How the British National Health Service deals with diversity: professional problems, patient problems
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Lewiston [u.a.]
Mellen
2006
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | IV, 393 S. graph. Darst. |
| ISBN: | 077345733X 9780773457331 |
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| 245 | 1 | 0 | |a How the British National Health Service deals with diversity |b professional problems, patient problems |c Nick Johns |
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| 650 | 4 | |a Health services accessibility - Great Britain | |
| 650 | 4 | |a Minorities - Health and hygiene - Great Britain | |
| 650 | 4 | |a Minorities - Medical care - Great Britain | |
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Datensatz im Suchindex
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| adam_text | TABLE OF CONTENTS
List of Charts and Tables i
Preface by Professor Bill Jordan iii
Acknowledgements v
Chapter 1 Setting the Scene
Introduction 1
Background and structure 1
Research Methods 8
Aims and Objectives 8
The Postal Survey 11
Sampling 11
Development and administration of questionnaire 12
Response rates 15
Data analysis 17
The Case Study: Organising Interviews 17
Sampling 17
Response rates 21
Interview procedures 24
Data analysis 30
Explanations and limitations 32
Section One Meeting the needs of minority ethnic communities
Chapter 2 Communication barriers: the produce of ignorance and ideology
Introduction 39
Background 40
The shape and consequences of failure: user representatives 43
Official representatives 44
Unofficial representatives 45
Failings and consequences 47
Disputed Causes: Employees of the Health Service 52
What problem? 53
The language of improvement 58
It s them not us 60
Cultural proficiency or deficiency 62
Special needs 66
Conclusion 69
Chapter 3 Institutional racism in the NHS
Introduction 73
Background 74
Pride and prejudice 79
Attitudes without action 81
The aftermath of MacPherson 87
The reclamation of MacPherson 90
Sites of discrimination 95
The personal is political 97
Conclusion 101
Section Two — Improving service provision to minority ethnic communities
Chapter 4 The internal market
Introduction 107
Background 108
The provider s perspective 110
Patient s Charter (PC) 113
A backlash running ahead of schedule? 117
The role of the HA 120
Consultation versus participation 123
Primary Care Groups 131
Conclusion 136
Chapter 5 — Minding our language
Introduction 141
Background 142
Language provision: inappropriate or innovative? 144
The region wide response 150
Whose line is it anyway? 154
Link working 156
The weakest link 159
Conclusion 164
Chapter 6 The value of Cultural Awareness Training
Introduction 167
Background 168
CAT to the rescue 172
Policies and plans 176
Resistance is not futile 178
Whose responsibility? 184
Conclusion 188
Section Three Ethnic diversity in the NHS
Chapter 7 The meaning of ethnic diversity
Introduction 195
Background 196
Diversity and representation 202
Benefits of ethnic diversity 205
Modelling ethnic diversity 216
Who wants to be a representative? 226
Conclusion 232
Chapter 8 Taking Positive action
Introduction 237
Background 238
Equal Opportunities in the NHS 242
The Sanctity of equal treatment 246
Different can be equal 251
Goals and timetables 254
Shifting the goal posts: the drift towards positive discrimination 257
The elasticity of merit 263
Conclusion 270
Chapter 9 The management of diversity
Introduction 275
Background 276
The Kandolian model 279
The value of managing diversity for the NHS 283
Fertile ground? 287
The track record 290
Practical problems 294
Theoretical issues 298
Needs led diversity revisited 304
Conclusion 306
Chapter 10 Conclusion
Key questions 311
Failings and consequences 311
Plans and policies 313
Ethnic diversity: its shape and implications 316
Summary 323
APPENDICES
APPENDIX 1: GLOSSARY OF TERMS 327
APPENDIX 2: ABBREVIATIONS 333
APPENDIX 3: QUESTIONNAIRE 337
APPENDDC 4: INTERVIEW SCHEDULE 347
APPENDIX 5: DESIGNATION OF RESPONDENTS 351
REFERENCES 355
INDEX 389
LIST OF CHARTS AND TABLES
Charts
Chart 1 Diversity would ease social tensions 206
Chart 2 Diversity would cultivate trust 209
Chart 3 The need for more role models 210
Chart 4 Increasing numbers 214
Chart 5 Reflecting the community 216
Chart 6 Patients want ethnic matching 224
Chart 7 Workers should act as representatives 228
Tables
Table 1 PA measures permissible under RRA 1976 245
Table 2 Categorisation of the perceived benefits 281
Table 3 Notions of diversity in order of priority 284
Table 4 Models of ethnic diversity 318
|
| adam_txt |
TABLE OF CONTENTS
List of Charts and Tables i
Preface by Professor Bill Jordan iii
Acknowledgements v
Chapter 1 Setting the Scene
Introduction 1
Background and structure 1
Research Methods 8
Aims and Objectives 8
The Postal Survey 11
Sampling 11
Development and administration of questionnaire 12
Response rates 15
Data analysis 17
The Case Study: Organising Interviews 17
Sampling 17
Response rates 21
Interview procedures 24
Data analysis 30
Explanations and limitations 32
Section One Meeting the needs of minority ethnic communities
Chapter 2 Communication barriers: the produce of ignorance and ideology
Introduction 39
Background 40
The shape and consequences of failure: user representatives 43
Official representatives 44
Unofficial representatives 45
Failings and consequences 47
Disputed Causes: Employees of the Health Service 52
What problem? 53
The language of improvement 58
It's 'them'not 'us' 60
Cultural proficiency or deficiency 62
Special needs 66
Conclusion 69
Chapter 3 Institutional racism in the NHS
Introduction 73
Background 74
Pride and prejudice 79
Attitudes without action 81
The aftermath of MacPherson 87
The reclamation of MacPherson 90
Sites of discrimination 95
The personal is political 97
Conclusion 101
Section Two — Improving service provision to minority ethnic communities
Chapter 4 The internal market
Introduction 107
Background 108
The provider's perspective 110
Patient's Charter (PC) 113
A backlash running ahead of schedule? 117
The role of the HA 120
Consultation versus participation 123
Primary Care Groups 131
Conclusion 136
Chapter 5 — Minding our language
Introduction 141
Background 142
Language provision: inappropriate or innovative? 144
The region wide response 150
Whose line is it anyway? 154
Link working 156
The weakest link 159
Conclusion 164
Chapter 6 The value of Cultural Awareness Training
Introduction 167
Background 168
CAT to the rescue 172
Policies and plans 176
Resistance is not futile 178
Whose responsibility? 184
Conclusion 188
Section Three Ethnic diversity in the NHS
Chapter 7 The meaning of ethnic diversity
Introduction 195
Background 196
Diversity and representation 202
Benefits of ethnic diversity 205
Modelling ethnic diversity 216
Who wants to be a representative? 226
Conclusion 232
Chapter 8 Taking Positive action
Introduction 237
Background 238
Equal Opportunities in the NHS 242
The Sanctity of equal treatment 246
Different can be equal 251
Goals and timetables 254
Shifting the goal posts: the drift towards positive discrimination 257
The elasticity of merit 263
Conclusion 270
Chapter 9 The management of diversity
Introduction 275
Background 276
The Kandolian model 279
The value of managing diversity for the NHS 283
Fertile ground? 287
The track record 290
Practical problems 294
Theoretical issues 298
Needs led diversity revisited 304
Conclusion 306
Chapter 10 Conclusion
Key questions 311
Failings and consequences 311
Plans and policies 313
Ethnic diversity: its shape and implications 316
Summary 323
APPENDICES
APPENDIX 1: GLOSSARY OF TERMS 327
APPENDIX 2: ABBREVIATIONS 333
APPENDIX 3: QUESTIONNAIRE 337
APPENDDC 4: INTERVIEW SCHEDULE 347
APPENDIX 5: DESIGNATION OF RESPONDENTS 351
REFERENCES 355
INDEX 389
LIST OF CHARTS AND TABLES
Charts
Chart 1 Diversity would ease social tensions 206
Chart 2 Diversity would cultivate trust 209
Chart 3 The need for more role models 210
Chart 4 Increasing numbers 214
Chart 5 Reflecting the community 216
Chart 6 Patients want ethnic matching 224
Chart 7 Workers should act as representatives 228
Tables
Table 1 PA measures permissible under RRA 1976 245
Table 2 Categorisation of the perceived benefits 281
Table 3 Notions of diversity in order of priority 284
Table 4 Models of ethnic diversity 318 |
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| spelling | Johns, Nick Verfasser aut How the British National Health Service deals with diversity professional problems, patient problems Nick Johns Lewiston [u.a.] Mellen 2006 IV, 393 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Großbritannien National Health Service (DE-588)121257-6 gnd rswk-swf Ethnic groups - Medical care - Great Britain Health services accessibility - Great Britain Minorities - Health and hygiene - Great Britain Minorities - Medical care - Great Britain National health services - Great Britain Minderheit National health services Great Britain Minorities Medical care Great Britain Minorities Health and hygiene Great Britain Ethnic groups Medical care Great Britain Health services accessibility Great Britain Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf Soziale Gerechtigkeit (DE-588)4236433-4 gnd rswk-swf Minderheit (DE-588)4752223-9 gnd rswk-swf Inanspruchnahme (DE-588)4114001-1 gnd rswk-swf Großbritannien Großbritannien (DE-588)4022153-2 gnd rswk-swf Großbritannien (DE-588)4022153-2 g Minderheit (DE-588)4752223-9 s Medizinische Versorgung (DE-588)4038270-9 s DE-604 Großbritannien National Health Service (DE-588)121257-6 b Inanspruchnahme (DE-588)4114001-1 s Soziale Gerechtigkeit (DE-588)4236433-4 s b DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015007956&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Johns, Nick How the British National Health Service deals with diversity professional problems, patient problems Großbritannien National Health Service (DE-588)121257-6 gnd Ethnic groups - Medical care - Great Britain Health services accessibility - Great Britain Minorities - Health and hygiene - Great Britain Minorities - Medical care - Great Britain National health services - Great Britain Minderheit National health services Great Britain Minorities Medical care Great Britain Minorities Health and hygiene Great Britain Ethnic groups Medical care Great Britain Health services accessibility Great Britain Medizinische Versorgung (DE-588)4038270-9 gnd Soziale Gerechtigkeit (DE-588)4236433-4 gnd Minderheit (DE-588)4752223-9 gnd Inanspruchnahme (DE-588)4114001-1 gnd |
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| title | How the British National Health Service deals with diversity professional problems, patient problems |
| title_auth | How the British National Health Service deals with diversity professional problems, patient problems |
| title_exact_search | How the British National Health Service deals with diversity professional problems, patient problems |
| title_exact_search_txtP | How the British National Health Service deals with diversity professional problems, patient problems |
| title_full | How the British National Health Service deals with diversity professional problems, patient problems Nick Johns |
| title_fullStr | How the British National Health Service deals with diversity professional problems, patient problems Nick Johns |
| title_full_unstemmed | How the British National Health Service deals with diversity professional problems, patient problems Nick Johns |
| title_short | How the British National Health Service deals with diversity |
| title_sort | how the british national health service deals with diversity professional problems patient problems |
| title_sub | professional problems, patient problems |
| topic | Großbritannien National Health Service (DE-588)121257-6 gnd Ethnic groups - Medical care - Great Britain Health services accessibility - Great Britain Minorities - Health and hygiene - Great Britain Minorities - Medical care - Great Britain National health services - Great Britain Minderheit National health services Great Britain Minorities Medical care Great Britain Minorities Health and hygiene Great Britain Ethnic groups Medical care Great Britain Health services accessibility Great Britain Medizinische Versorgung (DE-588)4038270-9 gnd Soziale Gerechtigkeit (DE-588)4236433-4 gnd Minderheit (DE-588)4752223-9 gnd Inanspruchnahme (DE-588)4114001-1 gnd |
| topic_facet | Großbritannien National Health Service Ethnic groups - Medical care - Great Britain Health services accessibility - Great Britain Minorities - Health and hygiene - Great Britain Minorities - Medical care - Great Britain National health services - Great Britain Minderheit National health services Great Britain Minorities Medical care Great Britain Minorities Health and hygiene Great Britain Ethnic groups Medical care Great Britain Health services accessibility Great Britain Medizinische Versorgung Soziale Gerechtigkeit Inanspruchnahme Großbritannien |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015007956&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT johnsnick howthebritishnationalhealthservicedealswithdiversityprofessionalproblemspatientproblems |