Marjorie Gott and Hester Packham
Describes a study of three community nursing services provided by North Staffordshire Health Authority, which was carried out during the summer of 1991. Both the type and focus of…
Abstract
Describes a study of three community nursing services provided by North Staffordshire Health Authority, which was carried out during the summer of 1991. Both the type and focus of quality measurement reported here are fairly unique. While the development of quality measures is yet at an early stage, most measures to date are quantitative. These can inform about volume of use of a service, but not its quality. The measures designed for this study were qualitative. These, when combined with quantitative data (statistics, routinely collected), yield much richer and more complete information as a basis for decision making in service planning. Quality data on the use of community services are also under‐represented in the quality literature — most studies to date have used hospital patient services as their source for data collection. Goes some way towards redressing the imbalance.
Details
Keywords
Marjorie Gott and Hester Packham
Describes a study of three community nursing services provided by North Staffordshire Health Authority, which was carried out during the summer of 1991. Both the type and focus of…
Abstract
Describes a study of three community nursing services provided by North Staffordshire Health Authority, which was carried out during the summer of 1991. Both the type and focus of quality measurement reported here are fairly unique. While the development of quality measures is yet at an early stage, most measures to date are quantitative. These can inform about volume of use of a service, but not its quality. The measures designed for this study were qualitative. These, when combined with quantitative data (statistics, routinely collected), yield much richer and more complete information as a basis for decision making in service planning. Quality data on the use of community services are also under‐represented in the quality literature ‐ most studies to date have used hospital patient services as their source for data collection. Goes some way towards redressing the imbalance.
Details
Keywords
Daniel Oviedo, Luis A. Guzman, Julian Arellana, Orlando Sabogal-Cardona, Carlos Moncada and Lynn Scholl
The effects of the COVID-19 pandemic on cities have transformed the lives of urban societies across the globe. One of such effects has been the redefinition of access and urban…
Abstract
The effects of the COVID-19 pandemic on cities have transformed the lives of urban societies across the globe. One of such effects has been the redefinition of access and urban mobility patterns, exposing divides and inequalities along the lines of class, gender and social positions. In Latin America, long-term lockdowns and widespread containment-oriented restrictions have deepened already acute conditions of poverty and deprivation. Low-income and socially vulnerable households and individuals in countries such as Colombia find themselves unable, or in a disadvantaged position, to work from home, access goods and services securely and avoid transport modes that increase exposure to contagion. This chapter examines inequalities in urban mobility and access to essential opportunities in urban settings in Colombia, through data collected from 3,900 respondents to a web survey organised during the national lockdown in the country in April 2020. The chapter presents a Latent Class Analysis model exploring how intersecting differences in class, gender, ethnicity, age and other relevant socioeconomic characteristics, influence the degree of adaptability and capacity to adapt to the challenging conditions posed by COVID-19 for physical travel and carrying out everyday activities. Building on three distinct classes of mobility and access-related conditions, the chapter reflects on structural inequalities associated with Colombian cities’ urban form, functional and productive structures and its wide social gaps. The chapter builds on empirical findings to reflect on urban policy and discuss avenues for addressing social and spatial inequalities worsened by the pandemic.