Women as patients: A problem for sex differences research

Using the feminist critique of the health care system as a starting point, this article indicates some of the relevant issues facing women as patients in general practice: lack of control over our bodies and reproductive functions, ‘psychologizing’ of women's complaints, the medicalization of social problems experienced by women as a group. Current research on women as patients is primarily of the sex-differences tradition, i.e. the differences between men and women patients are investigated. The results of this research are critically discussed. My contention is that such research, aside from being methodologically impoverished, is—from a feminist point of view—counterproductive. Some directions for alternative research in this area are given.     

Freedom to do What you are Told: Senior Management Team Autonomy in an NHS Acute Trust

Arguably, the government's aim of using the reward of 'earned autonomy' and Foundation Trust status as an incentive to improve performance in the NHS will only be effective if Trust managers view greater autonomy as both desirable and realistic. This article examines this issue by investigating the extent to which members of an NHS Trust's senior management team perceive themselves as autonomous, the factors most likely to hinder their ability to operate autonomously, and the extent to which managers want greater autonomy. In the event, autonomy was largely restricted by extensive centrally dictated targets. Entrenched professional interests and a lack of managerial skills on the part of clinician managers suggested limitations on the extent to which autonomy can be realistically devolved. Additionally, there was little belief among managers that greater autonomy would enable healthcare services to be delivered more effectively.     

Dirty diving. Sudden death of a SCUBA diver in a water treatment facility.

We report a case of a sudden death in a SCUBA diver working at a water treatment facility. The victim, an employee of the facility with a specialty in electronics, was a sport diver not qualified in commercial diving. While attempting to clean sludge from a blocked drain 25 ft under water, the diver was suddenly pinned against the drain valve when the sludge plug was broken up. We review the mechanics of the incident and the actual cause of death, asphyxia, as opposed to drowning. We believe this to be the first reported case of traumatic (pressure) asphyxia in a SCUBA diver.     

EUROPEANIZATION IN MANAGING EU AFFAIRS: BETWEEN DIVERGENCE AND CONVERGENCE,A COMPARATIVE STUDY OF ESTONIA,HUNGARY AND SLOVENIA

Scholarly research into Estonia, Hungary and Slovenia has shown that the idiosyncrasies of the new EU countries (especially with respect to institutionalizing and centralizing the co‐ordination of core executives in managing EU affairs at home) persist. They are complemented by trends toward convergence (such as growing co‐ordination efforts and a common tendency: that of the prime minister to be the centre of co‐ordination). In this article external Europeanization pressures, national administrative traditions (the legacies of both pre‐communist and communist systems), and the patterns of party competition that cause variations in politico‐administrative relations, are tested as possible explanatory variables of differences seen in the three countries when managing EU affairs. While national administrative traditions play similar roles to those seen in old(er) member states by filtering the EU‘s impacts, the effect of patterns of party competition on politico‐administrative relations when managing EU affairs has been filtered by the accession states’ national priorities of integrating with the EU.