Scholarly Research Journal for Interdisciplinary Studies, Online ISSN 2278-8808, SJIF 2016 = 6.17, www.srjis.com UGC Approved Sr. No.45269, SEPT-OCT 2017, VOL- 4/36
AN EMPIRICAL INVESTIGATION ON IMPACT OF DEMOGRAPHIC VARIABLES ON SOCIAL WELFARE SERVICES Mr. Kailash Soni1 & Lala Ram Jat2, Ph. D. 1
Research Scholar, Udaipur School of Social Work Emil id:- kailashsoni11110@gmail.com
2
Assistant Professor, Udaipur School of Social Work
"Social welfare services, in common with education, medical, housing, and other parallel services, form a part of the social services which most developed communities have come to require and expect. Healthcare industry performs an important position within the economy of a nation. The health care enterprise determines the GDP of any country. It also decides exports repute, profession, capital investment etc. In this particular article, the author analyzes the impact of social welfare practices in the healthcare sector. Here author examined the differences amongst various qualification groups about the level of agreement towards the treatment given by the GBH hospital and impact on male & female beneficiary under the various schemes of GBH American Hospital. Keywords: - social welfare, healthcare sector. Scholarly Research Journal's is licensed Based on a work at www.srjis.com
Introduction According to Assembly (2008) Social work is almost a newer and socially beneath an accustomed band of plan or profession, mainly because of its disability to display the accessible afterimage of after-effects that accompany to put into practice. The mainly important could cause abaft this abridgment of adeptness is the use of amusing accord as the abundant methods of able practice/help which through their actual characteristics are intangible. “Social welfare generally denotes the full range of organized activities of voluntary and governmental agencies that seek to prevent, alleviate, or contribute to the solution of recognized social problems, or to improve the well-being of individuals, groups, or communities” Rational Association of Social Workers, Encyclopedia of Social Work. "Social welfare services, in common with education, medical, housing, and other parallel services, form a part of the social services which most developed communities have come to require and expect ...Social welfare services are required by those who are not capable without help and support of standing on their own feet as fully independent or 'self-directing' members of the community” (Hong Kong Government 1965). Copyright © 2017, Scholarly Research Journal for Interdisciplinary Studies
Mr. Kailash Soni & Dr. Lala Ram Jat 6902 (Pg. 6901-6912)
Under the social well-being methods, Government of India running various medical related techniques for the improvement of desperate or the indigent those are suffering from various illnesses because Healthcare industry performs an important position within the economy of a nation. The health care enterprise determines the GDP of any country. It also decides exports repute, profession, capital investment etc. well-being right desirable care section offers profession openings to many individuals without delay related to the medical right good care sector or different related sectors, associated with the clinical right precise care marketplace in a few way or the opposite. Efforts are normally made to keep the dollars rolling in the international financial setup. Organizations dealing in wellness good care add to the already present economy by means of buying utility programs, by means of paying taxes for assets and many others. Important Health Related Schemes From National Health Portal 1) Rashtriya Swasthiya Bima Yojana (RSBY) 2) Employment State Insurance Scheme (ESIS) 3) Central Government Health Scheme (CGHS) 4) Aam Aadmi Bima Yojana (AABY) 5) Janashree Bima Yojana (JBY) 6) Universal Health Insurance Scheme (UHIS) 7) Rajasthan Chief Minister Relief Fund 8) Chief Minister's Free Medicine Scheme 9)
Mukhya Mantri Jeevan Raksha Kosh
10) Mukya Mantri Shubhlaxmi Yojna 11) Mukhyamantri Nishulk Janch Yojna 12) Bhamashah Swasthya Bima Yojana Information taken from- Gateway to authentic health information www.nhp.gov.in NHP Voice Web (Toll Free): 1800-180-1104) Social welfare is an organized system of social services and institutions, designed to aid individuals and groups, to attain satisfying standards of life and health. Social welfare, therefore, aims at providing services to weaker sections of the population who because of various handicaps such as physical, mental, economic and social, are unable to make use of social services provided by society or have been traditionally deprived of these services. Social welfare services and related schemes are specifically designed for the non-capable Copyright Š 2017, Scholarly Research Journal for Interdisciplinary Studies
Mr. Kailash Soni & Dr. Lala Ram Jat 6903 (Pg. 6901-6912)
and weaker sections of the society. The main goal of the social services, on the other hand, is to augment the human quality of resources in general and their standard of living. Social welfare services are working for the weaker sections of the community hence they provide services to them so as to help them to reach the mainstream of society. Review of Literature According to SCIE Social work deals with a range of different problems some of which are relatively straightforward and simple, requiring practical solutions, whilst other problems are often more complex such as the causes of mental illness. The following literature of theories help to makes clear about different social work. That is where the human rights and social justice recognition of Social paintings are critical to ensuring that individuals inside the health care gadget have to get right to entry to facts and agency to make decisions regarding their fitness and health. As a result, Social work has a clean function in the continuum of health care services. As such, Social painting‟s information, research, proof, and abilities base maintains to expand to satisfy the ever converting contextual needs Yellowlees and Hardy (2014). Moffitt (2008), studies at “the effects of the reform have shown it to have decreased the program caseload and governmental prices at the software. Further, the reform has typically superb common consequences on employment, income and normally poor results on poverty charges, although the profits aren't flippantly disbursed throughout businesses. A fraction of the affected institution seems too had been made worse off with the aid of the reform”. Social welfare is an organized system of social services and institutions, designed to aid individuals and groups, to attain satisfying standards of existence and health. Social welfare, therefore, intends at providing services to a weaker segment of the population who because of various handicaps such as physical, mental, economic and social, are not capable of making use of social services provided by society or have been conventionally deprived of these services (Bharadwaj, 2015). According to McSilver Institute Springer (2013) “Global Social Welfare: Research, Policy, and Practice (GSW) highlighted research in the fields of universal social development, social welfare guidelines, and practice”. Social services play a vital role in the wellbeing. Social services help to live healthy, safe and fulfilling lives. They provide access to health services and education opportunities and look
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Mr. Kailash Soni & Dr. Lala Ram Jat 6904 (Pg. 6901-6912)
after support the most susceptible. The quality of these services and their ease of understanding for those in need are crucial to the ongoing wellbeing Sherwin (2015). Bharadwaj (2015) also said “In the Indian context social services are those services, which can be provided on a widespread scale to the needy inhabitants, they deliver their services to meet the essential needs of the people and comprise such services as health, education, accommodation etc. Providing drinking water during summer, helping the blind to cross a road, save people from a house under fire, donate blood, provide free of cost treatment to needy poor people etc”. According to Spicker (2014) “Welfare provision serves, for the most part, the physical and material interests of the beneficiary. Interests are linked both with people's needs, which are socially defined and with what people want. If people can be erroneous about where their wellbeing lie, their welfare will not be served by considering their wants alone. Social welfare is not simply the sum of individual interests, and one concept cannot be derivative from the other. Some welfare may be held in common. Equally, however, there may be conflicts between interests, and some may bear costs for the benefit of others” Hegde and Bloom (1997) noticed that most of the Indian private organizations did not render any formal social revelations because of lack of obligatory specifications for the same. The case study of Steel Authority of India Limited (SAIL) was undertaken and it appeared to be reported that SAIL made comprehensive HR disclosure. Value added statements were also included in annual reports. As appear by Gautam and Singh (2010) the capital allegation of the analysis abstraction is that CSR now apparent as a complete and absolute business adventure strategy, developing mainly from all-embracing achievement considerations and stakeholder strain. Organizations yield into application their interface with stakeholders and appulse of its business adventure on association as ample issues. CSR guidelines alter with about-face and profit. They betoken that business and CSR tactic nowadays seems to be on the allied path, appear business and CSR accomplishing beyond the company. Every aggregation describes CSR in their own strategies as per their needs. CSR is on an ascent acquirements ambit and is primarily admiring by philanthropy. Gupta (2007) culminated an explorative investigation paper toward the trends of social responsibility of corporate sector in India. The investigator discovered that trends in socially responsible endeavors „are encouraging as well as crucial in India. Copyright © 2017, Scholarly Research Journal for Interdisciplinary Studies
Mr. Kailash Soni & Dr. Lala Ram Jat 6905 (Pg. 6901-6912)
In the opinion of Matsebula & Willie (2007) “Private hospitals play a magnificent role in the South African health system. Private hospitals are more costly affairs and access to private hospital services, however, is still very limited largely because they cost significantly more than services in the public sector. Beneficiaries of medical schemes are the most important customers of the private hospital industry, although an increasing trend of self-funding patients has been reported”. RESEARCH METHODOLOGY The methodology to be followed for conducting the research consists of the specification in the design of research, sample design, survey questions asked to respondents design, data collection as well as statistical tools used for analyzing the collected data. Primary sources of data are to be used in the present article which is collected from GBH Hospital, Udaipur. Primary data are those which are collected as first-hand data and also for the first time. The data collected in this way are original in character. Following hypothesis has been formulated for the purpose of evaluating significance difference amongst various qualification groups about the level of agreement towards the treatment given by the GBH hospital. H01:- There is no significant difference amongst various qualification groups about the level of agreement towards the treatment given by the GBH hospital. H11:- There is a significant difference amongst various qualification groups about the level of agreement towards the treatment given by the GBH hospital. Table 1: Frequency Table of Educational Qualification Educational Qualification (A4) Educational Frequency Qualification Valid Illiterate 23 Primary 50 Secondary 91 Higher 79 secondary Graduate 57 Total 300
Percent
Valid Percent
7.7 16.7 30.3 26.3
7.7 16.7 30.3 26.3
19.0 100.0
19.0 100.0
Cumulative Percent 7.7 24.3 54.7 81.0 100.0
Source: Primary Data Graph 2: Frequency graph of Educational Qualification
Copyright © 2017, Scholarly Research Journal for Interdisciplinary Studies
Mr. Kailash Soni & Dr. Lala Ram Jat 6906 (Pg. 6901-6912) Educational Qualification 300 300 250 200 150 100 50 0
237.7
50 16.7
91 30.3
79 26.3
57 19.0
100.0 Frequency Percent
Source: Primary Data According to Table 1 and graph 2, Under the Educational Qualification wise classification out of 300 respondents 23(7.7%) were illiterate, 50(16.7%) holds primary education, 91(39.3%) have secondary education, 79(26.3%) higher secondary and at the end 57 (19%) were graduate. Table 3: Descriptive statistics Statistics
Parameters
Mean
D641 D642
No problem Delay in verification of document and paper work Doctors are not partial Impressive behavior by nursing staff The behavior of ward boy, Ward lady and nurse were good Cleanliness in hospital and washroom Arrangement of meal is good Arrangement for the relative of the patient
1.31 1.27
Std. Variance Deviation .608 .370 .503 .253
1.23 1.29 1.13
.519 .543 .387
.270 .295 .149
1.23
.523
.273
1.24 1.19
.526 .509
.277 .259
D643 D644 D645 D646 D647 D648
Source: Primary Data From the above Table 3, it could be interpreted that there are complete details about various parameters of hospital arrangements such as accommodation, food, staff, paperwork, biasedness etc. All (300) respondents have given the information about the above-mentioned parameters and hence no missing value is visible. Above table has given the mean and standard deviation and variances also.
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Mr. Kailash Soni & Dr. Lala Ram Jat 6907 (Pg. 6901-6912)
Table 4: Cross-tabulation of Educational Qualification (A4) &Level of Agreement Educational Qualification (A4) * Level of Agreement Cross tabulation Count
Educationa l Qualificati on (A4)
Illiterate Primary Secondary Higher secondary Graduate
Total
Level of Agreement Agree Little Agree 16 7 19 31 34 57 44 35 28 29 141 159
Total 23 50 91 79 57 300
Source: Primary Data From the above Table 4, it could be interpreted that a number of the respondents awarded the good degree of agreement to the relationship between various qualification groups about the level of agreement towards the treatment given by the GBH hospital. Out of 300 respondents (16+19+34+44+28=141) respondents agreed and (7+31+57+35+29=159) were little agree on the relationship between various qualification groups about the level of agreement towards the treatment given by the GBH hospital. From this, it can say that most of the respondents were agree over the relationship between various qualification groups about the level of the agreement the respondents holds towards the treatment given by the GBH hospital. Table 5: Chi-Square Tests Educational Qualification (A4) &Level of Agreement Chi-Square Tests Pearson Chi-Square
Value 12.222a
Df 4
Asymp. Sig. (2-sided) .016
Likelihood Ratio 12.367 4 .015 Linear-by-Linear .111 1 .739 Association N of Valid Cases 300 a. 0 cells (0.0%) have expected count less than 5. The minimum expected count is 10.81.
Source: Primary Data From the above Table 5, it could be interpreted that Asymp. Sig. (2-Sided) the column value is less than .05 which shows that there is a significant difference amongst various qualification groups about the level of agreement towards the treatment given by the GBH hospital. So it could be decoded that level of agreement towards the treatment provided by GBH hospital varies as the qualification of the respondents i.e. beneficiaries varies. Different qualification group holds different perception for their level of agreement towards the treatment facilities and services provided by the GBH hospital. Copyright Š 2017, Scholarly Research Journal for Interdisciplinary Studies
Mr. Kailash Soni & Dr. Lala Ram Jat 6908 (Pg. 6901-6912)
Following hypothesis has been formulated for the purpose of evaluating the significant impact on demographic variables of a beneficiary under the various schemes of GBH American Hospital. H02:- There is no significant impact on male & female beneficiary under the various schemes of GBH American Hospital. H22:- There is a significant impact on male & female beneficiary under the various schemes of GBH American Hospital. Table 6: Frequency Table of Gender Class Gender (A2) Gender Valid
Male Female Total
Frequency
Percent
168 132 300
56.0 44.0 100.0
Valid Percent 56.0 44.0 100.0
Cumulative Percent 56.0 100.0
Source: Primary Data Graph 7: Frequency graph of Gender Class
Gender 300 300 200 100
168
132 56.0
100.0 44.0
Frequency Percent
0 Male
Female
Total
Source: Primary Data According to Table 6 and graph 7, out of 300 respondents, 168 (56%) of respondents were male and remaining 132(44%) were female. It represents that beneficiaries are of both the gender. This implies that hospitals are providing welfare services to both the genders without any prejudice. Both male and female beneficiaries participated in information collection and the ratio of males was high as compared to females.
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Mr. Kailash Soni & Dr. Lala Ram Jat 6909 (Pg. 6901-6912)
Table 8 Frequency table of awareness about running schemes by hospital B14 Awareness about Running Schemes by Hospital Valid Bhamashah scheme ESIS BPL Rashtriya Suraksha bimaYojna Free medicine distribution Free check-up test and awareness camp Other Total
Frequency Percent Valid Percent 30.33 30.33 91 14.33 14.33 43 7.67 7.67 23 8.67 8.67 26 15.67 15.67 47 22.33 22.33 67 1.00 1.00 3 100.00 300 100.00
Cumulative Percent 30.33 44.67 52.33 61.00 76.67 99.00 100
Source: Primary Data Graph 9: Frequency graph of awareness about running schemes by hospital 300 300 250 200 Frequency
150 100.00
91 100 50
Percent
67 30.33
47
43 14.33
23
26 7.67
8.67
15.67
22.33 3 1.00
0
Source: Primary Data Table 8 and Graph 9 gives the information about the satisfaction level of respondents towards knowing the current schemes running by the hospital or the table and graph depicts their satisfaction level about the awareness for that various schemes running by the hospital, out of total 300 respondents 91(30.3%) said they are satisfied with their awareness about the Bhamashah scheme, 43(14.3%) said the same for ESIS scheme, 23(7.6%) about BPL scheme, 26(8.6%) about
Rashtriya Suraksha bema yojana, 47(15.6%) said about free medicine
distribution, 67(22%) said about free check-up test and awareness camp and remaining 31 said they are aware of other schemes running by the hospital. Thus it could be interpreted that a maximum number of respondents was aware of the bhamashah scheme running by the hospital which is followed by free check-up test and awareness scheme at the second position.
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Mr. Kailash Soni & Dr. Lala Ram Jat 6910 (Pg. 6901-6912)
Table 10: Descriptive statistics schemes of GBH American Hospital Descriptives
Gend er (A2)
Agree
Little Agree Total
N
Mea n
Std. Dev iati on
Std . Er ror
2 6 2 3 7 2 9 9
1.43
.496
.03 1
1.51
.507
1.44
.497
.08 3 .02 9
95% Confidence Interval for Mean Low Uppe er r Bou Boun nd d 1.37 1.49
M in i m u m
M axi m u m
1
2
1.34
1.68
1
2
1.38
1.50
1
2
Source: Primary Data Above Table 10 shows the descriptive statistics which represents the mean, standard deviation, and analysis of opinion about the satisfaction of the services regarding the scheme under which they were treated. Higher standard deviation shows that wider scope of the study and the column of analysis showing the given response (in number) by the beneficiaries. Table 11: Test of Homogeneity of Variances GBH American Hospital Test of Homogeneity of Variances Levene Statistic Gender (A2) .650
df1
df2
Sig.
1
297
.421
Leveneâ€&#x;s Test for Equality of Variance is performed to test condition that the variances of both samples are equal or not. A high-value results normally in a significant difference and a low-value results normally in a non-significant. Table 11 results present that demographic variable locality (0.000) has low value and Gender (0.421) Table 12: ANOVA of schemes of GBH American Hospital ANOVA
Gender (A2)
Sum of Squares
df
Between Groups
.219
1
Mean Squar e .219
Within Groups Total
73.507
297
.247
73.726
298
F
Si g.
.88 5
.3 4 7
Source: Primary Data Copyright Š 2017, Scholarly Research Journal for Interdisciplinary Studies
Mr. Kailash Soni & Dr. Lala Ram Jat 6911 (Pg. 6901-6912)
According to Table 12, the significant value of Gender (0.347) is greater than 0.05 so we accept the null hypothesis that There is no significant impact on male & female beneficiary under the various schemes of GBH American Hospital. This deciphers that hospital and its scheme are not making any difference on the basis of the gender of the beneficiaries and no significant impact of gender has been found out on various schemes of the hospital. Both male and female beneficiaries are equally satisfied with the treatment provided. Discussion and Conclusion On Finding Social Welfare is a structured system of social services and institutions, specially designed to serve individuals and groups, to achieve satisfying benchmarks of existence and health. Social welfare services have been an integral part of hospital industries and its policies and procedures since many decades, now it has become necessary to evaluate its impact on hospitals. Social services play a crucial role in the wellbeing. Social service assists in living healthy, safe and satisfying lives. They provide easy access to health services and education opportunities. When classified on the basis of gender it was found out that hospitals are providing welfare services to both the genders equally. Classification on the basis of educational qualification reveals that there is not a single beneficiary who falls in under post graduate, maximum respondents possess below graduate education qualification which shows that beneficiaries are mostly very less qualified. In this article when author enquired about whether they are satisfied with the treatment provided by the hospital, it was found that a maximum number of respondents are satisfied with the treatment and facilities of the hospital. Hence hospital is running its welfare schemes successfully in this context. Finally, it concludes that Social welfare services in hospitals play a crucial role in countries by providing the countrymen with the required services for eradicating the health problems faced by people from many years. Social welfare services in hospitals have been proved to be a fruitful system for the organization that has helped the beneficiaries in strategic decision making and enhancing the efficacy of their welfare schemes through proper structural and functional system.
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References Assembly, N. D. (2008). Code of ethics of the national association of social workers. Bharadwaj Ramesh (2015), “Social Welfare Administration: Concept, Nature and Scope”,http://www.ignou.ac.in/upload/Bswe-003%20Block-2-UNIT-6-small%20size.pdf Bharati Kanchan, Singh Charan (2013) “Ageing In India: Need For A Comprehensive Policy”, Indian Institute Of Management Bangalore. Working Paper No: 421. Year of Publication -August 2013. Gupta A. D. (2007), “Social Responsibility in India towards Global Compact Approach” International Journal of Social Economics,Vol. 34, No.9, pp. 37-663. Hegde, P., and Bloom, (1997), “Social financial reporting in India: A Case” The International Journal of Accounting, Vol. 32, No.2, pp. 155-172. Matsebula Thulani and Willie Michael (2007), “Private Hospitals”. http://www.hst.org.za/uploads/files/chap11_07.pdf. McSilever Institute for Poverty Policy and Research (2013), “New Journal Premiering in 2014”, Global Social Welfare: Research, Policy and Practice , Springer http://www.mcsilver.org/wp-content/uploads/2013/06/GSW-Call-for-Papers.pdf Moffitt Robert (2008) “Welfare Reform: The U.S. Experience”, Institute For Research On Poverty. Discussion Paper No.1334-08. February 2008. Sherwin Murray (2015) “More effective social services”, The New Zealand Productivity Commission http://www.productivity.govt.nz/sites/default/files/social-services-finalreport-summary-version.pdf Spicker Paul (1988). Principles of social welfare an introduction to thinking about the welfare state. First published 1988 by Routledge, ISBN 0-415-00630-9 and 0-415-00631-7 Yellowlees Dr Josephine and Hardy Dr Fotina (2014) “Queensland Branch Position Paper on the Role of Social Work in Health Care”, Australian Association of Social Workers.
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