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Background: Telecare could greatly facilitate chronic disease management in the community, but despite government promotion and positive demonstrations its implementation has been limited. This study aimed to identify factors inhibiting the implementation and integration of telecare systems for chronic disease management in the community. Methods: Large scale comparative study employing qualitative data collection techniques: semi-structured interviews with key informants, task-groups, and workshops; framework analysis of qualitative data informed by Normalization Process Theory. Drawn from telecare services in community and domestic settings in England and Scotland, 221 participants were included, consisting of health professionals and managers; patients and carers; social care professionals and managers; and service suppliers and manufacturers. Results: Key barriers to telecare integration were uncertainties about coherent and sustainable service and business models; lack of coordination across social and primary care boundaries, lack of financial or other incentives to include telecare within primary care services; a lack of a sense of continuity with previous service provision and self-care work undertaken by patients; and general uncertainty about the adequacy of telecare systems. These problems led to poor integration of policy and practice. Conclusion: Telecare services may offer a cost effective and safe form of care for some people living with chronic illness. Slow and uneven implementation and integration do not stem from problems of adoption. They result from incomplete understanding of the role of telecare systems and subsequent adaption and embeddedness to context, and uncertainties about the best way to develop, coordinate, and sustain services that assist with chronic disease management. Interventions are therefore needed that (i) reduce uncertainty about the ownership of implementation processes and that lock together health and social care agencies; and (ii) ensure user centred rather than biomedical/service-centred models of care.

Frontmatter -- Contents -- About the Series -- Acknowledgments -- Introduction: Across the Americas Heidi Tinsman and Sandhya Shukla -- Up from Empire: JamesWeldon Johnson, Latin America, and the Jim Crow South Harilaos Stecopoulos -- Bastards of the Unfinished Revolution: Bolívar's Ismael and Rizal's Martí at the End of the Nineteenth Century -- Confederate Cuba -- Pleasure and Colonial Resistance: Translating the Politics of Pidgin in Milton Murayama's All I Asking for Is My Body -- Experimental Dreams, Ethical Nightmares: Leprosy, Isolation, and Human Experimentation in Nineteenth-Century Hawaii -- Tracking the ''China Peril'' along the U.S. Pacific Rim: Carpetbaggers, Yacht People, 1.2 Billion Cyborg Consumers, and the Bamboo Gang, Coming Soon to a Neighborhood Near You! -- Uprooted Bodies: Indigenous Subjects and Colonial Discourses in Atlantic American Studies -- Blackness Goes South: Race and Mestizaje in Our America -- Queer Harvests: Homosexuality, the U.S. New Left, and the Venceremos Brigades to Cuba -- Dislocations of Cold War Cultures: Exile, Transnationalism, and the Politics of Form -- The Attributes of Sovereignty: The Cold War, Colonialism, and Community Education in Puerto Rico -- All Cumbias, the Cumbia: The Latin Americanization of a Tropical Genre -- ''Panama Money'': Reading the Transition to U.S. Imperialism -- Contributors -- Index

This pathbreaking, multidisciplinary work challenges our unthinking acceptance of such terms as 'Asia Pacific' and 'Pacific Rim.' Revealing the hidden power relationships and hegemonic struggles that are disguised by ideological constructions of the region, the contributors uncover fundamental contradictions that underlie the much-celebrated economic boom. The book shifts our focus from abstract relationships between capital and commodities to the human interactions that the contributors agree constitute the region, rather than any physical boundaries. This revised and updated edition brings i

This book charts the change, critically evaluating progress, take-up, inclusion and access to direct payments by different user groups. With contributions from leading campaigners, academics, practitioners, direct payment users and personal assistants, the book provides an overview of the history of direct payments; presents findings from key research into direct payments and disabled people, older people, carers, people with mental health problems, people with learning difficulties and disabled children; discusses the implementation and development of direct payments provision and compares developments in the UK with those in North America. Developments in direct payments is an important source of information for social work students and practitioners and others working in the field of health and social care. The useful, up-to-date evidence and discussions relating to care, independence and control will also be of interest to users and providers of help and support

Following publication of the government's White Paper on cities (2000), the question of what makes some cities more successful than others has become an increasingly important policy issue. This topical book tackles this question from differing perspectives. Although previous work has explored particular facets of competitiveness, this volume is the first to do so in a systematic way that combines theory, evidence and policy implications. Bringing together leading experts on urban economic performance, it provides a new look at the issue of urban competitiveness and offers new insights into the factors that shape competitiveness

FCL and AS were supported by the Swedish Research Council (Vetenskapsrådet, grant no. 2018-01272). FCL conducted the work with this article as a Pro Futura Scientia XIII Fellow funded by the Swedish Collegium for Advanced Study through Riksbankens Jubileumsfond. WT was supported by the German Research Foundation (DFG, TE 613/3-1). AD received funding from the European Research Council (ERC) under the European Union's Horizon 2020 research and innovation programme (grant agreement no. 677152). AH was supported by Riksbankens Jubileumsfond (grant no. IN20-0026). MD-D was funded by the Dutch Research Council (Nederlandse organisatie voor Wetenschappelijk Onderzoek, grant no. 016.Veni.195.502). TK, MR, and UB were supported the SustES project – "Adaptation strategies for sustainable ecosystem services and food security under adverse environmental conditions" (CZ.02.1.01/0.0/0.0/16_019/0000797). LS was supported by Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) under Germany's Excellence Strategy – EXC 2150 ROOTS – 390870439. FL was supported by a European Research Council (ERC) Synergy Grant (4-OCEANS; grant agreement no. 951649) under the European Union's Horizon 2020 research and innovation programme. ; Although variations in building activity are a useful indicator of societal well-being and demographic development, historical datasets for larger regions and longer periods are still rare. Here, we present 54,045 annually precise dendrochronological felling dates from historical construction timber from across most of Europe between 1250 and 1699 CE to infer variations in building activity. We use geostatistical techniques to compare spatiotemporal dynamics in past European building activity against independent demographic, economic, social and climatic data. We show that the felling dates capture major geographical patterns of demographic trends, especially in regions with dense data coverage. A particularly strong negative association is found between grain prices and the number of felling dates. In addition, a significant positive association is found between the number of felling dates and mining activity. These strong associations, with well-known macro-economic indicators from pre-industrial Europe, corroborate the use of felling dates as an independent source for exploring large-scale fluctuations of societal well-being and demographic development. Three prominent examples are the building boom in the Hanseatic League region of northeastern Germany during the 13th century, the onset of the Late Medieval Crisis in much of Europe c. 1300, and the cessation of building activity in large parts of central Europe during armed conflicts such as the Thirty Years' War (1618–1648 CE). Despite new insights gained from our European-wide felling date inventory, further studies are needed to investigate changes in construction activity of high versus low status buildings, and of urban versus rural buildings, and to compare those results with a variety of historical documentary sources and natural proxy archives. ; Publisher PDF ; Peer reviewed