In this article, the total quality programme in the Spanish health‐care system (1986‐1992) and the subsequent quality improvement steps that have led to definition and…
Abstract
In this article, the total quality programme in the Spanish health‐care system (1986‐1992) and the subsequent quality improvement steps that have led to definition and implementation of such an integrated framework, seeking a quality management system and patient safety, are discussed.
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Ulises Ruiz, José Simón, Pedro Molina, J. Jimenez and J. Grandal
Defining quality of healthcare and determining how to improve organisational performance in developed countries is still an unresolved issue among healthcare professionals…
Abstract
Defining quality of healthcare and determining how to improve organisational performance in developed countries is still an unresolved issue among healthcare professionals. However, given that it is an important area of responsibility and accountability it is no longer acceptable to view the issue as discretionary. An increasingly acceptable operative option for achieving continuous improvement and excellence seems to be the self‐assessment of an organisation, based on the principles of knowledge management and total quality management (TQM). This article provides an explanation of a two‐level self‐assessment approach for implementing TQM within the Spanish healthcare system. The first level integrates a client‐centred approach using classical healthcare accreditation criteria along with ISO 9000 standards, the aim being to establish quality assurance systems in the whole organisation. The second level uses the European Foundation for Quality Management Excellence Model as a road map for self‐assessment and continuous improvement towards excellence.
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This chapter analyzes the critical move in feminist scholarship to gender the discourse on risk mediation in dangerous ethnographic fieldwork, particularly in social justice…
Abstract
Purpose
This chapter analyzes the critical move in feminist scholarship to gender the discourse on risk mediation in dangerous ethnographic fieldwork, particularly in social justice research. Additionally, I draw on a reflexive analysis of my own fieldwork in Oaxaca, Mexico, to examine the intersectional impact of social location (gender, race, class, etc.) on risk management.
Methodology/approach
I synthesize key literature contributions in social science and feminist scholarship on doing dangerous fieldwork. Ethnographic data includes three months of participant observation and interviews with participants of the 2006 Oaxacan uprising.
Findings
I argue that the following themes represent axes of gendered risk mediation in social justice fieldwork: (1) the intersectional impact of social location on varied risks and the mediation of those risks, (2) impression management as an important tool for risk mediation, and (3) ethical dilemmas within risk mediation. The key dangers and risks in fieldwork include physical danger, emotional/psychological impacts, risk to research participants, ethical dangers, separation from family through international work, risk of imprisonment, and academic/professional risk.
Research limitations/implications
Analysis of personal experience in the field is limited to this one researcher’s experience; however, it mirrors key themes present in the literature. Reflexive analysis of social location on risk mediation is part of a continued call by feminist ethnographers to research practical risk mediation techniques and recognize the intersectional impacts of social location on fieldwork.
Practical implications
This chapter provides insights that instructors of ethnographic methods might use to discuss dangerous fieldsites and how to mediate risk.
Social implications
A failure to recognize risk in ethnographic research may disproportionately impact researchers most susceptible to particular risks.
Originality/value
Although feminist scholarship has long examined social location in fieldwork, analysis of risk management is limited. Additionally, this chapter adds to this scholarship by contributing key themes that unite the available research and a list of most-often discussed risks in fieldwork.
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She will face former Mexico City Mayor Claudia Sheinbaum, who on September 6 was named the de-facto candidate of the ruling ‘Together We’ll Make History’ (JHH) coalition, made up…
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DOI: 10.1108/OXAN-DB282206
ISSN: 2633-304X
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Barbara de Lima Voss, David Bernard Carter and Bruno Meirelles Salotti
We present a critical literature review debating Brazilian research on social and environmental accounting (SEA). The aim of this study is to understand the role of politics in…
Abstract
We present a critical literature review debating Brazilian research on social and environmental accounting (SEA). The aim of this study is to understand the role of politics in the construction of hegemonies in SEA research in Brazil. In particular, we examine the role of hegemony in relation to the co-option of SEA literature and sustainability in the Brazilian context by the logic of development for economic growth in emerging economies. The methodological approach adopts a post-structural perspective that reflects Laclau and Mouffe’s discourse theory. The study employs a hermeneutical, rhetorical approach to understand and classify 352 Brazilian research articles on SEA. We employ Brown and Fraser’s (2006) categorizations of SEA literature to help in our analysis: the business case, the stakeholder–accountability approach, and the critical case. We argue that the business case is prominent in Brazilian studies. Second-stage analysis suggests that the major themes under discussion include measurement, consulting, and descriptive approach. We argue that these themes illustrate the degree of influence of the hegemonic politics relevant to emerging economics, as these themes predominantly concern economic growth and a capitalist context. This paper discusses trends and practices in the Brazilian literature on SEA and argues that the focus means that SEA avoids critical debates of the role of capitalist logics in an emerging economy concerning sustainability. We urge the Brazilian academy to understand the implications of its reifying agenda and engage, counter-hegemonically, in a social and political agenda beyond the hegemonic support of a particular set of capitalist interests.
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Philippe Stoesslé and Francisco Gonzalez-Salazar
Undocumented Central American migrants in Mexico are legally eligible for free access to the public health system through the new Instituto para la Salud y el Bienestar (INSABI…
Abstract
Purpose
Undocumented Central American migrants in Mexico are legally eligible for free access to the public health system through the new Instituto para la Salud y el Bienestar (INSABI) health program, but many experience structural vulnerability and stigmatization that prevent them from accessing health-care facilities. The purpose of this study is to investigate the discrepancy between the migrants’ Human Right to health, proclaimed by the Mexican Government and supposedly guaranteed by law, and the reality of the migration process.
Design/methodology/approach
This study reviewed relevant literature on the health risk factors, social and structural vulnerability, stigmatization and structural violence experienced by undocumented migrants as obstacles to their Human Right to health. It also reviews the current legal framework in Mexico and internationally.
Findings
This review demonstrates the lack of implementation of the current legal framework in Mexico and identifies a set of complex obstacles to effective access to health for undocumented migrants. Although the migration process itself was not found to be directly associated with major health issues, the social conditions of the migratory journey expose the migrants to serious threats, especially sexually transmitted diseases and tuberculosis.
Practical implications
This paper makes 10 practical recommendations for interventions collectively involving the state, international and civil organizations and the migrant community. These are especially relevant since the implementation of the INSABI health program in 2020.
Social implications
The paper lays the basis for influencing Mexican health system stakeholders to improve the health of migrants.
Originality/value
The sociological barriers to health access for undocumented populations in Mexico have not been fully explored. In addition, this paper provides a unique reflection on opportunities and challenges linked to the 2020 health system reform.
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This article examines the mostly neglected anti-Chinese movement that, supported by Mexico's official post-revolutionary party, persecuted and finally expelled a large majority of…
Abstract
This article examines the mostly neglected anti-Chinese movement that, supported by Mexico's official post-revolutionary party, persecuted and finally expelled a large majority of Mexico's Chinese community. The article analyzes the trajectory of this racial movement from its origins as a social and political movement to its incorporation within the new orthodoxy of the post-revolutionary state. In particular, it examines the relevance of anti-Chinese racism and ideology for the resolution of the hegemonic struggle between the two dominant Sonoran caudillos Plutarco Elias Calles and Alvaro Obregón. Secondly, it considers the importance of anti-Chinese ideology and actions for the creation of consent in the “unstable equilibrium” that shaped Mexican politics between 1928 and 1934. Finally, this article examines the epistemological compatibility between anti-Chinese ideology, the “cultural revolution” of Mexico's post-revolutionary regimes, and the racial understandings and sentiments of the mestizaje theories informing Mexican revolutionary nationalism. The article suggests that a reconsideration of race offers a better theoretical understanding of Mexican state formation and the cultural processes through which social identities take form in interaction with the state, its institutions and discourses. The treatment of race as a political problem also contributes to a better understanding of the mechanisms and processes that transform diffuse racial sentiments, perceptions and expectations into militant and politically organized racial movements.
Pedro Dourado, Carmen LLovet and Eglée Ortega Fernández
Given the potential for authorial fashion to lead the way in the field of sustainable fashion and digital platforms to be a powerful tool for spreading sustainable messages, this…
Abstract
Purpose
Given the potential for authorial fashion to lead the way in the field of sustainable fashion and digital platforms to be a powerful tool for spreading sustainable messages, this study seeks to explore the emphasis given to sustainability in the digital communication of Portuguese and Spanish’s authorial fashion.
Design/methodology/approach
A thematic analysis of all the posts published on the feeds of the 63 designers who presented their collections at the Madrid and Lisbon fashion weeks in September/October 2022 (Spring/Summer 2023) or February/March 2023 (Fall/Winter 2023/2024) editions was carried out. The information was collected over a six-month period between the two fashion weeks. This study is based on the categories identified in the reflexive thematic analysis developed by Testa et al. (2020). After adapting the categories to our analysis, 14 emerging themes were identified as observation criteria.
Findings
A total of 4,699 posts were examined. The analysis reveals a general lack of interest in mentioning sustainability – a subject evident in just around 6% of the content – as well as a high emphasis on the visual aspect of the fashion product. Several similarities between the Portuguese and Spanish markets were observed.
Originality/value
This study is important since there are few cross-cultural studies in the field of fashion between the two countries, particularly on sustainable fashion. Furthermore, it establishes a structure that is easily replicable in various markets and geographical areas.
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Encarnación Soriano and Verónica C.C. Cala
The purpose of this paper is to assess and compare school well-being (SW) and emotional well-being (EW) among Romanian, Moroccan and Spanish youth, to determine the degree of…
Abstract
Purpose
The purpose of this paper is to assess and compare school well-being (SW) and emotional well-being (EW) among Romanian, Moroccan and Spanish youth, to determine the degree of relation between EW and scholar well-being.
Design/methodology/approach
The paper employed cross-sectional research with cluster sampling in two primary schools and seven secondary schools. The questionnaire Kidscreen-27 was distributed to a sample of 1,840 Romanian, Moroccan and Spanish students aged between 10 and 19 years old. Data analysis was conducted with the software package SPSS, version 21.
Findings
EW shows significant gender (gender gap) and origin inequalities (lower performance for the Moroccan community). However, well-being in school shows positive results for the Moroccan students and women. Moreover, EW and well-being at school are presented as related and co-linear variables with a predictive power over one another.
Research limitations/implications
Understanding cultural expressions in heterogeneous cultures is a very complex task. Despite the cultural adaptation and validation of instruments, the applied surveys could not consider cultural differences.
Practical implications
The paper underlines that gender and origin remain decisive and determinant for adolescent health. However, the school can have positive effects on the well-being of immigrants. The reasons for well-being need to be explored, and it would be useful to develop educative strategies to implement transcultural EW and SW.
Originality/value
It is the first study about SW and EW of immigrants in Spain that explains a better SW in immigrants groups. It is also relevant for applied school intervention to predict the relationship between EW and SW.