Health Sociology Review最新文献_第7页

Interprofessional role boundaries in diabetes education in Australia 澳大利亚糖尿病教育中的跨专业角色界限

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-04-02 DOI: 10.1080/14461242.2019.1600380

Olivia A. King, S. Nancarrow, S. Grace, A. Borthwick

{"title":"Interprofessional role boundaries in diabetes education in Australia","authors":"Olivia A. King, S. Nancarrow, S. Grace, A. Borthwick","doi":"10.1080/14461242.2019.1600380","DOIUrl":"https://doi.org/10.1080/14461242.2019.1600380","url":null,"abstract":"ABSTRACT Diabetes presents a challenge to healthcare services worldwide. Diabetes educators work with individuals and communities to reduce the impact of diabetes. In Australia, diabetes educators derive from one of several primary qualifications including nursing, medicine or a specified allied health background, and have an accredited postgraduate qualification in diabetes education. The peak professional body, the Australian Diabetes Educators Association (ADEA), promotes equivalence of all diabetes educators in terms of their scope of practice. However, in practice, there is evidence of inequities, particularly between those from nursing and allied health backgrounds. This paper uses a neo-Weberian lens to explore the interprofessional role dynamics of a ‘postprofessional’ group of practitioners, who adopt a common role and title to create a professional identity at post-qualifying level. Data were collected via individual interviews with 19 stakeholders and analysed using an abductive template approach. Differential role boundaries between nurse and allied health diabetes educators were established and reinforced in several ways. Diabetes education is considered a sub-specialty of nursing only; access to education and credentialing has been restricted for allied health; reinforcement of professional stereotypes and perceived professional values; and perceived legislative differences in access to medication management for nurse and allied health diabetes educators.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"162 - 176"},"PeriodicalIF":3.6,"publicationDate":"2019-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1600380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45091823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Determinants of migrants’ knowledge about their healthcare rights 移民保健权利知识的决定因素

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-02-18 DOI: 10.1080/14461242.2019.1581988

V. Seibel

{"title":"Determinants of migrants’ knowledge about their healthcare rights","authors":"V. Seibel","doi":"10.1080/14461242.2019.1581988","DOIUrl":"https://doi.org/10.1080/14461242.2019.1581988","url":null,"abstract":"ABSTRACT Although an increasing number of studies emphasise migrants’ knowledge about their healthcare rights as crucial for their healthcare usage, almost none examine the conditions under which migrants acquire this knowledge. This study contributes to the literature by studying the main determinants of migrants’ knowledge about their healthcare rights: Self-interest and necessity, human capital, and social capital. I use unique data collected through the project Migrants’ Welfare State Attitudes (MIFARE), where we surveyed 10 different migrant groups within Denmark, the Netherlands, and Germany on their relation to the welfare state, including healthcare. Analysing a total sample of 6,864 migrants using multinomial logistic regression analyses I find that migrants’ knowledge about their healthcare rights depends mainly on their education and language skills. Both factors enable migrants to grasp health-related information and to become informed about their healthcare rights. I also observe a network effect since healthcare experiences of family members contribute to migrants’ healthcare knowledge. Social ties to the co-ethnic community, however, do not explain why some migrants know more about their healthcare rights than others. Lastly, I find large differences between migrant groups, which remain even after controlling for all relevant factors.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"140 - 161"},"PeriodicalIF":3.6,"publicationDate":"2019-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1581988","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49126707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

The urge to work: normative ordering in the narratives of people on long-term sick leave 工作的冲动：长期病假人群叙事中的规范秩序

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-02-18 DOI: 10.1080/14461242.2019.1579664

H. Hanisch, P. Solvang

{"title":"The urge to work: normative ordering in the narratives of people on long-term sick leave","authors":"H. Hanisch, P. Solvang","doi":"10.1080/14461242.2019.1579664","DOIUrl":"https://doi.org/10.1080/14461242.2019.1579664","url":null,"abstract":"ABSTRACT This study analyses the narratives of people on long-term sick leave due to low back pain. We draw upon the theory of justification – as developed by the French sociologists Luc Boltanski and Laurent Thévenot – to investigate how the informants’ narratives evoke and rely upon three ‘orders of worth’. These are the industrial order concerning being a productive citizen, the domestic order of home and family, and the civic order positioning the citizen in the regulations of the welfare state. In-depth interview interpretations map a strongly normative urge to work. The interviews also demonstrate how this urge in interwoven with social interactions in specific arenas: a troubled home life when not working, ways of keeping in touch with work, and complex negotiations of the possibility of non-work. The different orders of worth do more than point towards their ‘own’ arena: Norms and values of the domestic order, in particular, point toward the need for return to work rather than towards life at home (non-work). We conclude that the narratives deal more with the trouble of sick leave than with the enjoyment of work. Hence, the urge to work is just as much a turn away from non-work.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"126 - 139"},"PeriodicalIF":3.6,"publicationDate":"2019-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1579664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49514135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The vulnerable-empowered mother of academic food discourses: a qualitative meta-synthesis of studies of low-income mothers and food provisioning 学术食物话语的脆弱授权之母:低收入母亲和食物供应研究的定性综合

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-02-12 DOI: 10.1080/14461242.2019.1578984

Natalie Jovanovski, K. Cook

{"title":"The vulnerable-empowered mother of academic food discourses: a qualitative meta-synthesis of studies of low-income mothers and food provisioning","authors":"Natalie Jovanovski, K. Cook","doi":"10.1080/14461242.2019.1578984","DOIUrl":"https://doi.org/10.1080/14461242.2019.1578984","url":null,"abstract":"ABSTRACT The nutritional health and wellbeing of children, and by extension their weight, is a heated topic in contemporary discussions of food and health, particularly for low-income populations. Despite contrary understandings, there remains a dominant societal framing that parents – in particular low-income mothers – are solely responsible for the status of their children’s health and wellbeing. In this paper, we examine how low-income mothers are positioned within the academic literature to reveal where responsibility for children’s health and well-being is positioned. We present a meta-synthesis of 18 qualitative studies to identify how mothers’ food choices and feeding are positioned, and the recommendations that researchers identify for promoting child health within this discursive terrain. We found that low-income mothers faced multiple challenges relating to cost, convenience, concerns about health and wellbeing. However, many of the recommendations made by researchers focused extensively on behavioural interventions aimed at the vulnerable mother rather than structural interventions to support mothers’ feeding practices. We argue that discourses of low-income motherhood must recommend structural, and not just individual, change to counteract dominant constructions of the ‘vulnerable-empowered mother’.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"107 - 125"},"PeriodicalIF":3.6,"publicationDate":"2019-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2019.1578984","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46327563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Is living well with dementia a credible aspiration for spousal carers? 对于配偶护理人员来说，与痴呆症患者过上幸福的生活是一个可靠的愿望吗？

IF 3.6 2区医学

Health Sociology Review Pub Date : 2019-01-02 DOI: 10.1080/14461242.2018.1475249

E. Tolhurst, M. Carey, Bernhard Weicht, P. Kingston

{"title":"Is living well with dementia a credible aspiration for spousal carers?","authors":"E. Tolhurst, M. Carey, Bernhard Weicht, P. Kingston","doi":"10.1080/14461242.2018.1475249","DOIUrl":"https://doi.org/10.1080/14461242.2018.1475249","url":null,"abstract":"ABSTRACT In England there has been substantial policy development and an academic drive to promote the goal of ‘living well’ for people with dementia and their family members. This article critically evaluates the feasibility of this intention, with reference to the experience of those caring for people with the condition. Qualitative data are utilised from a study which explored how couples negotiate relationships and care. The focus of this paper is the perspectives of spousal carers and the challenges they encounter within their caring role. Views were obtained via semi-structured joint interviews where the carer participated alongside the person with dementia. The extent to which living well with dementia is a credible aspiration for carers is examined via three themes: identity subsumed under care responsibilities; the couple as an isolated family unit; and barriers to professional support. The findings highlight that experience of caring is highly complex and fraught with multiple practical, emotional and moral pressures. It is asserted that research into dementia and care relationships must avoid a zero sum situation, prompted by living well discourses, where attempts to bolster the position of people with dementia compound the marginalisation and stigmatisation of informal carers.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"54 - 68"},"PeriodicalIF":3.6,"publicationDate":"2019-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1475249","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43036444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

The healthy immigrant effect: a test of competing explanations in a low income population 健康移民效应：低收入人群中竞争解释的检验

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-11-30 DOI: 10.1080/14461242.2018.1553568

R. Schutt, M. Nayak, Mathew J. Creighton

{"title":"The healthy immigrant effect: a test of competing explanations in a low income population","authors":"R. Schutt, M. Nayak, Mathew J. Creighton","doi":"10.1080/14461242.2018.1553568","DOIUrl":"https://doi.org/10.1080/14461242.2018.1553568","url":null,"abstract":"ABSTRACT Evidence in support of the healthy immigrant effect (HIE) has been mixed and explanations for it divergent. Research on the HIE is reviewed and seven explanatory hypotheses are presented. Support for these hypotheses is evaluated with data collected in a phone survey of patients in a Massachusetts public health program for economically disadvantaged persons. Variation in physical health, depression, and smoking reflect the HIE, but the explanations for this pattern vary across these health indicators. The Spanish translation of one response choice obscures the healthy immigrant pattern for SRH – which is apparent after taking language into account, while variation in perceived change in health – another self-report measure with different response choices – comports with the HIE. There is no support for a unique effect of ethnic identity – a key aspect of acculturation, nor for a unique effect of social status in this low income sample. The findings help explain the bases for discrepancies in prior research and suggest new research directions when investigating the healthy immigrant effect, including considering the comparison group and the distribution of social status in the population studied, using an alternative to the standard SRH question with Spanish and Portuguese speakers, and distinguishing physical and mental health and health-related behaviours.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"1 - 19"},"PeriodicalIF":3.6,"publicationDate":"2018-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1553568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43440593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The dietetics and naturopathy professions: perceptions of role boundaries 营养学和自然疗法专业:角色界限的认知

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-11-19 DOI: 10.1080/14461242.2018.1539916

Larisa Barnes, S. Grace

{"title":"The dietetics and naturopathy professions: perceptions of role boundaries","authors":"Larisa Barnes, S. Grace","doi":"10.1080/14461242.2018.1539916","DOIUrl":"https://doi.org/10.1080/14461242.2018.1539916","url":null,"abstract":"ABSTRACT Dietary counselling and management form core parts of both dietetic and naturopathic practice. However, each profession is unique with its own philosophies and requirements for membership. The neo-Weberian ‘sociology of professions’ provided the framework for the thematic analysis of in-depth interviews with ten leading clinicians. This study aimed to explore the perception of roles and role boundaries between practising naturopaths and dietitians using a specific example: food intolerances expressing as functional bowel disorders (FBDs). The similarities and differences in the ways dietitians and naturopaths diagnose and treat FBDs were examined. Three main themes were apparent (i) patient-centred care, (ii) evidence-based practice, and (iii) perceptions of the ‘other’ profession. Far more similarities than differences between the two professions were evident: individualised, holistic treatments, use of referral networks and evidence-based medicine formed core components of both. The main difference centred on naturopaths’ use of both traditional knowledge and scientific evidence during diagnosis and the formulation of treatment plans, including prescribing ingested medicines. Both groups deployed marked exclusionary strategies to protect their professional boundaries, including the use of discursive strategies to discredit each other, reinforced by commonly held misconceptions about the ‘other’ profession. Dietitians also used a credentialist strategy to elevate and protect their status.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"102 - 85"},"PeriodicalIF":3.6,"publicationDate":"2018-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1539916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42578718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Race and Sexuality 种族与性别

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-10-22 DOI: 10.1080/14461242.2018.1537133

Sujith Kumar Prankumar

引用次数: 0

(Dis)entangling medicine and media: a qualitative analysis of the relationship between the fields of healthcare and journalism （Dis）纠缠医学和媒体：医疗保健和新闻领域关系的定性分析

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-10-22 DOI: 10.1080/14461242.2018.1537131

Sarah Van den Bogaert, J. Stroobant, P. Bracke

{"title":"(Dis)entangling medicine and media: a qualitative analysis of the relationship between the fields of healthcare and journalism","authors":"Sarah Van den Bogaert, J. Stroobant, P. Bracke","doi":"10.1080/14461242.2018.1537131","DOIUrl":"https://doi.org/10.1080/14461242.2018.1537131","url":null,"abstract":"ABSTRACT Previous research has illustrated that journalists play an active role in the production of health news. The current study explores the relationship between the fields of healthcare and journalism from a healthcare perspective. Drawing on Bourdieu’s theory of fields and Gieryn’s concept of boundary-work, this study employed elite interviewing to analyse how the relations between these two fields were reflected and negotiated in the discourses of Belgian health-policy stakeholders. Our analysis illustrated that health-policy stakeholders perceived medicine and the news media as two different cultures and, therefore, discursively positioned news media actors as outsiders. Additionally, we showed that the nature of the relationship between health-policy stakeholders and the news media was linked to health-policy stakeholders’ position within the healthcare field. Through this analysis, we illustrate the value of using the concept of boundary-work as an analytical instrument to study the relationships between fields.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"69 - 84"},"PeriodicalIF":3.6,"publicationDate":"2018-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1537131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46997806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The association between income, wealth, economic security perception, and health: a longitudinal Australian study 收入、财富、经济安全感和健康之间的关系:一项澳大利亚纵向研究

IF 3.6 2区医学

Health Sociology Review Pub Date : 2018-10-15 DOI: 10.1080/14461242.2018.1530574

G. Kendall, H. Nguyen, R. Ong

{"title":"The association between income, wealth, economic security perception, and health: a longitudinal Australian study","authors":"G. Kendall, H. Nguyen, R. Ong","doi":"10.1080/14461242.2018.1530574","DOIUrl":"https://doi.org/10.1080/14461242.2018.1530574","url":null,"abstract":"ABSTRACT The study used data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey to explore three hypotheses: (1) that income and wealth both predict economic security perception, mental health, and physical health; (2) that gradients in health outcomes are better explained by wealth than income; and (3) that economic security perception is better explained by wealth than income. We conducted fixed effects regression analysis. After controlling for other variables in our model, both income and wealth appeared to have positive and significant associations with economic security perception and a range of mental health outcomes, but not physical health. There was also some evidence to support our second hypothesis, that gradients in health outcomes are better explained by wealth than income, however only for mental health. Our third hypothesis was not supported by the data. While both income and wealth were strongly related to economic security perception, it was better explained by income than wealth. We recommend that future studies are designed to evaluate the role of economic security as a mediating variable in the relationship between income, wealth and health, because the implications are substantial.","PeriodicalId":46833,"journal":{"name":"Health Sociology Review","volume":"28 1","pages":"20 - 38"},"PeriodicalIF":3.6,"publicationDate":"2018-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/14461242.2018.1530574","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44977050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 17