Neoliberal reforms in elder care in Norway: Roles of the state, Norwegian employers, and Polish nurses

After a worldwide financial crisis in the early 1980s, many states decided to implement new public management strategies. These strategies consist of private sector management practices that aim to reduce the cost of public services. The US and the UK first adopted the new public management model and other states soon followed. The Norwegian state was initially reluctant to adopt private management practices, but it eventually implemented modified reforms that suited the Norwegian socio-political context. This article investigates the ways in which the Norwegian state and Norwegian employers shape the labor force in Norwegian nursing homes through new public management strategies, and the tools that foreign-born nurses use to challenge these structures. The Norwegian state shapes the labor force through labor market policies and the rescaling of public services to local governments, and Norwegian employers reinforce the neoliberal values of the state in their hiring practices and daily operations in the workplace. In particular, this article analyzes the interweaving neoliberal institutional and personal factors that influence the working experiences of Polish nurses in a semi-private nursing home in Oslo. The city of Oslo created a unique public–private partnership with a city-owned company that manages three nursing homes in Oslo. The findings of this study indicate that Polish nurses in one of these nursing homes were negatively affected by the new public management strategies. They improved some of their working conditions over time but structural barriers still persist despite high demand for their skills.     

Public policy and residential provision for the elderly

In recent years there has been a growing concern about the best type of residential care for the increasing elderly population in Britain. This paper examines the response of the public, private and voluntary sectors to the provision of residential care. It looks at the relative levels, spatial variations in the levels and changes in the proportions of provision by each of these sectors for the years 1981 and 1984. The levels of provision are related to indices of need, available resources and the political disposition of each local authority area. This paper then focuses on the variations in the growth of the private-sector provision of residential homes. It was found that the metropolitan districts had the greatest proportion of voluntary-sector provision; and the traditional seaside retirement counties such as Devon and Lancashire had the highest levels of and experienced the greatest growth in private residential care. The key variables in explaining variations in the mix of provision between areas were indices of need and resources. This study has established that there are great regional variations in the mix of the different sectors of residential care, although it is not possible to offer a total explanation of these differentials. In Britain, there are substantial inequalities in terms of the choice of types of provision for the elderly population which have significant implications for local authority policy.     

SARS in Singapore—challenges of a global health threat to local institutions

SARS (Severe Acute Respiratory Syndrome) has been declared by WHO (World Health Organisation) as a global health threat. Within a period of four to five months in 2003, the disease infected some 8,000 people in more than 25 countries and left 774 dead. The many studies that have been done on the spread of SARS in Asia as well as countries as far flung as Germany and Canada have focused on the global dimension of the infectious disease as well as the speed of its spread upon emergence in southern China and then Hong Kong. Less attention has been paid to its spatial distribution at the national and local scales. This discussion focuses on the spread of SARS at the national and local spatial scales. In the process, the study presents the management of a hazard, in this case, an emerging infectious disease by national health care institutions such as the hospitals that ultimately proved to have been wholly unprepared for coping with at least the health aspects of the outcome of a globalised national agenda for growth and economic progress.     

Domestic temporalities: Nature times in the house-as-home

Studies of domestic temporalities have emphasised the timing of social activities and interactions in the home, including how family members negotiate their use of home spaces and technologies, the impact of flexible work practices on home, and the organisation of care and mothering activities. But home is also shaped by the rhythms and times of nonhumans that inhabit, travel through and are part of the house-as-home; it is further shaped by the environment outside home. Drawing inspiration from recent discussions of nature times the paper explores the more-than-human temporalities of domestic space. It charts the ageing and decay of house structures, the disruption caused by nocturnal animals, and the seasonal cycles of sunlight and plant growth that immediately surround the home, attending to the ways that these events shape everyday experiences of home and homemaking. These times and rhythms are examined through interviews undertaken with people living with uninvited brushtail possums in the ceilings of their homes, interviews and diaries completed by new dog owners, interviews with gardeners, and analysis of popular Australian homemaking magazines. These stories emphasise the dynamic and unfolding nature of the house-as-home as a hybrid timespace produced through an ongoing entwinement of human and nonhuman, living and non-living, culture and nature.     

‘Ageing in place’: experiences of older adults in Amsterdam and Portland

This article addresses the importance and meanings of formal and informal social support relationships and neighbourhood ties for older adults ‘ageing in place’ in urban neighbourhoods in two different welfare state settings: Portland (Oregon, the United States) and Amsterdam (the Netherlands). The rising number of people growing old(er) in urban environments raises new demands and pressing challenges for urban development. The majority of older adults are and will be ageing in their homes and communities, as opposed to institutionalized care facilities and settings. At the same time, the provision of formal and public care is being increasingly challenged by government cutbacks. On top of this, the formerly strong welfare states in many European countries have weakened. In-depth interviews with 40 older adults and key informants in two neighbourhoods in each city provide the empirical basis for this study. In Portland, there are widespread local civic initiatives related to care provision for older adults. The city has a long tradition both of individual responsibility and community culture, which has emerged from and appears to compensate for the overall lack of state services and support. Amsterdam has a long tradition of state provision, but is experiencing a policy shift towards a stronger reliance on private market-led services, and an emphasis on family and community as providers of support. Although a few emerging local initiatives for elderly care in Amsterdam were identified, it is unclear whether this form of community support can compensate for decreasing state provision in Amsterdam. This study raises concerns about the future of care provision for older adults living in unsupportive urban neighbourhoods, without financial resources or nearby relatives.     

A spatial and temporal analysis of second home ownership in West Wales

A locational analysis is presented of second (or holiday) homes in Cemaes. West Wales Time series tenure data for the period 1960–1977 was collected for every dwelling in the study area By adopting a data collection methodology including systematic local enquiry, it is hoped that this project avoids the main weaknesses of second home studies in Britain. namely definitional problems, data inaccuracy. and lack of an explicit time dimension Moreover, data collection and analysis was planned within an hypothesis testing framework Using elementary statistical techniques, conclusions are drawn as to the factors affecting the spatial distribution of second homes and its evolution over time.     

Poor housing and stroke mortality in population over 64 years old at the parish level,in mainland Portugal

Housing conditions can impact physical and mental health. In 2013, Portugal was still the fourth European Union country with the highest percentage of population without an adequately heated home in winter. Other adverse conditions are, for instance, overcrowding and living in older buildings. Some studies stress the relationship between stroke and poor living conditions in the elderly population, especially cold homes. Univariate and multivariate spatial cluster analysis were used to explore the relationship between excess stroke death risk, from 1998 to 2004, measured by the standardized mortality ratio (SMR) for several cohorts (including persons over 64 years old), and poor housing variables from the 2001 census, at the parish level in continental Portugal. A multivariate cluster of parishes, with population without any form of heating their homes as dominant condition, was detected in northwest Portugal. Mean and median SMR values across all cohorts were consistently higher within this cluster. This strengthens the hypothesis that cold homes deserve more attention in stroke prevention and mitigation amongst elderly persons, especially in northwestern continental Portugal.     

Wildfire evacuations in Canada 1980–2007

Evacuations represent an integral aspect of protecting public safety in locations where intense, fast-spreading forest fires co-occur with human populations. Most Canadian fire management agencies have as their primary objective the protection of people and property, and all fire management agencies in Canada recommend evacuations when public safety is in question. This study provides the first national assessment of wildfire-related evacuations in Canada and documents the loss of homes that coincided with evacuation events. The most striking finding is that despite the intensity and abundance of wildfire in Canada, wildfires have displaced a relatively small number of people. Between 1980 and 2007, the median number of evacuees and home losses per year in Canada were 3,590 and 2, respectively. Evacuees’ homes survived in 99.3% of cases. Patterns of evacuations and home losses reflected the distributions of forests, wildfire, and people across the Canadian landscape. Most evacuations occurred in boreal areas, which have relatively low population densities but among the highest percent annual area burned in Canada. Evacuations were less common in southern parts of the country, where most Canadians reside, but individual wildfires in these areas had significant impacts. Interactions between wildfire and people in Canada exhibited a unique regional pattern, and within the most densely populated regions of the country they can be considered ‘low-probability, high-consequence’ events. This Canadian context is fundamentally different from places such as California, where concentrations of fires and people overlap across large areas and therefore calls for a fundamentally different fire management response.     

The distribution and growth of urban settlements in Saudi Arabia

This paper examines the distribution characteristics of urban settlements in the Kingdom of Saudi Arabia through major dimensions such as settlement regularly, degree of primacy and polarisation at the national and geographic regional levels. The paper points out that the settlement pattern at the national level has transformed from a primate distribution during the pre-plan period (< 1970) to an intermediary distribution during the period of development planning (1970 >). At the geographical regional level the settlement distribution, however, has shown diverse pattern. While the regional settlement distribution of Western and Eastern Region have shown trends of increasing polarisation, settlements in the Northern and Southern Regions are more log-normal in character. This is explained by the increasing growth of small and intermediary towns in the Northern and Southern Regions. The paper concludes that the national trend of decreasing urban primacy, induced by the decentralised national development strategies, is less pronounced due to the absence of a balanced regional investment policy. Since the government expenditure and settlement population growth rates are not related, slow growing primate cities continue to receive a larger share of public expenditure, enabling them to retain their primacy. This calls for a balanced regional investment policy to fully realise the national strategy of regional balance and multi-polar settlement pattern.     

Tornado shelter-seeking behavior and tornado shelter options among mobile home residents in the United States

Residents of 401 mobile homes in Georgia, Mississippi, Illinois, and Oklahoma were surveyed after they heard a tornado warning. Most residents (69%) did not seek shelter during the warning. Half of those who sought shelter went to the frame house of a friend, neighbor, or relative, and 25% of those sought shelter in a basement or underground shelter. Some of the places where residents sought shelter were of dubious quality, such as their own mobile home, another mobile home, or in an out-building. Twenty-one percent of mobile home residents believed that they had a basement or underground shelter available as shelter during a tornado warning, and about half of those said they would drive to the shelter. Residents said they would drive if the shelter was more than 200 m away. Fifteen percent actually had a basement or underground shelter suitable as shelter within 200 m of their mobile home, but only 43% of the residents would use those shelters. The most common reason cited for not using the shelters was that they did not know the people who lived there. Likewise, a frame house or other sturdy building was within 200 m of 58% of the mobile homes, but only 35% of the residents stated they would use those houses for shelter. Thirty-one percent of mobile home residents had a ditch that was at least 0.5 m deep within 200 m of the mobile home. However, 44% of these ditches had utility lines overhead, 23% had water in them, and 20% had trees overhead. The limited tornado shelter options among mobile home residents in the United States needs to be incorporated into safety instructions so that residents without nearby shelter are allowed to drive to safer shelter.     

Urban growth and quality of life: inter-district and intra-district analysis of housing in NCT-Delhi, 2001–2011–2020

One out of three people in India is urban. In 2011, there were about 53 urban agglomerations larger than 1 million population as against only 35 in 2001. Much of this urban expansion has been occurring in the country’s largest metropolises including the National Capital Territory of Delhi which has expanded horizontally and vertically both. This has also added to overall decline in its already dilapidated housing stock and quality of life. Delhi, a historical hub for regional, national, and international commerce, and a place for the socio-political elites, has failed to provide basic life amenities to its average citizens. This research critiques the (un)sustainable elements of Delhi’s urbanization and concomitant decline in basic amenities pertaining to quality-of-life by examining the growth and expansion of its urban-built-up areas during 2001–2011–2020 and provides nuanced insights into its ‘livability’ by examining select quality-of-life attributes. The LANDSAT imageries for 2010 and 2020 are used to measure NDB-Index that assesses its built-up area and change, which are later corroborated with Census household data to examine change in its ‘livable’ and ‘dilapidated’ housing structures. Significant sub-regional disparity exists in the availability of good and livable homes, with almost 20–30% of several districts still without drinking water source inside premises. However, significant progress is also noted for basic amenities like lighting, latrine and bathing facilities, and majority of Delhi’s built-up area has expanded along newer developments and transportation corridors. This calls for goal-oriented strategic interventions by policymakers to help achieve the SDG-11 on Sustainable Cities.

     

Unbundled security services and urban fragmentation in post-apartheid Johannesburg

The paper questions the pluralization of policing devices and security agents across the Johannesburg metropolitan area, which has been accelerated and actually encouraged by public policies in the post-apartheid period. Are the various security initiatives and networks coordinated in a metropolitan security “system” – the regulation of which would need to be analysed – or does their development lead to urban fragmentation? Based on an analysis of an extensive documentation of security services, as well as a series of interviews with involved (street level) actors, different dimensions of potential urban fragmentation linked to security are examined: spatial fragmentation, with the development of road closures and their contestation; financial fragmentation, emblematised by business improvement districts encouraged by the municipality; and political fragmentation, as reflected by the analysis of the broader security policy framework. The paper argues that although the integrated vision of Johannesburg’s policing creates the basis for redistribution of resources and forms of policing regulation at a metropolitan level (in contrast with the apartheid period), the choice of neo-liberal urban policies, of which security strategies form a part, tends to encourage policing fragmentation, or in other words, the differential and unequal provision of security services according to place, income and race.     

Social and environmental regulation in rural China: bringing the changing role of local government into focus

China’s rapid economic growth following the 1978 reforms has resulted in significant economic, social and environmental change. These reforms and their outcomes have been subjected to considerable scrutiny. However, relatively little research has been directed towards the relationship between the changing role of local government, which has itself been subject to substantial restructuring, and the local mediation of the social and environmental impacts of rapid economic growth. This paper investigates the local manifestation of social and environmental change in Zhejiang Province. In particular, it considers the changing role of local government in the regulatory process, and features a case study of Huzhou Municipality. A synthesis of the factual knowledge and perceptions of 48 key-informants from government and public institutions and rural industries is used as the platform for an analysis of the changing nature of local regulation with respect to the provision of key public services (health care and education) and environmental protection (water pollution control). The results reveal the ability of local government to selectively implement national and provincial policies in light of local priorities, which is taken as indicative of the emergence of local agency within local development processes. The case study suggests a need to re-evaluate conventional wisdom on the absence of autonomy at local levels of government in China, particularly as it relates to the continued devolution of administrative responsibility and the emergence of increasingly powerful economic interests.     

Seismic Hazard Assessment for the Taiwan Region on the Basis of Recent Strong-Motion Data and Prognostic Zonation of Future Earthquakes

The paper describes an integrated approach to seismic hazard assessment, which was applied for the Taiwan region. First, empirical modelsfor ground motion estimation in the region were obtained on the basisof records from recent (1993-1999) earthquakes. The databaseincludes strong-motion data collected during the recent Chi-Chiearthquake (M=7.6, 21 September 1999) and large (M=6.8)aftershocks. The ground-motion database was also used for evaluationof generalised site amplification functions for typical soil classes(B, C and D). Second, the theoretical seismic catalogue (2001–2050)for the Taiwan region had been calculated using the 4D-model(location, depth, time) for dynamic deformation of the Earth' crustand 5D-model (location, depth, time, magnitude) for seismic process.The models were developed on the basis of available geophysical andgeodynamic data that include regional seismic catalogue. Third, theregion & site & time-dependent seismic analysis, which is basedon schemes of probable earthquake zones evaluated from the theoreticalcatalogue, regional ground motion models, and local site responsecharacteristics, has been performed. The seismic hazard maps arecompiled in terms of Peak Ground Acceleration (PGA) and ResponseSpectra (RS) amplitudes. The maps show distribution of amplitudesthat will not be exceeded with certain probability in condition oftypical soil classes during all possible earthquakes that may occur inthe region during time period of 2003–2025. The approach allowsintroducing new parameter that describes dependency of seismichazard on time, so-called 'period of maximum hazard'. Theparameter shows the period, during which every considered sitewill be subjected by the maximum value of ground motioncharacteristic (PGA or RS).     

Voluntarism,defensive localism and spaces of resistance to health care restructuring

This paper examines the evolving role of volunteers and the voluntary sector in shaping community responses to structural change in health care systems. It contributes to the emerging understanding of the different forms voluntarism can take within and among places, including as a space of resistance to contemporary restructuring initiatives such as regionalization. Within the geographies of voluntarism literature, however, little attention has been directed towards interrogating the local dynamics of such voluntarism, especially as it is reflected in public discourse. We address this deficiency through a media-based case study of public reaction to the recent implementation of Ontario’s Local Health Integration Networks (a type of regional health authority). Specifically, we examine a decade of newspaper coverage in a mid-size Canadian city region to document and characterize how the activities of volunteers and voluntary sector organizations in the community are portrayed in light of the structural imperatives to integrate health care services and regionalize health care governance. The media findings reveal a suite of public concerns and related activities, with the voluntary sector called upon in various ways to defend the autonomy of the community against the perceived threats to local services, employment and vulnerable populations. We interpret the evident complexity of voluntary sector resistance as a form of ‘defensive localism’ and discuss implications for developing informed policy on health care restructuring and for advancing knowledge on the local geographies of voluntarism.     

宁夏沿黄经济区蒸散量变化特征及水均衡方法验证

在干旱的内陆地区,蒸散是地表水和地下水主要的排泄方式之一,准确估算地表蒸散量为干旱区水资源合理开发利用、生态环境保护提供理论依据。基于MODIS遥感数据,应用SEBS模型估算了宁夏沿黄经济区2001—2014年的区域蒸散量,分析了其影响因素,并应用水均衡原理对蒸散量计算结果的可靠性进行了验证。结果表明:沿黄经济区的年蒸散量在2001—2014年间总体上是逐渐增加的,从2001年的434.27 mm增加为2014年的517.82 mm;研究区主要的蒸散量为耕地蒸散量,农业占据了全区近2/3的耗水量;SEBS模型与水均衡原理计算的蒸散量结果吻合度较高,很好地验证了SEBS模型计算区域地表蒸散量的可靠性。     

Magnitude of industrialization in Jordan

In spite of Jordan's insignificant natural resources and geopolitical problems, industrial development is being emphasized in Jordan since 1972. Industries are now the second largest sector of economy. Industries contributed 10% of the GDP in 1972, 19.5% in 1989 and 17.4% in 1993. This is remarkable as the national investment in industries is declining. The investments for industrial development was 30% of the total national investment in five year development plans (1976–1980), 23% in the next plan (1981–1985), and 13% in the following plan (1986–1990).The number of; industries has increased from 2500 in 1959 to 4684 in 1974, to 8533 in 1984, and 18600 in 1992. The employment or labor force also increased from 10,000 in 1959 to 70,000 in 1988, and to 110,000 in 1992. It represents about 16.4% of the total labor force in Jordan, the index number of industrial production also increased from (100) in 1979 which was the same base year, to (151) in 1983 to (205) in 1987 and to (215) in 1993. The study was based on three hypotheses: (i) the magnitude varies from one industry to another at the national (Jordan) and local (governorate levels), (ii) temporal change in the magnitude of industries has taken place during the period 1979–1992, (iii) the temporal change in the magnitude of industries was positive in some industries and negative in others.     

A qualitative study of mobile home resident perspectives on tornadoes and tornado protective actions in South Carolina,USA

Occupants of mobile or manufactured homes in the United States of America (USA) are highly exposed and susceptible to injury or death from tornado hazards. This problem is most pronounced in the southern and eastern USA, where tornadoes are frequent and mobile homes comprise upwards of 15 % of the housing stock. Recognizing this vulnerability, emergency management entities and the USA National Weather Service often recommend that mobile home residents evacuate to a nearby sturdy building or a specially-built tornado shelter when tornadoes threaten their communities. Previous research suggests, however, that only 30 % of residents follow this recommendation. In this research I aim to provide insight as to why many mobile home residents seldom undertake the suggested course of action for tornadoes. Using excerpts from twenty semi-structured interviews conducted during 2013 in South Carolina, I show that some individuals understand physical characteristics of tornadoes very differently than experts do. In addition, mobile home residents may also hold views that differ from experts about the ability of their homes to withstand tornadic winds and debris. Even if mobile home occupants pay close attention to thunderstorm hazards and might be willing to evacuate, they may prioritize protective actions for lightning or flash flooding over those recommended for tornadoes. Finally, the interviews reveal that there is much confusion over where to go, when to leave, and which route to take to arrive safely at a sheltering place for tornado hazards. I discuss some of the potential ramifications of the findings for theory and practice and suggest how future research might build on this work.     

Tanzanite as conflict gem: Certifying a secure commodity chain in Tanzania

Shortly after the September 11, 2001 attacks in the United States, the Wall Street Journal published an article claiming that al Qaeda sympathizers were using an obscure gemstone commodity known as tanzanite to raise funds for terrorist activities. Despite subsequent disclaimers by the US State Department, this allegation effectively marked tanzanite as a “conflict gem,” and set in motion a complex set of political maneuvers designed to rehabilitate the tanzanite industry’s reputation. This paper analyzes the immediate fallout from the Wall Street Journal article and the subsequent effects of anti-terrorist rhetoric on the tanzanite industry. I explore the origins of the “conflict gem” discourse and the political movement that has taken shape over the past decade to reform gemstone mining. Drawing on theories developed by critics of the fair trade movement, I examine a series of steps taken by the main corporate miner active in the tanzanite industry to re-brand and certify tanzanite as “conflict-free.” I underscore the degree to which these efforts have been inflected by new security provisions embodied in the USA Patriot Act.     

The contingency of medicare physician spending on population densities and sizes

The exploration of the spatial association between Medicare physician spending and population densities and sizes could possibly facilitate the investigation of the causal mechanisms beneath the variation in medical care. We acquired the U.S. Medicare physician expenditures and regional demographic and geographic data in 2006 from the Dartmouth Atlas of Health Care. Six geographic units—states, counties, Hospital Referral Regions, Hospital Service Areas, Metropolitan Statistical Areas, and state non-Metropolitan Statistical Areas—were used as units of study. Pearson correlation analysis, multivariable regression, and partial correlation analysis were employed. Among six geographic units, Pearson correlation coefficients between Medicare physician expenditures and logarithmic population densities ranged from 0.42 to 0.63 (p < 0.05 for all), and between the expenditures and logarithmic population sizes from 0.31 to 0.65 (p < 0.05 for all). When population health, differential demand, market structure, and data reporting bias were controlled, population densities and sizes were positively associated with Medicare physician expenditures in most models. Population densities and sizes could explain considerable amounts of regional variation in Medicare physician spending. We concluded that Medicare physician spending was contingent on population densities and sizes. Because population densities and sizes are produced by more fundamental qualities such as natural environments and resources and thus are not easily manipulated, they are suggestive in health policy studies. Further research might investigate population distribution associated properties such as geographic distribution of health care resources, spatial dynamics of medical technology distribution, and cultural and psychological factors.