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Books > Social sciences > Sociology, social studies > Social groups & communities
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Inclusion (Hardcover)
Loot Price: R1,110
Discovery Miles 11 100
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Inclusion (Hardcover)
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As a society, we have learned to value diversity. But can some
strategies to achieve diversity mask deeper problems, ones that
might require a different approach and different solutions? With
"Inclusion," Steven Epstein argues that in the field of medical
research, the answer is an emphatic yes.
Formal concern with diversity in American medical research, Epstein
shows, is a fairly recent phenomenon. Until the mid-1980s, few paid
close attention to who was included in research subject pools. Not
uncommonly, scientists studied groups of mostly white, middle-aged
men--and assumed that conclusions drawn from studying them would
apply to the rest of the population. But struggles involving
advocacy groups, experts, and Congress led to reforms that forced
researchers and pharmaceutical companies to diversify the
population from which they drew for clinical research. That change
has gone hand in hand with bold assertions that group differences
in society are encoded in our biology--for example, that there are
important biological differences in the ways that people of
different races and sexes respond to drugs and other treatments.
While the prominence of these inclusive practices has offered hope
to traditionally underserved groups, Epstein argues forcefully that
it has drawn attention away from the tremendous inequalities in
health that are rooted not in biology but in society. There is, for
instance, a direct relationship between social class and health
status--and Epstein believes that a focus on bodily differences can
obscure the importance of this factor. Only when connected to a
broad-based effort to address health disparities, Epstein explains,
can a medical policy of inclusionachieve its intended effects.
A fascinating history, powerful analysis, and call to action,
"Inclusion" will be essential reading for medical professionals,
policymakers, and any concerned citizen.
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