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)
Alan Dolan a.dolan{at}warwick.ac.uk University of Warwick, UKThis article, based on qualitative research with working-class men, explores men’s perceptions and experiences regarding gender differences in health. It demonstrates how men put forward a range of behavioural/cultural, materialist/structural and psychosocial factors, which were believed to differently impact men’s health compared to women. A common theme underpinning their explanations was the ways in which men and women were located within two distinct gender categories. These characterisations were used to explain why health-damaging beliefs and behaviours were more prevalent among men and also why men were better suited for certain kinds of jobs, albeit with potential costs to their health. Men also believed that women were protected from the damaging physical and emotional impact of manual employment because of their primary role within the home and because they were less emotionally robust, which required men to shield women from the stresses they experienced. However, men’s emotional withdrawal can also be viewed as another example of how men use whatever resources are available to achieve and maintain dominance over women. Finally, the article demonstrates how a gender- and class-based approach can capture the impact of men’s health-related practices alongside the broader cultural and structural influences on men’s health. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts
Tuesday, November 12, 2013
Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine
Health: is a broad ranging, interdisciplinary, peer reviewed journal related to health and the social sciences. Focusing on the changing place of health matters in modern society, the journal continues to provide an international forum for original articles and review essays from around the world. It offers the breadth of outlook required by sociologists, psychologists, anthropologists, and cultural theorists who are addressing problems that cross disciplinary boundaries.
This journal is a member of the Committee on Publication Ethics (COPE).
Young people and health: Towards a new conceptual framework for understanding empowerment
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)
Grace Spencer Grace.spencer{at}nottingham.ac.uk The University of Nottingham, UKIn recent times, empowerment has become the focus of much work with young people amidst increasing concerns about their health. Empowerment is often offered as a ‘solution’ to such concerns, with the uncritical assumption being made that empowerment unproblematically results in positive health outcomes. While much of the health promotion literature advocates ‘empowerment’, it often does so without offering a clear conceptualisation of the word itself or indeed addressing the thorny theoretical tensions surrounding the concept’s root word of power. In light of this omission, this article offers a more theoretically informed conceptualisation of empowerment and considers the relationship to young people’s health. This article outlines a more dynamic and generative conceptualisation of empowerment than hitherto articulated in the literature, informed by Lukes’ multidimensional perspective of power. Drawing on findings from an ethnographic study on empowerment and young people’s health, this article develops six conceptually distinct forms of empowerment (impositional, dispositional, concessional, oppositional, normative and transformative). Data were collected from 55 young men and women aged 15–16 years through group discussions, individual interviews and observational work in a school and surrounding community settings in England. Crucially, these six new forms of empowerment capture and synthesise individual, structural and ideological elements of power that differentially, and sometimes inconsistently, shape the possibilities for young people’s empowerment. Of significance is the way in which these different forms of empowerment intersect to (re)produce relations of power and may offer different possibilities for health promotion. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Grace Spencer Grace.spencer{at}nottingham.ac.uk The University of Nottingham, UKIn recent times, empowerment has become the focus of much work with young people amidst increasing concerns about their health. Empowerment is often offered as a ‘solution’ to such concerns, with the uncritical assumption being made that empowerment unproblematically results in positive health outcomes. While much of the health promotion literature advocates ‘empowerment’, it often does so without offering a clear conceptualisation of the word itself or indeed addressing the thorny theoretical tensions surrounding the concept’s root word of power. In light of this omission, this article offers a more theoretically informed conceptualisation of empowerment and considers the relationship to young people’s health. This article outlines a more dynamic and generative conceptualisation of empowerment than hitherto articulated in the literature, informed by Lukes’ multidimensional perspective of power. Drawing on findings from an ethnographic study on empowerment and young people’s health, this article develops six conceptually distinct forms of empowerment (impositional, dispositional, concessional, oppositional, normative and transformative). Data were collected from 55 young men and women aged 15–16 years through group discussions, individual interviews and observational work in a school and surrounding community settings in England. Crucially, these six new forms of empowerment capture and synthesise individual, structural and ideological elements of power that differentially, and sometimes inconsistently, shape the possibilities for young people’s empowerment. Of significance is the way in which these different forms of empowerment intersect to (re)produce relations of power and may offer different possibilities for health promotion. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
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
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
Sunday, November 10, 2013
Transformations of self and sexuality: Psychologically modified experiences in the context of forensic mental health
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)
Forensic mental health inpatients in medium-secure settings have a limited capacity for sexual expression during their stay in hospital. This is due to a number of factors, including a lack of willingness on behalf of staff to engage with sexual issues, as a result of safety fears and ambiguity regarding the ability of the patient to consent. Furthermore, UK forensic medium-secure units do not provide conjugal suites for patients to have sexual relations, with their spouse or other patients. To date, there is no empirical research on how forensic psychiatric patients (or service users) manage their sexuality, while in hospital and when released into the community. Here, we present an analysis of semi-structured interviews with patients at a UK medium forensic unit, in order to explore these issues further. More specifically, we examine how the public exclusion of sexuality from these units results in sexuality being experienced as sectioned off or amputated, such that a new form of sexuality emerges, one that has been cultivated by the psychologically informed practices operating within the unit. This process, we argue, produces a psychologically modified experience, a new form of self-relation that continues to modify when released into the broader ecology of the community. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Forensic mental health inpatients in medium-secure settings have a limited capacity for sexual expression during their stay in hospital. This is due to a number of factors, including a lack of willingness on behalf of staff to engage with sexual issues, as a result of safety fears and ambiguity regarding the ability of the patient to consent. Furthermore, UK forensic medium-secure units do not provide conjugal suites for patients to have sexual relations, with their spouse or other patients. To date, there is no empirical research on how forensic psychiatric patients (or service users) manage their sexuality, while in hospital and when released into the community. Here, we present an analysis of semi-structured interviews with patients at a UK medium forensic unit, in order to explore these issues further. More specifically, we examine how the public exclusion of sexuality from these units results in sexuality being experienced as sectioned off or amputated, such that a new form of sexuality emerges, one that has been cultivated by the psychologically informed practices operating within the unit. This process, we argue, produces a psychologically modified experience, a new form of self-relation that continues to modify when released into the broader ecology of the community. © 2013 SAGE Publications. Los Angeles, London, New Delhi, Singapore and Washington DC
Sunday, July 7, 2013
Find Health Care Opportunities for B-School Students
The Affordable Care Act may lead to more health care jobs for MBAs.The Bureau of Labor Statistics has some bad news for those on the job hunt. The May unemployment rate was 7.6 percent – a slight growth compared to April.
The job market for many may be growing more competitive, but at least one industry will be welcoming a surge of MBA graduates: health care.
Of employers in health care worldwide, 89 percent plan to hire MBA graduates this year, according to the 2013 Corporate Recruiters Survey. In 2012, only 77 percent of health care employers were expected to do this.
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For potential MBA candidates looking to establish a career in health care, the job options are many, says June Kinney, associate director of the health care management program at the Wharton School at University of Pennsylvania.
"They could be consultants. They could be investors. They could be operations managers. Or they can be entrepreneurs," she says.
The part-time MBA health care management program at the Quinlan School of Business at Loyola University Chicago caters to students who already work in the field but want to advance.
"They may be looking at a director position within the hospital that may be over a clinical area, or maybe even an administrative area. But they also may be in a pharmaceutical firm or medical device firm," says Pamela McCoy, an assistant dean at Quinlan.
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Many of these jobs have been around for years, experts say. But laws by the federal government have certainly created new opportunities.
"It's really driven by all of the Affordable Care Act provisions and impact on the field," Kinney says, referencing the health care reform movement known as Obamacare.
"There's a lot of people going into, obviously, consulting because all of the major providers and players in the field are looking for advice about how to change their operations, how to change their strategies."
Technology has also expanded the number of jobs.
Entrepreneurs are building new apps to connect health care providers to patients and business investors are needed to support this growth, Kinney says. Innovations in health care technology have also paved the way for more health care data to be collected. MBA graduates skilled in analyzing data can better understand patterns of behavior among specific health care populations, Kinney says.
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More physicians are also going into large, group practices, which create openings for MBAs, says James Henderson, academic director of the MBA health care program at the Hankamer School of Business at Baylor University.
"A physician who was a solo practitioner before couldn't afford to hire an office manager, a trained administrator," he says. "But if you've got a physicians' group that has 75 physicians, they probably have a couple of MBA or graduate trained people that are actually running their operation."
Business students interested in health care usually take standard MBA classes such as accounting, finance and marketing. Through specialized programs, they also take courses specific to the field, such as health care economics, health care financing and health policy. They can use internships to get hands-on experience, or attend a school that provides residency options.
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