Key Concepts in Post-colonial Studies
Psychology Press, 1998 - Literary Criticism - 275 pages
The driving influence of managed care and cost containment is causing home care organizations to reconceptualize their roles in the health care delivery system while stimulating massive changes in agency structure, operations, and services. Medicare-certified home health agencies, which have flourished under a per-visit, fee-for-service reimbursement model, are increasingly delivering care under managed care reimbursement models. Conducted at this pivotal point in time, the book examines the intersection of two rapidly growing health care sectors: home health and managed care.The environment surrounding the transition from traditional reimbursement to managed care is uncertain and rapidly changing. Strategies organizations are using to cope with this uncertainty and HHA administrators' perceptions of the two greatest impacts of managed care are described.Despite considerable variation in agency characteristics, more similarities than differences are found among HHAs. The research concludes that market and environment pressures within heavily HMO-penetrated communities encourage all HHAs to become similar, regardless of whether the HHAs have managed care contracts.
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African allegory ambivalence American anti-colonial argued assumptions Australia Bhabha binary Caribbean centre civilization colonial discourse colonial power colonialist colonized subject complex concept construction contemporary creole creolization critics decolonization defined diasporic distinction dominant economic effects élite emergence empire English essentialist ethnic ethnography Europe European example Fanon feature forms Frantz Fanon Further reading Gayatri Spivak gender global groups hegemony human hybridity idea identity ideology imperial discourse important increasingly independence Indian indigenous institutions interpellation language literary literature marginal meaning mimicry miscegenation modern movement nation-state native nature négritude neo-colonialism nineteenth century oral Orientalism pidgin political post-colonial societies post-colonial studies post-colonial theory post-structuralist practices pre-colonial primitive produced race racial Rastafarianism refers relationship representation resistance sense settler colonies significant slavery slaves Slemon social Social Darwinism space specific Spivak structure subaltern suggests term texts Third World traditions V.S. Naipaul Western world system world systems theory writing
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