Suchergebnisse

Designed to help build powerful community organizations, empower ordinary citizens to become leaders, and bring about major social and economic change, this book offers a coherent practice-based framework for understanding social action, with power and empowerment at the center of analysis. Topics include recruiting members, consensus building, leadership, publicity, and fundraising

BackgroundReducing health inequalities includes addressing access to and use of services, including considering how deprivation may affect service engagement and referrals. NHS Greater Glasgow and Clyde (NHSGGC) are close to the national average for most CAMHS benchmarking indicators, including waiting times, and referrals received and accepted. When comparing UK rates of Did Not Attends (DNA), however, NHSGGC were fourth highest in 2016. More detailed analysis of service use was thus of interest. While some service and patient risk factors are known, this study used data from NHSGGC's electronic children's health record system to develop neighbourhood profiles of access and use.
Objectives

To analyse activity within communities so health resourcescan be best targeted.
To help clinical teams plan services and develop newmodels matched to local need.

MethodsPatient-level administrative data was linked to geographic and population data to identify outlying areas of demand. Data on referrals, open cases, appointments and DNAs were extracted and population-based analyses undertaken with 120,000 data points, linked to 273 neighbourhoods across NHSGGC.
FindingsGeomaps were used to highlight variation in activity, demand and population at neighbourhood and NHSGGC levels. Unexpectedly low levels of population reach (open cases/population under 18s) were found in some areas (Govanhill, 0.5%, relative to NHSGGC, 1.94%). Yet, the high level of DNAs in some East Glasgow areas is as one would predict given deprivation levels.
ConclusionsFindings have been used to identify potential improvements and to target communities who could benefit most. For example, West Dunbartonshire teams noticed high DNA rates in two neighbourhoods, both geographically distant from clinics. Satellite clinics have been introduced to improve attendance by reducing travel time and costs for families.
Neighbourhood profiles have proved valuable in highlighting population based trends and supporting comparisons locally and relative to NHSGGC wide benchmarks.

"In conventional Christian terms, Diana was of course no saint. Yet Diana's status as an icon, before and especially after her tragic death, resonates beatitude. In this thoughtful, illuminating work, cultural critics across disciplines take Diana's 'sainthood' as their motif and explore the nature and source of her iconic role." "Diana, it is argued, attained her popular saintly status because she seemed to represent and enshrine values with which huge numbers were able to sympathise. The contributors identify and examine Diana's sainthood, with all its attendant controversies and contradictions."--Jacket