Suchergebnisse

Abstract The siting of hazardous waste facilities has become a critical problem for the United States. Many western states are plagued with proposals to site such facilities. While the host communities appear to be typical western rural communities, responses to siting hazardous waste facilities vary. Previous research suggests that key variables in predicting responses are the anticipation of economic benefits and the perception of risk. This paper proposes that response to siting hazardous industries in rural Utah is not only a result of these key variables but also residents' perception of the local economy. Results from ethnographic and survey data from three rural communities in Utah indicate that the anticipation of economic benefits and perception of risk were strongly associated with response to a proposal, and that residents of communities with poorer local economies were more likely to support siting a hazardous waste facility locally.

AbstractThe National Disability Insurance Scheme (NDIS) has transformed the nature of funding available to health and human service organisations to provide services to people with disability in Australia. However, there is relatively scant literature on the rural implementation of the NDIS, particularly how rural NDIS service providers are affected by the NDIS. Researchers conducted semi‐structured interviews with 20 health professionals employed by rural providers, and analysed data using rural and remote health and organisational change frameworks to understand how rural providers were impacted by and responded to the NDIS. The findings suggest rural providers were impacted to differing extents and responded to the NDIS in different ways. Participants reported that disability and community health services were affected more than hospitals and private allied health practices. Impacted rural providers responded by changing the nature and types of services, service processes and their workforce, and redefining organisational characteristics. Impacted rural providers may require additional support to continue providing services, and those less impacted may require other incentives to better engage with the NDIS. Rural proofing of NDIS policy could reveal suitable supports and incentives to ensure rural people with disability can access required services.

It has been argued that reconciliation between Indigenous and non‐Indigenous Australians requires non‐Indigenous Australians to change their attitudes. Some suggest that this process is occurring and that younger people hold more positive attitudes towards Indigenous Australians. This paper explored the perspectives of 86 young people from Shepparton, Victoria in relation to reconciliation and related Indigenous issues. The study found that young participants' views of reconciliation varied, and while some supported reconciliation, many opposed a national apology and indicated that they were not very informed about or interested in Aboriginal issues. Many distinguished between 'good' and 'bad' Aboriginals based on behaviour. Their talk was embedded with notions of special privilege, 'sameness' and social hierarchy but excluded attention to cultural difference. Findings suggest that these young people have embraced discourses of sameness, individualism and 'practical reconciliation' and that they are reluctant to reflect on their position of White privilege.

Australia's mainstream health services located in rural contexts are mandated to provide health care to the entire local population. However, complex power relations embedded and reflected within the cultures of mainstream generalist health services are excluding the most marginalised residents from health care. This paper argues that unless inclusion in rural, generalist mainstream health services is improved, the health experiences of these residents will not substantially change and Australia will continue to report significant health differentials within its population. The concept of culturally inclusive health care is difficult for Australian mainstream generalist health practitioners to engage with because there is limited understanding of what culture is and how it operates within diverse communities. This makes it challenging for many in mainstream health institutions to begin deconstructing how it is that exclusion occurs. Frequently, 'culture' is assigned to 'Others', and there is little recognition that all people, including White, mainstream Australians, are cultural beings, and that health disciplines, services and systems have particular cultures that make assumptions about how to be in the world. Consequently, current approaches to the provision of culturally inclusive health care are not shifting the power relations that (re)produce exclusion. In this paper, we outline a new interdisciplinary methodology that operationalises Foucault's concepts of power, resistance and discourse within a Participatory Action Research (PAR) design and utilises Continuous Quality Improvement (CQI) processes to respond to these power relations and provide health institutions with a process to improve their inclusivity, specifically for Australia's most marginalised residents. It is suggested that employing this new methodology will promote a different way of thinking and acting in health institutions, producing a deconstructed process for health services to adapt to improve their inclusivity.

Abstract Agriculture is the leading industry in the Commonwealth of Pennsylvania. At the same time, encroaching development has pressured prime agricultural land to change uses, a change usually considered irreversible. Some regions of Pennsylvania have used zoning to control and plan for the development of agricultural land, but these decisions have not always been agreed on. In response to conflicts over zoning and calls for more effective restrictions of development of prime agricultural soils, the state government implemented agricultural preservation programs designed to ensure the future viability of Pennsylvania's agriculture. While response has been reported as favorable, most reviews relied on voters' support of a state referendum to fund agricultural preservation programs. Few have examined local responses to the implementation of these programs. This paper explores local community responses to agricultural preservation and the state's programs in three regions of Pennsylvania which differ in levels of urban presence and pressure. Using secondary sources, qualitative data, and general population surveys, this analysis provides implications about strategies of agricultural preservation in a state which leads in such efforts.