This volume explores the nature of health and health-care experiences in Russia by comparing societies and communities with different socio-cultural conditions. The unique use of longitudinal data collected over ten years, allows the authors to address key questions on Russians individual experiences of health care and their understanding of its influencing factors. They explore the methods of self treatment and illness prevention in combination with the effects poverty and treatment availability can have on the standards of living for the people surveyed. This pertinent issue follows a time of rapidly worsening health status amongst the Russian population and a grave decline in male life expectancy. The findings are set within the context of experience from Finland and the UK, allowing the authors to explore the challenge of the Russian health-care crisis to Western European models of health status and health care.

First published in 1999, this volume responds to a large and growing interest among health policy and research circles on the use of purchasing alliances to leverage change in health care. This book gives detailed and useful specifics on how a leading alliance has fared in California, the most competitive health care market in the United States. Although it is generally accepted that large organizations are more effective purchasers of health insurance, little work has been done to carefully examine the reasons that underlie that phenomenon. Yet, creating interventions and designing potential solutions requires a thorough understanding of the issues. The econometric analysis adds to the limited literature on the influence of premium on choice behaviour for employees of small firms, and introduces an analysis of choice behaviour in a purchasing cooperative setting. The political section of this book presents a much more detailed historical account and analysis of California's small group market reforms, the most significant health-related legislation in the state in the prior decade, than has been previously available. The conclusions are becoming particularly relevant, both in California and elsewhere, as the issues of reform of the individual market for health insurance comes to the forefront.

The telling of stories lies at the heart of human communication. In this important new book Peter Brophy introduces and explains the concept of story-telling or narrative-based practice in teaching, research, professional practice and organizations. He illustrates the deficiencies in evidence-based practice models, which focus on quantitative rather than qualitative evidence, and highlights the importance of narrative by drawing on insights from fields as disparate as pedagogy, anthropology, knowledge management and management practice. This book is essential reading for professionals, scholars and students in the many disciplines currently using evidence-based practice, such as information management, health, social policy, librarianship and general management.

This book presents papers from an International Symposium on Contact Disputes and Allegations of Domestic Violence: Identifying Best Practices, held in London in May 2017. The editors invited a group of international experts to explain the approaches taken in their jurisdictions to allegations of domestic violence in child contact cases, with a view to identifying international best practices in such cases. The book includes contributions from England and Wales, Scotland, Ireland, Canada, Sweden and Spain, as well as information presented at the symposium from New Zealand and Australia. The chapters include attention to particular issues such as specialist domestic violence courts, judicial training and hearing children's voices. Collectively, the chapters identify a set of common problems experienced across all of the jurisdictions, including an overwhelming emphasis on the value of children's ongoing contact with non-resident parents and the consequent minimisation of domestic violence and the muting of the voices of children who do not wish to have contact with abusive parents. Best practices in taking domestic violence seriously and providing adequate protection from further abuse for children and non-abusive parents were less in evidence. However, the concluding chapter draws together details of several initiatives and approaches which offer promising ways forward. The chapters in this book were originally published as a special issue of the Journal of Social Welfare and Family Law.

The Handbook of Rural Aging goes beyond the perspective of a narrow range of health professions, disciplines, and community services that serve older adults in rural America to encompass the full range of perspectives and issues impacting the communities in which rural older adults live. Touching on such topics as work and voluntarism, technology, transportation, housing, the environment, social participation, and the delivery of health and community services, this reference work addresses the full breadth and scope of factors impacting the lives of rural elders with contributions from recognized scholars, administrators, and researchers. This Handbook buttresses a widespread movement to garner more attention for rural America in policy matters and decisions, while also elevating awareness of the critical circumstances facing rural elders and those who serve them. Merging demographic, economic, social, cultural, health, environmental, and political perspectives, it will be an essential reference source for library professionals, researchers, educators, students, program and community administrators, and practitioners with a combined interest in rural issues and aging.

This ground-breaking book challenges us to re-think ourselves as techno-sapiens-a new species we are creating as we continually co-evolve ourselves with our technologies. While some of its chapters are imaginary, they are all empirically grounded in ethnography and richly theorized from diverse disciplines. The authors go far beyond a techno-optimism vs. techno-pessimism stance, stretching our thinking about birthing techno-sapiens to consider not only how our cyborgian reproductive lives are constrained and/or enabled by technology but are also about emotions and spirit. The world of reproductive health care and particularly that of genetic engineering is developing exponentially, and current challenges are vastly different from those of a decade ago. The book is provocative, intended to generate debate, ideas, and future research and to influence ethical policy and practice in human techno-reproduction. It will be of interest across the social sciences and humanities, for reproductive scholars, bioethicists, techno-scientists, and those involved in the development and delivery of maternity services.

First published in 1998, this volume considers the Nuremberg Code in light of new ethical grey areas which have become evident due to recent scientific advancements, particularly the questions of DNA and cloning. The contributors reflect in 26 articles on the impact of the Code, events which prompted it including Japan, and more recent ethical issues raised. The book contains the results of two European/American preparatory workshops for the First World Conference on Ethics Codes in Medicine and Biotechnology (October 1997 Freiburg, Germany) supported by the leading national institutions in the field. It aims to stimulate research about codes, the effects of codification and other forms of implementing ethics. It breaks new ground with interdisciplinary and international discourse on the subject, emphasising the need for a complete collection of codes for systematic research and evaluation and filling the gap in literature on the subject to date.

This book builds on the person-centred medicine movement to promote a shift in the philosophy of care of distress. It discusses the vital importance of whole person health, healing and growth. Developing a new transdisciplinary concept of sense of safety, this book argues that the whole person needs to be understood within their context and relationships and explores the appraisal and coping systems that are part of health. Using clinical vignettes to illustrate her argument, Lynch draws on an understanding of attachment, and trauma-informed approaches to life story and counsels against an over-reliance on symptom-based fragmentation of body and mind. Integrating literature from social determinants of health, psychology, psychotherapy, education and the social sciences with new research from the fields of immunology, endocrinology and neurology, this broad-ranging book is relevant to all those with an interest in person-centred healthcare, including academics and practitioners from medicine, nursing, mental health and public health.

What is the goal of public health promotion today? If the leading causes of mortality are primarily attributable to lifestyle behaviours, is the purpose of research to develop the power to change those behaviours, in the same way that science has been able to control infectious diseases? Or is the quest for effective behaviour modification techniques antithetical to the idea of promoting well-being defined in terms of individual autonomy, dignity and integrity? An Ethic for Health Promotion explores these questions.

Much of the scientific work on environmental health research has come from the clinical and biophysical sciences. Yet contributions are being made from the social sciences with respect to economic change, distributional equities, political will, public perceptions and the social geographical challenges of the human health-environments linkages. Offering the first comprehensive and cohesive summary of the input from social science to this field, this book focuses on how humans theorize their relationships to the environment with respect to health and how these ideas are mediated through an evaluation of risk and hazards. Most work on risk has focused primarily on environmental problems. This book extends and synthesizes these works for the field of human health, treating social, economic, cultural and political context as vital. Bringing disparate literatures from across several disciplines together with their own applied research and experience, John Eyles and Jamie Baxter deal with scientific uncertainty in the everyday issues raised and question how social theories and models of the way the world works can contribute to understanding these uncertainties. This book is essential reading for those studying and researching in the fields of health geography and environmental studies as well as environmental sociology, social and applied anthropology, environmental psychology and environmental politics.

This book addresses the ways in which individualised, market-based models of disability support provision have been mobilised in and across different countries through cross-national investigation of individualised funding (IF) as an object of neoliberal policy mobility. Combining rich theoretical and interdisciplinary perspectives with extensive empirical research, the book provides a timely examination of the policy processes and mechanisms driving the spread of IF amongst countries at the forefront of disability policy reform. It is argued that IF's mobility is not attributable to neoliberalism alone but to the complex intersections between neoliberal and emancipatory agendas and to the transnational networks that have blended the two agendas in new ways in different institutional contexts. The book shows how disability rights struggles have synchronised with neoliberal agendas, which explains IF's propensity to move and mutate between different jurisdictions. Featuring first-hand accounts of the activists and advocates engaged in these struggles, the book illuminates the consequences and risks of the dangerous liaisons and political trade-offs that seemed necessary to get individualised funding on the policy agenda for disabled people. It will be of interest to all scholars and students working in disability studies, social policy, sociology and political science more generally.

Gender inequality is entrenched in the cultural, political, and market systems that operate at household, community, and national levels. Overarching global changes in access to markets, climatic conditions, and the availability of natural resources intensify disparities in income, assets, and power among genders. This book explains these gender dynamics at macro and micro levels through GIS and spatial analysis. Chapter 1 provides an overview of the current role of GIS in the context of gender inequalities, how it still exists globally despite substantial national and international measures that have been taken toward gender equality. It illustrates global and country-level maps of measures of gender inequalities, such as gender equality index, access to basic education, health and life expectancy, equality of economic opportunity, and political empowerment. The global case studies provided in the consequent chapters explore the world of gender inequalities and get directly involved with some of the GIS and mapping applications. Chapter 2 investigates how GIS can be adapted for the criminal justice response to domestic violence (DV) and to eliminate gender-based violence. Chapter 3 discusses applying GIS and spatial analysis to the prevalence and incidence mapping of intimate partner violence (IPV) and geospatial factors that influence help-seeking and resource availability. Chapter 4 discusses the spatial disparity of gender-representation across industry types in the United States. Chapter 5 explores the social and environmental injustice experienced by female migrant workers at Guiyu town, China, in the context of both environmental pollution and governance. Chapter 6 presents a social vulnerability index to identify spatial patterns of social vulnerability and gender inequalities among Mexican households. Chapter 7 presents the United States' opioid crisis over the past two decades and analysis of mortality by gender, race, age, and urbanicity. Chapter 8 discusses the commitment to "leave no one behind" as the heart of the 2030 Agenda for Sustainable Development and identifies inequalities among women and girls by mapping multiple deprivations in Pakistan. Chapter 9 discusses the long-standing challenges in establishing gender parity in the transportation workforce in the United States. Chapter 10 presents a study that utilizes geospatial statistical tools and state-level admission data to examine gender inequalities in higher-education enrollment in Nigeria and investigates the key factors on enrollment. This book fosters engagement with the newest mapping and GIS application in contemporary issues regarding gender inequalities and nurtures recognition of how institutional global, everyday, and intimate spaces are inherently gendered, classed, raced, and sexualized. It demonstrates the spatiality of the politics of gender difference, and the contributions of GIS and spatial analysis to the struggles for equality and social justice. A unique work that Lays out a step-by-step approach to identify relevant GIS applications, spatial methods, data collection, and mapping techniques for gender inequalities research Has a strong international and global perspective. The author is well-informed in global perspectives Investigates the patterns/processes and indicators driving gender inequality at various temporal scales and at comparably detailed resolutions Illustrates finer-scale case studies, appropriate for local programs and interventions, as well as global scale studies contributing to international and national-level policy discussions on gender inequality Since gender inequality is a research area that is very wide and with strands into many academic traditions, this book is aimed at different and diverse academics/research. It is written for geographers, public health practitioners, sociologists, epidemiologists, criminologists, politicians, economists, environmentalists, GIScientists, and health and research professionals interested in applying GIS and spatial analysis to the study of gender inequalities.

The once productive association between feminism and the sociology of health and illness has broken down in recent years. In a social world marked by significant social change in men's and women's lives and their health, a gender-based analysis is urgently needed.
This books achieves this by bringing feminist theory and health sociology back together again in an innovative and insightful analysis of gender and health in contemporary society.

Architecture for Residential Care and Ageing Communities confronts urgent architectural design challenges within residential innovation, ageing communities and healthcare environments. The increasing and diversified demands on the housing market today call for alterability and adaptability in long term solutions for new integrated ways of residing. Meanwhile, an accentuated ageing society requires new residential ways of living, combining dignity, independence and appropriate care. Concurrently, profound changes in technical conditions for home healthcare require rethinking healing environments. This edited collection explores the dynamics between these integrated architectural and caring developments and intends to envision reconfigured environmental design patterns that can significantly enhance new forms of welfare and ultimately, an improved quality of life. This book identifies, presents, and articulates new qualities in designs, in caring processes, and healing atmospheres, thereby providing operational knowledge developed in close collaboration with academics, actors and stakeholders in architecture, design, and healthcare. This is an ideal read for those interested in health promotive situations of dwelling, ageing and caring.

The book is intended as a practical guide to setting up, staffing and running eating disorders services. The guidance and advice given is based on the experience of the eating disorder service at the Royal Free, which does not have specialised beds, but which is nevertheless considered to offer one of the best services in the UK. Each element of the service will be considered from referral, inpatient and outpatient treatment, service evaluation and multi-disciplinary teamworking. The book also discuss's innovative approaches in treatment, including an evaluation of Email Bulimia Therapy.* Ties in with NICE guidelines, which highlight the need for local services for treating eating disorders* Offers practical guidance on setting up a community model of treatment and on working within a multi-disciplinary team* Based on the Royal Free experience - their Eating Disorders Service has twice been a finalist in the Hospital Doctor Team of the Year awards

Demonstrates how to take an active role in preventative health care-learning how to eat, exercise, and relax, and maintain the immune system, with updated information on low-carbohydrate diets, hormone replacement therapy, Alzheimer's, ADD, reflux disease, autism, diabetes, and other important topics. Reprint.

This book offers a critical inquiry into the framing of health and disease as a security issue. In particular, the book examines what happens in the United Nations when the ostensibly 'low' politics of global health meet the 'high' politics of security, and when the logic of security comes to shape global health initiatives. It offers a critical re-assessment of efforts in the United Nations system to position HIV as a security threat with the hope that this would attract greater attention and resources for the global HIV response. The book advances securitization theory by presenting a new framework for studying HIV as a policy process, uniting several theoretical strands into a single, powerful model for empirical application. It uses this model to draw attention to important, understudied aspects of HIV securitization, including the role played by discourses about Africa, and the evolution of ideas about HIV and security as actors learned over time. On the basis of this empirically grounded assessment of how securitization works as a theory and a political strategy, the book suggests that securitization is inherently limited, and perhaps dangerous, as a strategy for 'securing' social change. This book will be of much interest to students of critical security studies, global health, development studies, and IR in general.

This book examines the issue of ethics in the context of the provision of military health care in an epidemic. Outbreaks of epidemics like Ebola trigger difficult ethical challenges for civilian and military health care personnel. This book offers theoretical reflections combined with reports from recent military and NGO missions in the field. The authors of this volume focus on military medical ethics adding a distinct voice to the topic of epidemics and infectious diseases. While military health care personnel are always crucially involved during disaster relief operations and large-scale public health emergencies, most of the current literature treats ethical issues during epidemics from a more general perspective without taking into account the specifics of the military context. The contributions in this volume provide first-hand insights into some of the ethical issues encountered by military health care personnel in missions during the Ebola outbreak in 2014/2015. This practical perspective is complimented by academic analyses and theoretical reflections on ethical issues associated with epidemics. This book will be of much interest to students of military studies, ethics and African politics.

The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.

The once productive association feminism and the sociology of health and illness has broken down in recent years. In a social world marked by significant social change in men's and women's lives and their health, a gender-based analysis is urgently needed.
This books achieves this by bringing feminist theory and health sociology back together again in an innovative and insightful analysis of gender and health in contemporary society.

Risks, Identities and the Everyday focuses on the individual and the lived experience of everyday risks - a departure from the focus on risk from a macro level. The contributors look at risk and how perceptions of risk, risk taking, and risk assessment increasingly dominate our everyday lives and explore it in a variety of settings not previously associated with risk theory, including: plastic surgery, teenage sub-cultures, ageing and independent travel. The volume moves risk away from abstract theorising about what people may or may not fear about risks, to focus on how it actually materialises and operates in everyday 'real' social interactions and contexts. It also interrogates the rational self at the heart of macro social theories by thinking through the construction of risk choices and the socio-cultural dynamics that 'present' some risks as acceptable, appropriate and necessary.

While the remit of social work professionals is, in general, locality-based, social work has a long tradition of concern about international issues. Broadening Horizons provides an engaging and original contribution to the debate on how to tackle social work problems on a global scale. Filling both a theoretical and a practice gap in the literature, the book discusses the experiences of academics, practitioners and students involved in international exchanges in social work. It draws on a major EU-Canadian exchange project as well as separate projects in countries including South Africa, the USA, China and Australia. The contributors highlight the opportunities and barriers that shaped their experience and give guidance on how to deal with both the practicalities and aspirations of living and working across borders. This book will thus be invaluable both to readers interested in the meaning and realities of international social work and to those hoping to embark on an exchange programme themselves.

The Asia-Pacific region has not only the greatest concentration of population but is, arguably, the future economic centre of the world. Epidemiological transition in the region is occurring much faster than it did in the West and many countries face the emerging problem of chronic diseases at the same time as they continue to grapple with communicable diseases. This book explores how disease patterns and health problems in Asia and the Pacific, and collective responses to them, have been shaped over time by cultural, economic, social, demographic, environmental and political factors. With fourteen chapters, each devoted to a country in the region, the authors take a comparative and historical approach to the evolution of public health and preventive medicine, and offer a broader understanding of the links in a globalizing world between health on the one hand and culture, economy, polity and society on the other. Public Health in Asia and the Pacific presents the importance of the non-medical context in the history of human disease, as well as the significance of disease in the larger histories of the region. It will appeal to scholars and policy makers in the fields of public health, the history of medicine, and those with a wider interest in the Asia-Pacific region.

Currently a great deal of public discourse around health is on the assumed relationship between childhood inactivity, young people's diets, and a putative steep rise in obesity. Children and young people are increasingly being identified as a population at 'risk' in relation to these health concerns. Such concerns are driving what might be described as new 'health imperatives' which prescribe the choices young people should make around lifestyle: physical activity, body regulation, dietary habits, and sedentary behaviour. These health imperatives are a powerful force driving major policy initiatives on health and education in a number of countries in the Western world. Schools in particular have been targeted for the implementation of a plethora of initiatives designed to help children and young people lose weight, become more active and change their eating patterns inside and outside school. Addressing these issues requires an innovative theoretical approach. Neither the fields of 'eating disorders' nor 'obesity research' has addressed these issues from a sociological and pedagogical perspective. The contributors to this edited collection draw on a range of social theories, including Michel Foucault and Basil Bernstein to interpret the data collected across three countries (Australia and New Zealand, United Kingdom) and from a range of primary and secondary schools. Each chapter addresses various aspects of the relationship between health imperatives as constituted in government policies, school programs and practices, their recontextualised in school practices and the impact of this on the subjectivities of children and teachers. This book was originally published as a special issue of Discourse: Studies in the Cultural Politics of Education.

This title was first published in 2003: This book provides an evaluation of the Gateshead Community Care Scheme which was devised as an alternative to residential and hospital care for frail elderly people. An important feature of the scheme was the decentralization of control of resources to individual social workers acting as care managers, with defined caseloads and expenditure limits to ensure accountability. The initial social social care scheme was subsequently extended to provide both health and social care to clients from a large general practice based in a health centre. The social care team was enlarged to include a nurse care manager and part-time doctor and physiotherapist. The study examines the operation of care management in both settings, the use of devolved budgets and services developed, the outcomes for clients and carers and the costs of care. Admissions to residential care were reduced and the elderly people who received the scheme's support experienced a better quality of care and greater well-being when compared with elderly people receiving the usual range of services. This was achieved at no greater cost. The characteristics of those for whom the scheme was most appropriate are described. In addition, the pattern of development of the scheme as it was incorporated into the mainstream of the Social Services and after the implementation of the NHS and Community Care Act are examined. Final, the implications for the development of care management are considered.