From Cottage to Community Hospitals: Watlington Cottage Hospital and its Regional Context, 1874–2000

2012 ◽  
pp. 33-49 ◽  
Author(s):  
John Hall

The appearance in England from the 1850s of 'cottage hospitals' in considerable numbers constituted a new and distinctive form of hospital provision. The historiography of hospital care has emphasised the role of the large teaching hospitals, to the neglect of the smaller and general practitioner hospitals. This article inverts that attention, by examining their history and shift in function to 'community hospitals' within their regional setting in the period up to 2000. As the planning of hospitals on a regional basis began from the 1920s, the impact of NHS organisational and planning mechanisms on smaller hospitals is explored through case studies at two levels. The strategy for community hospitals of the Oxford NHS Region—one of the first Regions to formulate such a strategy—and the impact of that strategy on one hospital, Watlington Cottage Hospital, is critically examined through its existence from 1874 to 2000.

2021 ◽  
pp. 019251212110409
Author(s):  
Rainbow Murray ◽  
Ragnhild Muriaas ◽  
Vibeke Wang

Contesting elections is extremely expensive. The need for money excludes many prospective candidates, resulting in the over-representation of wealth within politics. The cost of contesting elections has been underestimated as a cause of women’s under-representation. Covering seven case studies in six papers, this special issue makes theoretical and empirical contributions to understanding how political financing is gendered. We look at the impact on candidates, arguing that the personal costs of running for office can be prohibitive, and that fundraising is harder for female challengers. We also explore the role of political parties, looking at when and how parties might introduce mitigating measures to support female candidates with the costs of running. We demonstrate how political institutions shape the cost of running for office, illustrate how this is gendered and consider the potential consequences of institutional reform. We also note how societal gender norms can have financial repercussions for women candidates.


2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Justine Atkinson ◽  
Firdoze Bulbulia

As a result of the global COVID-19 pandemic and resulting lockdowns across the world, digital access has become paramount, as most aspects of education have moved online. Drawing together five case studies located in South Africa, Argentina, the Netherlands, India and Ethiopia, this article assesses the role of film education during the COVID-19 pandemic, with a specific focus on the impacts of digital access. We examine multimodal forms of film education, and how these were used to inform, entertain and educate children during the crisis by the varying work undertaken by the organizations. Applying theories of intersectionality, we address the need for context-specific approaches to film education, focusing upon the impact that the societal and individual contexts had on the dissemination of film education in each country.


2021 ◽  
pp. 213-244
Author(s):  
Leonardo R. Arriola ◽  
Martha C. Johnson ◽  
Melanie L. Phillips

The concluding chapter revisits the main hypotheses regarding women’s experiences as aspirants, candidates, and legislators. Complemented by tables summarizing key findings, the chapter identifies where and how the book’s studies of Benin, Burkina Faso, Ghana, Kenya, Malawi, Namibia, Uganda, and Zambia either uphold or contradict hypotheses from the existing literature. Building on this summary, the chapter presents an agenda for future research on women’s political participation in African countries focused on the importance of financial constraints for women’s candidacies, the role of violence in shaping women’s political options, and the impact women in power have on gendered institutions. The book ends on an optimistic note, arguing that despite these barriers, the case studies clearly demonstrate that women are adept at securing a place for themselves, and asserting their voice, in local and national politics.


Author(s):  
Michele Faraguna

This chapter explores the importance of writing in the legal practices of the Greek poleis. After discussing writing materials and kinds of documents, illustrating the different functions documents on the same media could have and the problems in tracing ancient archives and reconstructing the role they played in the mechanisms of public administration, it concentrates on two case studies: written records concerning land transactions (in particular registers of sales) and the role of written documents in Athenian judicial procedures. It argues that the impact of written documents on the legal sphere and in establishing fair social relations within the polis was much more significant than is generally recognized.


BMJ Leader ◽  
2018 ◽  
Vol 2 (4) ◽  
pp. 144-148
Author(s):  
Judy McKimm ◽  
Jane Povey

BackgroundThe role of the general practitioner (GP) is central to the UK National Health Service, with the vast majority of healthcare being delivered in the community. Although a range of policy initiatives aim to address the immense pressures on GPs, the GP workforce in England is struggling to keep pace with demand. GP retention is therefore key.ObjectivesIn the light of these issues, a confidential coaching programme for GPs at risk of leaving the profession or who had recently returned to practise after some time out was commissioned.MethodsA structured impact evaluation of the programme was carried, which included interviews and surveys of both GP participants and coaches.ResultsCoaching was found to be very beneficial for the GPs, with many indicating it had helped them to address workplace issues and encouraged them to stay in their job role.ConclusionsThis paper reports on the evaluation of the pilot programme and sets out recommendations for future action, including how to introduce coaching as a means of retention of GPs.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261363
Author(s):  
Andrew D. Wilcock ◽  
Sushant Joshi ◽  
José Escarce ◽  
Peter J. Huckfeldt ◽  
Teryl Nuckols ◽  
...  

Pay-for-performance programs are one strategy used by health plans to improve the efficiency and quality of care delivered to beneficiaries. Under such programs, providers are often compared against their peers in order to win bonuses or face penalties in payment. Yet luck has the potential to affect performance assessment through randomness in the sorting of patients among providers or through random events during the evaluation period. To investigate the impact luck can have on the assessment of performance, we investigated its role in assigning penalties under Medicare’s Hospital Readmissions Reduction Policy (HRRP), a program that penalizes hospitals with excess readmissions. We performed simulations that estimated program hospitals’ 2015 readmission penalties in 1,000 different hypothetical fiscal years. These hypothetical fiscal years were created by: (a) randomly varying which patients were admitted to each hospital and (b) randomly varying the readmission status of discharged patients. We found significant differences in penalty sizes and probability of penalty across hypothetical fiscal years, signifying the importance of luck in readmission performance under the HRRP. Nearly all of the impact from luck arose from events occurring after hospital discharge. Luck played a smaller role in determining penalties for hospitals with more beds, teaching hospitals, and safety-net hospitals.


Author(s):  
Suzanna Tomassi

This chapter investigates the relationship between industry and academia from the perspective of industry. In addition to the theoretical review, it is based on feedback from industry leaders on how they see the role of their organizations in wider society. This chapter utilizes case studies to examine the relationship between specific companies, their academic partners, and the wider society. It focuses on the UK experience reflecting the location of its author. It specifically looks at the links between Coventry University, a British public institution located in the West Midlands, and its selected partners: the Unipart Group, Horiba MIRA, Interserve, and KPIT in India. It also refers to a bespoke Global Leaders Programme which is an exclusive, extra-curricular offering, designed to enhance students’ leadership and soft skills and prepare them for future employment after graduation. Wherever possible, the author aimed to obtain feedback from the industry representatives to assess their views on the impact of their companies on the wider society. In the same spirit, relevant colleagues from Coventry University were asked for their feedback to ensure that both perspectives were fairly captured. The examples given, and indeed, the philosophy behind the projects could be transferred to other countries and applied to other industries.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ritika Mahajan ◽  
Kaushik Ranjan Bandyopadhyay

Purpose The purpose of this paper is twofold. First, it discusses the role of entrepreneurship, in general, and women entrepreneurship, in particular, in advancing the cause of sustainable development. Future research directions that emerge from the body of knowledge that the paper relied upon have been identified. Second, it presents unique cases of eight women-led enterprises in energy sector spread across three continents, namely, Asia, Africa and the USA; identifies the constraints and opportunities, analyses the business models and their impact on the quality of life pointers to demonstrate the role of women-led enterprises in sustainable development. Design/methodology/approach The paper combines a schematic review of literature at the interface of entrepreneurship and sustainable development coupled with select relevant case studies addressing the interface. The real-life case studies, which are consciously chosen and compiled from secondary data sources, complement and testify the insights drawn from the schematic literature review. The framework for analyzing the case studies is designed around multidimensional drivers and factors that steer the women-led enterprises. Findings The paper identified the need to look at entrepreneurship through the gendered lens not only for studying entrepreneurship as a discipline, in general, but also to gauge whether the inclusion of women as entrepreneurs is actually advancing the cause of sustainable development. Besides analyzing real-life case studies of accomplished women entrepreneurs to gauge their motivations and mindsets, the process of identification of pain points, identifying differentiating and innovative features, or studying the impact on society, economy and environment, the paper eventually created a schematic framework of key enablers, constraints and strategic response of women entrepreneurs. Originality/value Given the dearth of adequate theoretical and empirical contributions on the study of effectuation, mindsets and drivers of how women entrepreneurship steers the process of sustainable development, the paper is an endeavour in that direction.


2021 ◽  
pp. 1-36
Author(s):  
Robert Fitzgerald ◽  
Romano Dyerson ◽  
Tatsuya Mishimagi

The bursting of the “bubble economy” in 1989–1990 brought decades of challenge for Japanese Small and Medium-Sized Enterprises (SMEs), which had assumed the role of subcontractor within production networks dominated by large companies. This article explores the impact of a rapidly altered business environment, due to economic crisis, the decline of relational subcontracting, and technological change, on the management and organization of firms. It provides a needed historical account of Japanese SMEs striving to avoid “hollowing out,” and detailed case studies explain what gaining greater independence as a flexible specialist meant in practice. A focus on the immediate advantages of computerized tools could not bring about the intended strategic objectives, whereas the systemizing of new and existing resources in skills and equipment enabled sustainable competitive differentiation in production and products. The case studies map out the internal competence transformations of SMEs over time, and indicate the value of historical approaches to exploring strategic and organizational change.


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