首页 | 本学科首页   官方微博 | 高级检索  
相似文献
 共查询到20条相似文献,搜索用时 734 毫秒
1.
Abstract

Victorian urbanisation created suburban communities out of fields and orchards. In one suburb, east of Oxford City, where piecemeal development occurred in a rural area from the 1840s, a network of religious orders linked to the Oxford Movement provided health and welfare services. The local priest, Father Benson, was a major benefactor and instigator of these services. As the suburb grew and the state became more involved in health and welfare service provision, the church responded accordingly. Using a local graveyard to identify some key individuals and organisations involved in the developing community, combined with an analysis of the census, provides a framework for an outline of the history of the community and the development of its service infrastructure. This gives us an insight into both east Oxford and the wider debates on church and state provision of services.  相似文献   

2.
Recent work in critical geography describes the neoliberalization of urban social service provision through a transition from state provision to civil sector delivery. The concept of a ‘shadow state’ is deployed by some social theorists to describe this process by which nonprofits with government contracts increasingly adopt a state-oriented agenda for the execution of social entitlement programs. Possible linkages between the neoliberalization of urban environmental service provision and a shadow state are lacking by comparison. I, therefore, use qualitative data concerning three organizations in Milwaukee, Wisconsin to demonstrate that civil sector groups are stepping up as local government diminishes its markets for municipal environmental labor. However, the diverse compositions of these shared governances potentially complicate the efficacy of a shadow state thesis for describing environmental provision in inner-city Milwaukee. Instead, I argue that a Gramscian interpretation of shared governance better accounts for the neoliberalization of environmental service provision as government agencies and civil sector groups relate to one another through hegemonic market logic. I argue that this provides a more nuanced picture of how governance concerning the urban environment is constructed by the government, market, and civil sectors to further shape human social reproduction.  相似文献   

3.
Precarity is increasingly a condition of life for Kenyan health workers as even professionals face costs of living and forms of debt that exceed their (unstable) salaries. Years of austerity and chronic scarcity have eroded healthcare infrastructures and rendered crises part of everyday work. Based on ethnographic fieldwork in Kenya from 2018 to 2020, we explore health workers’ experiences and concerns about the precarity of their working conditions, livelihoods, health and futures amidst the government's attempts to experiment with ‘universal health coverage’ (UHC) and improve access to healthcare. While UHC appears to call for greater state responsibility for healthcare futures, healthcare provision is being further outsourced and privatized, underlining that seemingly progressive health policies like UHC are sustaining and replicating neoliberal trends.  相似文献   

4.
This article provides an overview of health financing structures in Arab countries in the context of their preparedness for universal health coverage. Current arrangements have left large swathes of the population shouldering high financial burdens and facing hardships when using healthcare, with significant impoverishing and deterrent effects. Health protection schemes are most comprehensive for those who can afford healthcare; they are mainly based on contributions and formal employment and thus fail to cater for the poor and the rural and informal sectors. Financing systems also lack the operational bases and institutional prerequisites for effective resource pooling and risk sharing, with segmentation and fragmentation worsening horizontal and vertical inequities. The neglect of public health systems has reinforced inequities by widening the gap between needs and provision, and by emphasizing the ability to pay as a basis for accessing quality care. In a context of informality and poverty, focusing reforms on health insurance is not a panacea. Rather, moving towards universal health coverage and reducing health inequities will require changes in the level of political tolerance for social injustice, and a paradigm shift to a more equity‐based political economy which views health as an investment and an entitlement.  相似文献   

5.
《Political Geography》1999,18(2):149-172
Numerous commentators argue that the nation-state is an endangered species. External forces of globalization and internal forces of social differentiation, many suggest, are significantly weakening the state's capacity to regulate its subject population within its jurisdictionally-defined space. Such an argument is often made in the specific case of crime control. The spread of international communications networks and the growth of international policing suggest that single-state crime control efforts will increasingly be insufficient, the growth of private security and community-oriented crime reduction efforts suggest that the state is surrendering crime control to other domestic agencies. This paper examines the specific case of crime control in the United States to argue that the putative weakening of the state is not in fact occurring. When examined more closely, suggested evidence of decreased state power vis-a-vis crime turns out, if anything, to demonstrate the opposite. The analysis demonstrates that, in the American case especially, the state remains startlingly relevant when it comes to efforts to combat crime and maintain order. Because police agencies are bureaucratic institutions that must demonstrate their relevance to ensure their continued health, and because the state's broader legitimacy is linked to the provision of security, the public crime control apparatus promises to remain robust for the indefinite future.  相似文献   

6.
Abstract

China’s emergence as a global development actor has implications for developing countries and “traditional” donor agencies. Its current provision of foreign aid and other forms of development assistance to developing countries throughout the world presents both opportunities and challenges for all actors. At the same time, China’s growing need for natural resources and its policy of securing access through state-led “resource diplomacy” are causing concern. While most scholars and commentators are focused on the “China in Africa” dimension, China’s engagement in the South Pacific region has also been growing rapidly over the past decade and offers some interesting and unique insights. This article examines the dynamics of China’s provision of foreign aid and its quest for natural resources in the South Pacific region, with comparative references to other regions. Drawing particularly upon interviews and site visits in Fiji and Papua New Guinea, it argues that although major commercial resource contracts do appear to be supported by Chinese Government assistance, resources deals are not explicitly part of Chinese foreign aid in the region.  相似文献   

7.
As governments and nonprofit organizations build close partnerships for the provision of public services, they become interdependent in many ways. In particular, nonprofits' public‐resource dependence has significant implications for their behavior and decisions. By examining Korean cultural nonprofit organizations (CNPOs), this article posits a theoretical framework for the impact of public‐resource dependence on nonprofits' organizational autonomy and legitimacy. The empirical results of national survey data of Korean cultural nonprofits suggest that public‐resource dependence has a dual effect, reducing managerial autonomy while enhancing institutional legitimacy. Korean CNPOs seem to be constrained by public funding granted by both local governments and the central government, particularly in goal setting, resource allocations, and program choices. However, public funding also helps nonprofits earn institutional legitimacy through its reputation and recognition effects.  相似文献   

8.
This article describes and accounts for the existing distribution of medical services in remote areas. In contrast to traditional geographical approaches which have sought to explain problems associated with service provision in remote areas in terms of high costs of overcoming vast distances and low population thresholds, it is argued that such geographical and economic factors alone are an insufficient basis for explanation. Rather, it is necessary to view this issue in the broader context of existing ideology that underpins the procedures relating to the allocation of society's scarce resources, and the role of political and bureaucratic processes that are responsible for health care inequities. The adoption of apolitical economy framework recognises the problem of resource allocation as essentially a political matter requiring an analysis of power relations.  相似文献   

9.
The delivery of 'rural' health care services has long confronted the geographic problems of distance, low user densities, low-order facilities and caregiver shortages. As a result, rural and remote communities across Canada have struggled with health care delivery. For rural and remote communities in resource hinterlands, population ageing driven by industrial restructuring presents a significant departure from past experience. Drawing on examples from northern British Columbia (BC), this paper examines this context of ageing in rural and remote locations with the purpose of highlighting impending challenges for health care service provision. In the first part of this paper, we provide a demographic overview of population change and ageing in northern BC. In the second part, we present data on the availability of services throughout the region to support seniors who age-in-place. Population ageing, in areas that have never dealt with this issue before, highlights not only important servicing questions but also important policy questions about how to provide for needs that the policy and community context are not presently equipped to meet.  相似文献   

10.
基础设施供给包括规划决策、生产建设、运营管理一系列过程。计划经济时期的基础设施供给程式具有历时分离决策的特点,并且政府包揽了供给的全部过程。由于我国行政管理体制滞后于经济体制改革,致使基础设施供给程式无法适应由于分权化和市场化改革所引起的基础设施供给约束条件与作用机制的变化,导致基础设施供给中暴露出诸多严重问题。论文从政治经济学的角度分析了产生这些问题的机理,并设计了一个可以解释这个机理的政府竞争基础设施供给的结构模型。最后论文勾画了一个由规划决策层管治和建设、运营、管理层管治构成的适应市场经济的基础设施供给管治结构,并就两个层次的八种管治模式进行了分析。  相似文献   

11.
In South Africa, the provision of collective consumption and urban racial segregation have always been closely connected. This article examines changes in apartheid urban policy with specific reference to two predominantly working-class colored suburbs on the periphery of Johannesburg: Eldorado Park, begun in the mid-1960s during a period of relative growth and stability, is largely an expression of socialized housing produced by an interventionist state and construction of this suburb, despite its racially exclusive character, appears to fit all too well within the theory which sees collective consumption in terms of the reproduction of labor power. However the apartheid regime, confronted by a deepening economic and political crisis, later withdrew from the provision of collective consumption, and appears to be abandoning its racist urban policies and ideology. Thus construction of Ennerdale, beginning in the mid-1970s occurred within a context of privatization and austerity. Analysis of the apparent “deracialized” and market-oriented provision of urban goods and services in Ennerdale reveals, at a local level, contradictions of South African crisis policies.  相似文献   

12.
With its hilly terrain and fast-paced growth, Nogales, Sonora, located on the US-Mexico border, is an extremely challenging place for sanitation and potable water provision wherein access to basic services is highly uneven. The labor demands of maquiladoras (typically, foreign-owned assembly plants) draw a steady influx of newcomers to the city, many of whom must turn to land “invasion” to create spaces for affordable housing. With tacit government approval, invasions occur on inexpensive, often topographically precarious land. Officials tend to frame these spaces as “illegal,” and, by extension, those who inhabit them, as existing outside the realm of formal governance. Despite such views, in this paper we understand the distinctions drawn between so-called formal and informal urban governance to unfold along two key axes: regularization of informal land titles and piped water and sanitation. We show how colonia residents feel caught in a state of suspended animation between hope for full urban service provision and trepidation that it will ever reach them. This ambiguity is visible in residents' and government officials' interactions with each other and the public services landscape, and in the unevenness of services provision. We critique the claim that such ambiguousness reflects an instrumental approach within official planning. Instead, we draw from state theory within political geography and political ecology to show how ‘the state’ is an emergent effect of the processes of inclusion and exclusion, an effect constantly destabilized by Nogales's precarious physical geography and uneven urban services grid. Reconceptualizing authority and ambiguity holds quite different implications for the struggle for urban services provision.  相似文献   

13.
The failures of the Australian welfare state are often implicitly argued to derive in large part from the conservatism of the Australian public. This research uses public opinion poll data from 1940 to 1985 to question some of the claims made about public opinion and Australian welfare. These data indicate that post‐World War Two governments were not the captives of public opposition to expanded welfare provision. The public favoured generous, universal and contributory welfare provision in specific areas where the policies of successive Australian governments favoured selective, illiberal welfare measures funded by taxation. Moreover, public support for government health schemes suggests that welfare programmes generate public support rather than result from it.

This evidence suggests that explanations for the conservatism of the Australian welfare state lie elsewhere.  相似文献   


14.
Important changes are underway in the management and provision of welfare service activities in advanced capitalist societies as governments scale back their responsibilities and commitments to social security and health care. In order to understand the processes by which the reform imperatives of the central state are implemented at the local level, it is necessary to account for particular organizational and place-based contingencies which influence decision making and strategic response. This paper presents a framework for understanding the context of executive decision making in the human services sector and uses the framework to illustrate issues of locally designed hospital restructuring in smaller urban centres in the province of Ontario, Canada. Specific experiences of the Chief Executive Officers of two non-metropolitan hospital settings are examined to explore the unwritten rules of hospital conduct and the relations of uncertainty that characterize efforts to restructure hospital services through formal arrangements with other independently governed hospitals and health care delivery organizations.  相似文献   

15.
The article explores the spatial distribution and institutional geography of domestic violence service provision in post-communist Poland. A new institutional geography providing services to victims of domestic violence is emerging in Poland as a result of NGO activism and new pro-woman policies implemented by the state. NGOs, often in partnership with local governments, are the most vital means of service provision in large and medium size cities, while in rural areas, public agencies predominate in the institutional geography of service provision. The assumption that NGOs will emerge to address the needs of victims of domestic violence is not realistic in rural areas. While urban Poland is developing an institutional geography to address domestic violence, state and NGO activists must focus on shrinking the rural margins of Poland's institutional geography.  相似文献   

16.
This article examines Brazil's experience with the public production of anti‐retroviral drugs (ARVs) and highlights the important role of the state in guaranteeing access to life‐saving medicines and fulfilling human rights commitments. The key to understanding the government's successful intervention in the pharmaceutical market and provision of treatment rests on the synergistic, albeit political, relationship between reform‐minded public servants and civil society activists. This article argues that three key factors led to the government becoming a direct producer of ARVs: 1) a pre‐existing infrastructure of public laboratories that have served the public health system to a greater or lesser degree since the 1960s; 2) strong civil society pressures, including public health activists both inside and outside the government; and 3) a pharmaceutical sector characterized by high prices and controlled by transnational drug companies.  相似文献   

17.
施艳玲 《攀登》2005,24(4):151-152
档案信息资源是国家和社会信息资源不可或缺的重要组成部分,档案工作承担着保存历史、传承文明、资政育人、服务社会的重要职能,档案工作者的良好素质是发挥档案服务职能的关键所在。为此,本文认为,只有坚持改革,不断创新,才能充分发挥档案工作的服务职能,使档案工作在现代化建设中发挥更大的作用。  相似文献   

18.
Identifying and removing access barriers to the timely provision of comprehensive health care is increasingly important for the wellbeing of Australia's rapidly ageing and frail populations, particularly those in non‐metropolitan settings. This study has examined if current general practice (GP) locations in non‐metropolitan South Australia (SA) and Western Australia (WA) are geographically accessible to the rapidly growing frail and prefrail populations known to have a high level of health service use and reduced mobility. Geospatial analysis linking 60‐kilometre GP service catchments, 2016 population counts, and 2027 population projections has estimated that the size of the frail and prefrail population that live outside these GP service catchments will double, reaching 7,800 people by 2027. The maldistribution of GP locations was most evident in WA. As regional and remote populations continue to age, the challenge of health service provision, including geographic access to care, must be resolved to ensure that populations in these areas have the best opportunity to age well. Geospatial methods linking service and demographic information, such as the approach used in this analysis, can aid in planning the equitable provision of health care for older Australians.  相似文献   

19.
This article explores the role of place in explaining variation in caregiver compensation. Using the labour category of Personal Support Worker (PSW) in Ontario, Canada, it contrasts wage rates across three health care settings: hospitals, long-term care facilities and private homes. An evaluation of current literature from disciplines spanning geography, gender studies, political science and sociology is combined with a critical analysis of policy documents and wage data to reveal that, despite holding similar qualifications and performing comparable job duties, hospital-based workers receive higher wages than home-based workers. I theorize that this wage disparity is partially attributable to the historical privileging of hospital settings in Canada, based on a medical-social continuum of health care valuation. Given that the hospital is constructed as a highly medical place, whereas the home is considered to be a social place, caregiving work enjoys greater financing protection in the former. I argue that these constructions stem from deeply gendered historical roots which view the marketplace as a male-dominated setting for productive waged labour, and the home as a female-dominated setting for unpaid social pursuits. Thus, when personal support services shift from public institutions into private homes, these activities become invisible to the state, and their provision beyond its purview. I conclude that the medical versus social nature of the duties performed by PSWs has become secondary to the medical versus social nature of the setting in which these activities take place. This has translated into lower wages for home-based PSWs, effectively resulting in wage discrimination.  相似文献   

20.
The United States military is treating climate change as a crucial factor in its preparation for future conflicts. This concern manifests not only in strategic planning and forward-looking documents, but also in building infrastructural capacity and material provision. Yet, the impetus to ‘green’ the military goes beyond the deployment of existing technologies. We examine several facets of the military's role as an environmental actor, particularly through its promotion of the US Navy's ‘Great Green Fleet’ (GGF), which actively supports the development of advanced biofuels by subsidizing their development and facilitating wider marketization. The GGF promises to reduce military reliance on conventional fossil fuels and reconfigure its energy sourcing, thus reducing dependence on imported hydrocarbons; this is with an eye towards ultimately severing the logistical relationship between existing energy infrastructures and the spaces of military intervention. Taking an integrated lens of political ecology and geopolitics - ‘geopolitical ecology’ - we seek to provide an understanding of the production of weaponized nature. We demonstrate that the US military's discursive use of climate change to justify the provision of new military hardware and advanced biofuels promotes a vision of resource conflicts to support the development of technologies to overcome the constraints to delivery of fuel to emergent front lines. We argue that while this may appear to be militarized greenwashing, it signals a shift in the logics and practices of fuel sourcing driven by a dystopian vision of climate change, which the US military played a significant role in creating.  相似文献   

设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号