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Selected AbstractsOn Utopias and Dystopias: Toward an Understanding of the Discourse Surrounding the InternetJOURNAL OF COMPUTER-MEDIATED COMMUNICATION, Issue 2 2001Dana R. Fisher It is clear that the Internet has the capacity to change how individuals interact with others as well as increase access to information. Whether either one of these factors affects the social landscape has yet to be determined. This fact has not kept many from anticipating the effects of the technology on society. In this paper, we contextualize some of the main issues of discussion regarding the Internet, describing these positions in terms of utopian and dystopian perspectives. By resurrecting William Ogburn's theory of the cultural lag (1964), we present a framework for understanding the extreme responses to the technology. The lag suggests that the effects of a technology will not be apparent to social actors for some time after it is introduced to a society. As such, much of the discourse concerning the Internet is ideologically charged, filled as much with the hopes and fears of individual authors as with the reality of the medium's effects. [source] Nurse prescribing in mental health: national surveyJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2010D. DOBEL-OBER phd Accessible summary ,,Nurse prescribing has grown relatively slowly in mental health care since it was introduced in early 2000s. ,,This paper reports findings from a survey of directors of nursing in England. ,,It provides information about the current level of development of nurse prescribing and about intentions with regards to future implementation and development. Abstract Mental health nurses can now train to become independent prescribers as well as supplementary prescribers. Independent nurse prescribing can potentially help to reorganize mental health services, increase access to medicines and improve service user information, satisfaction and concordance. However, mental health nursing has been slow to undertake prescribing roles, and there has been little work conducted to look at where nurse prescribing is proving successful, and those areas where it is less so. This survey was designed to collect information from directors of nursing in mental health trusts about the numbers of mental health prescribers in England, gather views about prescribing in practice, and elicit intentions with regards to the development of nurse prescribing. In some Trusts, the number of mental health nurse prescribers has increased to the point where wider impacts on workforce, the configuration of teams and services are inevitable. Currently, the way that prescribing is used within different organizations, services and teams varies and it is unclear which setting is most appropriate for the different modes of prescribing. Future work should focus on the impact of mental health nurse prescribing on service delivery, as well as on service users, colleagues and nurses themselves. [source] Racial Profiling, Insurance Style: Insurance Redlining and the Uneven Development of Metropolitan AreasJOURNAL OF URBAN AFFAIRS, Issue 4 2003Gregory D. Squires This article examines the role of racial profiling in the property insurance industry and how such practices, grounded in negative racial stereotyping, have contributed to racial segregation and uneven metropolitan development. From a review of industry underwriting and marketing materials, court documents, and research by government agencies, industry and community groups, and academics, it is clear that race has long affected and continues to affect the policies and practices of this industry. Due to limitations in publicly available data, it is difficult to assess precisely the extent to which race shapes industry practices. Research and public policy initiatives are explored that can ameliorate the data problems, increase access to insurance, and foster more equitable community development. [source] Availability of Safety Net Providers and Access to Care of Uninsured PersonsHEALTH SERVICES RESEARCH, Issue 5 2004Jack Hadley Objective. To understand how proximity to safety net clinics and hospitals affects a variety of measures of access to care and service use by uninsured persons. Data Sources. The 1998,1999 Community Tracking Study household survey, administered primarily by telephone survey to households in 60 randomly selected communities, linked to data on community health centers, other free clinics, and safety net hospitals. Study Design. Instrumental variable estimation of multivariate regression models of several measures of access to care (having a usual source of care, unmet or delayed medical care needs, ambulatory service use, and overnight hospital stays) against endogenous measures of distances to the nearest community health center and safety net hospital, controlling for characteristics of uninsured persons and other area characteristics that are related to access to care. The models are estimated with data from a nationally representative sample of uninsured people. Principal Findings. Shorter distances to the nearest safety net providers increase access to care for uninsured persons. Failure to account for the endogeneity of distance to safety net providers on access to care generally leads to finding little or no safety net effects on access. Conclusions. Closer proximity to the safety net increases access to care for uninsured persons. However, the improvements in access to care are relatively small compared with similar measures of access to care for insured persons. Modest expansion of the safety net is unlikely to provide a full substitute for insurance coverage expansions. [source] | |||||||||||||