Rachel Humphris, Hannah Bradby, Beatriz Padilla, Jenny Phillimore, Simon Pemberton and Silja Samerski
Research has long focused on the notion of access and the trajectory towards a healthcare encounter but has neglected what happens to patients after these initial encounters. This…
Abstract
Purpose
Research has long focused on the notion of access and the trajectory towards a healthcare encounter but has neglected what happens to patients after these initial encounters. This paper focuses attention on what happens after an initial healthcare encounter leading to a more nuanced understanding of how patients from a diverse range of backgrounds make sense of medical advice, how they mix this knowledge with other forms of information and how they make decisions about what to do next.
Design/methodology/approach
Drawing on 160 in-depth interviews across four European countries the paper problematizes the notion of access; expands the definition of “decision partners”; and reframes the medical encounter as a journey, where one encounter leads to and informs the next.
Findings
This approach reveals the significant unseen, unrecognised and unacknowledged work that patients undertake to solve their health concerns.
Originality/value
De-centring the professional from the healthcare encounter allows us to understand why patients take particular pathways to care and how resources might be more appropriately leveraged to support both patients and professionals along this journey.
Details
Keywords
The chapter summarises issues associated with the effectiveness of urban policy interventions. In particular it emphasises the importance of sites, scales and spaces of state…
Abstract
Purpose
The chapter summarises issues associated with the effectiveness of urban policy interventions. In particular it emphasises the importance of sites, scales and spaces of state activity and the implications for the current and future nature of regeneration governance, policy and practice.
Methodology/approach
The chapter draws upon strategic-relational state theory.
Findings
With reference to the United Kingdom (UK), there are significant changes taking place that are affecting the site, scale and nature of urban regeneration. However, there is considerable uncertainty over the extent to which discrepancies in performance between areas will be addressed.
Research implications
Further research will be required on the consequences for regeneration of the rescaling of state power, the changing institutions of the state and the emergence of new political forces and strategies.
Originality/value of the chapter
The chapter provides a theoretical and empirical framework to understand both the current and future nature of urban regeneration governance in the UK and beyond.
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Simon Pemberton, Carys Alty, Rose Boylan and Claire Stevens
The purpose of this article is to explore whether it is possible to analyse if Black and other racial minorities (BRM) groups in Liverpool are benefiting from processes of…
Abstract
Purpose
The purpose of this article is to explore whether it is possible to analyse if Black and other racial minorities (BRM) groups in Liverpool are benefiting from processes of regeneration, and their impact on levels of BRM employment and economic activity.
Design/methodology/approach
The article draws on official social and economic statistics and on qualitative interview data to provide a case study analysis.
Findings
It is argued that local regeneration initiatives do not always reflect and address the needs of different BRM groups and that this has contributed to the underperformance of the Liverpool's BME population.
Research limitations/implications
There are important research implications from this piece. The work has demonstrated that the limited data collection practices of a number of agencies that operate at a local level, struggle to understand the broad and diverse range of BRM needs.
Practical implications
Addressing the needs of BRM groups is hampered by methods of community engagement with BRM groups. While some examples of good practice are starting to emerge, challenges remain in relation to sharing such practice and the co‐ordination of data collection.
Originality/value
The article provides an original overview of the information requirements to better understand how BRM groups can be supported through regeneration.
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Louise Gillies and Helen M. Burrows
Families conduct their affairs through processes that are built upon those of previous generations and also social capacities such as culture, class, oppression and poverty. The…
Abstract
Families conduct their affairs through processes that are built upon those of previous generations and also social capacities such as culture, class, oppression and poverty. The media has played a part in stereotyping the lower classes through their portrayal on the television programmes such as Benefits Street and Jeremy Kyle and tabloid newspaper stories. This chapter is a case study of two families who are at the opposing ends of the social scale, the Horrobin/Carter and Aldridge families. The two families were chosen due to them being linked by marriage in the younger generation. Through the use of genograms, we explore how the families differ in their attitudes towards relationships within their individual families, and also how they relate to each other as separate family groups. Despite the many differences, there are also a number of key similarities, particularly regarding the key females in the families, in terms of family background and snobbery. We also show that there is little family loyalty in the more privileged family and a power differential between the two families (oppressors vs. oppressed) in terms of the crimes committed.