Background Literature, film and news media reflect and shape social perceptions of dementia which in turn impact on dementia stigma. The aim of this paper is to systematically review papers on the depiction and frames for dementia in literature, film, mass media and social media in order to better understand cultural stigma related to dementia. Methods A systematic search of electronic databases was undertaken combining phrases relating to dementia, popular culture and representations, and phrases relating to dementia and stigma. We searched for scientific English language papers which included original analysis on the representation or depiction of dementia in popular culture (i.e. in film and television, literature, news, social media and language). Articles published between 1989–2018 were included. The search was conducted in December 2017 and updated in January 2019. Inductive thematic synthesis was undertaken. Results A total of 60 articles were included from an initial sample of 37022. Dementia was almost always depicted in conjunction with ageing, and often equated with Alzheimer’s disease. Common frames for dementia were biomedical - dementia involves the deterioration of the brain for which there is no current cure; natural disaster or epidemic - dementia is a force of nature which will overwhelm mankind; and living dead – people with dementia lose their brains, memories, minds and consequently their personhood and human rights. There were examples of more positive depictions of dementia including expressing love and individual agency and experiencing personal growth. Feelings commonly associated with dementia were fear, shame, compassion and guilt, and depictions often resulted in a sense of social distance. Conclusions Depictions of dementia in popular culture are associated with negative images and feelings, and social distance between people with dementia and those without. These correspond to dementia stigma in the public and as experienced by people with dementia. Further research is needed into the impact of literature, news and social media on dementia stigma and these cultural mediums might be used to reduce stigma.

ObjectiveThe over‐reliance on overseas‐trained doctors remains a pressing problem in a handful of countries. This study aimed to explore the experience of rural and remote overseas‐trained doctors as regards to their migration, recruitment and ongoing support in Australia as the basis for more effective health workforce governance.DesignQualitative interviews were undertaken with overseas‐trained doctors in rural and remote Australia. Interview questions focused on the experiences of overseas‐trained doctors.SettingMigrant doctors working in general practice in rural and remote Australia.ParticipantsOverseas‐trained doctors who met inclusion criteria participated in interviews (n=14), which were digitally recorded and transcribed. Thematic coding and analysis were conducted with input from the study's Expert Policy Stakeholder Group.ResultsOverseas‐trained doctors enjoyed the relative autonomy of working in rural or remote general practice and were grateful to be in Australia. Specialised rural and remote skills such as cultural competence in matters of Indigenous health and specialised emergency rural skills was a key finding as was the deskilling or lack of career development opportunities. Our analysis pointed to the mismatch in expectations and experiences between overseas‐trained doctors, policy‐makers and employers, as some doctors experienced obstacles with registration, or the location was not ideal, or there was a lack of awareness of Indigenous‐related health and cultural challenges.ConclusionsIn the context of Australia's continuing reliance on overseas‐trained doctors, this study revealed the need for improved communication and coordination between overseas‐trained doctors, policy‐makers (education, health, employment and immigration) and employers, as a basis for more effective health workforce governance.

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The paper analyses how knowledge systems and epistemic cultures contribute to development planning through conduct of a microqualitative sociological case study of the health sector in Indonesia. The data were attained from 37 in-depth interviews and a stakeholder engagement workshop conducted in Gunungkidul, Yogyakarta, complemented with documentary media analysis. Our findings show that centralisation continues to exist in the development planning practice within the decentralisation era. This is shown through dependence on budget prescriptions and indicators from the centre in Jakarta. Further, this study demonstrates how the integration of indicators in the development planning process is hampered by myopic practices of government officials at the district level where there is evidence of an absence of verified knowledge in the Health Bureau of the District of Gunungkidul. Furthermore, there is dependence on data and information from volunteers in the Health Integrated Service Post (Posyandu) at the local village level. This study reveals, therefore, that development planning operates at three levels, yet with different knowledge systems and epistemic cultures at each level: central, district, and village.

The right to health is included in United Nations (UN) Sustainable Development Goals (SDG) number 3, “Good health and well-being”. This goal aims to ensure healthy life and to promote well-being for all, at all ages. The SDGs, which build on the Millennial Development Goals (MDGs), provide a significant expansion to the development agenda. Inclusive development is part and parcel of the SDGs. Evidence-based policymaking studies provide explanations of normative and legitimate expectations for policymakers, namely, to use scientific evidence and specific indicators in their policymaking process. The right to health, as constructed, in evidence-based policymaking discourse is in contention. This paper addresses the various types of meaning Indonesian policymakers attach to the right to health through their discourses in norms of health policy. This study provides an analysis of discourses, regulatory analysis, and historical narratives (based on analysis of health regulations and newspaper articles) pertaining to evidence-informed policy in the health sector in Indonesia from 2009-2017. Our findings elucidate how the right to health manifests in the processes of evidence-based policymaking. We do so by way of a two-pronged analysis, i) discourse analysis at the macro level in Indonesia about the right to health as a norm and ii) health policymaking at the micro level, in the Indonesian district of Gunungkidul,within the region of Yogyakarta.