Quality assessment is a crucial issue in the strategic management of the public health sector. The objective of this study is to investigate the patients’ perception of the health system quality and explore the relationships between doctors and long-term cancer patients. The data under study have been collected during a survey conducted with long-term cancer patients who follow an oncological therapy in a Public Hospital. In the study, exploratory factorial analysis is developed and two structural equation models are proposed. The first model describes the service quality as perceived by the patients, which is influenced by four important factors, namely tangible aspects, reliability, empathy (doctor–patient human relations) and hospital organization. The second model describes the relationship between doctors and long-term cancer patients, which is influenced by three factors, that is reliability, empathy and hospital organization. The discussion highlights the contribution that the results of the study may make to the investigation of the possible strategies for improving health care service quality.
This paper offers a synthetic outline of the contribution of a foucauldian approach to the analysis of health, with specific attention to the dynamics of the relation between health promotion and the ‘health society’. Through the concept of ‘biopower’, this approach was among the first in sociology to highlight the general relevance of health to the constitutive dynamics of modern (and eventually late-modern) societies. Through the concept of ‘governmentality’, scholars in a range of disciplines offered early critical analyses of health promotion discourse in the specific context of neo-liberalism, highlighting some of its paradoxical features. To the extent that such paradoxes are now more widely articulated as an explicit subject for public debate through the notion of a ‘health society’, it might be argued that the critical function initially offered through the notion of governmentality has become somewhat redundant. Against this background, the paper concludes by discussing, through examples relating to new biotechnologies and to drug policy, how a foucauldian approach continues to be relevant in the contemporary context. 相似文献
A growing literature has examined the prevalence of transnational engagement among children of immigrants. However, few studies have been equipped to analyse underlying dynamics that serve to impede or perpetuate transnational practices among them in the United States. In this article, we compare transnationalism narratives between 1.5- and second-generation children of immigrants to more fully adjudicate enduring transnational ties over time. Our analysis of 134 interviews from the Children of Immigrants Longitudinal Study suggests that children of immigrants from Southern California conceptualise transnational experiences in diverse but remarkably similar ways. The meanings attached to transnational behaviours and identities employ certain patterns, and are often related to strength of kin-based ties, ethnic language fluency, and levels of structural access to the homeland. Moreover, findings indicate that the second-generation is nearly as transnationally engaged as the 1.5-generation. This provides novel but limited evidence in support of claims that transnational ties are sustained across generations. 相似文献
ABSTRACT I use the concept of agnotology to examine the way in which the UK government diverted the public gaze from lack of equipment and hidden privatization by claiming to ‘follow the science’ and so adopt the ‘strategy’ of herd immunity. This has resulted in excess deaths, hospitalization and life-changing injury. The global experience of Covid-19 has emphasized existing inequalities, anger, and the challenge of ‘leadership’ in such threatening times. I briefly look at the role of HR as we work through the long-lasting effects of the pandemic on individuals and ‘civilization’. 相似文献
This paper provides an extension of the Dynamic Conditional Correlation model of Engle (2002) by allowing both the unconditional
correlation and the parameters to be driven by an unobservable Markov chain. We provide the estimation algorithm and perform
an empirical analysis of the contagion phenomenon in which our model is compared to the traditional CCC and DCC representations.
We acknowledge financial support from the Italian national research project on "The Euro and European financial market volatility:
contagion, interdependence and volatility transmission" financed by the Italian Ministry of University and Research. Furthermore,
we thank William De Pieri for research assistance and are grateful to Loriana Pelizzon, Claudio Pizzi, Domenico Sartore and
the participants at the Forecasting Financial Markets 2004 conference and at the XLII Annual Meeting of the Italian Statistical
Society for helpful comments. Usual disclaimer applies.
Correspondence to: Monica Bilio 相似文献
The authors compared 39 women and 38 men entering an outpatient treatment program for pathological gambling. They were diagnosed according to DSM-IV and selected by SOGS, followed by a semi-structured interview for demography and progression of the gambling behavior prior to treatment. Women were more often single (59% vs. 26%; p = .005) and started gambling significantly later than men (34.2 vs. 20.4 years; p < .001). The progression of the disorder was more than 2 times faster in women than in men. There was no difference in the age of seeking treatment (44.7 vs. 42.3 years). Findings from this study resemble gender differences in other addictions—in particular the faster progression among women—challenge pharmacodynamic hypotheses for this phenomenon, and suggest gender into account when devising treatment strategies for pathological gambling. 相似文献
The history of the American West is intimately tied to the movement and management of water. As the West developed, so too did the image of rural Westerners. As stressors like climate change and population growth strain existing water supplies, resource management benefits from understanding whether fundamental differences exist between the residents in the Old (rural) West and the New (urban) West. Using a survey conducted in the spring of 2010 of Oregon residents, this study explores whether residents in Oregon show distinct differences in environmental concern based on rural or urban residency. The results show that there are differences between groups on environmental beliefs, but likely attributed to factors other than rural and urban residency, and there are no significant differences between groups on water. 相似文献