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What counts as health or ill health? How do we deal with the fallibility of our own bodies? Should illness and disease be considered simply in biological terms, or should considerations of its emotional impact dictate our treatment of it? Our understanding of health and illness had become increasingly more complex in the modern world, as we are able to use medicine not only to fight disease but to control other aspects of our bodies, whether mood, blood pressure, or cholesterol. This collection of essays foregrounds the concepts of health and illness and patient experience within the philosophy of medicine, reflecting on the relationship between the ill person and society. Mental illness is considered alongside physical disease, and the important ramifications of society's differentiation between the two are brought to light. Health, Illness and Disease is a significant contribution to shaping the parameters of the evolving field of philosophy of medicine and will be of interest to medical practitioners and policy-makers as well as philosophers of science and ethicists.
Health and Illness in Close Relationships provides an integrated theoretical framework for understanding the complexities of health trajectories and relationship processes. It is the first volume to review and synthesize current empirical evidence and associated theoretical constructs from the literature on health and illness in close relationships across the social and behavioral sciences. In doing so, it provides a unique cross-disciplinary understanding of how health and illness redefine relationships. The volume also maps out an explanatory framework of how the pathways and processes of close relationships pose considerations for resilience and flourishing or, on the contrary, for relational and health decline. It will appeal to researchers and students across psychology, communication, and relationship studies, as well as to health professionals who are interested in understanding how health conditions can shape or be shaped by patients' close relationships.
Culture, Health and Illness is an introduction to the role of cultural and social factors in health and disease, showing how an understanding of these factors can improve medical care and health education. The book demonstrates how different cultural, social or ethnic groups explain the causes of ill health, the types of treatment they believe in, and to whom they would turn if they were ill. It discusses the relationship of these beliefs and practices to the instance of certain diseases, both physical and psychological. This new edition has been extended and modernised with new material added to every chapter. In addition, there is a new chapter on 'new research methods in medical anthropology', and the book in now illustrated where appropriate. Anyone intending to follow a career in medicine, allied health, nursing or counselling will benefit from reading this book at an early stage in their career.
How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.
Most Canadians believe that their health is shaped by luck, genetics, lifestyle choices, and treatment options--and government agencies, public health units, and disease associations all reinforce this perception. This study, however, tells a different story, arguing that it is the social determinants of health, as imposed by the financial markets, that dictate the health of Canadians today. Showing that health care can be greatly improved with simple changes to social policy, the discussion describes the impact of food, housing, employment, education, and social services on the nation`s health.
This comprehensive book celebrates the coming of age of narrativein health care. It uses narrative to go beyond the patient's storyand address social, cultural, ethical, psychological,organizational and linguistic issues. This book has been written to help health professionals andsocial scientists to use narrative more effectively in theireveryday work and writing. The book is split into three, comprehensive sections;Narratives, Counter-narratives and Meta-narratives.
In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
The United States is among the wealthiest nations in the world, but it is far from the healthiest. Although life expectancy and survival rates in the United States have improved dramatically over the past century, Americans live shorter lives and experience more injuries and illnesses than people in other high-income countries. The U.S. health disadvantage cannot be attributed solely to the adverse health status of racial or ethnic minorities or poor people: even highly advantaged Americans are in worse health than their counterparts in other, "peer" countries. In light of the new and growing evidence about the U.S. health disadvantage, the National Institutes of Health asked the National Research Council (NRC) and the Institute of Medicine (IOM) to convene a panel of experts to study the issue. The Panel on Understanding Cross-National Health Differences Among High-Income Countries examined whether the U.S. health disadvantage exists across the life span, considered potential explanations, and assessed the larger implications of the findings. U.S. Health in International Perspective presents detailed evidence on the issue, explores the possible explanations for the shorter and less healthy lives of Americans than those of people in comparable countries, and recommends actions by both government and nongovernment agencies and organizations to address the U.S. health disadvantage.