This volume on medical tourism includes contributions by anthropologists and historians on a variety of health-seeking modes of travel and leisure. It brings together analyses of recent trends of "medical tourism", such as underinsured middle-class Americans traveling to India for surgery, pious Middle Eastern couples seeking assisted reproduction outside their borders, or consumers of the exotic in search of alternative healing, with analyses of the centuries-old Euro-American tradition of traveling to spas. Rather than seeing these two forms of medical travel as being disparate, the book demonstrates that, as noted in the introduction 'what makes patients itinerant in both the old and new kind of medical travel is either a perceived shortage or constraint at 'home', or the sense of having reached a particular kind of therapeutic impasse, with the two often so intertwined that it is difficult to tell them apart. The constraint may stem from things as diverse as religious injunctions, legal hurdles, social approbation, or seasonal affliction; and the shortage can range from a lack of privacy, of insurance, technology, competence, or enough therapeutic resources that can address issues and conditions that patients have. If these two intertwined strands are responsible for most medical tourism, then which locales seem to have therapeutic resources are those that are either 'natural,' in the form of water or climate; legal, in the form of a culture that does not stigmatise patients; or technological and professional, in the form of tests, equipment, or expertise, unavailable or affordable at home; or in the form of novel therapeutic possibilities that promise to resolve irresolvable issues'. This book was originally published as a special issue of Anthropology & Medicine.

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.

This book explores the experiences of Muslims in the United States as they interact with the health care system during serious illness and end-of-life care. It shifts "actively dying" from a medical phrase used to describe patients who are expected to pass away soon or who exhibit signs of impending death, to a theoretical framework to analyze how end-of-life care, particularly within a hospital, shapes the ways that patients, families, and providers understand Islam and think of themselves as Muslim. Using the dying body as the main object of analysis, the volume shows that religious identities of Muslim patients, loved ones, and caregivers are not only created when living, but also through the physical process of dying and through death. Based on ethnographic and qualitative research carried out mainly in the Washington, D.C. region, this volume will be of interest to scholars in anthropology, sociology, public health, gerontology, and religious studies.

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.

The current value of global trade has reached a staggering annual figure of $6 trillion in merchandise crossing borders. Such prolific global trading has, at the same time, begun to raise fears of pandemics and concerns for global health. Yet, investment in public health infrastructure and disease control was never designed to cope with international trade of this volume and diversity. Indeed, most health systems lag far behind, especially in poor countries. This has created new vulnerabilities for global populations to the introduction and amplification of infection through trade. Public fears have been further heightened by frightening news reports of deadly diseases such as Mad Cow disease and E. Coli. Risky Trade: Infectious Disease in the Era of Global Trade provides a thorough examination of the actual risks posed by disease in the age of globalization. Drawing on the economics of international trade and epidemiology, the author explores the critical health issues arising from the enormous increase in global trade and travel. Issues covered include: c The scale of the problem with particular reference to the Sakai outbreak of E. Coli; c Risks from particular microbes - Enteric and viral infections; Highly infectious agents; Antimicrobial resistance; and, Stealth agents; c Global outbreaks as a result of human travel and trade; c Prevention, surveillance and control; c The future health of global trading. In addition to highlighting the problems, the book also addresses some of the potential benefits the same globalization can bring to epidemic control through surveillance, diagnostics, treatment and investigation. The empirical approach ties together existing descriptions and case studies of epidemics building a comprehensive framework for examining new events and considering historical experience with infectious outbreaks. The volume will be a valuable guide to students, academics, practitioners, and policy makers in the areas of international trade, health economics, epidemiology, international/public health and disease control.

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.

First published in 1998, this unique, timely book applies sociological concepts and analysis to the study of organ transplantation and related medical phenomena. It provides comparisons between differing transplantation systems and examines the ethical issues of organ transplantation, organ donation and recipient selection. The author presents rich empirical materials and fertile theory with which to better understand a number of the current problems and developments related to organ transplantation and other high-tech medical developments. It also addresses important ethical issues. Dr. Nora Machado develops and applies an impressive range of new concepts and models in analyzing organ transplantation systems: the dissonance that appears to be endemic to these systems; the particular functions of a number of hospital roles, rituals, and discourses tin dealing with such dissonance and related conflict; the legal and normative regulation of body part extraction and allocation in large-scale systems; the cognitive and moral dilemmas which physicians, nurses and next-of-kin face in the use of the bodies of the dead. Much of Dr. Machado's theoretical work is of a highly general value and should be of considerable interest even to those not engaged in issues of organ transplantation or bio-medical developments.

First published in 1998, this volume why and how genetic engineering has emerged as the technology most likely to change our lives, for better or worse, in the opening century of the third millennium. Over twenty international experts, including moral philosophers and social scientists, describe the issues and controversies surrounding modern biotechnology and genetic engineering. They explore ways in which lay individuals and groups can join in an effective and constructive dialogue with scientists and industrialists over the assessment, exploitation and safe management of these new and important technologies. Topics covered include a discussion of the issues surrounding 'Dolly', the cloned sheep, the politics and ethics of the international research programme to sequence the entire human genome, the ethical questions raised by the creation of transgenic farm animals, the morality of genetic experimentation on animals, the controversy surrounding the patenting of genetic material and of the transgenic animals themselves, the ethical implications of engineering animals for transplanting their organs into humans, and the environmental hazards of releasing genetically engineered organisms.

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.

First published in 1999, this volume examines the history of psychiatry and pathogenic parenting models over the past two centuries and contains the results of a study carried out by the author on the experiences of the parents of patients with Schizophrenia drawn from a sample of parents of patients in a forensic and a community setting. Michael Ferriter draws out the themes of the rival claims of organic and non-organic explanations of disorder, therapeutic optimism and therapeutic pessimism and rivalry between the medical professions and the non-medical for supremacy in the treatment of the mentally disordered. Ferriter further explores the issues of blame and guilt, the quality of interaction between mental health professionals and parents and the relevance of attribution theory as an explanation of why parents might still experience self-blame, even when they have nothing to blame themselves for.

First published in 1997, this study reports on a study of 221 sex workers in Queensland, Australia. The workers were interviewed by an interviewer with experience in the industry. They were asked a variety of questions relating to how they came to enter the industry, their knowledge of and attitudes towards safe sex, and a variety of other questions to do with lifestyle, service use and sexual health, and contact with the police and legal system. Sex work emerges as an activity which has a number of advantages. The pay is good, the hours are short and the work enables the worker to meet some interesting people and engage in social activities. Unlike other occupations, entry into sex work is somewhat haphazard (few appearing to plan entry to this industry as a career path) but, once in the industry many find it has benefits as well as disadvantages. Primary amongst these latter are the risks of acquiring a sexually transmitted disease (AIDS being uppermost in their minds) or the fear of violence which is associated with the context in which services are provided. In addition, sex workers often manifest a lifestyle which includes substance use and abuse. Relationships with police are often problematic and many workers report experiences which are critical of the legal system. This book provides a broad insight into the industry which, for parts of Australia, is subjected to substantial change. Such insights contribute not only to our understanding of the industry itself but also to the kind of health promoting activities which need to be initiated.

In this innovative contribution to the study of food, gender, and power, Helen Vallianatos meticulously documents cultural values and beliefs, dietary practaices, and the nutritional and health status of mothers in Indian squatter settlements. She explores both large-scale forces-incorporating critical medical anthropology and feminist theory into a biocultural paradigm-and the local and individual choices New Delhi women make in interpreting cultural dietary norms based on their reproductive histories, socioeconomic status, family structure, and other specific conditions. Her findings have significant implications for nutritional and medical anthropology and development studies, and her innovative research design serves as a model for multi-method studies that use participatory research principles, combine quantitative and qualitative investigations, and interpret diverse types of data.

A practical overview for health students and health professionals embarking on an applied research project using a qualitative approach.Successful Qualitative Health Research offers a thorough introduction to the field, written in a very clear and concise fashion. Emphasising the rigorous approach required in health research, it provides a step by step guide to designing a research project using qualitative methods, and to collecting, analysing and presenting different types of data.Hansen provides essential insights into the ideas and arguments underpinning different qualitative methods, and highlights the links between theory and practice. She also explains the importance of choosing the most appropriate form of data analysis. Each chapter features real life examples from experienced researchers from a wide range of health fields. These examples show how researchers have overcome common problems and offer inspiration and guidance. Applied qualitative research is increasingly being used to explore a range of issues in health, both on its own and as an adjunct to quantitative research. This book offers a clear, no-nonsense approach that will be invaluable to students and professionals in nursing, medicine, allied health and public health.'I strongly recommend this book to all those looking to undertake ethical and rigorous qualitative research in the field of health and health care.' - Dr Jon Adams, Director, Qualitative Research Laboratory, Faculty of Health, University of Newcastle'From thinking about theory to writing for publication, this text covers a massive amount of ground in a fresh and dynamic way. It will enthuse the beginner and refresh the old hand ...' - Associate Professor Jane Gunn, Research Director, Department of General Practice, University of Melbourne

First published in 1997, this volume emerged in the ongoing struggle between those favouring centralized and those favouring decentralized government, and has three goals: 1) To illustrate how theories of federalism and intergovernmental relations can provide a useful framework for examining how to 'divide up the job in the health care area'; 2) To assess the capacity of the states to actually implement health care policy changes; 3) To weigh the merits of alternative visions of the future roles of states and the federal government in health care policy.

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.

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 places of our daily life affect our health, well-being, and receipt of health care in complex ways. The connection between health and place has been acknowledged for centuries, and the contemporary discipline of health geography sets as its core mission to uncover and explicate all facets of this connection. The Routledge Handbook of Health Geography features 52 chapters from leading international thinkers that collectively characterize the breadth and depth of current thinking on the health-place connection. It will be of interest to students seeking an introduction to health geography as well as multidisciplinary health scholars looking to explore the intersection between health and place. This book provides a coherent synthesis of scholarship in health geography as well as multidisciplinary insights into cutting-edge research. It explores the key concepts central to appreciating the ways in which place influences our health, from the micro-space of the body to the macro-scale of entire world regions, in order to articulate historical and contemporary aspects of this influence.

The Handbook provides an essential resource at the interface of Genomics, Health and Society, and forms a crucial research tool for both new students and established scholars across biomedicine and social sciences. Building from and extending the first Routledge Handbook of Genetics and Society, the book offers a comprehensive introduction to pivotal themes within the field, an overview of the current state of the art knowledge on genomics, science and society, and an outline of emerging areas of research. Key themes addressed include the way genomic based DNA technologies have become incorporated into diverse arenas of clinical practice and research whilst also extending beyond the clinic; the role of genomics in contemporary 'bioeconomies'; how challenges in the governance of medical genomics can both reconfigure and stabilise regulatory processes and jurisdictional boundaries; how questions of diversity and justice are situated across different national and transnational terrains of genomic research; and how genomics informs - and is shaped by - developments in fields such as epigenetics, synthetic biology, stem cell, microbial and animal model research. Chapter 13 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://www.routledgehandbooks.com/doi/10.4324/9781315451695-13 Chapter 28 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://www.routledgehandbooks.com/doi/10.4324/9781315451695-28

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.

First published in 1994. Routledge is an imprint of Taylor & Francis, an informa company.

First published in 1998 , This timely book describes the challenges that need to be met in bringing together health and social services into a partnership to create effective and responsive services. It presents the reader with both conceptual frameworks and practical examples on how change can be managed and the momentum maintained towards the development of a quality service. The authors present practical examples and reflect on what worked and what was not successful. Over twenty writers (staff and managers, senior and junior, qualified and unqualified) describe focused work in particular areas which will be of interest to any service for this user group. Throughout, the emphasis is on how to deliver an accessible good quality service and how this can be safeguarded in the future. Fifty years after the establishment of the NHS, and nearly twenty five years since the establishment of British Social Services departments, this book articulates a modern, practical and principled vision of community based services to vulnerable people.

Though many are harmless and even beneficial, invertebrates are some of the world's most feared and dangerous creatures. Guide to Venomous and Medically Important Invertebrates describes the health threats posed by invertebrate groups worldwide, from physical pain and annoyance to disease transmission risk. Featuring clear photographs, distribution maps and descriptions of biological, physical and behavioural characteristics of key groups, this book aids identification of potentially harmful invertebrates. It also summarises personal protection measures to reduce the risk of attack and disease, and provides guidance on treatment. This book will help to protect the health of travellers and serve as a reference for medical personnel working in high-risk areas, as well as those interested in entomology. FeaturesAn essential guide for identifying and mitigating risks from invertebrates worldwide Provides distribution maps, key features, photographs and general descriptions of the most dangerous invertebrates Summarises expected reactions to invertebrate attacks, and their treatment (if known) Describes personal protective measures and provides recommendations that individuals can use to protect themselves from dangerous invertebrates

Is health the absence of disease, or a more positive state of happiness and well-being? How healthy were people in ancient Greece and Rome, and how did they think about maintaining and restoring their health? Answers to these and many previously untouched questions are dealt with by renowned ancient historians, classical scholars and archaeologists. Using a multi-disciplined approach, the contributors assess the issues surrounding health in the Greco-Roman world from prehistory to Christian late antiquity . Sources range from palaeodemography to patristics and from archaeology to architecture and using these, this book considers what health meant, how it was thought to be achieved, and addresses how the ancient world can be perceived as an ideal in subsequent periods of history. For anyone studying Classics, The History of Medicine this book provides a fascinating insight into the health and perceptions of health in antiquity. A study aid must.

Mass transportation has become central to the lifestyle of developed societies - but with what consequences for the environment and, ultimately, human health? Transport and the Environment investigates the major aspects of this emotive subject, with contributions from authors with international reputations for their research in the field. Discussions encompass air transport and its contribution to global pollution, the possible consequences of using hydrogen as a fuel, performance indicators and policy instruments for sustainable transport, the contamination of the atmosphere and surface waters by road vehicles, the impact of surface transport on climate, and the effects of transport pollutants on public health. This authoritative review of the current state of knowledge will be of great value to scientists, policy-makers and students on environmental science and engineering courses.

In 1981, Leonard Pearlin and his colleagues published an article that would ra- cally shift the sociological study of mental health from an emphasis on psychiatric disorder to a focus on social structure and its consequences for stress and psyc- logical distress. Pearlin et al. (1981) proposed a deceptively simple conceptual model that has now influenced sociological inquiry for almost three decades. With his characteristic penchant for reconsidering and elaborating his own ideas, Pearlin has revisited the stress process model periodically over the years (Pearlin 1989, 1999; Pearlin et al. 2005; Pearlin and Skaff 1996). One of the consequences of this continued theoretical elaboration of the stress process has been the development of a sociological model of stress that embraces the complexity of social life. Another consequence is that the stress process has continued to stimulate a host of empirical investigations in the sociology of mental health. Indeed, it is no exaggeration to suggest that the stress process paradigm has been primarily responsible for the growth and sustenance of sociological research on stress and mental health. Pearlin et al. (1981) described the core elements of the stress process in a brief paragraph: The process of social stress can be seen as combining three major conceptual domains: the sources of stress, the mediators of stress, and the manifestations of stress. Each of these extended domains subsumes a variety of subparts that have been intensively studied in recent years.