dc.contributor.author | Maddalena, Victor James. | en_US |
dc.date.accessioned | 2014-10-21T12:35:57Z | |
dc.date.available | 2005 | |
dc.date.issued | 2005 | en_US |
dc.identifier.other | AAINR08400 | en_US |
dc.identifier.uri | http://hdl.handle.net/10222/54730 | |
dc.description | This research was an examination of the composition and knowledge base of governing boards responsible for health care in Nova Scotia to determine the extent to which they facilitate and/or impede efforts to attend to the health needs of African Nova Scotians, a historically oppressed social group. Feminist ethics serves as the normative framework for this inquiry. The research consists of a critical examination of public sector governance theory and health reform in Nova Scotia, a demographic survey of Nova Scotia's District Health Authorities (DHA) and Community Health Boards (CHB) and a case study of Capital District Health Authority (CDHA). Qualitative interview and documentary data were interpreted by means of a hybrid of methods including discourse analysis, reflexive ethnography and ethnography. | en_US |
dc.description | Results from the demographic survey of DHAs and CHBs indicate that governing boards consist primarily of individuals who are Caucasian, middle-aged, affluent, well-educated, married or widowed and either working or retired. Visible Minorities are either underrepresented or not represented at all. | en_US |
dc.description | Key informants from the Health Association of African Canadians identified a lack of data and research on health issues, limited access to culturally appropriate primary care services, a lack of attention to the broad determinants of health and racism as being prevalent health issues affecting the Black community. | en_US |
dc.description | Data from the case study of CDHA indicate that organizational leaders demonstrate a good understanding of their responsibility to attend to the health needs of their catchment population. There are, however, barriers to attending to the needs of African Nova Scotians including a lack of awareness of Black culture, a lack of data on health issues specific to the Black community, a complex workload, a lack of funding, and challenges managing competing interests in the priority setting process. | en_US |
dc.description | Policy alternatives including raising awareness, finding alternative approaches to representation and building trusting relationships were identified. Opportunities exist for the Board to further develop organizational policies to promote diversity management and cultural sensitivity. CDHA can play a leadership role in building partnerships among the Black community and various stakeholders that have an interest in improving the health of African Nova Scotians. | en_US |
dc.description | Thesis (Ph.D.)--Dalhousie University (Canada), 2005. | en_US |
dc.language | eng | en_US |
dc.publisher | Dalhousie University | en_US |
dc.publisher | | en_US |
dc.subject | Black Studies. | en_US |
dc.subject | Health Sciences, Public Health. | en_US |
dc.subject | Political Science, Public Administration. | en_US |
dc.subject | Health Sciences, Health Care Management. | en_US |
dc.title | Attending to the health needs of African Nova Scotians: Exploring the role of district health authorities. | en_US |
dc.type | text | en_US |
dc.contributor.degree | Ph.D. | en_US |