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This book is about geographical variation in the organisation, provision and use of health services in Britain. Its main theme is that neither the quantity nor the quality of health care provided by the National Health Service (NHS) is uniform from place to place. Chapters discuss and evaluate: The reorganisation of the NHS in the years up to 1987 The relationships between the need for health care and the supply of health services The redistribution of health service resources geographically The distribution of doctors, dentists, community nurses and hospitals across the UK Access to health services The distribution of both private health facilities and social welfare services and their effect on the NHS.
Originally published in 1987 this textbook is a comprehensive introduction to the rapidly developing field of medical geography. It illustrates the ideas, methods and debates that inform contemporary approaches to the subject, demonstrating the potential of a social and environmental approach to illness and health. The central theme is the need to reject an exclusively biological approach to health. The authors examine both the geography of health care and outline a selection of health service planning initiatives in both North America and Europe.
This book, originally published in 1983, drawing material from Europe, the USA, the Soviet Union and the Developing World, provides a comprehensive review of the key issues in medical geography. It sets the central problems of medical geography in a broad social context as well as in a spatial one and analyses changing conceptions of health and illness in detail. It also explores the pathological relationship between people and their environment and illustrates that social phenomena form spatial patterns which provide a good starting point for the examination of the relationship between medicine, health and society.
Setting out the debates and reviewing the evidence that links health outcomes with social and physical environments, this new edition of the well-established text offers an accessible overview of the theoretical perspectives, methodologies, and research in the field of health geography Includes international examples, drawn from a broad range of countries, and extensive illustrations Unique in its approach to health geography, as opposed to medical geography New chapters focus on contemporary concerns including neighborhoods and health, ageing, and emerging infectious disease Offers five new case studies and an fresh emphasis on qualitative research approaches Written by two of the leading health geographers in the world, each with extensive experience in research and policy
This book combines a wide-ranging theoretical view of accessibility and utilization with empirical experience from a variety of comparable health-care delivery systems - those of the United Kingdom, the United States, Canada, Australia and New Zealand. The authors focus on primary health-care provision, but also consider secondary and tertiary facilities. Where previous medical geography texts have dealt with disease ecology, this book provides a comprehensive review of recent geographical research into the health service system and its utilization. The book is clearly structured and well written, enabling students to grasp the essentials of the subject. The skilful use of references will permit more advanced students to follow up the topics in greater detail.
This book considers the social and geographical context in which the National Health Service (NHS) operated during the 1970s and 1980s. It argues that disease and health care systems are the product to a large degree of the wider social and cultural context. It explores the relationship between health, work, poverty, housing, class and culture. examines how resource allocation and social policies are determined by the wider social and cultural context. discusses how the health of the nation, broadly defined should best be managed. As relevant today as when it was originally published, comments on the nature of welfare geography, assesses the impact of integrated approaches on the policy process and points the way forward to geographies rather than a geography of the national health.
Health issues such as the emergence of infectious diseases, the potential influence of global warming on human health, and the escalating strain of increasing longevity and chronic conditions on healthcare systems are of growing importance in an increasingly peopled and interconnected world. A geographic approach to the study of health offers a critical perspective to these issues, considering how changing relationships between people and their environments influence human health. An Introduction to the Geography of Health provides an accessible introduction to this rapidly growing field, covering theoretical and methodological background. The text is divided into three sections which consider distinct approaches and techniques related to health geographies. Section one introduces ecological approaches, with a focus on how natural and built environments affect human health. For instance, how have irrigation projects influenced the spread of water-borne diseases? How can modern healthcare settings, such as hospitals, affect the spread and evolution of pathogens? Section two discusses social aspects of health and healthcare, considering health as not merely a biological interaction between a pathogen and human host, but as a process that is situated among social factors which ultimately drive who suffers from what, and where disease occurs. Section three then considers spatial techniques and approaches to exploring health, giving special focus to the growing role of cartography and geographic information systems (GIS) in the study of health. This clearly written text contains a range of pedagogical features including a wealth of global case studies, discussion questions and suggestions for further reading at the end of each chapter, a colour plate section and over eighty diagrams and figures. The accompanying website also provides presentations, exercises, further resources, and tables and figures. This book is an essential introductory text for undergraduate students studying Geography, Health and Social Studies.
Mohan (geography, U. of London) draws on original research and a range of sources to look at the spatial dimensions and uneven impacts of the recent changes in the British health care system. He argues that the system has been so divided that it can no longer be called national, and that the reforms of the Conservative governments break from consensus politics to restructure the welfare state, impose managerial control, and protect the interests of key groups of supporters in critical areas of the country. Annotation copyright by Book News, Inc., Portland, OR
The geographies of health and development is an emerging sub-discipline, tying in with many of the conceptual, theoretical and practical components of other disciplines working in health, health care, economics, and international development. Spatially and theoretically grounded in geography, this collection offers a fresh perspective on the dialectic relationships between health and development. Health problems in a developing context take on much higher rates of prevalence as a result of the varied cultural, structural and economic vulnerabilities of the people they impact. This book begins by exploring some of the circumstances surrounding the distinctive health inequities currently facing many developing countries, including malaria, maternal mortality and HIV/AIDS. This is followed by a discussion of how matters of physical access and human resource issues and, perhaps most importantly, the challenges of financing, together shape the access and utilization of health care. Examining how the environment interacts to influence the health of the people that live there, the next section includes discussion around challenges of food (in)security, and the importance of clean and uncontaminated water for health. Finally, the book explores the influence of globalization on health, specifically within the urban environment, against the backdrop of global health policy.