published_or_final_version / Social Work / Master / Master of Social Work

University of Macau / Faculty of Social Sciences. / Department of Government and Public Administration

Mak Wing-yan. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2001. / Includes bibliographical references (leaves 207-215). / Abstracts in English and Chinese. / ABSTRACT --- p.i / ACKNOWLEDGEMENT --- p.iv / CONTENTS --- p.vi / Chapter CHAPTER 1 --- Introduction: Problematic Endeavour of Identity in Old Age --- p.1 / Chapter 1.1 --- Prologue / Chapter 1.2 --- Segmentation of Life Stages / Chapter 1.3 --- Blurring of Life Stages / Chapter 1.4 --- Over Institutionalization: Sequestration of Experiences / Chapter 1.5 --- Relevance to Present Study / Chapter CHAPTER 2 --- "Literature Review: Old Age Identity in Structural, Institutional And Interactional Settings" --- p.11 / Chapter 2.1 --- Structural Dimension: Policy and Social Identity / Chapter 2.1.1 --- The development of social policy in Hong Kong / Chapter 2.1.2 --- "Problematic nature of ""care in community"" and the objectification of elderly" / Chapter 2.1.3 --- Stigmatization: delineation of the social position / Chapter 2.2 --- Institutional Dimension: Segregated Settings and Identity / Chapter 2.2.1 --- Segregated settings and social space / Chapter 2.2.2 --- Volunteering ´ؤ The interplay between policy and institutional forces / Chapter 2.2.3 --- Elder participation in volunteer working in Hong Kong / Chapter 2.3 --- Interactional Dimension: Discourse Analysis and Identity Negotiation / Chapter 2.4 --- Merging of the Streams of Thought / Chapter CHAPTER 3 --- Conceptual Framework --- p.40 / Chapter 3.1 --- Conceptual Discussion of Identity / Chapter 3.1.1 --- Presumptions of identity: relational approach / Chapter 3.1.2 --- Giddens: modernity and self-identity / Chapter 3.1.3 --- Goffman: stigma and the management of spoiled identity / Chapter 3.1.4 --- Identity and inter-group relation / Chapter 3.1.5 --- Relevance to present study / Chapter 3.2 --- Conceptual Discussion of Social Space / Chapter 3.2.1 --- Relationship between social space and social setting / Chapter 3.2.2 --- Features examined within social space / Chapter 3.3 --- Identity Constitution / Chapter 3.4 --- Possibilities for Identity: From Conceptual to Empirical / Chapter 3.5 --- Research Questions / Chapter CHAPTER 4 --- Methodology and Overview of the Field --- p.60 / Chapter 4.1 --- The Research / Chapter 4.2 --- An Overview of the Field / Chapter 4.2.1 --- Structure of membership / Chapter 4.2.2 --- Typology of volunteering activities / Chapter CHAPTER 5 --- Positioning of the Age Identity --- p.71 / Chapter 5.1 --- Meaning for Joining the Volunteer Group / Chapter 5.1.1 --- Reasons of entry from the professional point of view / Chapter 5.1.2 --- Meaning of entry from the volunteers' point of view / Chapter i. --- A cleavage from disturbing life event / Chapter ii. --- Concealment of stigma / Chapter iii. --- Conformity to the life stage arrangement / Chapter 5.1.3 --- Pain or pleasure / Chapter 5.2 --- Location of Reference Groups - Learning of Elderly Role / Chapter 5.2.1 --- Positive valuation on the present / Chapter i. --- Comparison with the past / Chapter ii. --- Projection over the future / Chapter 5.2.2 --- Accommodation of identity / Chapter 5.3 --- Concluding Remark: Motivations and Capacity for Identity Process / Chapter CHAPTER 6 --- Perception of the Context and the Projection of Actors' Agency --- p.92 / Chapter 6.1 --- User Participation: Social space as perceived by social workers / Chapter 6.2 --- Boundary Control: Defining Professional Realm of Reference / Chapter 6.3 --- Perception of Constrains and Possibilities / Chapter 6.4 --- Boundary Management: volunteers' realm of choice and control / Chapter 6.4.1 --- Personal choice / Chapter 6.4.2 --- "Defensive boundary control: managing their identity by securing their ""time""" / Chapter 6.5 --- Case Study: Nature of Relationships and Boundary Control / Chapter 6.5.1 --- Case 1: Heart-to-heart Programme (the Telephone Visit Team) / Chapter 6.5.2 --- Case 2: Visiting Pioneers (The visiting team) / Chapter 6.6 --- Concluding Remark: Horizon in Perceiving the Aging Process / Chapter CHAPTER 7: --- Consolidation of Identity: Dimensions of Identification --- p.117 / Chapter 7.1 --- Contours of Aging Experience: A Hypothetical Illustration / Chapter 7.2 --- The Vertical Identification: Keep Active / Chapter 7.2.1 --- Locating the volunteers: / Chapter 7.2.2 --- "The meanings of ""active""" / Chapter 7.2.3 --- "Reaffirmation from the structure and the reproduction of ""being active""" / Chapter 7.2.4 --- Dynamics for identification / Chapter 7.3 --- Volunteering and the Site for Social Exclusion / Chapter 7.3.1 --- "Exclusion: delineation of ""they"" and ""we""" / Chapter 7.4 --- Inclusionary Effort by the Volunteers: Sympathetic Attitude Towards the Elderly / Chapter 7.4.1 --- "The concept of ""care"" and ""concern""" / Chapter 7.4.2 --- "Cultivation of the sense of ""sameness"": proximity of experiences" / Chapter 7.5 --- Identity as a Politics: a Convergent Point Case study: The Community Forum / Chapter 7.6 --- Concluding Remarks / Chapter CHAPTER 8 --- "Conclusion and Discussion: ""Staying Active"" as a Theme in Aging Process" --- p.147 / Chapter 8.1 --- Summary of Arguments / Chapter 8.1.1 --- Schema for comparison: positioning and aging self in society / Chapter 8.1.2 --- "Negotiation, boundary control and shaping of identity" / Chapter 8.1.3 --- Consolidation of identity: Two paths for the same end / Chapter 8.2 --- Epilogue: Identity as a Cutting Point for Researching Old Age in Modern Society / Chapter 8.2.1 --- Nature of social space and the presentation of identity / Chapter 8.2.2 --- Rethinking the place of human action in theory of aging / Chapter 8.2.3 --- Identity as a politics / Chapter 8.2.4 --- Policy Reflections / Chapter 8.3 --- Outlook and Vision / APPENDICES / Figure 4.1 Organization Chart of the Service Center (In Chinese) --- p.172 / Figure 8.1 Model of Identity Constitution --- p.173 / Table 1.1 Major Events of Elderly Issues --- p.174 / Table 4.1 Elderly Population --- p.181 / Table 4.2 Summary of Activities --- p.182 / Table 4.3 Profiles of Informants --- p.184 / Table 4.4 Summary of Respondents --- p.186 / Table 5.1 Summary of Core Questions --- p.188 / Table 8.1 Control of Boundary --- p.196 / Document 4.1 Guiding Questions for Interviews --- p.197 / Document 5.1 Promotion Leaflet of the Service Center (In Chinese) --- p.199 / Document 6.1 Report of Implementation of User-Participation (In Chinese) --- p.203 / Document 6.2 Promotion Leaflet of the Community Support Service of Elderly (In Chinese) --- p.206 / BIBIOGRAPHY --- p.207

Findings suggest that: (1) Public hospitals are turned into state-owned enterprises as they are encouraged to grow into larger size by management autonomy and financial regulatory reform, and the abandonment of the government on the control over management and hospital assets; (2) government abandons its financial responsibility towards public hospital workers and the latter need to use market mechanism to earn their income by cross-reimbursement of price and that devalues professionalism of these workers; (3) government abandons the subsidy to public hospitals through the reform of public hospital financial system; (4) the large higher-tiered public hospitals obtain their preferential rights through political advantageous position; (5) the reform of public hospitals is not at all one dimensional: public hospitals respond by active actions, aggregate breaking of rules and regulations, individual break-through, and no response. In summary, marketization, de-professionalization, diswelfare and market diversification contribute to the reverse triangle model of China's public healthcare system. / Key words: social policy, public hospital, marketization, de-professionalization, discriminated market. / Reform of China's public healthcare system is an extension of China's reform of its social welfare provision system. The above findings provide evidences on the economic rules, social relationships, and government actions in social welfare services as illustrated in the provision of health care by public hospitals in China. It is important reference for decision-makers in the new round of public service reform in the coming future. / Service providers are indispensable components of a social welfare system. Their performance is influenced by government policies and how service providers are active agents. Therefore, attaining the goals of social welfare services needs to consider the institutional arrangements for service providers. / Taking public health service in China as an example, this research answers why the public healthcare provision system in China turns out to be a reverse triangle structure, which is an anti-welfare model suggested by the World Health Organization. With a new institutionalism perspective, policy documents are used to study the effect of government intervention on public hospitals, and the interaction of government and public hospitals. / 馮文. / Submitted: 2010年12月. / Submitted: 2010 nian 12 yue. / Adviser: Chack-kie Wong. / Source: Dissertation Abstracts International, Volume: 73-04, Section: A, page: . / Thesis (Ph.D.)--Chinese University of Hong Kong, 2011. / Includes bibliographical references (p. 272-329). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [201-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / Feng Wen.

左芙蓉. / 論文(哲學博士)--香港中文大學, 2004. / 參考文獻 (p. 313-324). / 中英文摘要. / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. Ann Arbor, MI : ProQuest dissertations and theses, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Zuo Furong. / Zhong Ying wen zhai yao. / Lun wen (zhe xue bo shi)--Xianggang Zhong wen da xue, 2004. / Can kao wen xian (p. 313-324).

published_or_final_version / Social Work / Master / Master of Social Sciences