Suchergebnisse

This chapter provides a new theoretical perspective for analysing television. Examining Deleuze's description of control, it is argued that television is a technology of control, albeit one that has the potential to produce resistance to control's operations. Although control's politics of resistance are not extensively explored by Deleuze, the chapter utilises related theory and commentary in developing the concept of 'inhabited resistance' for understanding political action in the society of control. Finally, the chapter signals the potential of certain styles of television comedy for illustrating television's relation of control and inhabited resistance.

Review of Jurisdiction under the Industrial Relations Act 1973: Some Problems and Issues, Employment: Towards an Active Employment Policy, Labor in the American Economy, Strikes and Participation, Democracy in the Work Place

BackgroundAs commissioners of the National Clinical Audit and Patient Outcomes Programme (NCAPOP), HQIP are custodians of data from across many areas of healthcare. The high quality and national coverage of circa 40 national audits and registries means datasets are sought after for many purposes.
IntroductionHQIP values placing patients and the public at the heart of our work. We wanted to work with members of our Service User Network (SUN) to research and design how to recruit and sustain public representation in our Data Access Request Group (DARG).
Our primary objective was to work in partnership with public members to co-design a sustainable model that implements meaningful public involvement within DARG.
Our intended outcomes were that HQIP is enabled to establish public membership in DARG, and that HQIP's Data Access processes benefit from the added supportive challenge and assurance that public membership provides.
MethodsWe took the following steps to achieve our aims:

Recruited 3 public members to our project team from our SUN enabling us to have meaningful public involvement throughout.Public members contributed to discussions with other organisations with established public membership on their data access committees (IGARD, CPRD, Pioneer) and HDRUK, to gather knowledge on best practice in public engagement with data access processes.
Fortnightly team meetings to review progress, develop a model for public membership in DARG, and reflect on learnings throughout.
Invited our public members to observe a DARG meeting to better understand how our data access processes work, and followed this up with a Q&A session.
Our PPI lead actively supported public members throughout the project, enabling them to self-select how they wanted to contribute, and encouraging them to bring learning from other PPI work they have been involved with.

ResultsOur project outputs included:

A costed business case for establishing public membership within DARG: for HQIP reviewRecruitment resources: promotional materials, role description for public members, public involvement agreement, draft interview tasks and questions
DARG operating model: amended DARG Terms of Reference, Glossary of terms
Co-designed webpages: on HQIP's Data Access Processes; inclusion of the Five Safes Framework
Supporting infographics: to visually display webpage content

ConclusionsThis project had the following impact and gave the following insights:

HQIP approval given for establishing public membership onto DARG
Improved public accessibility and understanding of HQIP's data access processes
Clearer roles and responsibilities of DARG members
A platform within DARG to promote the patient and public voice
Learning for HQIP as it was the first-time public members were part of a project team – this brought diversity, new ideas, and challenge
Public project members more confident to challenge and question professionals in other settings

Capacity building in implementation science is integral to PEPFAR's mission and to meeting the 90–90–90 goals. The USAID funded Project SOAR sponsored a 4 day workshop for investigators and governmental and non-governmental partners from 12 African countries. The workshop was designed to address both findings from a pre-workshop online needs assessment as well as capacity challenges across the capacity building pyramid, from individual skills to institutional systems and resources. Activities were output-oriented and skill based. An online survey evaluated sessions and changes in perceptions of needs; a majority of respondents strongly agreed that after the workshop, they better understood their personal and institutional capacity strengthening needs. Participants 'strongly agreed' that workshop content was relevant to their jobs (90%) and that they left the workshop with a specific plan for conducting future research (65%). Workshop results suggest that skill-building should be done in conjunction with systems capacity building within the cultural context.

BACKGROUND: Long-acting injectable antiretroviral therapy (LA ART) has been shown to be non-inferior to daily oral ART, with high patient satisfaction and preference to oral standard of care in research to date, and has recently been approved for use in the United States and Europe. This study examined the perspectives of health care providers participating in LA ART clinical trials on potential barriers and solutions to LA ART roll-out into real world settings. METHODS: This analysis draws on two data sources: (1) open-ended questions embedded in a structured online survey of 329 health care providers participating in the ATLAS-2 M trial across 13 countries; and (2) in-depth interviews with 14 providers participating in FLAIR/ ATLAS/ATLAS-2 M trials in the United States and Spain. Both assessments explored provider views and clinic dynamics related to the introduction of LA ART and were analyzed using thematic content analysis. The Consolidated Framework for Implementation Research (CFIR) was drawn on as the conceptual framework underpinning development of a model depicting study findings. RESULTS: Barriers and proposed solutions to LA ART implementation were identified at the individual, clinic and health system levels. Provider perceptions of patient level barriers included challenges with adhering to frequent injection appointments and injection tolerability. Proposed solutions included patient education, having designated staff for clinic visit retention, and clinic flexibility with appointment scheduling. The main provider concern was identifying appropriate candidates for LA ART; proposed solutions focused on patient provider communication and decision making. Clinic level barriers included the need for additional skilled individuals to administer injections, shifts in workflow as demand increases and the logistics of cold-chain storage. Proposed solutions included staff hiring and training, strategic planning around workflow and logistics, and the possibility of offering injections in other settings, including the home. Health system level barriers included cost and approvals from national regulatory bodies. Potential solutions included governments subsidizing treatment, ensuring cost is competitive with oral ART, and offering co-pay assistance. CONCLUSIONS: Results suggest the importance of multi-level support systems to optimize patient-provider communication and treatment decision-making; clinic staffing, workflow, logistics protocols and infrastructure; and cost-related factors within a given health system.