Social Antecedents of Medical Fraud and Over-Servicing: What Makes A Doctor Criminal?

Medical fraud and overservicing are estimated to cost the Australian community between $130 and $200 million per annum, a figure far greater than the national cost of burglary and almost the same as the total property loss from all conventional crime. An examination of the social antecedents of medical fraud and overservicing suggests that the predisposition of some doctors to engage in these practices occurs because of the following: (1) medical training and professional socialization that orientate student doctors away from altruistic health issues towards narrower self-interested professional concerns; (2) career expectations of a high pattern of material consumption that are often frustrated by an increasingly competitive medical market place; and (3) professional medical organizations that lobby for national health policies which reflect the mercenary self-interest of doctors rather than the health interest of the nation.     

Child‐Care Usage and Mother‐Infant “Quality Time”

Mothers' time‐use patterns were compared in families in which infants spent more than 30 hours per week in child care (In‐Care group; n= 143) versus 0 hours per week (At‐Home group; n= 183) from birth to 6 months of age. In‐Care group mothers spent about 12 fewer hours per week interacting with their infants, for about 32% less time; fathers of these infants were more involved in caregiving. The groups did not differ in the quality of mother‐infant interaction. In the In‐Care group, quantity of interaction was related to greater separation anxiety and concerns about effects of maternal employment. Time‐use data were not related to child outcomes at 15 months of age. Results suggest that the effect of extensive time spent apart on the quantity and quality of mother‐infant interaction may be smaller than anticipated.     

Hearts and Minds and Morality: Analyzing Moral Vocabularies in Qualitative Studies

A strategy of analyzing the moral vocabulary of a social movement or subculture is proposed by which ethnographies and other qualitative works may place the moral and ethical concepts used by respondents into a broader sociological context. Through examining the moral resources, the status hierarchy which the specific moral resources within a given moral vocabulary form, and the historical and cultural contexts within which these moral resources exist, it is argued that it becomes possible to analyze and anticipate the moral claims and form of discourse which will be produced by a specific movement and/or subculture. It is also argued that this method may be used to predict how the opposition to a movement and/or subculture is perceived through the formation of an antithetical moral vocabulary.     

Community Development and Government Response

The article contrasts two programmes aimed at improving thequality of life for older women in Australia. The CommunityOptions programme is a wellfunded Government initiative directedat personal care within the home. The Older Women's Networkis a grass-roots community development initiative. The articleexamines the relationship between control and resourcing interms of preventative and crisis care.     

Influence of National Qualifications Frameworks in Conceptualising Feedback to Students

Social work students in Britain receive feedback on a range of academic and practice issues as they progress through qualifying courses, however the way in which feedback differs to reflect the increasing complexity of learning as the course progresses is unclear. There is little, if any, guidance at a national level and the most widely known documents that provide information about the hierarchy of qualifications are the National Qualifications Frameworks (NQFs). Despite the widespread acceptance of NQFs there is little evidence supporting their use in professional areas such as social work. This study uses a documentary analysis to critique the Scottish Credit and Qualifications Framework (SCQF). The findings suggest that there are fundamental difficulties with the SCQF and its value in helping academics to better conceptualise feedback that reflects the increasing complexity of learning throughout the social work qualifying course. Whilst the SCQF is specific to a Scottish context, it is suggested that the inherent limitations and dominance of a neo-liberal ideology are common to other NQFs. It may be necessary to create the conditions where academics and students are able to discuss and debate the merits of NQFs and their implementation in social work qualifying courses.     

9/11 Volunteerism: A pathway to personal healing and community engagement

This paper is a longitudinal analysis of the impacts of spontaneous volunteerism on those who responded to emergency needs immediately following the September 11, 2001 terrorist attacks on the World Trade Center in New York City. Our qualitative study investigates the long-term implications for the volunteers who participated in a myriad of helping behaviors ranging from working on the bucket brigade to serving food to rescue workers to working as translators for victims’ families. This project consists of two waves of data collection. The first set of in-depth interviews with 23 volunteers was conducted in the weeks following the attacks in the fall of 2001. In the second wave of interviews over 3 years later, we interviewed 20 volunteers, nearly half of whom were original respondents in the first wave. Through our analysis, we found that taking action facilitated meaningful therapeutic recovery from feelings of victimization following the event. In addition to the apparent long-term impact on personal healing, the opportunity to volunteer had lasting impacts on self-concept that translated to significant changes in life choices. The second wave of research also reveals that the experience of action impacted the volunteers’ community sentiment by fostering new levels of identification with and affinity for members of their community. In addition, community response work in the aftermath of a disaster appeared to increase community engagement in non-disaster times.     

Persistence and survival of the spider <Emphasis Type="Italic">Nephila plumipes</Emphasis> in cities: do increased prey resources drive the success of an urban exploiter?

Species that successfully inhabit urban ecosystems are rare, and urbanisation often drives localised extinctions of native species. Nonetheless, some species take advantage of the novel conditions available in cities and increase in abundance. Trends in the abundance and distribution of species in urban areas have received much attention, but the precise elements of urban ecosystems that affect the survival of urban-dwelling species are largely unknown. Animals that successfully exploit urban environments may do so because of increases in the availability of resources or habitats. Here we assess the effects of anthropogenic landscapes and prey abundance on the persistence of an orb-weaving spider, Nephila plumipes. We assessed spider persistence for six months in situ along an urban gradient in Sydney. We then transplanted spiders from a common garden into sites along the gradient, monitored their persistence in the new environment and measured a suite of environmental variables at local and landscape scales. The abundance of prey was closely linked with spider persistence, in both the survey and the transplant experiment, and was positively associated with anthropogenic habitats. The surveyed spiders survived longer when located closer to the coast and transplanted spiders persisted longer in smaller sites with more impervious surfaces and reduced vegetation cover. Our study shows that urbanisation has a strong effect on potential prey abundance and can lead to increased persistence of N. plumipes, demonstrating the broad impacts that habitat disturbance can have on the life history and trophic interactions of city-dwelling animals.     

Deliberate acquisition of competence in physiological breech birth: A grounded theory study

Problem

Research suggests that the skill and experience of the attendant significantly affect the outcomes of vaginal breech births, yet practitioner experience levels are minimal within many contemporary maternity care systems.

Contrasting perspectives of parents and service providers on respite care in Queensland,Australia

Abstract

Parent-carers need support to continue to care for their child with significant disability in their home. There has, however, been little evidence that respite interventions have consistent or enduring beneficial effects on carer well-being. This article reports the findings of a qualitative study which adopted an Appreciative Inquiry philosophy to interview parent-carers of children with significant intellectual and/or developmental disabilities on how formal support services have helped them maintain their health and well-being, and disability support staff on how they help such parent-carers foster their health and well-being. We conclude that better communication and collaboration between service providers and users, more targeted training of workers, and embracing a person-centred and family-centred approach to respite services are needed. In addition, clearer definition and communication of the scope of respite services are required to best support families of children with significant disability in their home.