Imaginaires et gestes de la mort en cendres: une recherche-création pour explorer la dispersion hors des cimetières et des jardins du souvenir

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Abstract. In this article, based on an ongoing research-creation project, we take a look at practices that are emerging outside the traditional funeral framework : the scattering of human ashes in “natural” spaces not set aside to accommodate human remains. Because these practices invoke questions of space, gesture, communication and symbolism, and touch on intimate and creative dimensions of the experiences of the bereaved in new environments and situations, we need to rely on open and receptive methods of investigation, collection and analysis in order to identify and study these new developments. We present an experimental method combining the artistic and scientific practices, developed in several complementary stages. Firstly, a collection of micro-narratives of experiences of dispersal, gathered anonymously via an online form that is still open to this day, which will give us access to people's subjective perceptions and reflections, and allow us to explore what is currently being done and thought within individual and family contexts. An initial classification by theme has been proposed, categorizing the range of ways we have of dealing with the dead, and questioning what these ways say about loss and absence, but also about our capacity to reinvent the practice of mourning. Secondly, workshops sessions in which we re-enacted a number of these collected micro-narratives in order to articulate perceptions that had been passed over in silence in the micro-narratives themselves and reflect on the ways these practices are shared in vivo. While the ultimate aim of this ongoing research-creation project is to add to the body of scientific knowledge around death and ashes (practices, imaginaries, gestures, impact on design, site management, public policy, citizenship, etc.), to achieve this, it aims to use creative methods of collection and analysis, that can best reveal the full breadth of these experiences. In this article, we share some of the initial methodological and scientific results of these exploratory approaches.

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Measuring and evaluating progress towards Universal Health Coverage in China.
  • May 1, 2021
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  • Xiaoyun Liu + 3 more

BackgroundThis paper aims to develop a Chinese version of Universal Health Coverage (UHC) indices and to measure China’s progress towards UHC.MethodsNineteen indicators were selected based on expert consultations to construct indices of accessibility and affordability to measure UHC. Data were drawn from health statistics yearbooks, nationally representative surveys, and health system reform surveillance. The index of accessibility includes absolute accessibility (to essential health services), relative accessibility (to hospital care) and people’s subjective perceptions. The index of affordability includes absolute affordability (the incidence of catastrophic health expenditure, CHE), relative affordability (the composition of health expenditure), and people’s subjective perceptions.ResultsThe indices of accessibility and affordability both showed steady increases over the 17 years considered. Absolute accessibility had the most significant improvement (from 23.6 in 2002 to 73.8 in 2018), while the index of relative accessibility decreased from 81.4 in 2002 to 67.3 in 2018. The index of absolute affordability decreased significantly from 46.6 in 2002 to 30.5 in 2010 and then exhibited an increasing trend afterwards, reaching 52.1 in 2018. The index of relative affordability continuously increased during the observation period, from 35.3 to 75.4.ConclusionsChina has made great progress in increasing the accessibility and affordability of health services since the health system reforms in 2009. However, integrating primary health care and hospital care and containing escalating medical expenditure to further reduce patients’ financial burdens are key challenges for strengthening the Chinese health system.

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