Showing posts with label Change. Show all posts
Showing posts with label Change. Show all posts

Monday, November 11, 2013

Sidestepping questions of legitimacy: How community representatives manoeuvre to effect change in a health service

Impact Factor:1.137 | Ranking:21/36 in Social Sciences, Biomedical | 81/136 in Public, Environmental & Occupational Health | 5-Year Impact Factor:1.396Source:2012 Journal Citation Reports® (Thomson Reuters, 2013)
Sally Nathan s.nathan{at}unsw.edu.au
School of Public Health and Community Medicine, UNSW AustraliaNiamh Stephenson
School of Public Health and Community Medicine, UNSW AustraliaJeffrey Braithwaite
Australian Institute of Health Innovation, UNSW AustraliaEmpirical studies of community participation in health services commonly tie effectiveness to the perceived legitimacy of community representatives among health staff. This article examines the underlying assumption that legitimacy is the major pathway to influence for community representatives. It takes a different vantage point from previous research in its examination of data (primarily through 34 in-depth interviews, observation and recording of 26 meetings and other interactions documented in field notes) from a 3-year study of community representatives’ action in a large health region in Australia. The analysis primarily deploys Michel de Certeau’s ideas of Strategy and Tactic to understand the action and effects of the generally ‘weaker players’ in the spaces and places dominated by powerful institutions. Through this lens, we can see the points where community representatives are active participants following their own agenda, tactically capitalising on cracks in the armour of the health service to seize opportunities that present themselves in time to effect change. Being able to see community representatives as active producers of change, not simply passengers following the path of the health service, challenges how we view the success of community participation in health.

© 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC

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Wednesday, October 2, 2013

New SAT Results Show No Change in Average Scores

SAT scores remained flat for students in the class of 2013, with just 43 percent performing well enough to be considered college-ready­—the same proportion as last year, according to new results issued Thursday.

Yet, African-American and Latino students in this year’s graduating class saw slight gains. Also, a record share of students taking the college-entrance exam (46 percent) were minorities.

Overall, 15.6 percent of African-Americans in the class of 2013 who took the exam met or exceeded the College Board’s college-ready benchmark, compared with 14.8 percent in 2012. Among Latinos, 23.5 percent reached that level, up from 22.8...

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