Navigating health care: brokerage and access for undocumented Latino immigrants under the 2010 Affordable Care Act

ABSTRACT

Brokerage is a prominent mechanism that explains access for Latino immigrants to many American institutions. However, few studies examine the dual nature of brokerage in answering questions on access to health care for undocumented Latino immigrants. The growing importance of Federally Qualified Health Centers (FQHCs) and ethnic navigators connecting immigrants to health care under the 2010 Affordable Care Act calls attention to the duality of brokers and its role in access. The study draws from 44 in-depth interviews with providers, clinic directors, navigators, and immigrant patients and two years of fieldwork in FQHCs in California’s San Francisco Bay Area (2011–2013). Results show that brokers enable access through coaching and myth-busting but they also hinder it through scrutiny and bureaucratic filtering. The widespread dependence on brokerage, I argue, leads to ersatz brokerage, such as when providers navigate the health-care system for the undocumented without the appropriate linguistic resources or coordination. Furthermore, the study shows that the duality in brokerage generates misinformation, churning, and alienation. Understanding the relational processes that both include and exclude vulnerable populations from needed services enhances theories of immigrant integration and can help design more efficient policies and address inequalities related to documentation status.     

What can microblog exchanges tell us about food safety crises in China?

The affordance of microblogging services has made them an ideal tool for communicating risk and crisis. However, research on social media and risk communication is still in its infancy. This study, following the uses and gratifications framework, attempts to give some insight into the way micro-bloggers communicate about risk by investigating food safety communications on the microblogging service in China. A content analysis was conducted on 6186 microblog posts relating to 12 recent food safety incidents in China. A series of bivariate chi-square tests was conducted to test the association between micro-bloggers and gratifications. The results indicate that different types of micro-bloggers gratify different needs. Compared to other types of micro-bloggers, the general public tends to use microblogging to express opinions on food safety incidents, regulation and/or policy, rather than simply disseminating information; members of the public enjoy fewer multimedia affordances in their microblog posting but express more negative feelings. Although we anticipate growth in the use of social media in environmental health communication, caution is still needed: communication in China still follows a traditional top-down pattern.     

A qualitative investigation of risk and protective factors for interpersonal violence in adults on the autism spectrum

Abstract

Individuals on the autism spectrum are at an increased risk of experiencing violence. This study sought to understand the opinions of adults on the spectrum regarding potential risk and protective factors for interpersonal violence. Twenty-two adults (12 men; 18 to 53 years of age) participated in semi-structured qualitative interviews. Interviews were recorded, transcribed, and analysed. The results of the qualitative analysis identified individual and contextual risk and protective factors. Protective themes focused on individual needs (awareness of the self and the environment, interpersonal knowledge/skills, skill building strategies) and supportive contexts (benefits of a trusted person, advocates, fostering acceptance and inclusion). There is a need for strategies to decrease the vulnerability to, and the impact of, interpersonal violence. Individuals on the spectrum have the capacity to provide important information regarding safety promotion and risk factors for interpersonal violence, and their expertise should play a role in guiding efforts that promote safety.     

制造集团公司物流资源整合问题研究

根据分布区域广泛、局部区域比较集中和所有权复杂等制造集团公司物流资源的特点,提出制造集团公司物流资源整合思路的概念模型,并对某水泥生产集团物流资源整合的案例进行实证分析。在推动资源整合时,可以通过物流组织的服务设计来识别需要整合的资源;分析各整合参与方的利益分配来提高整合参与方的积极性。     

农村校车安全事故背后的教育公平问题

近年来农村校车事故频发,使得校车安全问题浮出了水面。其实,校车不够规范只是校车事故频发的表层原因,而更深层次的原因却在于城乡教育资源配置的不公平。所以要解决校车安全问题,不仅在于规范校车、提高校车的质量,还在于合理配置教育资源,实现城乡教育公平。     

Impact of a continuing professional development intervention on midwifery academics’ awareness of cultural safety

Background

Cultural safety in higher education learning and teaching environments is paramount to positive educational outcomes for Aboriginal and/or Torres Strait Islander (hereafter called First Peoples) students. There is a lack of research evaluating the impact of continuing professional development on midwifery academics' awareness of cultural safety.

改善我国食品安全状况的思考

研究了现行的食品安全管理体制及弊端，分析了影响食品安全的主要因素，提出了改善食品安全性的措施。     

Introducing a Phobia Program into a Community Mental Health Center

No abstract available for this article.     

论当代国家文化安全问题

冷战结束后,时代的主题逐渐过渡为和平与发展。在新的国际形势下,保卫好国家文化安全,就相当于打胜了一场不见硝烟的战争。虽然当下我们的文化安全面临着内在和外部的压力,存在着种种问题,受到了方方面面的挑战,但是随着我们对这一问题关注度的提高,其解决也呈现出多种途径,未来还有很多工作要做,这不仅仅是保持乐观的问题。     

装卸搬运在物流管理环节中的作用研究

物流活动离不开装卸搬运,它贯穿于不同的物流阶段,因此装卸搬运是物流系统中重要的子系统之一。由于装卸搬运的伴生性和起讫性特点,导致它们经常被忽视,而只被看作是其他活动过程的一部分,没有像运输、储存等物流环节一样受到足够的重视。通过分析装卸搬运的特点,进而阐述装卸搬运在物流管理中的作用和意义。