scholarly journals Social Inequalities in Perinatal Mortality in Belo Horizonte, Brazil: The Role of Hospital Care

2007 ◽  
Vol 97 (5) ◽  
pp. 867-873 ◽  
Author(s):  
Sônia Lansky ◽  
Elisabeth França ◽  
Ichiro Kawachi
Keyword(s):  
Perinatal Mortality ◽  
Hospital Care ◽  
Social Inequalities ◽  
Belo Horizonte

scholarly journals Perinatal mortality and socio-spatial inequalities

2013 ◽  
Vol 21 (5) ◽  
pp. 1062-1070 ◽  
Author(s):  
Eunice Francisca Martins ◽  
Edna Maria Rezende ◽  
Maria Cristina de Mattos Almeida ◽  
Francisco Carlos Felix Lana
Keyword(s):  
Perinatal Mortality ◽  
Social Inequalities ◽  
Vulnerability Index ◽  
Complex Problem ◽  
Perinatal Deaths ◽  
Maternal Schooling ◽  
Spatial Inequalities ◽  
The Social ◽  
Belo Horizonte ◽  
Social Vulnerabilities

OBJECTIVE: to analyze the social inequalities in the distribution of perinatal mortality in Belo Horizonte. MATERIAL AND METHODS: the perinatal deaths of residents in Belo Horizonte in the period 2003 to 2007 were studied on the basis of the Information Systems on Mortality and Newborns. The space analysis and the Health Vulnerability Index were used to identify existing inequalities in the sanitary districts regarding coverage and risk, determined by the Odds Ratio and a value p<0.05. The multivariate analysis was used to describe a model for perinatal mortality. RESULTS: there was a proved variation in the numbers of perinatal mortality per one thousand total births in the sanitary districts (12.5 to 19.4), coverage areas (5.3 to 49.4) and areas of risk (13.2 to 20.7). The mortality rate diminished as the maternal schooling increased. The death rates deriving from asphyxia/hypoxia and non-specified fetal death grew with the increase of risk in the area. CONCLUSION: it was verified that the perinatal deaths are distributed in a differentiated form in relation to the space and the social vulnerabilities. The confrontation of this complex problem requires the establishment of intersecting partnerships.

The role of municipal committees in the development of an integrated urban water policy in Belo Horizonte, Brazil

2009 ◽  
Vol 60 (12) ◽  
pp. 3129-3136 ◽  
Author(s):  
G. M. Costa ◽  
H. S. M. Costa ◽  
J. B. Dias ◽  
M. G. Welter
Keyword(s):  
Water Policy ◽  
Urban Policy ◽  
Social Inequalities ◽  
Water Governance ◽  
Local Level ◽  
Integrated Approach ◽  
Research Network ◽  
Urban Water ◽  
Belo Horizonte

This paper discusses the challenges involved in adopting an integrated approach to urban water policies and management, a particularly problematic issue in Brazil due to the incomplete nature of urbanization, defined as the lack of adequate and/or universalized access to infrastructure and services, informal housing and conflicts between environmental protection and social housing needs. In the last two decades strong social movements have influenced urban environmental policies from national to local levels. In Belo Horizonte since 1993, decision-making processes have involved important mechanisms of democratic inclusion, which have contributed to fairer urban policies. A brief discussion of the concept of governance follows, introducing the municipal urban policy within which drainage and sanitation policies have been implemented. This paper presents the constitutional and institutional role of the five municipal committees dealing with water governance issues, as they are important arenas for civil society participation. The main constraints to achieving integrated urban water governance at the local level and the extent to which such policies are able to reduce social inequalities and promote social environmental justice in the use and appropriation of urban water, are discussed. This paper is part of the SWITCH—Sustainable Water Management Improves Tomorrow's Cities' Health—research network.

Do conhecimento objetivo ao problema corpo - mente

2018 ◽  
Vol 10 (2) ◽  
pp. 85-113
Author(s):  
Nathalia Gleyce dos Santos Salazar
Keyword(s):  
Third World ◽  
Sao Paulo ◽  
Karl Popper ◽  
São Paulo ◽  
Human Beings ◽  
The Third ◽  
Belo Horizonte ◽  
The Third World ◽  
The Mind

Resumo:  Apresenta-se uma discussão sobre o conhecimento e a tese dos três mundos no qual a interação entre estes nos aproxima da verdade do problema corpo-mente, tendo em vista, uma nova proposta de solução. O terceiro mundo é uma peça importante neste trabalho; sendo assim, analisaremos o que Popper designa como Mundo 3, em que ele consiste e o papel da linguagem como diferencial do ser humano. Apresentamos as críticas popperianas às correntes monistas e dualistas, ousando fazer uma crítica a Teoria do Conhecimento tradicional. Desta forma, a proposta apresentada por este filósofo da ciência diferencia-se de tudo que estava sendo feito até então, por isso, o interesse de apresentar essa abordagem pouco trabalhada de Popper. Palavras-chave: Conhecimento. Corpo-Mente. Mundo 3.Abstract: In this work, we present a discussion about knowledge and the theory of the three worlds in which the interaction between them approaches to the truth of the mind-body problem, in view of a proposed solution. The third world is an important piece in this work. Therefore, we will analyze what Popper describes as World 3, what it is and the role of language as a differential of human beings. We present Popper’s criticisms to the monistic and dualistic currents, daring to criticize the theory of traditional knowledge. Thus, the proposal of science presented by this philosopher differs from everything that was being done until then. This explains the interest in presenting this unusual approach to Popper.Keywords: Knowledge. Body-Mind.  World 3. REFERÊNCIASLEAL-TOLEDO, Gustavo . Popper e seu Cérebro. Revista da Faculdade de Letras. Série Filosofia, v. XXIII, p. 59-68, 2007.POPPER, Karl Raimund. A Lógica da Pesquisa Científica. Tradução de Leonidas Hegenberg e Octanny Silveira de Mota.  São Paulo: editora Cultrix. 2007.POPPER, Karl Raimund. Conhecimento Objetivo: uma abordagem evolucionária. Tradução de Milton Amado.  Belo Horizonte, Ed. Itatiaia Ilimitada. São Paulo, Ed. Da Universidade São Paulo, 1975._______.  O Conhecimento e o Problema Corpo –Mente. Tradução Joaquim Alberto Ferreira Gomes. Lisboa, Ed. 70. 1996.   _______. Conjecturas e Refutações: o desenvolvimento do conhecimento científico. Trad. Benedita Bettencourt. Ed. Livraria Almedina, 2006._______.  O Eu e Seu Cérebro. Karl Popper, Jonh C. Eccles;Tradução Silvio Meneses Garcia, Helena Cristina F. Arantes e Aurélio Osmar C. de Oliveira. – Campinas, SP: Papirus; Brasília, DF: Editora Universidade de Brasília. 1991.   _______. O Racionalismo Crítico na Política. Tradução de Maria da Conceição Côrte – Real. Brasília, Editora Universidade de Brasília, 2ª edição, 1994, 74p.SEARLE, John R. La construcción de la realidad social. Trad. Antoni Domènech. Barcelona: Paidós Ibérico, 1995.  

EXPRESS: The Role of Patient Satisfaction in Hospitals’ Medicare Reimbursements

2020 ◽  
pp. 074391562098472
Author(s):  
Lu Liu ◽  
Dinesh K. Gauri ◽  
Rupinder P. Jindal
Keyword(s):  
Patient Satisfaction ◽  
Pain Management ◽  
Hospital Care ◽  
Pay For Performance ◽  
Data Sources ◽  
Satisfaction Survey ◽  
The Us ◽  
Performance System ◽  
Diverse Data

Medicare uses a pay-for-performance program to reimburse hospitals. One of the key input measures in the performance formula is patient satisfaction with their hospital care. Physicians and hospitals, however, have raised concerns especially about questions related to patient satisfaction with pain management during hospitalization. They report feeling pressured to prescribe opioids to alleviate pain and boost satisfaction survey scores for higher reimbursements. This over-prescription of opioids has been cited as a cause of current opioid crisis in the US. Due to these concerns, Medicare stopped using pain management questions as inputs in its payment formula. We collected multi-year data from six diverse data sources, employed propensity score matching to obtain comparable groups, and estimated difference-in-difference models to show that, in fact, pain management was the only measure to improve in response to pay-for-performance system. No other input measure showed significant improvement. Thus, removing pain management from the formula may weaken the effectiveness of HVBP program at improving patient satisfaction, which is one of the key goals of the program. We suggest two divergent paths for Medicare to make the program more effective.

scholarly journals Anti-migrant Islamophobia in Europe. Social roots, mechanisms and actors

2018 ◽  
Vol 26 (53) ◽  
pp. 25-40
Author(s):  
Fabio Perocco
Keyword(s):  
Mass Media ◽  
Internal Structure ◽  
Social Inequalities ◽  
Social Origins ◽  
Far Right ◽  
Social Actors ◽  
Muslim Immigrants ◽  
The Social ◽  
The Mass Media

Abstract During the last two decades of rising anti-migrant racism in Europe, Islamophobia has proven to be the highest, most acute, and widely spread form of racism. The article shows how anti-migrant Islamophobia is a structural phenomenon in European societies and how its internal structure has specific social roots and mechanisms of functioning. Such an articulate and interdependent set of key themes, policies, practices, discourses, and social actors it is intended to inferiorise and marginalise Muslim immigrants while legitimising and reproducing social inequalities affecting the majority of them. The article examines the social origins of anti-migrant Islamophobia and the modes and mechanisms through which it naturalises inequalities; it focuses on the main social actors involved in its production, specifically on the role of some collective subjects as anti-Muslim organizations and movements, far-right parties, best-selling authors, and the mass-media.

scholarly journals Authoritarian Populism in Indonesia: The Role of the Political Campaign Industry in Engineering Consent and Coercion

2021 ◽  
pp. 186810342110278
Author(s):  
Inaya Rakhmani ◽  
Muninggar Sri Saraswati
Keyword(s):  
Social Inequalities ◽  
The Political ◽  
Political Elites ◽  
Political Campaign ◽  
Power Struggle ◽  
Young Voters ◽  
Political Discourses ◽  
Authoritarian Populism ◽  
The People

All around the globe, populism has become increasingly prominent in democratic societies in the developed and developing world. Scholars have attributed this rise at a response to the systematic reproduction of social inequalities entwined with processes of neoliberal globalisation, within which all countries are inextricably and dynamically linked. However, to theorise populism properly, we must look at its manifestations in countries other than the West. By taking the case of Indonesia, the third largest democracy and the largest economy in Southeast Asia, this article critically analyses the role of the political campaign industry in mobilising narratives in electoral discourses. We use the Gramscian notion of consent and coercion, in which the shaping of populist narratives relies on mechanisms of persuasion using mass and social media. Such mechanisms allow the transformation of political discourses in conjunction with oligarchic power struggle. Within this struggle, political campaigners narrate the persona of political elites, while cyber armies divide and polarise, to manufacture allegiance and agitation among the majority of young voters as part of a shifting social base. As such, we argue that, together, the narratives – through engineering consent and coercion – construct authoritarian populism that pits two crowds of “the people” against each other, while aligning them with different sections of the “elite.”

The Car, the Hammer and the Cables under the Tables

2017 ◽  
Vol 58 (2) ◽  
pp. 265-293 ◽  
Author(s):  
Joëlle Moret ◽  
Kerstin Dümmler ◽  
Janine Dahinden
Keyword(s):  
Social Inequalities ◽  
Identity Work ◽  
Institutional Setting ◽  
Mental Work ◽  
Social Hierarchies ◽  
Building Trades ◽  
Relational Perspective ◽  
Specific Setting ◽  
Educational Path

AbstractBased on ethnographic material, this article explores how three groups of apprentices negotiate masculinities in the specific setting of a male-dominated vocational school in Switzerland dedicated to the building trades. We use an intersectional and relational perspective to highlight how the institutional setting of the school—mirroring wider social hierarchies—influences these young men’s identity work. The apprentices use three discursive dichotomies: manual vs. mental work; proud heterosexuality vs. homosexuality; and adulthood vs. childhood. However, the three different groups employ the dichotomies differently depending on their position in the school’s internal hierarchies, based on their educational path, the trade they are learning and the corresponding prestige. The article sheds light on the micro-processes through which existing hierarchies are internalised within an institution. It further discusses how the school’s internal differentiations and the staff’s discourses and behaviours contribute to the (re)production of specific classed masculinities, critically assessing the role of the Swiss educational system in the reproduction of social inequalities.

scholarly journals Antimicrobial Resistance and Social Inequalities in Health: Considerations of Justice

2020 ◽  
pp. 257-278
Author(s):  
Lynette Reid
Keyword(s):  
Global Health ◽  
Health Inequalities ◽  
Social Inequalities ◽  
Tertiary Care ◽  
Practical Importance ◽  
Social Inequalities In Health ◽  
Inequalities In Health ◽  
Catching Up ◽  
The Impact

Abstract Within-country social inequalities in health have widened while global health inequalities have (with some exceptions) narrowed since the Second World War. On commonly accepted prioritarian and sufficientist views of justice and health, these two trends together would be acceptable: the wealthiest of the wealthy are pulling ahead, but the worst off are catching up and more are achieving sufficiency. Such commitments to priority or sufficiency are compatible with a common “development” narrative about economic and social changes that accompany changes (“transitions”) in population health. I set out a very simple version of health egalitarianism (without commitment to any particular current theory of justice) and focus on two common objections to egalitarianism. Priority and sufficiency both address the levelling down and formalism objections, but these objections are distinct: giving content to equality (I argue here) places in question the claimed normative superiority of priority and sufficiency. Using examples of the role of antimicrobials in both these trends – and the future role of AMR – I clarify (first) the multiple forms and dimensions of justice at play in health, and (second) the different mechanisms at work in generating the two current patterns (seen in life course narratives and narratives of political economy). The “accelerated transition” that narrowed global health inequalities is fed by anti-microbials (among other technology transfers). It did not accelerate but replaced the causal processes by which current HICs achieved the transition (growing and shared economic prosperity and widening political franchise). The impact of AMR on widening social inequalities in health in HICs will be complex: inequality has been fed in part by tertiary care enabled by antimicrobials; AMR might erode the solidarity underlying universal health systems as the well-off seek to maintain current expectations of curative and rehabilitative surgery and chemotherapy while AMR mounts. In light of both speculations about the impact of AMR on social and global health inequalities, I close with practical and with theoretical reflection. I briefly indicate the practical importance of understanding AMR from the perspective of health justice for policy response. Then, from a broader perspective, I argue that the content by which I meet the formalism objection demonstrates that the two trends (broadening within-country inequality and narrowing global inequality) are selective and biased samples of a centuries-long pattern of widening social inequalities in health. We are not in the midst of a process of “catching up”. In light of the long-term pattern described here, is the pursuit of sufficiency or priority morally superior to the pursuit of equality as a response to concrete suffering – or do they rationalize a process more objectively described as the best-off continuing to take the largest share of one of the most important benefits of economic development?

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