System reform in the human services: what role can health promotion play?

Smith, James A.; Jancey, Jonine; Binns, Colin

doi:10.1071/hev28n1_ed1

Cited by 6 publications

(8 citation statements)

References 12 publications

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“…20 Using health promotion for injury prevention and control can help reduce health care costs and improve the quality of life, and should be encouraged by health planning agencies and health systems. 21…”

Section: Injury Prevention and Health Promotionmentioning

confidence: 99%

Injury prevention and health promotion: A global perspective

Franklin

Sleet

2018

Health Prom J of Aust

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Section: Injury Prevention and Health Promotionmentioning

confidence: 99%

Injury prevention and health promotion: A global perspective

Franklin

Sleet

2018

Health Prom J of Aust

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“…They offered a critique of organisational culture as representing a neoliberal ideology that is about market principles rather than community development principles and suggested this trend had been evident for some time, regardless of political party. This critique was reinforced by several staff members in the final reflective stage, looking at recent developments in services such as aged and community care 91 . Within the community members’ discussion, however, there was also an implied criticism of the work hierarchy as such.…”

Section: Resultsmentioning

confidence: 99%

A socioecological discourse of care or an economistic discourse: which fits better with transition?

Kay

Livingstone

2021

Australian and New Zealand Journal of Public Health

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Objective: To analyse a ‘socioecological’ health promotion discourse and its relationship to orthodox ‘economistic’ discourse in Australia. Method: In research on health promotion addressing equity and environmental sustainability, we identified a socioecological discourse, based on an ethic of care for people and ecosystems. Using Foucault's concept of discourse as a regime that produces and legitimises certain kinds of knowledge, and ecofeminist historical analysis, we analysed this discourse and its relationship to economism. Results: The socioecological discourse takes social and ecological wellbeing as primary values, while economism takes production and trade of goods and services, measured by money, as primary. Following British invasion, property‐owning white men in Australia had the right to control and profit from land, trade, and the work of women and subordinate peoples. A knowledge regime using money as a primary measure reflects this history. In contrast, a First Nations’ primary value expressed in the study was ‘look after the land and the children’. Conclusion and implications for public health: Public health often attempts to express value through economism, using monetary measures. However, socioecological discourse, expressed for example through direct measures of social and ecological wellbeing, appears more fit for purpose in promoting a fair and sustainable society.

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“…People in remote areas and who are financially disadvantaged therefore face greater barriers in obtaining their licence due to the high and inconsistent cost of the course, which compounds existing disadvantage as individuals without a driver's licence have reduced access to education, employment and healthcare 15 . It has been shown that when services are left to be delivered in a free market, those who already experience difficulties are those most severely impacted, leading to inequities and a widening of existing socioeconomic disadvantage 16,17 . A move away from the user‐pays model, to one whereby the Northern Territory government is responsible for the funding and provision of drink and drug driving education services, may assist in overcoming disadvantages resulting from the current system.…”

Section: Discussionmentioning

confidence: 99%

Drink and drug driving education in the Northern Territory: a qualitative study illustrating issues of access and inequity

Wright

Miller

Wallace

et al. 2022

Australian and New Zealand Journal of Public Health

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Objective: In the Northern Territory, people who commit drink driving offences are required to undertake an approved course or treatment to be eligible for a driver's licence, however, course uptake is low. We investigated barriers to program uptake. Methods: We conducted semi‐structured interviews with 24 program attendees, course providers and government stakeholders. We used a framework analysis. Results: Program coverage in remote areas was limited, leading to inequitable access. The course cost affected uptake and exacerbated existing financial hardship. There were mixed views among government stakeholders on the program. While some held a view that offenders should ‘pay the price’, some also saw the user‐pays model and high program cost as a clear barrier to accessibility. Conclusions: The data from this study demonstrate how the current delivery model for drink and drug driving education increases inequities for those in regional and remote areas, and Aboriginal and Torres Strait Islander people. Implications for public health: Moving away from the current user‐pays model to a subsidised or free model may facilitate greater access. Online delivery may increase accessibility; however, consultation is required to ensure the program is delivered equitably with consideration of language, literacy, cultural factors and access to technology.

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System reform in the human services: what role can health promotion play?

Cited by 6 publications

References 12 publications

Injury prevention and health promotion: A global perspective

Injury prevention and health promotion: A global perspective

A socioecological discourse of care or an economistic discourse: which fits better with transition?

Drink and drug driving education in the Northern Territory: a qualitative study illustrating issues of access and inequity

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