Fetal Alcohol Spectrum Disorder Information Dissemination by Health Care Professions

Fetal alcohol spectrum disorder (FASD) is the leading preventable intellectual and developmental disability. There is no safe level of alcohol consumption at any point during pregnancy. Findings of this study indicate that the information disseminated by health care professionals is not always in keeping with this understanding. Physicians and midwives appeared to be the least consistent in advocating to women that they abstain from alcohol consumption while pregnant. We explore ways in which social workers can support the medical profession to provide more consistent messaging of alcohol abstinence during pregnancy to lower the incidence of FASD.     

Community Mental Health and the Educational Dilemmas of the Mental Health Professions

Liberation theory from a Third World adult educator is seen as consistent with social work ideals and an avenue for social work education to travel in developing better learning and more motivated, knowledgeable, critical, responsible, and autonomous learners. Conscious choice can free professional education from its pedagogical overtones, recast it in an androgogical perspective, and help it produce learners who are creative subjects rather than receiving objects.     

The First Wave Washed up on Shore: Reform,Feminization and Gender Resegregation

The purpose of this paper is to specify the longitudinal relationship between organizational reform and feminization of a managerial position, and thereby elaborate on the nature of gender (re)segregation. Four complementary explanations for increased female representation in middle management in large, established firms are derived from the existing literature. This is done to identify paths for distinguishing the intertwining set of triggers and mechanisms that are mobilized at a given place and time. An in-depth empirical analysis of a long-term reform process in two banking firms is presented: transformative leaps (Kansallis, Finland) and gradual prudence (S-E-Bank, Sweden). Despite differences in the form of the process, the gender outcomes are similar. The bureaucratic hierarchy is seemingly flexible, but gender segregation is inherently rigid, a self-fulfilling process.     

Adversarial Allies: Care,Harm, and Resistance in the Helping Professions

Professional encounters bestow moral esteem upon professional helpers while denigrating those who access services. Yet society is arranged in such a way that professional services are indispensable for many to survive, and service users can experience them as simultaneously helpful and oppressive. We explore the ambivalent figure of the professional “adversarial ally” working within these systems through accounts from two research studies that straddle or resist the common-sense line that separates care from harm. Professionals need to acknowledge how we are experienced as adversaries in order to better forge relationships of solidarity or “alliance” with those using social and medical services.     

Professionalization,Gender and Female‐dominated Professions: Dental Hygiene in Ontario*

Cet article explore L'influence des rapports sociaux entre les sexes et du féminisme sur les professions à majorité féminine au moyen d'une étude de cas en hygiène dentaire en Ontario. Le statut professionnel à part entière a échappéà plusieurs de ces professions, y compris L'hygiène dentaire. Historiquement, cette dernière était définie comme un travail pour les femmes, àêtre exécuté sous la stricte surveillance des dentistes hommes. Récemment, L'hygiène dentaire a poursuivi un projet de reconnaissance professionnelle et lutté pour une plus grande indépendance à L'endroit de la dentisterie. Les idées issues des rapports sociaux entre les sexes et particulièrement du féminisme y ont occupé une place centrale. This paper explores the influence of gender and feminism on the professional projects of female‐dominated professions, through a case study of dental hygiene in Ontario. Full professional status has eluded many female‐dominated professions, including dental hygiene. Historically, dental hygiene was defined as work for women, to be performed strictly under the control of male dentists. In recent years, dental hygiene has pursued a professional project and struggled for greater independence from dentistry. Ideas about gender and, particularly, feminism have been central to their professional project.     

The Development and Challenges in Health Care Policy and Health Care Financing in Contemporary China

China’s market-oriented reform has had great success in the past few decades. Along with the rapid economic growth of the country, the economic development also influenced various aspects of China’s social, economical, and political life. Recent debate has criticized the overheated market reform in social provision, thus arguing for the return of government interventions. However, in the health care sector, it is inappropriate to attribute all distortions to market imperfection. It is rather the design of the health care system and the lack of government interventions in regulating the health care market that obstruct the functions of health care provision. To examine the proposed hypotheses, the paper focuses on China’s medical care provision, evaluating the actual performance of China’s medical care provision in the environment of economic transition from a multidimensional analysis, hence providing forward-looking suggestions for the design of China’s health care provision. Findings from this study indicate that government interventions are indispensable in regulating the health care market as well as ensuring health care delivery.      

Virtual World Interview Skills Training for Students Studying Health Professions

This study examined the effectiveness of a health professional virtual world interview skills trainer (IST), in comparison to classroom training via interview role-plays with peers. Students of psychology, physiotherapy, and general health science learned interviewing skills through role-play and virtual world training. Students were randomly allocated to a role-play-first, or IST-first condition. Interviewing self-efficacy was measured at baseline and after each of the learning experiences. In total, 72 students completed all surveys. Students’ reported an increase in interviewing self-efficacy significantly after the IST experience than after role-play.     

Trust and Health Care

Trust is believed to be particularly salient to the provision of health care, and since the establishment of the National Health Service (NHS) in the UK, trust has played an important role in the relationships between its three key actors: the state, healthcare practitioners, and patients and the public. Service users trusted the judgement, knowledge and expertise of health professionals to provide a competent service that met their needs, and they trusted the state to ensure equity in the allocation of public goods and services. These implicit or taken-for-granted trust relationships have, it is claimed, been challenged as a result of the introduction of changes in the organisation and funding for the health service, in the regulation and performance assessment of health professionals, and in public attitudes to health care and scientific medicine. This paper considers the influences of social changes and recent policy and professional initiatives in health care on the structure of trust relations in health care in the UK. It presents a theoretical framework for examining trust relations using the NHS as a case study and concludes with an agenda for future research.     

Women's Health Care

No abstract available for this article.     

Emotional Labor and Health Care

We examine the literature on emotional labor and health care to demonstrate the potential for emotional labor research to inform how social and medical scientists think about health care and how examining healthcare contexts has contributed to the scientific understanding of emotional labor processes. In doing so, we first review the key terms and definitions that are used within the emotion management perspective and evaluate the ways in which power differences have remained largely implicit features of research on emotional labor in healthcare settings. Finally, we explore how the increasing economic rationalization of health care may be influencing the emotional experiences of today's healthcare professionals and the implications of this trend for future research on emotional labor and the health and well-being of care providers and their patients.     

Health Care Reform and the Behavioral Health Workforce

Health care reform will increase the number of individuals who have access to substance abuse services. This impending influx of consumers has the potential of overwhelming the service capacity of providers within the field. Provisions included in the reform legislation might fall short of their intended goal to expand the number of service providers needed to deliver services. This article discusses unmet treatment need in the United States, the current numbers of service providers, and provisions within the reform legislation to increase the labor force. Recommendations are set forth that could help expand the number of providers in the field.     

Children's Rights and Health Care

SUMMARY. Health and health care are defined as rights in the UN Convention on the Rights of the Child. However, although the National Health Service offers universal coverage, it is hugely expensive with growing costs and growing demands made upon it. Rationing is inevitable and priorities must be set. This paper discusses the part that children's rights can play in influencing equitable provision and the quality of care.     

Medicare and Health Care Reform

Although Medicare constitutes one of the most popular programs of the federal government, even its most ardent supporters would likely agree that improvements could be made and likely should be part of any package of comprehensive health care reform. While some changes could be made as stand-alone reforms. it would be better to integrate changes for the under 65-population with those for the Medicare program. For example, cost-containment strategies would work best if they applied to the population as a whole rather than creating differences that lead to cost-shifting and possible discrimination across groups. The generosity of services covered also ought to be balanced between Medicare and whatever happens elsewhere. This would allow Medicare's cost-sharing structure to be less severe in terms of hospital and skilled nursing care, for example. Finally, while it is tempting to use reductions in spending on Medicare as a means for helping to finance other expansions, the impact of such changes needs to be carefully assessed before assuming that they would create no lasting problems. This essay examines some of the options and likely consequences for Medicare as part of comprehensive health reform.     

Gender and the 'New Paradigm' of Health

This article provides a critical review of literature on the relationship between gender and the 'new paradigm' of health. An overview of the feminist critique of health is given, from the Women's Health Movement of the late 1960s and early feminist debates about medicalisation, to more recent discussions about structural inequalities between men and women, eating disorders, and AIDS. I then go on to explore the feminist response to the so-called 'new paradigm' of health (an approach that emphasises health promotion, individual responsibility for health, and body-monitoring). Arguments that health promotion initiatives target women and confirm their position as principal guardians of health within the family are considered, as well as literature on the breast cancer awareness campaign. I then explore the growing body of literature on masculinity and health, and its account of the relationship between gender and current ideas about healthiness. Finally, I offer up some suggestions for the direction a new feminist critique of health might take.     

HIV Prevention,Gender and Sexual Health

Abstract

Drawing on a review of relevant literature as well as global experience, this paper focuses on aspects of the growing feminisation of the HIV epidemic, especially the combination of age and gender which makes young women particularly vulnerable to HIV. It also briefly touches upon the gender-constructed vulnerability of young men. The linkages between gender, sexual health and HIV-and what works to forge these linkages-have now been well established. Not acting on the basis of this knowledge in order to avert millions of infections and deaths due to HIV, is no longer an option.