Although popular with patients, professionals emphasised the importance of case selection and adequate training and support, both for patients and themselves, in order to maximise the expected benefits of the service, particularly with regard to enabling self-management.

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Managers and healthcare professionals face major challenges in meeting demands for both relationship continuity and continuity of clinical management in the development of telemonitoring services.

This paper offers a critical review of the international literature on gender, disaster and rural masculinities. Empirical reference is made to bushfires in Australia, offering new evidence from the State of Victoria. Bushfires loom large in the Australian imagination and there is an increasing amount of research now being conducted in relation to bushfire events. A significant gap remains, however, with regard to the issue of gender. Despite increasing evidence that gender plays a significant role with reference to disaster risk assessment, preparation and response, a gendered analysis of bushfire preparation and response has not been a sustained research priority. Building on the writing of others, a critical assessment is provided of the concept of a specifically Australian, rural hegemonic masculinity as a possible way of better understanding the social dimensions of gender, and bushfire preparation and response in the Australian context. This conceptual consideration is extended to draw attention to the process whereby alternative conceptions of masculinities may emerge. This recognition provides a basis for further research on gender and disaster internationally.

Union renewal has been the subject of debate over the last two decades. Via a review of these debates, a revision of the union renewal thesis is presented, suggesting that union renewal should be examined as a process of transition. Three analytic dimensions of renewal are identified and presented, each arising out of a consideration of the debates: union organisation, union capacity and union purpose. The proposition is that an understanding of contemporary unionism involves a consideration of the ways renewal involves a multi-faceted transition in relation to the political economy of trade unionism. The way to understand this characterisation is to reconsider theories about unions in terms of a dialectic, addressing the inter-relationships and integration of union organisation, capacities and purpose.

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Building on a long history of concerns with the working environment, unions are now addressing issues arising from the debates and policies on the human causes of climate change. This article examines how unions are responding to such issues. Many unions are extending their capacities in relation to environmental concerns and in the process are refocusing their purpose. This is, however, not straightforward: unions are caught in a tension between pressures to ensure job creation and pressures towards environmental responsibility. While unions address climate change as independent organizations, more comprehensive outcomes may be possible via emergent forms of unionism that bring unions and their local communities together in solidaristic ways.Ré sumé S'appuyant sur une longue expérience des problèmes relatifs à l'environnement de travail, les syndicats abordent aujourd'hui des questions, soulevées par les débats et les politiques, sur les causes humaines du changement climatique. Le présent article examine la manière dont les syndicats répondent à de telles questions. De nombreux syndicats étendent leurs compétences liées aux problèmes environnementaux et ce faisant redéfinissent leurs objectifs. Ceci n'est toutefois pas simple: les syndicats sont tiraillés entre d'une part, la nécessité d'assurer la création d'emplois et d'autre part, celle d'assumer la responsabilité environnementale. Certes, les syndicats abordent le changement climatique en tant qu'organisations indépendantes, mais il y a d'autres formes de syndicalisation regroupant les syndicats et leurs communautés locales dans un esprit de solidarité qui se font jour et qui rendent possible des résultats beaucoup plus larges. ZusammenfassungAufbauend auf ihrer langen Erfahrung mit Fragen der Arbeitswelt befassen sich Gewerkschaften inzwischen auch mit Themen, die sich aus den Debatten und Strategien zu den menschlichen Downloaded from Ursachen des Klimawandels ergeben. Dieser Beitrag untersucht, wie die Gewerkschaften auf diese Themen reagieren. Viele Gewerkschaften stärken ihre Kapazitäten in Bezug auf Umweltfragen und richten während dieses Prozesses ihre Zielsetzungen neu aus. Dies ist jedoch alles andere als einfach: die Gewerkschaften bewegen sich in einem Spannungsfeld zwischen dem Druck, die Schaffung neuer Arbeitsplätze sicher zu stellen und andererseits im Umweltbereich Verantwortung zu über-nehmen. Gewerkschaften gehen Fragen des Klimawandels als unabhängige Organisationen an. Durch neue Formen der Gewerkschaftsbewegung, die Gewerkschaften und ihre ö rtlichen Gemeinschaften in solidaristischen Bewegungen zusammenbringen, kö nnten jedoch umfassendere Ergebnisse erzielt werden.