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1 – 10 of 312Kathryn Ashton, Aimee Challenger, Christie Craddock, Timo Clemens, Jordan Williams, Oliver Kempton, Mariana Dyakova and Liz Green
The sexual health of the male prison population is often among the poorest in a country. This paper aims to identify the wider health impacts and social value of a sexual health…
Abstract
Purpose
The sexual health of the male prison population is often among the poorest in a country. This paper aims to identify the wider health impacts and social value of a sexual health self-sampling programme offered to male prisoners in an open prison setting in Wales.
Design/methodology/approach
This study applied a unique pilot approach of using Health Impact Assessment and Social Return on Investment Frameworks in tandem. Key stakeholder groups affected by the intervention were identified, and engaged with through workshops, interviews and questionnaires to identify and quantify the health impacts and wider outcomes. Outcomes were then valued using proxy financial values to present the overall estimated social value of the self-sampling service.
Findings
Based on a small sample, results indicate that for every £1 spent on the self-sampling service in the prison, a potential value of £4.14 was created. This resulted in a ratio of £4.14:£1. Approximately one-third of the value created (£1,517.95) was categorised as monetarily returnable, whereas the remaining value (£3,260.40) was purely illustrative social value, for example improved mental well-being.
Originality/value
This unique pilot study demonstrates the health impacts and wider social value of providing a self-sampling sexual health service to prisoners within an open prison setting. By innovatively testing the feasibility of using a Health Impact Assessment process alongside Social Return on Investment analyses, this paper has outlined how the frameworks can be used in synergy to illustrate not just direct return on investment but also the social value of providing such a service.
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For segmentation purposes, demographic variables are cheap and easyto measure, while psychographic variables are harder to measure, but canprovide a more accurate insight into…
Abstract
For segmentation purposes, demographic variables are cheap and easy to measure, while psychographic variables are harder to measure, but can provide a more accurate insight into consumer psychology. The use of astrology, potentially, allows us to combine the measurement of demographics, with the psychological insights of psychographics. Suggests that a prima facie case exists for the suitability of astrology as a segmentation variable since it creates segments which are measurable, substantial, accessible, exhaustive, relatively stable over time, likely to respond differently towards different marketing programmes and have clear boundaries. Although it would be unrealistic to claim that astrology can be universally applied to all markets in all industries, it may have some use when applied to certain populations or sub‐groups within certain lifestyle and personality‐related markets.
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Stuart A. Green, Liz Evans, Rachel Matthews, Sandra Jayacodi, Jenny Trite, Anton Manickam, Rachel Evered, John Green, Joanna Williams, Ed Beveridge, Caroline Parker and Bill Tiplady
National and local policy supports the involvement of patients at all levels in the design, delivery and improvement of health services. Whilst existing approaches to support…
Abstract
Purpose
National and local policy supports the involvement of patients at all levels in the design, delivery and improvement of health services. Whilst existing approaches to support involvement have been described and disseminated, including the 4Pi National Involvement Standards, their application in quality improvement is rarely reported. The paper aims to discuss this issue.
Design/methodology/approach
A quality improvement initiative within a mental health trust was developed with a multi-disciplinary team, including those with professional experience of delivering or improving care and those with lived experience. The aim of the initiative was to improve the physical health of inpatients within an acute mental health unit. This case study aims to describe how the integration of concepts from the 4Pi National Involvement Standards (Principles, Purpose, Presence, Process and Impact) provided a framework for engaging and involving service users. The case study also aims to describe how co-design was included within the 4Pi approach and supported the development of a tool to aid improving physical healthcare.
Findings
The 4Pi National Involvement Standards provided a guiding framework for the involvement of service users within a quality improvement initiative. Value of the approach was realised through the co-design of a tool developed by service users, along with healthcare professionals, to facilitate discussion and support shared-decision making about inpatients’ physical health.
Practical implications
Identifying “ways that work” for service user involvement is crucial to move beyond the policy rhetoric or tokenistic involvement. Involvement in quality improvement initiatives can bring benefits both to services and the service users themselves.
Originality/value
Whilst the 4PI approach is recognised as a useful framework for involvement, few examples exist of its practical applications within a quality improvement setting.
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Elizabeth Mackinlay and Brydie‐Leigh Bartleet
The purpose of this paper is to explore the individual music research projects the authors were working on in Borroloola, Northern Territory of Australia, and the ways in which…
Abstract
Purpose
The purpose of this paper is to explore the individual music research projects the authors were working on in Borroloola, Northern Territory of Australia, and the ways in which the lived and inter‐subjective concepts of sisterhood and friendship strengthened the authors’ shared experiences in the field and became the foundations of their method.
Design/methodology/approach
Through an auto‐ethnographic and inter‐subjective narrative approach, the authors consider how the intertwined notions of relationship as research and “friendship as method”, underpinned what was being researched, how the research was enacted, and finally how the authors came to further appreciate and understand the role that music‐making plays in facilitating this process.
Findings
The authors’ independent and shared experiences during this research were stark reminders that it is indeed the quality of field relationships and friendships, rather than clever theoretical ideas or fancy methodological frameworks, which ultimately determine the quality and depth of their musicological and ethnographic research.
Originality/value
This paper presents original, feminist‐based research which places concepts of sisterhood, friendship and relationships at the centre of music research practice in Australia. More specifically, this research highlights the complexities of such research practice across the boundaries of race, with and in collaboration with, Indigenous Australian women.
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The cycle of external indebtedness of dependent countries has become a huge constraint on any strategy for radical social change.Argentina has recently entered a new process of…
Abstract
The cycle of external indebtedness of dependent countries has become a huge constraint on any strategy for radical social change.
Argentina has recently entered a new process of debt overhang and renegotiation with the International Monetary Fund and private global creditors. The dominant debate around the country's foreign debt revolves around the conditions that can guarantee the sustainability of repayment. The underlying objective is to remain in the debt system that produces and reproduces dependency.
This chapter will seek to analyze the question of debt sustainability from another point of view: Is it possible to guarantee the (financial) sustainability of the debt at the same time as guaranteeing the sustainability of life? Our argument is that by remaining in the global debt system, Argentina creates conditions that violate the requirements for the sustainability of human and nonhuman life. Drawing on a discussion from Marxist dependency theory and the traditions of Marxist feminism and environmentalism, we will discuss how the debt sustainability argument presupposes the impossibility of reproducing life. In particular, we will show how the conditions required to guarantee debt sustainability in Argentina entail the deepening of the superexploitation of the “productive” and “reproductive” labor force, and the exacerbation of extractivism, putting social reproduction in crisis.
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This research aims to design a green pharmaceutical supply chain (PSC) that reduces preventable pharmaceutical waste and effectively disposes of inevitable pharmaceutical waste…
Abstract
Purpose
This research aims to design a green pharmaceutical supply chain (PSC) that reduces preventable pharmaceutical waste and effectively disposes of inevitable pharmaceutical waste. The main output of this study is the formulation of an integrated green PSC model involving all critical stakeholders, leading to improved environmental, economic and safety performance in medication management and delivery.
Design/methodology/approach
The research is based on literature and on secondary resources.
Findings
To green the PSC, every producer of waste is duty bound to facilitate the safe handling and disposal of waste. A cross boundary green PSC (XGPSC) approach is proposed to identify participants' contribution to the PSC. Peripheral influences are also recognised from professional and regulatory bodies.
Research limitations/implications
This study focuses solely on community PSC in the UK where patients receive medication from local community pharmacies and thus may be limited. The proposed XGPSC approach also needs to be tested and validated in practice. It may also be difficult to transfer some of the environmental practices proposed in this research into practice.
Practical implications
The environmental practices and actions proposed provide invaluable insight into various PSC activities, including purchasing, product design, prescription patterns and processes, medication use review, and customer relationship management.
Social implications
The proposed environmental actions encourage firm commitment from everyone to reduce, recycle or effectively dispose of pharmaceutical waste, with patients becoming stewards of medication rather than only consumers.
Originality/value
A cross boundary approach is developed to green the PSC, which encourages total involvement and collaboration from all participants in PSC.
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If the government is looking to reduce social exclusion (rather than exclusion from the tax system) then perhaps the next Green Paper could look at the advantages of local…
Abstract
If the government is looking to reduce social exclusion (rather than exclusion from the tax system) then perhaps the next Green Paper could look at the advantages of local exchange trading systems. The DSS may treat participation in a LETS scheme as remunerated work. This creates the same set of problems and disincentives as work paid for in sterling for people claiming benefits. Last year, however, new guidance to DSS offices gave some local discretion, as Liz Shephard advises.
Tendai Chitewere and Dorceta E. Taylor
Purpose – Ecological cohousing communities, or ecovillages, are emerging as contemporary housing models that attempt to recreate a sense of community and encourage an…
Abstract
Purpose – Ecological cohousing communities, or ecovillages, are emerging as contemporary housing models that attempt to recreate a sense of community and encourage an environmentally sustainable lifestyle. This chapter analyzes a rural ecovillage (Ecovillage at Ithaca – EVI) to find out how the community conceptualizes and practices sustainability. The chapter also examines whether and how the community incorporates issues of equity and social justice into its activities.
Design/methodology/approach – The chapter uses a multi-method approach. It is a case study; however, participant observation was conducted at the site. In addition, interviews with residents were conducted and archival materials from the community's newsletters as well city government documents were also used.
Findings – As practiced at EVI, the green lifestyle emphasizes comfortable living that is both esthetically appealing and good for the environment. In making the decision to focus on building a community for the middle class, residents have limited their engagement with social justice issues and have struggled with incorporating minorities and the poor into their community.
Originality/value – This is one of the first papers to analyze the ecovillages from an environmental justice perspective. It shows where there are overlaps between the ecovillage and environmental justice movements. The chapter also fits into a growing body of scholarship that examines the concept of sustainability from a social justice perspective also.