78; p = 0.027). Most participants in both groups evaluated the health care received as very good/good without significant differences (72.1% for SUS, 84.0% for SH; p > 0.05). CONCLUSION: Although there are differences in the utilization of health services in Belo Horizonte, the service obtained is well rated by both users of SUS and health plans.


2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Torill Aarskog Skorpen ◽  
Marit Kvangarsnes ◽  
Torstein Hole

Health services in Norway have been described as fragmented with weak coordination between different care levels with respect to patient pathways. The Coordination Reform’s aim was to improve patient pathways and strengthen user participation. The aim of this study was to investigate health personnel ́s experiences with patient pathways in municipalities in Western Norway. A qualitative design was chosen. Six focus group interviews with health personnel working in municipalities in Western Norway were conducted in 2013 and 2014. The interviews revealed that health personnel experienced that local health services gave cohesive patient pathways and strengthened user participation. Cohesive patient pathways and locally adapted pathways were considered important. Coordination and electronic communication between primary and specialist health care services were seen as inadequate. Trust, teamwork, competence and necessary resources were considered vital. Health personnel ́s experiences indicated that the intended aim of cohesive patient pathways near the patient was met. 


2019 ◽  
Vol 8 (1) ◽  
pp. 17
Author(s):  
Azar Kazemi ◽  
Hosna Salmani ◽  
Alireza Shakibafard ◽  
Farhad Fatehi

Introduction: The popularity of mobile phone applications (Apps) and wearable devices for medical and health purposes is on the rise, but not all the mobile health (mHealth) innovative solutions that hit the news every day will sustain and have an impact on the health of people. The aim of this news-based horizon scanning study was to explore and identify new and emerging mobile technologies that are likely to impact the future of health and medical care.Methods: We conducted a systematic search on top ranking technology websites, according to Alexa Ranking, to identify health-related mobile-based technologies. We followed the EuroScan guide for horizon scanning, which recommends four steps: identification, filtering, prioritization, evaluation and conclusion. Technologies of interest were mHealth technologies regardless of their maturity level. The impact of technologies was assessed and scored in four areas: user, technology, safety, and cost.Results: Five hundred news articles were identified through the electronic search. After screening, 106 mHealth innovative technologies were included in this study. We categorized the included technologies into three groups: mobile apps (n=37), smart-connected devices (n=19), and wearables (n=50). mHealth technologies were most frequently developed for preventive health services, mental health services and rehabilitation services. There was no remarkable difference between the technology groups in terms of safety and adverse effects, but the groups were significantly different in terms of the target population, technology, and cost.Conclusion: An increasing number of solutions based on mobile technology is being developed by both public and private sectors but a low proportion of them undergo proper scientific evaluations. Despite the commercial availability of many innovative mobile apps, wearables, and smart connected devices, few of them have been actually used in clinics, hospitals, and health centers. There is a clear need for changes in healthcare service models to unlock the full potential of these innovative technologies.


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