20 research outputs found

    Self-help groups challenge health care systems in the US and UK

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    Purpose: This research considers how self-help groups (SHGs) and self- help organizations (SHOs) contribute to consumerist trends in two different societies: United States and United Kingdom. How do the health care systems and the voluntary sectors affect the kinds of social changes that SHGs/SHOs make? Methodology/approach: A review of research on the role of SHGs/SHOs in contributing to national health social movements in the UK and US was made. Case studies of the UK and the US compare the characteristics of their health care systems and their voluntary sector. Research reviews of two community level self-help groups in each country describe the kinds of social changes they made. Findings: The research review verified that SHGs/SHOs contribute to national level health social movements for patient consumerism. The case studies showed that community level SHGs/SHOs successfully made the same social changes but on a smaller scale as the national movements, and the health care system affects the kinds of community changes made. Research limitations: A limited number of SHGs/SHOs within only two societies were studied. Additional SHGs/SHOs within a variety of societies need to be studied. Originality/value of chapter Community SHGs/SHOs are often trivialized by social scientists as just inward-oriented support groups, but this chapter shows that local groups contribute to patient consumerism and social changes but in ways that depend on the kind of health care system and societal context

    Exploring the asteroid belt with ion propulsion: Dawn mission history, status and plans

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    In this report, we describe the journey Dawn has taken in the recent past, its present status, and its future mission. The overall objective of Dawn is to explore backward in time via its observations of the primitive bodies, Vesta and Ceres. Thus Dawn embarks on three journeys. The first is its tumultuous temporal terrestrial trek during development. The second is its soon-to-be voyage in space to 4 Vesta, the second most massive asteroid in the main belt, and to 1 Ceres, the most massive. The third is its journey backward in time to infer the conditions as the solar system was formed. Finally, we discuss how it is possible to go back even further in time, beyond the horizon of the Dawn mission to obtain “pre Dawn” observations at 10 Hygiea, the fourth most massive asteroid, and one more primitive than Vesta and Ceres
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