We analyzed the impact of a requirement introduced in December 2010 that all applicants to the Canadian Institutes of Health Research indicate whether their research designs accounted for sex or gender. We aimed to inform research policy by understanding the extent to which applicants across health research disciplines accounted for sex and gender. We conducted a descriptive statistical analysis to identify trends in application data from three research funding competitions (December 2010, June 2011, and December 2011) (N = 1459). We also conducted a qualitative thematic analysis of applicants' responses. Here we show that the proportion of applicants responding affirmatively to the questions on sex and gender increased over time (48% in December 2011, compared to 26% in December 2010). Biomedical researchers were least likely to report accounting for sex and gender. Analysis by discipline-specific peer review panel showed variation in the likelihood that a given panel will fund grants with a stated focus on sex or gender. These findings suggest that mandatory questions are one way of encouraging the uptake of sex and gender in health research, yet there remain persistent disparities across disciplines. These disparities represent opportunities for policy intervention by health research funders.
This article uses the concept of continuity of care to examine the implications of health-system restructuring for workers and staff in the BC home support system. Home support primarily serves frail seniors living in poverty and has the potential to provide assistance with tasks like bathing, dressing, and toileting, as well as offer social support and relational care to isolated clients. Through presentation of qualitative data from focus groups and interviews with home support workers and clients in the Greater Vancouver area, we demonstrate how the casualization and intensification of work in a context of increasing client acuity levels has diminished both continuity and quality of care. This article discusses how restructuring in the home support sector in BC has reduced the overall number of persons under care in the system, disrupted continuity of care, and compromised quality.
Video and computer games are a burgeoning new media industry with global revenues rivaling those of film and music. This article, reporting on a three-year SSHRC-funded research project, analyzes the political economy of Canadian involvement in the interactive game business. After an overview of companies, ownership, markets and regional distribution, it discusses the developmental dynamics and contradictions of the Canadian industry in terms of capital, state, and labour. It concludes by reviewing different ways these interweaving forces may 'play out' and their implications for policy decisions affecting the Canadian video and computer game industry.Résumé : Les jeux électroniques sont une nouvelle industrie médiatique en plein essor dont les revenus mondiaux rivalisent avec ceux des industries du film et de la musique. Cet article, qui rend compte d'un projet de recherche de trois ans financé par le CRHS, analyse l'économie politique de la participation canadienne à l'industrie du jeu interactif. L'article -suivant une vue d'ensemble des compagnies, de leurs propriétaires, des marchés, et de la distribution régionale -traite des dynamiques du développement ainsi que des contradictions de l'industrie canadienne en fonction de capital, état et travail. En guise de conclusion, l'article passe en revue les diverses manières dont ces trois forces interreliées pourront évoluer et l'impact de celles-ci sur les décisions politiques portant sur l'industrie des jeux électroniques au Canada.
Le présent article utilise le concept de continuité des soins pour examiner les effets de la structuration du système de santé sur les travailleurs et le personnel du programme de soutien à domicile de la Colombie-Britannique (C.-B.). Ce programme dessert principalement les personnes âgée fragiles vivant dans la pauvreté, et il permet d'obtenir de l'aide pour des tâches comme le bain, l'habillement, et la toilette, et offre aussi un soutien social et relationnel spécial aux clients isolés. En présentant des données qualitatives tirées de groupes de discussion et d'entrevues avec des personnes assignées au soutien à domicile et des clients de la région métropolitaine de Vancouver, nous indiquons comment la précarisation et l'intensification du travail, dans un contexte d'un niveau accru d'acuité et de complexité des besoins des clients, ont réduit la continuité et la qualité des soins. Le présent article parle de la façon dont la restructuration du secteur du soutien à domicile en Colombie-Britannique a réduit le nombre total de personnes bénéficiant de soins dans le cadre du système, perturbé la continuité des soins, et compromis la qualité.
ABSTRACTThis article uses the concept of continuity of care to examine the implications of health-system restructuring for workers and staff in the BC home support system. Home support primarily serves frail seniors living in poverty and has the potential to provide assistance with tasks like bathing, dressing, and toileting, as well as offer social support and relational care to isolated clients. Through presentation of qualitative data from focus groups and interviews with home support workers and clients in the Greater Vancouver area, we demonstrate how the casualization and intensification of work in a context of increasing client acuity levels has diminished both continuity and quality of care. This article discusses how restructuring in the home support sector in BC has reduced the overall number of persons under care in the system, disrupted continuity of care, and compromised quality.
The Universitas 21 (U21) organization funded a one-year project to examine global e-health. An e-health steering committee surveyed the opinions of e-health researchers at U21 member schools and conducted a literature review. Information about key themes was analysed and the findings were summarized. The steering committee recommended an eight-step strategy to establish a sustainable endeavour in global e-health. This included implementing a dissemination strategy within the U21 organization to engage a progressively larger community of faculty members and others, and translating e-health knowledge into global practice in those areas in which the U21 has special expertise. While the recommendations in the discussion paper are specific to the U21 organization, the e-health steering committee believes they can be generalized and applied to any globally minded educational or research institutions seeking to contribute to e-health.
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