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This thesis explores Korean-Chinese migrant workers’ local experiences of the global phenomenon of international migration of care labour, focusing on how the care labour of migrant workers is being constructed through the intertwined social and political processes in South Korea’s shifting long-term care sector for the elderly. The thesis uses a qualitative case study method and relies on data collected through participant observation, interviews, and textual analysis during field research between November 2009 and May 2010. The analysis is based on a global economy of care framework, which understands care work as being made of products that are socially and politically constructed in the global processes. My study findings illuminate the roles and relations of the state, the employers, and the workers in producing a huge migrant workforce in South Korea’s segregated elder care labour market. The policy analysis at the intersection of elder care, labour market, and immigration policies shows that, over the last decade, the South Korean government has significantly reconstructed the boundaries of elder care work through the expansion of publicly-funded programmes for the elderly and the institutionalisation of care work in those programmes. In the institutionalisation process, the government’s ignorance about the care work performed in the private care sector has resulted in different regulations and working conditions for care workers in the publicly-funded versus the private sector. My empirical findings highlight how employers’ search for ‘cheap’ and ‘flexible’ labour and older female migrants’ disadvantageous status in the labour market have placed these workers in the less regulated private sector and their pay and working conditions at the bottom of hierarchical elder care workforce. In advocating for migrant care workers’ labour rights, this thesis challenges the current discriminative employment practices and the government’s lack of protection and regulation of care work in the private sector.

This thesis explores Korean-Chinese migrant workers’ local experiences of the global phenomenon of international migration of care labour, focusing on how the care labour of migrant workers is being constructed through the intertwined social and political processes in South Korea’s shifting long-term care sector for the elderly. The thesis uses a qualitative case study method and relies on data collected through participant observation, interviews, and textual analysis during field research between November 2009 and May 2010. The analysis is based on a global economy of care framework, which understands care work as being made of products that are socially and politically constructed in the global processes. My study findings illuminate the roles and relations of the state, the employers, and the workers in producing a huge migrant workforce in South Korea’s segregated elder care labour market. The policy analysis at the intersection of elder care, labour market, and immigration policies shows that, over the last decade, the South Korean government has significantly reconstructed the boundaries of elder care work through the expansion of publicly-funded programmes for the elderly and the institutionalisation of care work in those programmes. In the institutionalisation process, the government’s ignorance about the care work performed in the private care sector has resulted in different regulations and working conditions for care workers in the publicly-funded versus the private sector. My empirical findings highlight how employers’ search for ‘cheap’ and ‘flexible’ labour and older female migrants’ disadvantageous status in the labour market have placed these workers in the less regulated private sector and their pay and working conditions at the bottom of hierarchical elder care workforce. In advocating for migrant care workers’ labour rights, this thesis challenges the current discriminative employment practices and the government’s lack of protection and regulation of care work in the private sector.

This thesis explores Korean-Chinese migrant workers’ local experiences of the global phenomenon of international migration of care labour, focusing on how the care labour of migrant workers is being constructed through the intertwined social and political processes in South Korea’s shifting long-term care sector for the elderly. The thesis uses a qualitative case study method and relies on data collected through participant observation, interviews, and textual analysis during field research between November 2009 and May 2010. The analysis is based on a global economy of care framework, which understands care work as being made of products that are socially and politically constructed in the global processes. My study findings illuminate the roles and relations of the state, the employers, and the workers in producing a huge migrant workforce in South Korea’s segregated elder care labour market. The policy analysis at the intersection of elder care, labour market, and immigration policies shows that, over the last decade, the South Korean government has significantly reconstructed the boundaries of elder care work through the expansion of publicly-funded programmes for the elderly and the institutionalisation of care work in those programmes. In the institutionalisation process, the government’s ignorance about the care work performed in the private care sector has resulted in different regulations and working conditions for care workers in the publicly-funded versus the private sector. My empirical findings highlight how employers’ search for ‘cheap’ and ‘flexible’ labour and older female migrants’ disadvantageous status in the labour market have placed these workers in the less regulated private sector and their pay and working conditions at the bottom of hierarchical elder care workforce. In advocating for migrant care workers’ labour rights, this thesis challenges the current discriminative employment practices and the government’s lack of protection and regulation of care work in the private sector.

This thesis explores Korean-Chinese migrant workers’ local experiences of the global phenomenon of international migration of care labour, focusing on how the care labour of migrant workers is being constructed through the intertwined social and political processes in South Korea’s shifting long-term care sector for the elderly. The thesis uses a qualitative case study method and relies on data collected through participant observation, interviews, and textual analysis during field research between November 2009 and May 2010. The analysis is based on a global economy of care framework, which understands care work as being made of products that are socially and politically constructed in the global processes. My study findings illuminate the roles and relations of the state, the employers, and the workers in producing a huge migrant workforce in South Korea’s segregated elder care labour market. The policy analysis at the intersection of elder care, labour market, and immigration policies shows that, over the last decade, the South Korean government has significantly reconstructed the boundaries of elder care work through the expansion of publicly-funded programmes for the elderly and the institutionalisation of care work in those programmes. In the institutionalisation process, the government’s ignorance about the care work performed in the private care sector has resulted in different regulations and working conditions for care workers in the publicly-funded versus the private sector. My empirical findings highlight how employers’ search for ‘cheap’ and ‘flexible’ labour and older female migrants’ disadvantageous status in the labour market have placed these workers in the less regulated private sector and their pay and working conditions at the bottom of hierarchical elder care workforce. In advocating for migrant care workers’ labour rights, this thesis challenges the current discriminative employment practices and the government’s lack of protection and regulation of care work in the private sector.

Executive Summary During 2010-2012, a Leonardo da Vinci-funded EU project focused on enhancing the language skills of Deaf people, interpreters and Health Care Professionals. Project partners from Cyprus, Ireland, Poland, Scotland and Sweden reviewed current knowledge of policy and practice, and embedded the resulting analysis into a programme of materials to support reflection, knowledge and skills development internationally. This report presents the project's initial 'state-of-the-art' review, with particular reference to the partner countries. Sign languages are now widely recognised, for theoretical and practical purposes, as full, natural languages, and sign language interpreting has consequently been established as a respected profession. Sign language interpreters mediate between hearing and deaf people: this entails a complex transfer of meaning between languages, cultural domains and linguistic modalities, and between members of highly literate communities and those whose languages have no written form. Decades of development in understanding of the most effective part to be played by interpreters in small-group dialogue have concluded that communication is best facilitated with recognition of the interpreter as a linguistic partner, and an active participant in the joint creation of meaning. Good practice in interpreting rarely entails a passive role whereby the interpreter acts as a mere conduit for others' words.   In respect of healthcare interpreting, the situation in the partner countries (and beyond) varies widely, from minimal recognition of the need for dedicated provision for deaf patients, to relatively explicit and well-resourced entitlement to services. In none of the partner countries do services address all identified requirements, despite recognition that inadequate provision can lead to damaging and indeed life-threatening consequences. Training and associated resources for all three key groups – interpreters, healthcare staff and deaf people – are insufficient or non-existent across the board. No-one has a stable, clear set of expectations about how communication can most effectively proceed in these situations. In this context, it is predictable that regulation of quality can be highly problematic. Comparison with North America and Australia highlights a range of adoptable best practices, requiring investment over time in order to generate and implement more effective approaches. It must be recognised that the mere provision of sign language interpreters is only the beginning of true access to healthcare for deaf people. In order to maximise positive outcomes, members of all three key groups must become familiar with a common set of assumptions and practices to reinforce the need to operate as a collaborating triad in the co-constructing of effective interaction. Consistent, high-quality outcomes need to be assured through empowered regulatory mechanisms, for which models exist internationally. / MEDISIGNS

Made available in DSpace on 2014-06-11T19:29:33Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-05-18Bitstream added on 2014-06-13T20:19:25Z : No. of bitstreams: 1 parenti_lc_me_botfm.pdf: 889983 bytes, checksum: 9b942deb3651dda20748f3d9da672a87 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A concepção que tradicionalmente orienta a organização de serviços está fundamentada no saber técnico caracterizado pela centralização de sua formulação e por um caráter autoritário, no qual o paciente é reconhecido a partir de sua doença e dos órgãos nos quais está localizada, cabendo ao paciente um papel restrito no seu tratamento. A inadequação desta perspectiva pode ser percebida dentre outros motivos por sua incapacidade de responder a complexidade das prevalentes condições de cronicidade, como a hipertensão arterial e o diabetes mellitus. Tais morbidades só alcançam um efetivo controle quando seus portadores desenvolvem uma efetiva competência para realizar seu autocuidado de modo a adaptar a norma médica ao seu cotidiano, com autonomia e preservação de sua qualidade de vida. O desafio contemporâneo posto aos serviços de saúde é o de fornecer a seus usuários os instrumentos adequados para que possam desenvolver criativamente suas habilidades para o cuidado-de-si. Tal empreita pode ser mais bem sucedida quando indivíduos e grupos interagem e, desta forma, partilham, utilizam e produzem conhecimentos, conformando uma Inteligência Coletiva. Com esta concepção o presente estudo buscou desenvolver processo de formulação de propostas de reorientação da assistência ao diabetes mellitus mediante a mútua cooperação entre profissionais de saúde e usuários de serviço de atenção primária à saúde. Para tanto, estruturou-se pesquisa-ação de caráter exploratório sobre os obstáculos ao autocuidado no diabetes mellitus tipo 2 produzidos por características de organização do serviço: o intervalo longo entre as consultas, a descontinuidade do cuidado e a dificuldade de comunicação entre profissional - paciente. Tais campos problemáticos foram mais bem explorados mediante a análise de banco de dados obtido por meio de entrevista estruturada... / The conceptualization that traditionally orients service organization is based on technical knowledge characterized by the centralization of its formulation and by an authoritarian character in which the patient is recognized from his disease and from the organs where it is located, with the patient playing a restricted role in therapy. The inadequacy of this perspective can be perceived, among other reasons, from its incapacity to respond to the complexity of prevalent chronic conditions, such as arterial hypertension and diabetes mellitus. Such morbidities can only be effectively controlled when patients develop effective competence to engage in self-care so as to adapt the medical norm to their daily lives with autonomy and preservation of their quality of life. The contemporary challenge posed to health care services is that of providing users with suitable instruments so that they can creatively develop self-care skills. Such undertaking can be successful when individuals and groups interact and thus share, use and produce knowledge, hence forming a Collective Intelligence. With this conceptualization, the present study aimed at developing a process for formulating proposals to reorient diabetes mellitus care provision based on mutual cooperation between health care professionals and primary health care service users. To that end, an exploratory action study was designed concerning the obstacles to self-care in type-2 diabetes mellitus which are caused by characteristics of service organization: the long interval between consultations, care discontinuity and the difficulty of communication between professionals and patients. Such problematic fields were better explored by analyzing a database obtained from structured interviews with 275 diabetic individuals. Based on that information, focal groups were performed so that the diabetic individuals could discuss the problematic... (Complete abstract click electronic access below)

Orientador: Antonio de Pádua Pithon Cyrino / Banca: Elen Rose Lodeiro Castanheira / Banca: Luiz Carlos de Oliveira Cecilio / Resumo: A concepção que tradicionalmente orienta a organização de serviços está fundamentada no saber técnico caracterizado pela centralização de sua formulação e por um caráter autoritário, no qual o paciente é reconhecido a partir de sua doença e dos órgãos nos quais está localizada, cabendo ao paciente um papel restrito no seu tratamento. A inadequação desta perspectiva pode ser percebida dentre outros motivos por sua incapacidade de responder a complexidade das prevalentes condições de cronicidade, como a hipertensão arterial e o diabetes mellitus. Tais morbidades só alcançam um efetivo controle quando seus portadores desenvolvem uma efetiva competência para realizar seu autocuidado de modo a adaptar a norma médica ao seu cotidiano, com autonomia e preservação de sua qualidade de vida. O desafio contemporâneo posto aos serviços de saúde é o de fornecer a seus usuários os instrumentos adequados para que possam desenvolver criativamente suas habilidades para o cuidado-de-si. Tal empreita pode ser mais bem sucedida quando indivíduos e grupos interagem e, desta forma, partilham, utilizam e produzem conhecimentos, conformando uma Inteligência Coletiva. Com esta concepção o presente estudo buscou desenvolver processo de formulação de propostas de reorientação da assistência ao diabetes mellitus mediante a mútua cooperação entre profissionais de saúde e usuários de serviço de atenção primária à saúde. Para tanto, estruturou-se pesquisa-ação de caráter exploratório sobre os obstáculos ao autocuidado no diabetes mellitus tipo 2 produzidos por características de organização do serviço: o intervalo longo entre as consultas, a descontinuidade do cuidado e a dificuldade de comunicação entre profissional - paciente. Tais campos problemáticos foram mais bem explorados mediante a análise de banco de dados obtido por meio de entrevista estruturada... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The conceptualization that traditionally orients service organization is based on technical knowledge characterized by the centralization of its formulation and by an authoritarian character in which the patient is recognized from his disease and from the organs where it is located, with the patient playing a restricted role in therapy. The inadequacy of this perspective can be perceived, among other reasons, from its incapacity to respond to the complexity of prevalent chronic conditions, such as arterial hypertension and diabetes mellitus. Such morbidities can only be effectively controlled when patients develop effective competence to engage in self-care so as to adapt the medical norm to their daily lives with autonomy and preservation of their quality of life. The contemporary challenge posed to health care services is that of providing users with suitable instruments so that they can creatively develop self-care skills. Such undertaking can be successful when individuals and groups interact and thus share, use and produce knowledge, hence forming a Collective Intelligence. With this conceptualization, the present study aimed at developing a process for formulating proposals to reorient diabetes mellitus care provision based on mutual cooperation between health care professionals and primary health care service users. To that end, an exploratory action study was designed concerning the obstacles to self-care in type-2 diabetes mellitus which are caused by characteristics of service organization: the long interval between consultations, care discontinuity and the difficulty of communication between professionals and patients. Such problematic fields were better explored by analyzing a database obtained from structured interviews with 275 diabetic individuals. Based on that information, focal groups were performed so that the diabetic individuals could discuss the problematic... (Complete abstract click electronic access below) / Mestre