Az egyidejűség konceptualizálása: a társadalom a transznacionális társadalmi mező perspektívájából

A tanulmány a transznacionális migrációval foglalkozó kutatásokat alátámasztó társadalmi elméletet és az abból következő módszertant vizsgálja. Elsőként javaslatot teszünk a migrációkutatás társadalmi mező alapú megközelítésére, különbséget téve a ‘létezés’ és a ‘valahova tartozás’ módjai között. Ezt követően amellett érvelünk, hogy az asszimiláció és a tartós transznacionális kötődések nem összeegyeztethetetlenek egymással, és nem is egymás bináris ellentétei. A harmadik lépésben olyan társadalmi folyamatokat és intézményeket világítunk meg, amelyek a hagyományos migrációs szakirodalomban csak homályosan látszódnak, de amelyek egyből világossá válnak, ha transznacionális szemüvegen keresztül vizsgálódunk. Végezetül elhelyezzük migrációkutató megközelítésünket egy olyan nagyobb intellektuális projektben, amelyet számos tudományterületen alkalmaznak a transznacionális folyamatokkal foglalkozó kutatók abból a célból, hogy újragondolják és újraalkossák a társadalom fogalmát egy olyan keretben, ahol a társadalom határai nem érnek véget automatikusan a nemzetállam határainál

Factors that influence patient empowerment in inpatient chronic care: early thoughts on a diabetes care intervention in South Africa

Abstract Background The burden of non-communicable diseases is growing rapidly in low- and middle-income countries. Research suggests that health interventions that aim to improve patient self-management and empower patients to care actively for their disease will improve health outcomes over the long-term. There is, however, a gap in the literature about the potential role of the inpatient setting in supporting chronic care. This is particularly important in low-and-middle income countries where hospitals may be a rare prolonged point of contact between patient and health provider. The aim of this small scale, exploratory study was to understand what factors within the inpatient setting may affect patients’ feelings of empowerment in relation to their chronic disease care and provides recommendations for future inpatient-based interventions to support self-management of disease. Methods This study was based in a public, academic hospital in South Africa. Eighteen qualitative, semi-structured interviews were conducted with multiple participants with experience of diabetes care: inpatients and health professionals such as nurses, endocrinologists, and dieticians. Findings were analysed using a broad, exploratory, thematic approach, guided by self-management and chronic care literature. Results Interviews with both patients and providers suggest that patients living in low socio-economic contexts are likely to struggle to access appropriate healthcare information and services, and may often have financial and emotional priorities that take precedence over their chronic illness. Younger people may also be more dependent on their family and community, giving them less ability to take control of their disease care and lifestyle. In addition, hospital care remains bound by an acute care model; and the inpatient setting of focus is characterised by perceived staff shortages and ineffective communication that undermine the implementation of patient empowerment-focused interventions. Conclusions Patient and provider contexts are likely to make supporting patient engagement in long-term chronic care difficult in lower income settings. However, knowledge of these factors can be harnessed to improve chronic care interventions in South Africa and other similar countries

Patient Disease Perceptions and Coping Strategies for Arthritis in a Developing Nation: A Qualitative Study

<p>Abstract</p> <p>Background</p> <p>There is little prior research on the burden of arthritis in the developing world. We sought to document how patients with advanced arthritis living in the Dominican Republic are affected by and cope with their disease.</p> <p>Methods</p> <p>We conducted semi-structured, one-to-one interviews with economically disadvantaged Dominican patients with advanced knee and/or hip arthritis in the Dominican Republic. The interviews, conducted in Spanish, followed a moderator's guide that included topics such as the patients' understanding of disease etiology, their support networks, and their coping mechanisms. The interviews were audiotaped, transcribed verbatim in Spanish, and systematically analyzed using content analysis. We assessed agreement in coding between two investigators.</p> <p>Results</p> <p>18 patients were interviewed (mean age 60 years, median age 62 years, 72% women, 100% response rate). Patients invoked religious and environmental theories of disease etiology, stating that their illness had been caused by God's will or through contact with water. While all patients experienced pain and functional limitation, the social effects of arthritis were gender-specific: women noted interference with homemaking and churchgoing activities, while men experienced disruption with occupational roles. The coping strategies used by patients appeared to reflect their beliefs about disease causation and included prayer and avoidance of water.</p> <p>Conclusions</p> <p>Patients' explanatory models of arthritis influenced the psychosocial effects of the disease and coping mechanisms used. Given the increasing reach of global health programs, understanding these culturally influenced perceptions of disease will be crucial in successfully treating chronic diseases in the developing world.</p

Multifarious Transnational Engagements of Contemporary Diaspora Members: From Revolving-door Universalists to Multi-nationals and Site-Hopping Vagabonds

Drawing on recent studies of diaspora and its members’ transnational engagements, which treat the former as fuzzy-boundary, context-dependent groupings, and the latter as multi-faceted (rather than two-pronged) relationships, in this paper I explore the notion of diasporans’ polymorphous and multi-directional transnational commitments; identify different types of such involvements; and propose a preliminary list of macro- and micro-level circumstances contributing to multifarious transnationalism. In conclusion, I consider the implications of the notion of diaspora members’ multifarious transnational engagements for the study of (im)migrant transnationalism in general and suggest some interesting questions for future research on this phenomenon generated by this discussion

O Brasil na nova cartografia global da religião

Este artigo analisa as mudanças sociais, econômicas, culturais e religiosas que fizeram do Brasil um polo importante de produção do sagrado numa emergente cartografia global. Esta cartografia é policêntrica e entrecortada por uma miríade de redes transnacionais e multi-direcionais que facilitam o rápido movimento de pessoas, ideias, imagens, capitais e mercadorias. Entre os vetores que vamos examinar estão: imigrantes brasileiros que na tentativa de dar sentido ao processo deslocamento e de manter ligações transnacionais com o Brasil levam suas crenças, práticas, identidades religiosas para o estrangeiro, missionários e outros "entrepreneurs" religiosos, o turismo espiritual de estrangeiros que vão ao Brasil em busca de cura ou desenvolvimento espiritual, e as indústrias culturais, a mídia e a Internet que disseminam globalmente imagens do Brasil como uma terra exótica onde o sagrado faz parte intrínseca de sua cultura e natureza