Dataset Information

A New Social Conflict on Globalisation-Related Issues in Germany? A Longitudinal Perspective.

ABSTRACT: We draw on cleavage theory to assess the emergence of a social conflict concerning globalisation-related issues among the German population between 1989 and 2019. We argue that issue salience and opinion polarisation are key conditions for a successful and sustainable political mobilisation of citizens and thus for the emergence of a social conflict. In line with globalisation cleavage theory, we hypothesised that issue salience as well as overall and between-group opinion polarisation on globalisation-related issues have increased over time. Our study considers four globalisation-related issues: immigration, the European Union (EU), economic liberalism, and the environment. While the salience of the EU and economic liberalism issues remained low during the observed period, we found a recent increase in salience for the issues of immigration (since 2015) and the environment (since 2018). Furthermore, our results point to rather stable attitudes on globalisation-related issues among the German population: We did not find any consistent evidence of an increase in overall or between-group polarisation over time. In conclusion, the idea of an emerging conflict around globalisation-related issues among the German population finds very little empirical support.

SUBMITTER: Teney C

PROVIDER: S-EPMC10166044 | biostudies-literature | 2023 May

REPOSITORIES: biostudies-literature

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A New Social Conflict on Globalisation-Related Issues in Germany? A Longitudinal Perspective.

Teney Céline C Rupieper Li Kathrin LK

Kolner Zeitschrift fur Soziologie und Sozialpsychologie 20230508

We draw on cleavage theory to assess the emergence of a social conflict concerning globalisation-related issues among the German population between 1989 and 2019. We argue that issue salience and opinion polarisation are key conditions for a successful and sustainable political mobilisation of citizens and thus for the emergence of a social conflict. In line with globalisation cleavage theory, we hypothesised that issue salience as well as overall and between-group opinion polarisation on global ...[more]

PMID: 37360993

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Project description:BackgroundMultiple state and national health care organizations have invested in activities to screen for and address the health-related social needs (HRSNs) of their patients. However, patient perspectives concerning HRSN screening discussions and facilitated referrals to supports are largely unexplored. The main objectives of this study were to explore the ways in which Massachusetts Medicaid (MassHealth) members engage with their health care clinicians to discuss HRSNs, to identify common needs discussed, and to describe whether members feel these needs are being addressed by health care clinicians and staff.MethodsThe study team performed a cross-sectional, qualitative research study that included in-depth, open-ended interviews with 44 adult MassHealth members. Interviews were conducted between June and October 2022. Interviews were recorded, transcribed, and systematically coded for analysis, and common themes were reported. The data collected for this study were part of a larger independent evaluation of MassHealth's 2017-2022 Section 1115 Demonstration that granted authority from CMS to implement health care delivery system reforms in Massachusetts.ResultsIn this qualitative study of Medicaid members, some reportedly felt comfortable freely discussing all of their clinical and social needs with their health care clinicians, while others noted feelings of apprehension. Several members recalled being asked about their HRSNs in various clinical or community settings, while others did not. The majority of members endorsed having an unmet HRSN, including housing, nutrition, financial, or transportation issues, and many barriers to addressing these HRSNs were discussed. Finally, many members cited a preference for discussing HRSNs with community-based care coordinators and social workers at the community partner organizations rather than with their health care clinicians. Community-based care coordinators were lauded as essential facilitators in making the connection to necessary resources to help address HRSNs.ConclusionsStudy results highlight an opportunity to increase the effectiveness of HRSN screening and referral practices within the health care setting through relationship building between Medicaid members and diverse interdisciplinary care teams that include staff such as community health workers. Continued investment in cross-sector partnerships, screening workflows, and patient-clinician relationships may contribute to establishing an environment in which members can comfortably discuss HRSNs and connect with needed services to improve their health.

Dataset Information

A New Social Conflict on Globalisation-Related Issues in Germany? A Longitudinal Perspective.

Publications

A New Social Conflict on Globalisation-Related Issues in Germany? A Longitudinal Perspective.

Similar Datasets

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