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At least 559 records · Page 31Linked to original sources
PubMed2004

Mainstreaming alternative medicine: doing midwifery at the intersection.

Joining the discussion regarding the future of alternative and traditional medical practices and beliefs, the author explores how operating within the dominant sociopolitical system challenges alternative health care providers' definitions of themselves, their practices, and their systems of beliefs. Specifically, this case study articulates the experiences of one group of birth care providers (both certified nurse and nonlicensed, apprentice-trained midwives) as a web of paradox that simultaneously marginalizes parts of their occupational identity while allowing them to operate within the dominant sociopolitical system.

Biomedical Technology↗
PubMed2004

An analysis of tobacco industry marketing to lesbian, gay, bisexual, and transgender (LGBT) populations: strategies for mainstream tobacco control and prevention.

Research on adult tobacco use consistently shows a higher prevalence among lesbian/gay/bisexual/transgender (LGBT) populations than among the general population-reasons why are largely unknown, and counterstrategies are critical. Tobacco industry marketing, uncovered when the Master Settlement Agreement (MSA) forced companies to share its internal documents, provided insight. The American Legacy Foundation uncovered the industry campaign Project SCUM (Sub-Culture Urban Marketing) aimed at gays and the homeless. The formerly secret documents revealed specific marketing toward LGBT, whose rates increased when the MSA banned youth (but not other population) advertising. The industry reaches out to LGBT persons through direct and indirect advertising, community outreach, and sponsorships. Messages to LGBT have been relatively absent from advertising until recently, creating receptivity to such overtures. Reducing LGBT smoking rates is a public health challenge that will require exceeding the sense of validation tobacco advertising has created in LGBT communities.

Adult↗
PubMed1989

Public sector primary care and Medicaid: trading accessibility for mainstreaming.

Facilities operated by public and nonprofit agencies have become increasingly important sources of primary care for Medicaid patients. These facilities are particularly important sources of care in segregated, competitive urban areas, where they are more geographically accessible than many private physicians and expand the availability of care to Medicaid patients rather than substituting for care provided by private physicians. In rural areas, in contrast, the availability of care from public facilities appears to reduce the level of care Medicaid patients receive from private physicians in the counties where these facilities are located. These findings suggest that policymakers can expand urban Medicaid patients' access to care by spending on public care, but at the cost of increasing the segregation of Medicaid patients into a two-tier system of care.

Aged↗
PubMed2003

Between welfare medicine and mainstream entitlement: Medicaid at the political crossroads.

As the new century begins, the Medicaid program is arguably at a political crossroads. Over the 1980s and 1990s, policy makers enacted major expansions in Medicaid coverage, offering significant new health benefits to poor women and children and other constituencies. In elite rhetoric and political framing, Medicaid was increasingly cast as a broad-based social welfare entitlement of value to all Americans, including middle-class citizens. Some health care advocates began viewing Medicaid expansions as a potential path to achieving universal coverage in the United States. Yet Medicaid remains a means-tested program that has been repeatedly threatened with policy retrenchment. In this essay, we scrutinize Medicaid's current status and future possibilities from a historical-institutional perspective by tracing its complex evolution since its enactment in the Social Security Amendments of 1965. Our core claim is that decisions made at the time of Medicaid's original adoption have fundamentally set the matrix for struggles over the program's unfolding development. We demonstrate that key ambiguities embedded in the 1965 act created largely unintended opportunities for policy entrepreneurs to broaden Medicaid's scale and scope as well as foreseeable vulnerabilities that must be overcome if Medicaid is to realize its full potential.

Aged↗
PubMed2003

The design of pilot telecare projects and their integration into mainstream service delivery.

We studied the introduction of a telecare and rehabilitation scheme in north-west Surrey. It was decided not to create a new team to provide the new services, but to involve established teams and individuals. The introduction of telecare therefore added to the roles and responsibilities of these teams. This staffing policy helped to establish awareness of the project within the local care system and to support its subsequent deployment. An education and training unit was established to demonstrate what the technology could do and to act as a focus for training health and social care professionals. The study suggested that for telecare to achieve its full potential, pilot projects must be designed to be evaluated, and more attention must be paid to the degree of integration with the care system as a whole.

Aged↗
PubMed1996

Mainstream legitimization of homosexual men through Valentine's Day gift-giving and consumption rituals.

Recently, the gay community has received increased attention from marketers through specially-made television commercials, direct mail pieces, and other media messages. However, little research in consumer behavior has examined the potential attitudinal and behavioral differences and similarities between heterosexuals and homosexuals. Specifically, this paper provides an exploratory look at the meaning and practices surrounding the consumer ritual of Valentine's Day from the perspective of homosexual men. Using depth interviews within an interpretative framework, our research suggests similarities exist for the celebration of Valentine's Day between homosexual and heterosexual singles, while differences may exist for the functions of Valentine's Day gift-giving between these groups. Some homosexual couples feel they cannot "legitimately participate" in the dominant rituals associated with the holiday due to oppression by a "heterosexual society". Marketing implications are discussed.

Adult↗
PubMed1998

AIDS discourse: a critical reading of mainstream press surveillance of marginal identity.

This article examines the discursive strategies used by two major daily newspapers from the South from 1981 to 1994 as they construct the story of AIDS and represent gay identity and desire to the "general public." The research employs a cultural studies approach to communication to analyze power relationships at work in the discourse of these media texts. The research here makes use of and extends a previous study on the highly conservative Oklahoma City newspaper, The Daily Oklahoman, by comparing the findings to coverage in the more liberal Alabama daily, The Birmingham News. These were chosen because they offer examples of broadly circulated regional media and because they seemingly espouse opposing political orientations. Although the political positions of the two papers appear to be quite different, both papers marginalize and keep under surveillance gay identities, desire, and sexualities through coverage of AIDS; moreover, the press in both cases represents AIDS and gay identity in such excessive ways that marginalization and surveillance strategies are made to seem like a rational response to AIDS and gay desire. Finally, a cultural studies approach to media allows for an explanation of the recent media silence about AIDS and gay identity.

Acquired Immunodeficiency Syndrome↗