245 research outputs found

    The Toolkit of economic sociology

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    In this brief paper I will argue that economic sociology would do well to follow the example of political economy in this respect and pay more attention to analytical economics and its ideas. Contemporary economic sociology, I argue, focuses far too much on social relations and views the impact of these as the explanation to most of what happens in the economy. What is wrong with this approach is that it disregards the importance of interests or the forces that drive human behavior, not least in the economy. What needs to be done – and this will be the red thread throughout this paper – is to combine social relations and interests in one and the same analysis. If we do this, I argue, we may be able to unite some of the basic insights from economics, with some of the basic insights from sociology (e.g. Swedberg 2003). As opposed to modern economics, economic sociology does not have a core of basic concepts and ideas, welded together over a long period of time. Instead economic sociology, mirroring sociology itself, consists of a number of competing perspectives, some more coherent than others. Many economic sociologists, for example, draw on social constructivist perspective, others on a Weberian perspective; some follow Mark Granovetter in emphasizing embeddedness, others Pierre Bourdieu in approaching the analysis of the economy with the concepts of field, habitus and different types of capital. The reader who is interested in an introduction to these different perspectives is referred to The Handbook of Economc Sociology (Smelser and Swedberg 1994; second edition forthcoming in 2005). In what follows I shall first discuss two of the most important concepts in modern economic sociology – embeddedness (including networks) and field. I will then proceed to a discussion of two concepts that I argue should be at the center of contemporary economic sociology: a sociological concept of interest and an interest-based concept of institutions

    Economic sociology: today and tomorrow

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    This article ponders over the contemporary rebirth of economic sociology, attempting to distinguish its American and European traits, emphasizing the works and conceptual models of its respective pioneers (Granovetter, "embedding" and networks; Bourdieu, habitus, field, interest and capital), highlighting the new investigation fronts (markets, firms, finance, law and stratification) and, simultaneously, stressing this specialty's connections to the classical agenda inaugurated by Marx, Weber, Schumpeter and others.Balanço a respeito do renascimento contemporĂąneo da sociologia econĂŽmica, que busca diferenciar as feiçÔes assumidas nos Estados Unidos e na Europa, com ĂȘnfase nos trabalhos e nos modelos conceituais de seus respectivos pioneiros (Granovetter, "enraizamento" e redes; Bourdieu, habitus, campo, interesse e capital), realçando as novas frentes de investigação (mercados, firmas, finanças, direito e estratificação) e, ao mesmo tempo, evidenciando os ligamentos dessa especialidade com a agenda clĂĄssica inaugurada por Marx, Weber, Schumpeter e outros

    Implementing a One Health approach to rabies surveillance: lessons from integrated bite case management

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    As part of the ‘Zero by 30’ strategy to end human deaths from dog-mediated rabies by 2030, international organizations recommend a One Health framework that includes Integrated Bite Case Management (IBCM). However, little is understood about the implementation of IBCM in practice. This study aims to understand how IBCM is conceptualized, exploring how IBCM has been operationalized in different contexts, as well as barriers and facilitators to implementation. Semi-structured interviews were conducted with seventeen practitioners and researchers with international, national, and local expertise across Africa, Asia, and the Americas. Thematic analysis was undertaken using both inductive and deductive approaches. Four main themes were identified: 1) stakeholders’ and practitioners’ conceptualization of IBCM and its role in rabies elimination; 2) variation in how IBCM operates across different contexts; 3) barriers and facilitators of IBCM implementation in relation to risk assessment, PEP provisioning, animal investigation, One Health collaboration, and data reporting; and 4) the impact of the COVID-19 pandemic on IBCM programs. This study highlights the diversity within experts’ conceptualization of IBCM, and its operationalization. The range of perspectives revealed that there are different ways of organizing IBCM within health systems and it is not a one-size-fits-all approach. The issue of sustainability remains the greatest challenge to implementation. Contextual features of each location influenced the delivery and the potential impact of IBCM. Programs spanned from highly endemic settings with limited access to PEP charged to the patient, to low endemicity settings with a large patient load associated with free PEP policies and sensitization. In practice, IBCM was tailored to meet the demands of the local context and level of rabies control. Thus, experts’ experiences did not necessarily translate across contexts, affecting perceptions about the function, motivation for, and implementation of IBCM. To design and implement future and current programs, guidance should be provided for health workers receiving patients on assessing the history and signs of rabies in the biting animal. The study findings provide insights in relation to implementation of IBCM and how it can support programs aiming to reach the Zero by 30 goal

    Heart failure guidelines and prescribing in primary care across Europe

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    BACKGROUND: Major international differences in heart failure treatment have been repeatedly described, but the reasons for these differences remain unclear. National guideline recommendations might be a relevant factor. This study, therefore, explored variation of heart failure guideline recommendations in Europe. METHODS: Treatment recommendations of 14 national guidelines published after 1994 were analyzed in relation to the heart failure treatment guideline of the European Society of Cardiology. To test potential relations between recommendations and prescribing, national prescribing patterns as obtained by a European study in primary care (IMPROVEMENT-HF) were related to selected recommendations in those countries. RESULTS: Besides the 14 national guidelines used by primary care physicians in the countries contacted, the European guideline was used in four countries, and separate guidelines for specialists and primary care were available in another four countries. Two countries indicated that no guideline was used up to 2000. Comprehensiveness of the guidelines varied with respect to length, literature included and evidence ratings. Relevant differences in treatment recommendations were seen only in drug classes where evidence had changed recently (ÎČ-blockers and spironolactone). The relation between recommendation and prescribing for selected recommendations was inconsistent among countries. CONCLUSION: Differences in guideline recommendations are not sufficient to explain variation of prescribing among countries, thus other factors must be considered
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