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The potential contribution of social science to information technology implementation in healthcare.

Information technology systems in hospitals and other healthcare settings have sometimes proved difficult to implement successfully. Some of the problems encountered in the implementation of information technology systems in healthcare can be explained by the use of techniques and theoretical approaches derived from the social sciences, notably sociology and anthropology. Research from a variety of countries and healthcare systems confirms the explicative value of these techniques and approaches. These techniques can also be used to inform better the process of design and implementation of computer systems. Although they have been successfully applied in several industries and spread across several countries, these techniques have not yet been widely used in healthcare. This article suggests how these approaches can be fruitfully applied to the design and implementation of IT systems in healthcare and how this might be achieved.

Delivery of Health Care↗

[The application of methodological aspects of the social sciences to psychoanalytic research--impressions from Tutzing, 1976].

Discussing problems in the application of methodological aspects of social sciences to psychoanalytic research the question was asked whether statistical methodology can be adapted to the multidimensional communicative process of psychoanalysis. Referring to the fact that experimentally and methodologically confirmed research usually demands a reduction of the process to be examined it was pointed out that the results of these studies might undergo a reduction in statement value and practicable clinical relevance accordingly.

Humans↗

Everyday life with AIDS/HIV: surveys in the social sciences.

Research on persons infected with HIV is critically assessed by using the notions developed in the sociology of illness. Has this research stimulated new questions or led to reformulations in research paradigms? Methodological problems related to data collection are pointed out, namely: the recruitment of HIV-positive participants for such studies and the stance they adopt during interviews. The contributions made by studies that have focused on adjustment strategies or resorted to the notions of stigmatization, identity and illness trajectory are also discussed. In conclusion, questions are raised about what implications the new HIV/AIDS treatments will have on this field of social science research.

Acquired Immunodeficiency Syndrome↗

Knowledge, attitudes and practice in regard to AIDS: the case of social science students at the University of Bophuthatswana.

The necessity of AIDS educational campaigns is to reduce the spread of HIV infection by changing attitudes and practices related to high-risk behaviours. However, before such programmes are implemented a needs assessment should be conducted. This includes the existing knowledge and attitudes and sexual practices of the specific risk-group. In this study the risk-group were social science students at the University of Bophuthatswana. The majority of the respondents showed a general knowledge about AIDS in terms of its main symptoms, common modes of transmission and the non-availability of a cure. They, however, expressed the need for more information about AIDS. Lack of enough knowledge was shown by their negative attitudes towards those who had already contracted the disease and the number of sexual partners they had. Furthermore, despite the realization of the necessity to use condoms during sexual intercourse, the majority of them did not use them. The study also revealed the minimal role parents, teachers and lecturers play in the dissemination of information about AIDS. The findings call for more AIDS educational programmes to clear away misconceptions about the transmission of the HIV/AIDS virus; and the need to involve parents, schools and universities actively in the dissemination of information about AIDS.

Acquired Immunodeficiency Syndrome↗

What to do with race? Changing notions of race in the social sciences.

The Supplement to the Surgeon General's Report on Mental Health documents that race, ethnicity, and culture are linked to the use of mental health services and the receipt of quality mental health care. The Supplement provides an elaborate discussion on how culture affects mental health care without a corresponding level of discourse on race. How race is handled in the Supplement suggests that it is still a sensitive topic and one that is difficult to address in a public report. This sensitivity parallels the difficulties that the social sciences have had in investigating issues of race. In this paper, we highlight some perspectives that have influenced the way race has been studied in the past and how these views reflect the general political climates of the eras that produced them.

Ethnicity↗

[Internationalism and science. Social and scientific bases of the European information science movement].

As part of a continuing line of research on scientific documentation we propose in this article a novel approach to the study of the European information science movement at the end of the nineteenth and beginning of the twentieth centuries. We suggest that this movement took place within the context of increasing internationalism of scientific endeavours, a process which was paralleled by the standardization of units, weight and measures for the different sciences. We investigate problems arising from scientific communication in connection with other aspects apparently unrelated to Information Science. Specifically, we refer to conflicts between nationalism and colonialism; concordance and discord between science policy and the corporate interests of nonscientific associations; higher educational policy; the professionalization of sciences; and the economic interests at stake as a consequence of the use of different information models.

Europe↗

Relations of gestational length and timing and type of incomplete pregnancy to ovarian cancer risk.

While the protective nature of parity with respect to ovarian cancer has been well documented, whether a history of incomplete pregnancy affects ovarian cancer risk is uncertain. Data collected from 739 epithelial ovarian cancer cases and 1,313 community controls in the Delaware Valley from 1994 to 1998 were used to evaluate the relation between gestational length and timing of first induced or spontaneous abortion and ovarian cancer risk. Incomplete pregnancy was not associated with ovarian cancer among nulliparous women or among ever-pregnant women either before or after adjustment for relevant confounders (for nulliparous women, odds ratio (OR) = 1.12, 95% confidence interval (CI): 0.66, 1.89; for ever-pregnant women, OR = 0.95, 95% CI: 0.76, 1.18). Among unigravid women, one full-term pregnancy was more protective than an incomplete pregnancy (adjusted OR = 0.29, 95% CI: 0.15, 0.57). These results were independent of the type of pregnancy loss. Among ever-pregnant women, a spontaneous abortion before a first birth provided significant protection (adjusted OR = 0.47, 95% CI: 0.30, 0.75), while no significant effect was found for an induced abortion prior to a first birth (adjusted OR = 0.80, 95% CI: 0.44, 1.47). These data do not support an independent association between incomplete pregnancies, either spontaneous or induced, and ovarian cancer risk.

Abortion, Induced↗

Gay people and government security clearances. A social science perspective.

Lesbian and gay male applicants routinely are denied government security clearances or are subjected to unusually lengthy and intensive investigation. This article reviews social science data relevant to the principal justifications that have been offered for this policy and presents the following conclusions: (a) Lesbians and gay men are no more likely than heterosexuals to suffer from a personality disorder or emotional stress, or to be psychologically unstable; (b) lesbians and gay men are no more likely than heterosexuals to be unduly sensitive to coercion, blackmail, or duress; (c) lesbians and gay men are no more likely than heterosexuals to be unwilling to respect or uphold laws or regulations, or to be unreliable or untrustworthy. Three major flaws are discussed that underlie current government policies toward gay applicants for security clearances: (a) Groups rather than individuals are screened for undesirable characteristics; (b) applicants are rejected on the basis of problems created by government policies themselves; and (c) homosexual applicants are scrutinized according to criteria that are not applied similarly to heterosexual applicants. An alternative hypothesis, that experience with stigma actually may increase a gay applicant's ability to maintain secrecy, is discussed. Finally, some consequences of current policies are noted.

Female↗

Application of social science theories to family planning health education in the People's Republic of China.

The transformation of the Chinese society was political and economic by revolution; it was also social and cultural through mass education. Group decisions have been used to induce social change in the Chinese society and applied extensively to the family planning program. The methods which Kurt Lewin developed to change food habits, have been perfected on a grand scale of myriad ways by the Chinese.

Adult↗