Social Science & Medicine
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Medical professionalism among clinical physicians in two tertiary hospitals, China.
We developed a 13-item professional attitudes and 11-item behaviors inventory. Self-administered questionnaires were distributed to 390 physicians mainly in four specialties in two tertiary Chinese hospitals in 2011. 306 completed questionnaires were collected. More than 90% of respondents agreed wi...
The promises and perils of hospital autonomy: reform by decree in Viet Nam.
This article investigates impacts of hospital autonomization in Viet Nam employing a "decision-space" framework that examines how hospitals have used their increased discretion and to what effect. Analysis suggests autonomization is associated with increased revenue, increasing staff pay, and greate...
Personal identity and the role of 'carer' among relatives and friends of people with multiple sclerosis.
We draw on data from a qualitative research study which examined the experiences of family members and friends of people with multiple sclerosis (pwMS) to explore how they interpret the label 'carer'. We conducted narrative interviews with forty people throughout the United Kingdom between June 2011...
Exploring the health consequences of majority-minority neighborhoods: Minority diversity and birthweight among native-born and foreign-born ...
We examined the association between neighborhood minority diversity and infant birthweight among non-Hispanic US-born black women and foreign-born black women from Sub-Saharan Africa and the non-Spanish speaking Caribbean using 2002-2006 vital statistics birth record data from the state of New Jerse...
Child health in the United States: recent trends in racial/ethnic disparities.
We assessed 17 indicators of child health, including overall health status, disability, measures of specific illnesses, and indicators of the social and economic consequences of illnesses. We examined disparities across five race/ethnic groups (non-Hispanic white, non-Hispanic black, Hispanic, non-H...
Using complexity theory to analyse the organisational response to resurgent tuberculosis across London.
We employ complexity theory to analyse the English National Health Service (NHS)'s organisational response to resurgent tuberculosis across London. Tennison (2002) suggests that complexity theory could fruitfully explore a healthcare system's response to this complex and emergent phenomenon: we expl...
Exercise, physical activity, and exertion over the business cycle.
We explore the impact of the business cycle on individuals' exercise, time use, and total physical exertion, utilizing information on 112,000 individual records from the 2003-2010 American Time Use Surveys. In doing so, we test a key causal link that has been hypothesized in the relation between une...
Estimating a WTP-based value of a QALY: The 'chained' approach.
We developed within EuroVaQ an adaptation to the 'chained approach' that attempts to overcome problems documented previously (in particular the tendency to arrive at exceedingly high WTP per QALY values). The survey was administered via Internet panels in each participating country and almost 22,000...
Using autoethnography to reclaim the 'place of healing' in mental health care.
We critically reflect on a project that seeks, two decades after the closure of the last major institution in New Zealand, to investigate the acute care environment with an emphasis on its capacity for healing. The vehicle facilitating this investigation is a novel approach to understanding the inpa...
Horizontal equity and efficiency at primary health care facilities in rural Afghanistan: a seemingly unrelated regression approach.
We used seemingly unrelated regression to determine if facilities in remote areas have fewer outpatient visits than other rural facilities. In this analysis, one equation compares the number of outpatient visits to facility inputs, while another compares quality of care to determinants of quality. T...