Coalitions of Actors and Managerial Innovations in the Healthcare and Social Healthcare Sector

This paper studies the behavior of a variety of stakeholders around the adoption of managerial innovations desired by operational managers of health services institutions. We show that if the operational manager may cause the managerial innovation, the tool prospective is subject to power games around coalitions of actors. The study of several management situations in health services institutions enables us, using the game theory, to highlight the “winning”, “losing” and “uncertain” coalitions that can achieve operational management within the establishment to settle a managerial innovation.     

Quand la formation ne suffit pas : la préparation des étudiants à l’emploi en Angleterre,en France et en Suède

The proliferation of internships and the rise of professionalisation in higher education are, in France, frequently condemned as evidence of a quest for greater employability, driven by a skills-based approach. A comparative analysis of the methods used to prepare students for employment shows the degree to which the social mechanisms are homogeneous in England (employability) and in Sweden (bildning). In France, the transition from higher education to employment entails a process of pre-professionalisation. This is characterised by the dominant role of professional skills and their incorporation into the structure of initial education itself. Rather than the outcome of a process of commodification, this mechanism of pre-professionalisation is explained by the persistence of an idealized conception of “matching” that still profoundly marks the relations between education and employment in France.     

Joining up the solutions: the rhetoric and practice of inter‐agency cooperation

A three‐year project placed home‐school support workers in secondary schools. The intention was that they should work closely at operational level with other agencies to provide a cohesive local authority response to the needs of disaffected and excluded youngsters. Crucial distinctions emerged between project constraints, possibilities and benefits for agency personnel in the school‐focused agencies and those external to the school. In relation to the external agencies, support workers fulfilled predominantly an information gathering and sharing role whereby they joined up the solutions of disparate agencies, whereas very effective forms of cooperation developed with the school‐focused agencies. Copyright © 2001 John Wiley & Sons, Ltd.     

Financial Liberalisation in Southern Africa: An Assessment

In the early 1990s many Southern African economies embarked on financial liberalisation. Although it is too soon to carry out sophisticated econometric analysis of this change in policy, the available empirical evidence may be inspected to see whether it lends support to advocates of financial liberalisation. In this article we explore the avenues through which financial liberalisation might be expected to exert an influence. Consistent with much of the existing literature, we discover that a degree of agnosticism is warranted. Financial liberalisation is no panacea and will not improve economic performance unless accompanied by sound economic policies. It remains difficult to isolate the effects of financial liberalisation from the data available.     

Preventive Care's Forgotten Women: Life Course,Sexuality, and Sexual Health among Homosexually and Bisexually Active Women in France

Although studies show that women who have sex with women (WSW) have poorer sexual health and more limited access to health care for gynecological problems than other women, the social processes giving rise to such health differences have not, so far, been explored. These processes may be formed in response to a dominant social norm, which assigns women to a heterosexual and monogamous sexuality. Based on data from a national random survey of sexuality (N = 6,824), enriched by qualitative interviews with WSW (n = 40), this analysis shows that bisexually active women had similar socio-demographic profiles to heterosexually active women, whereas homosexually active women appeared to be more highly educated than other women and less likely to live as couples than bisexually active women. Bisexually active women had more diversified sexual trajectories and sexual networks than other women. Chlamydia prevalence was found to be higher among bisexually active women, and homosexually active women reported fewer medical consultations for gynecological reasons. These analyses highlight the need to deconstruct the binary classification of homosexual versus heterosexual women. Because of constraint by the monogamous heterosexual norm, bisexually active women were less likely to be tested for sexually transmitted infections, and homosexually active women were less likely to have had gynecological follow-ups.     

Book reviews and books received

Abstract

Occupational medicine: Principles and Practical Applications, Edited by Carl Zenz, Chicago, Year Book Medical Publishers Inc., 2nd edn, (1988). [Pp. xxiii + 1273.] £ 94. ISBN 0-8151-9865-5.

Working Lives in Catering, By Yiannis Gabriel, London, Routledge & Kegan Paul (1988). [Pp. viii + 190.] £ 19.95. ISBN 0-7102-0923-1.

Stress and Breast Cancer, Edited by Cary L. Cooper, Chichester, Wiley (1988). [Pp. x + 219.] £ 22.50. ISBN 0-471-91744-3.

Managing organisational change: human factors and automation, By Fred Fallik, London, Taylor & Francis (1988). [Pp. xiv + 157.] £ 28.00, ISBN 0-85066-363-6 (hardback); £ 14.00, ISBN 0-850366-363-8 (paperback).

Managing organisational change: human factors and automation, By Fred Fallik, London, Taylor & Francis (1988). [Pp. xiv + 157.] £ 28.00, ISBN 0-85066-363-6 (hardback); £ 14.00, ISBN 0-850366-363-8 (paperback).

The Indebted Society. Credit and default in the 1980s, By Janet Ford, London, Routledge 81 Kegan Paul, (1988). [Pp. xi + 208.] £ 12.95. ISBN 0-415-00757-7.     

A midwife program of newborn resuscitation

A very small proportion of newborns fail to establish a normal respiratory pattern without some assistance at birth and newborns requiring resuscitative measures at birth should have a skilled practitioner able to provide it. In this small hospital midwives felt unskilled in newborn resuscitation and paediatricians were not always immediately available. A stakeholder group gathered to discuss the problem. A training program was implemented that improved the skills, confidence and support of the attending midwife to resuscitate the newborn effectively. The aim was to improve the outcome for the infant whilst maintaining the mother's choice of birthing in a small local hospital close to family and friends.     

The UN Global Compact for Safe,Orderly and Regular Migration: Its Impact on Asia

This article focuses on the Global Compact for Safe, Orderly and Regular Migration (GCM), a landmark international document that builds on the momentum of a decade of initiatives at the international level on migration governance, and its impact on Asia from the perspective of South Asia, Southeast Asia, China, and South Korea. While none of these countries voted against the adoption of the GCM, there are significant differences in how individual countries approached the commitments made in the GCM. These perspectives were articulated in a webinar hosted by Metropolis Asia on 20 June 2018 and in governmental statements made at the UN international conference when the GCM was adopted. This article also discusses the challenges confronting the implementation of the GCM. While the Compact resulted from inclusive and intensive negotiations and many compromises, the road towards realizing its goals will be at least as challenging as the road that led to its adoption. In spite of these challenges, the GCM is a ground‐breaking representation of the first multilateral framework for migration governance. Its success rests upon the recognition that addressing the challenges and maximizing the benefits of migration require true international cooperation, renewed commitment and meaningful action on the commitments agreed to.     

Rural Appalachian High School Students’ College‐Going and STEMM Perceptions

The authors examined perceptions of key social cognitive career theory (Lent, Brown, & Hackett, 1994) variables related to college‐going and science, technology, engineering, math, and medical (STEMM) careers in 10th and 11th graders (N = 892) attending 3 rural Appalachian high schools. The authors examined differences in perceptions related to gender, prospective 1st‐generation college student status, and the presence or absence of aspirations to pursue a STEMM career. Young women and young men scored similarly on all but 1 dependent variable, college‐going self‐efficacy (young women scored higher). Students who had STEMM career aspirations had higher scores on every measure than those who did not. Results suggest examining a 3rd prospective 1st‐generation college student status group—students who are unsure of their parents’ education level—as a distinct group in future research. By examining the college‐going and STEMM attitudes of rural Appalachian high school students, this study advances the literature and informs practitioners on reducing educational and vocational inequalities in this region.