Māori and Pasifika leaders’ experiences of government health advisory groups in New Zealand

Māori and Pasifika populations in New Zealand experience poorer health outcomes than other New Zealanders. These inequalities are a deeply entrenched injustice. This qualitative study explores the experiences of six Māori and Pasifika leaders on health policy-making advisory committees. All had extensive experience in the health system. They were recruited, provided semi-structured interviews, the data coded, and a thematic analysis undertaken. Our findings show that inequalities in the health system are reproduced in advisory committees. Participants noted their knowledge and interests were devalued and they experienced racism and tokenistic engagement. Some indicated it took considerable effort to establish credibility, be heard, have impact, and navigate advisory meetings, but even then their inputs were marginalised. Health policy advisory committees need deeper engagement and more genuine recognition of Māori and Pasifika knowledge. Māori and Pasifika leaders have constructive solutions for eliminating health inequities that could benefit all New Zealanders.     

Gender, Body Image, and Depressive Symptoms among Low-Income African American Adolescents

The present study tested for gender differences in depression and body image among a sample of 6th–8th grade low-income African American adolescents. Gender differences were found, with adolescent girls more likely to report both depressive symptoms and poor body image. The most frequently endorsed body image concern for both boys and girls was the desire to lose weight, with approximately half of the girls in this sample reporting they would like to lose weight. Results of mediational analyses indicate that poor body image mediates the relation between gender and depression in this sample, suggesting that heightened rates of depression, among girls, are due to heightened rates of poor body image.     

Village Tolerance of Abuse,Women's Status,and the Ecology of Intimate Partner Violence in Rural Uttar Pradesh,India

We explore the multilevel determinants of intimate partner violence (IPV) against women in rural Uttar Pradesh, India. We focus on village tolerance of abuse and its ability to regulate the effects of individual and village‐level women's status and social capital. Using individual and village data from the 1998 to 1999 India National Family Health Survey, we find that village tolerance and women's status at individual and village levels help explain the risk of IPV. Village tolerance of abuse also moderates the ability of village‐level women's status and social capital to protect women from IPV. Results underscore the need to understand processes that sustain and/or challenge violence‐legitimating norms.     

Getting started as a physician executive

In clinical practice, technical skills often outweigh interpersonal and leadership skills as success factors--you can be a great doctor and a so-so person. But the reverse seems to be true in the physician executive role; it is precisely the intangible leadership skills that contribute to and determine potential success. And they can be tough to master, especially when you focus on them for the first time, partway through an already-successful career. Practicing leadership is like practicing medicine. It's not just a matter of learning some new things--if it were only that, physicians are known to be excellent learners. Nor is it just a matter of determination or application--this is not a battle that sweat and effort alone can win. Most physicians will want to "try on" the executive role before making strategic moves in that direction. But be clear about what you want to get out of any project or activity before you jump in. If you're seeking a management degree, the best approach is to tie together developing your technical and interpersonal skills, as well as the formal credentials.     

Policy lessons for strengthening nonprofits

Those who develop or influence Australian public policy impacting on the nonprofit sector rarely have adequate empirical research upon which to base their judgments. Giving Australia research evidence relevant to strengthening giving and volunteering is brought together in this article to inform policy options for government, nonprofit and philanthropic entities. It begins with consideration of research findings related to the capacity of those that give or volunteer and the implications these findings have for policy. Three key criteria are developed for assessing policies to strengthening giving and volunteering, behaviours that primarily assist nonprofit organisations – policies that build trust between those that give and the recipients of their gifts, policies that strengthen affiliation and policies that encourage planned giving.     

Measuring the Quality of Peer-Reviewed Publications in Social Work: Impact Factors—Liberation or Liability?

Systems for measuring the quality of publications in peer-reviewed academic journals have achieved importance in the ‘audit culture’ to which academia worldwide has become increasingly subjected. In the United Kingdom this debate has focused on government proposals to give greater emphasis to bibliometrics (counts of journal articles and their citations) as a measurement of research quality, in respect of publications in the emergent Research Excellence Framework (REF) which is set to replace the Research Assessment Exercise (RAE). This approach impacts on social work educators who are the main producers of papers published in peer-reviewed academic journals. It affects their publishing behaviour by pressurising them to publish their work in journals that are regarded as being prestigious, for which ‘high impact factor’ journals as determined by Thomson Reuters—a private commercial information management enterprise with headquarters in the United States—has become a proxy for quality. In this paper the authors describe and critique the Thomson Reuters system as it applies to social work and propose an alternate fair, inclusive and transparent system for assessing the quality of publications based on peer evaluation and incorporating an ethical approach consistent with the discipline's professional values.     

Maternal Disrupted Communication During Face‐to‐Face Interaction at 4 months: Relation to Maternal and Infant Cortisol Among at‐Risk Families

The study evaluated the association between maternal disrupted communication and the reactivity and regulation of the psychobiology of the stress response in infancy. Mothers and infants were recruited via the National Health Service from the 20% most economically impoverished data zones in a suburban region of Scotland. Mothers (N = 63; M age = 25.9) and their 4‐month‐old infants (35 boys, 28 girls) were videotaped interacting for 8 min, including a still‐face procedure as a stress inducer and a 5‐min coded recovery period. Saliva samples were collected from the dyads prior to, during, and after the still‐face procedure and later assayed for cortisol. Level of disruption in maternal communication with the infant was coded from the 5‐min videotaped interaction during the recovery period which followed the still‐face procedure. Severely disrupted maternal communication was associated with lower levels of maternal cortisol and a greater divergence between mothers' and infants' cortisol levels. Results point to low maternal cortisol as a possible mechanism contributing to the mother's difficulty in sensitively attuning to her infant's cues, which in turn has implications for the infant's reactivity to and recovery from a mild stressor in early infancy.     

Physician executives breaking out of middle management

Physician executives are slowly moving into top management jobs, holding the same stature on senior management teams as chief financial officers and executive vice presidents. Learn how the role of the physician executive is evolving and how opportunities are expanding for even more physicians to assume the top-level posts.     

Young Children's Evaluations of the Ingroup and of Outgroups: A Multi-National Study

In investigating intergroup attitudes, previous research in developmental psychology has frequently confounded ingroup favouritism and outgroup derogation. The present study, using unconfounded measures, examines the possibility that ingroup favouritism and outgroup derogation are distinct phenomena. Six‐year‐old children (n=594) from five, culturally diverse nations were asked to make various evaluations of the national ingroup and of four national outgroups. The data indicate that although there is overwhelming evidence that young children favour the ingroup over other groups, outgroup derogation is limited in extent and appears to reproduce attitudes held by adult members of the particular nations investigated.     

Global view offers good news for physician executives

Do all physician executives have much "catching up" to do in relation to their non-MD colleagues? A comparison of the role of the physician executive versus the non-MD executive/administrator provides a big picture view and signals new opportunities for physicians in the evolving health care system. Physician executives have only recently become invested in the health care executive suite and are less wedded to old methods and "classic" ideas. They are more likely to be able to adapt to new circumstances, jettisoning traditional approaches that have outlived their usefulness. But each group-physician executives and their MHA- or MBA-credentialed, non-MD colleagues- has much to offer to or learn from the other. By retaining those skills that are applicable, while also adapting the useful characteristics of the "traditional" health care administrator, a physician executive can increase the likelihood of success today.