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This book critically examines integrated care, looking at integration from an unconventional angle to reveal the tacit assumptions we make when we manage and change health services. Kaehne questions our premises on health services management, the motivations for change and the shortcomings of health policy in complex environments.
This book provides a comprehensive assessment of minority rights in Central and Eastern Europe, covering all the countries of the region that have joined the EU since 2004, including Poland, Czech Republic, Hungary, Slovenia, Estonia, Lithuania, Latvia, Slovakia, Romania and Bulgaria.
Nearly twenty years after the collapse of socialism, the countries of post-socialist Eastern Europe have experienced divergent trajectories of political development. This book looks at why this is the case, based on the assumption that societies, or social orders, can be distinguished by the extent to which competitive tendencies contained within them – economic, political, social and cultural – are resolved according to open, rule-based processes. The book explores which economic conditions allow for increased levels of political competition, and it tests the hypothesis that the nature of a country’s ties with the international economy, and the level of competition within a country’...
Unlike in other countries of Eastern Europe where the opposition to communism came in the form of single mass movements led by charismatic leaders such as Václav Havel and Lech Wałęsa, in Hungary the opposition was very fragmented, brought together and made effective only by the authoritative, significant but relatively unknown Árpád Göncz, who subsequently became Hungary’s first post-communist president. This book charts the political career of Árpád Göncz, outlining the outstanding contribution he made to Hungary’s transition to democracy. Drawing on a wide range of sources, including archives and interviews with Göncz himself and others, it shows how Göncz, unlike Havel who...
The study of Soviet youth has long lagged behind the comprehensive research conducted on Western European youth culture. In an era that saw the emergence of youth movements of all sorts across Europe, the Soviet Komsomol was the first state-sponsored youth organization, in the first communist country. Born out of an autonomous youth movement that emerged in 1917, the Komsomol eventually became the last link in a chain of Soviet socializing agencies which organized the young. Based on extensive archival research and building upon recent research on Soviet youth, this book broadens our understanding of the social and political dimension of Komsomol membership during the momentous period 1917...
While the collapse of communism in Russia was relatively peaceful, ethnic relations have been deteriorating since then. This deterioration poses a threat to the functioning of the Russian state and is a major obstacle to its future development. Analysing ethnic relations in the North Caucasus, this book demonstrates how a myriad of processes that characterised post-Soviet transition, including demographic change, economic upheaval, geopolitical instability, and political re-structuring, have affected daily life for citizens. It raises important questions about ethnicity, identity, nationalism, sovereignty, and territoriality in the post-Soviet space.
This book examines communist and post-communist literary and visual narratives, including the writings of prominent anti-communist dissidents and exiles such as Vladimir Nabokov, Czeslaw Milosz and Milan Kundera, exploring important themes including how Eastern European regimes and cultures have been portrayed as totalitarian, barbarian and "Orientalist" – in contrast to the civilized "West" – disappointment in the changes brought on by post-communist transition, and nostalgia for communism.
Although the presidency of Dmitry Medvedev is often seen as a continuation of Vladimir Putin’s presidency, with the same policies applied in the same way, this book disagrees, arguing that Medvedev’s foreign policy was significantly different from Putin’s. The book considers especially the relationship between Russia and the Euro-Atlantic security configuration, including both NATO and the Organisation for Security and Co-operation in Europe, a relationship of great importance to Russia, given constant attention. It discusses a wide variety of issues, including "frozen conflicts", security co-operation and nuclear weapons reductions, highlights the different tone and approach under Medvedev, exemplified especially by his draft European Security Treaty, and shows how after Putin’s return to the presidency there has been a shift in foreign policy, with much great emphasis on influencing Russia’s immediate neighbours and on Eurasian union, and less emphasis on rapprochement and co-operation.
In 1920, Lenin authorised a plan to transform Karelia, a Russian territory adjacent to Finland, into a showcase Soviet autonomous region, to show what could be achieved by socialist nationalities policy and economic planning, and to encourage other countries to follow this example. However, Stalin’s accession to power brought a change of policy towards the periphery - the encouragement of local autonomy which had been a key part of Karelia’s model development was reversed, the state border was sealed to the outside world, and large parts of the republic's territory were given over to Gulag labour camps controlled by the NKVD, the precursor of the KGB. This book traces the evolution of Soviet Karelia in the early Soviet period, discussing amongst other things how political relations between Moscow and the regional leadership changed over time; the nature of its spatial, economic and demographic development; and the origins of the massive repressions launched in 1937 against the local population.
This book addresses fundamental issues about the last decades of Tsarist Russia, exploring the social, economic and political impact of successive outbreaks of cholera and the politics of public health policy. It makes a significant contribution to current debates about how far and how successfully modernisation was being implemented by the Tsarist regime.