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| http://dx.doi.org/10.3399/bjgp15X685921 | DOI Listing |
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Playing dirty: the shady governance and reproduction of migrant illegality.
J Ethn Migr Stud
August 2024
Institute of Sociology and Cultural Organisation (ISCO), Leuphana University of Lüneburg, Lüneburg, Germany.
State authorities in Europe invest immense resources in what the EU insists on calling the 'fight against illegal migration'. Based on ethnographic research in two German cities, this paper shows that a tough approach towards illegalised migration can only be implemented through state practices that operate at the margins of, or even cross, the boundaries of what is legally permissible. This argument is developed through an analysis of informal practices that frontline staff in registry offices and migration administrations deploy to prevent, or at least disturb, illegalised migrants' attempts to regularise their status by becoming the parent of child that is entitled to German citizenship.
View Article and Find Full Text PDFTranslating restrictive law into practice: An ethnographic exploration of the systemic processing of legally restricted health care access for asylum seekers in Germany.
Int J Equity Health
October 2024
Department of General Practice and Health Services Research, Section for Health Equity Studies & Migration, Heidelberg University Hospital, Im Neuenheimer Feld 130.3, Heidelberg, 69120, Germany.
Background: Access to health services for asylum seekers is legally restricted in Germany. The law is subject to interpretation, therefore the chance of receiving care is not equally distributed among asylum seekers. What services are provided to whom is ultimately decided by health professionals and government employees.
View Article and Find Full Text PDFGPs' experience of difficult decisions in patients with dementia and an acute illness.
BJGP Open
September 2024
School of Medicine & Population Health, Sheffield Centre for Health and Related Research, University of Sheffield, Sheffield, United Kingdom.
Background: GPs are often required to make decisions about the management of acute illness in people living with dementia. These decisions are often complex and involve multiple informants.
Aim: We aimed to explore how GPs made decisions about acute illness in people with dementia using a micropolitics approach.
Task shifting for musculoskeletal disorders in Norwegian primary care: a qualitative interview study of general practitioners and specialist musculoskeletal physiotherapists.
Scand J Prim Health Care
August 2024
Western Norway University of Applied Sciences, Bergen, Norway.
Objective: To explore the views of general practitioners and physiotherapists on the current model of care for patients with musculoskeletal disorders in Norwegian primary care, and if the English First Contact Practitioner model, where patients have access to multiple professional groups with musculoskeletal health expertise, could inform service development.
Design, Setting, And Subjects: We analysed interviews with five GPs and 11 physiotherapists and used Lipsky's theories about street-level bureaucracy and Foucault's theories of mechanisms of power and institutional structures to explore task shifting and cooperation between different professions.
Results And Interpretation: The empirical material reflected a multi-faceted discourse about skill-mix in primary care, where financial factors, perceptions about competence, and task preferences moderated attitudes to task shifting.
"": Street-level bureaucracy on the front line of primary care in the United Kingdom.
Heliyon
November 2023
Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
Introduction: In care settings across the globe non-clinical staff are involved in filtering patients to the most appropriate source of care. This includes primary care where general practice receptionists are key in facilitating access to individual surgeries and the wider National Health Service. Despite the complexity and significance of their role little is known of how the decision-making behaviors of receptionists impact policy implementation and service delivery.
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