Suchergebnisse

In this new collection of essays, a range of established and emerging cultural critics re-evaluate Richard Hoggart's contribution to the history of ideas and to the discipline of Cultural Studies. They examine Hoggart's legacy, identifying his widespread influence, tracing continuities and complexities, and affirming his importance

Research on natural disasters has generally focused on specific hazard agents, often related to the disciplinary basis of those researchers concerned. Equally, social impacts have frequently been related to the composition and structure of the specific population involved. There have been few attempts to synthesise findings and few comparative studies. This paper explores the social impact of flood and drought on an agricultural region in New Zealand. It highlights the differential impact of floods and drought on farms as both businesses and family homes. The paper uses a range of published and unpublished sources as well as the findings drawn from interviews with 23 farm households that experienced prolonged drought in the summer of 2008. Eleven households had been interviewed previously as part of a larger study of 44 households that experienced severe flooding in February 2004. The remaining 12 households provide a comparison group that while having experienced the drought was not directly impacted by the earlier flood. Six officials, including community leaders and others involved in drought and flood relief were also interviewed. The interviews were conducted in the period June-October, 2008. The results confirm the importance of the characteristics of the hazard in explaining its impact but also highlight the need to better understand the contextual factors involve when interpreting its social impact.

Introduction: Despite over two decades of international experience and research on health systems integration, integrated care has not developed widely. We hypothesized that part of the problem may lie in how we conceptualize the integration process and the complex systems within which integrated care is enacted. This study aims to contribute to discourse regarding the relevance and utility of a complex-adaptive systems (CAS) perspective on integrated care.Methods: In the Canadian province of Ontario, government mandated the development of fourteen Local Health Integration Networks in 2006. Against the backdrop of these efforts to integrate care, we collected focus group data from a diverse sample of healthcare professionals in the Greater Toronto Area using convenience and snowball sampling. A semi-structured interview guide was used to elicit participant views and experiences of health systems integration. We use a CAS framework to describe and analyze the data, and to assess the theoretical fit of a CAS perspective with the dominant themes in participant responses.Results: Our findings indicate that integration is challenged by system complexity, weak ties and poor alignment among professionals and organizations, a lack of funding incentives to support collaborative work, and a bureaucratic environment based on a command and control approach to management. Using a CAS framework, we identified several characteristics of CAS in our data, including diverse, interdependent and semi-autonomous actors; embedded co-evolutionary systems; emergent behaviours and non-linearity; and self-organizing capacity. Discussion and Conclusion: One possible explanation for the lack of systems change towards integration is that we have failed to treat the healthcare system as complex-adaptive. The data suggest that future integration initiatives must be anchored in a CAS perspective, and focus on building the system's capacity to self-organize. We conclude that integrating care requires policies and management practices that promote system awareness, relationship-building and information-sharing, and that recognize change as an evolving learning process rather than a series of programmatic steps.

This book brings together a collection of new and innovative work by researchers from Australia, Canada, New Zealand and the UK - settings where issues of voluntarism and participation have become increasingly important for the development and delivery of social welfare policy. Prefaced by one of the foremost geographers in this field, it contains empirical and theoretical work from both new and well-established geographers. The chapters explore the interactions between voluntarism and a range of issues including governance, health, community action, faith, ethnicity, counselling, advocacy and professionalisation. The book will be of interest not only to students and researchers in human geography but also to those working in social policy, sociology, health and political science. The detailed case material will also be of particular interest to practitioners working in the fields of health, governance, social welfare and social exclusion