This timely comparative study assesses the role of medical doctors in reforming publicly funded health services in England and Canada.
Respected authors from health and legal backgrounds on both sides of the Atlantic consider how the high status of the profession uniquely influences reforms. With summaries of developments in models of care, and the participation of doctors since the inception of publicly funded healthcare systems, they ask whether professionals might be considered allies or enemies of policy-makers.
With insights for future health policy and research, the book is an important contribution to debates about the complex relationship between doctors and the systems in which they practice.
Domestic violence and health is one of the first indepth studies within Britain to explore the issue of healthcare professionals’ attitudes towards women who are victims of domestic violence. There is a growing interest by healthcare professionals and researchers about the role of healthcare professionals in relation to domestic violence.
This book looks at the health experiences of women who are victims of domestic violence and the responses to such injuries by healthcare professionals. The author presents the results of an indepth qualitative study, conducted within Britain, examining domestic violence and health. Women who are treated medically without any acknowledgement of the social, personal and psychological aspects of their condition, are likely to re-present with domestic violence-related injuries.
The book includes chapters that look at: current interest both nationally and internationally; why women access health services; an examination of the physical and non-physical effects of domestic violence; the range of treatment options currently favoured by healthcare professionals and the response of patients to them; differentiations in practice between different health professionals; the impact of domestic violence as a social issue on trends in medical training.
These issues are considered in light of debates about medicalisation, the function of the sick role, and both biomedical/wound-led, and holistic/person-led approaches to health provision. Key findings are highlighted, and the author provides recommendations for good practice.
Domestic violence and health is essential reading for public health administrators and policy makers, healthcare professionals and feminist researchers, activists and advocates.
There are significant variations in how healthcare systems and health professionals are regulated globally. One feature that they increasingly have in common is an emphasis on the value of including members of the public in quality assurance processes. While many argue that this will help better serve the public interest, others question how far the changing regulatory reform agenda is still dominated by medical interests.
Bringing together leading academics worldwide, this collection compares and critically examines the ways in which different countries are regulating healthcare in general, and health professions in particular, in the interest of users and the wider public. It is the first book in the Sociology of Health Professions series.
This original and innovative book opens up new perspectives in health policy debate, examining the emerging international trends in the governance of health professions and the significance of national contexts for the changing health workforce.
In bringing together research from a wide range of continental European countries as well as the United Kingdom, Canada and Australia, the contributors highlight different arenas of governance, as well as the various players involved in the policy process. They expand the public debate on professional governance - hitherto mainly limited to medical self-regulation - to encompass a broad span of health care providers, from nurses and midwives to alternative therapists and health support workers.
The book provides new data and geopolitical perspectives in the debate over how to govern health care. It helps to better understand both the enabling conditions for, and the barriers to, making professionals more accountable to the interests of a changing public.
This book will be a valuable resource for students at an undergraduate and postgraduate level, particularly for health programmes, sociology of professions and comparative health policy, but also for academics, researchers and managers working in health care.
Modernising health care: Reinventing professions, the state and the public is a crucial contribution to debates about the rapid modernisation of health care systems and the dynamics of changing modes of governance and citizenship.
Structured around the role of the professions as mediators between state and citizens, and set against a background of tighter resources and growing demands for citizenship rights, Ellen Kuhlmann’s book offers a much-needed comparative analysis, using the German health care system as a case study. The German system, with its strongly self-regulatory medical profession, exemplifies both the capacity of professionalism to re-make itself, and the role of the state in response, highlighting the benefits and dangers of medical self-regulation, while demonstrating the potential for change beyond marketisation and managerialism.
Kuhlmann critically reviews dominant models of provider control and user participation, and empirically investigates different sets of dynamics in health care, including tensions between global reform models and nation-specific conditions; interprofessional dynamics and changing gender arrangements; the role of the service-user as a new stakeholder in health care; and the rise of a new professionalism shaped by social inclusion.
Modernising health care provides new approaches and a wealth of new empirical data for academics and students of health policy, medical sociology and sociology of professions, and for health policy makers and managers.
Little is known about the experiences of children living in families affected by severe and enduring mental illness. This is the first in-depth study of children and young people caring for parents affected in this way. Drawing on primary research data collected from 40 families, the book presents the perspectives of children (young carers), their parents and the key professionals in contact with them.
Children caring for parents with mental illness makes an invaluable contribution to the growing evidence base on parental mental illness and outcomes for children. It:
• is the first research-based text to examine the experiences and needs of children caring for parents with severe mental illness;
• provides the perspectives of children, parents and key professionals in contact with these families;
• reviews existing medical, social, child protection and young carers literatures on parental mental illness and consequences for children;
• provides a chronology and guide to relevant law and policy affecting young carers and parents with severe mental illness;
• makes concrete recommendations and suggestions for improving policy and professional practice;
• contributes to the growing evidence base on parental mental illness and outcomes for children and families.
In Cleveland in 1987 a medical diagnosis of child sexual abuse was made in 127 children, resulting in their removal from home. The consequent intense scrutiny and public criticism around the case, together with the subsequent Butler-Sloss inquiry, resulted in the medical evidence being discredited, giving rise to a system which relies on children to speak out about their abuse. This book argues that this 1987 crisis continues to shape child protection today, resulting in opportunities to protect children being missed.
Now re-issued with a substantial new introduction and concluding reflections, this book provides the only account by key professionals directly involved in the Cleveland cases, allowing readers to understand what really took place in Cleveland and why it continues to matter today. It analyses the many failures to address the plight of sexually abused children and makes constructive suggestions for the way forward to provide more effective interventions for children at risk.
Ethical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. In addition, the same technology and knowledge is increasing professional and public awareness of new potential public health threats (e.g. pandemic influenza).
At the level of public policy, concerns over the rising costs of health care have led to a more explicit focus on ‘health promotion’, and the surveillance of both ‘patients’ and the so-called ‘worried well’. Health professionals and policy makers also have to consider the implications of managing these risks, for example restricting individual liberty through enforced quarantine (in the wake of SARS and more recently swine flu) and the more general distribution of harms and benefits. Balancing the rights and responsibilities of individuals and wider populations is becoming more complex and problematic.
This book will play a key role in opening out a discussion of public health ethics. It examines the principles and values that support an ethical approach to public health practice and provides examples of some of the complex areas which those practising, analysing and planning the health of populations have to navigate. It will therefore be essential reading for current practitioners, those involved in public health research and a valuable aid for anyone interested in examining the tensions within and the development of public health.
Communication and cultural diversity have become key focus areas as the health service engages with goals of health improvement and equity.
This timely and unique book provides a rigorous and challenging review of recent research, with a particular focus on health communication interventions concerning service users who may lack fluency in English. The book shows that meeting the needs of all health service users, including disadvantaged groups, depends on both structures and processes of communication.
This book will prove invaluable to healthcare professionals and medical students, academics, practitioners, service managers and policy makers concerned with improving health services for minority ethnic groups.
As individuals increasingly seek ways of accessing, understanding and sharing data about their own bodies, this book offers a critique of the popular claim that ‘more information’ equates to ‘better health’. In a study that redefines the public, academic and policy related debates around health, bodies, information and data, the authors consider the ways in which the phenomenon of self-diagnosis has created alternative worlds of knowledge and practises which are often at odds with professional medical advice. With a focus on data that concerns significant life changes, this book explores the potential challenges related to people’s changing relationships with traditional health systems as access to, and control over, data shifts.
