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First published in 1992, Quality and Regulation in Health Care
employs socio-legal ideas concerning regulation to examine the
methods used to influence the quality of health care in the US, UK,
and Western Europe. Throughout the Western world, health care
systems, both public and private, are grappling with the problems
of assuring quality while containing costs. On the one hand,
governments and insurers argue that there must be some limit to the
apparently endless growth of health care expenditures. On the
other, patient groups and consumer advocates, already dissatisfied
by the problems in holding doctors accountable for their actions,
protest that such limits must not result in sick people getting
inferior treatment. This book examines in detail the debate
surrounding the question: How can the professional expertise of the
clinicians be reconciled with the preferences of their patients and
the economic concerns of taxpayers or insurers? It will be
essential reading for graduate and undergraduate courses in health
policy, medical sociology, and health law.
Over the past 30 years Robert Dingwall has published an influential
series of articles on the professions, especially law and medicine.
This represents a substantial and coherent body of work in an
important sub-discipline of sociology. This volume assembles the
best of these writings in one single accessible place. The ten
essays are republished in their original form, each bearing the
traces of the time and place it was written. In sum, they provide a
fascinating account of an academic journey. They are introduced
with a foreword from the author, who places the work in context and
offers some thoughts about how the work might be used by scholars
in developing the field, to evaluate, for example, the effects of
the New Labour period on professional autonomy. The essays will be
indispensable to sociologists with a general interest in the
professions and to scholars of law, medicine and business.
Originally published in 1978, Health and the Division of Labour
examines problems and tensions experienced in health work. The
papers analyse inter- and intra-occupational rivalry and consider
the impact of new forms of managerial rationality upon the
traditional divisions of tasks and prestige in health work. The
issues raised here affect public policy in both Britain and the
USA: Americans can profit from British work on the position of
women in medicine, on unionisation and on managerialism, Britons
can learn from Americans work on the political context of both
social science and medicine, in looking at renal dialysis policy
and at the problems of fieldwork in Latin America.
Who is Howard S. Becker? This book traces his career, examining his
work and contributions to the field of sociology. Themes covered
include Becker's theoretical conceptualizations, approaches,
teaching style, and positioning in the intellectual milieu.
Translated from French by sociologist Robert Dingwall, the English
edition benefits from an editorial introduction and additional
referencing, as well as a new foreword by Becker himself.
Originally published in 1977, Health Care and Health Knowledge
presents some of the best new work being done in the field of
medical sociology. Developments in the field have been prompted by
both intellectual and social stimuli, and this book addresses the
issue of medicine as an element in the maintenance of social order.
The book studies how in the social context of medicine, health care
is now a substantial element of most countries gross national
product, and states that given this, there are inevitably strong
pressures for state interest and stare intervention to regulate the
allocation of national resources to secure the maximum social and
economic returns. This has drawn the sociologist into studying
medicine both as an institution and as a critical factor in the
development of social policy.
Originally published in 1978, Health and the Division of Labour
examines problems and tensions experienced in health work. The
papers analyse inter- and intra-occupational rivalry and consider
the impact of new forms of managerial rationality upon the
traditional divisions of tasks and prestige in health work. The
issues raised here affect public policy in both Britain and the
USA: Americans can profit from British work on the position of
women in medicine, on unionisation and on managerialism, Britons
can learn from Americans work on the political context of both
social science and medicine, in looking at renal dialysis policy
and at the problems of fieldwork in Latin America.
The British National Health Service celebrated its thirtieth
birthday in 1978. A Royal Commission was set up to consider the
role of the National Health Service, and it is the debates that
surrounded this Royal Commission that form the basis for the twelve
topics covered by this book. The economic difficulties that the
country was facing when this book was published in 1979 highlighted
the widely publicised malaise in the health service, and exposed
the limitation of a set of ideals developed by the NHS in the years
after the Second World War. These limitations, reflected in the
economic recession of all industrial countries, presented a
challenge and thus an opportunity to re-examine the nature and
purpose of our health service. Although this work offered no easy
solutions, it did present significant implications for public
debate and public appraisal of the prospects of the National Health
Service, and greatly mirrors the debates that have been stirring in
more recent years. This title will be of interest to students of
sociology.
A social science which has become so remote from the society which
pays for its upkeep is ultimately doomed, threatened less by
repression than by intellectual contempt and financial neglect.
This is the message of the authors of this book in this
reassessment of the evolution and present state of British
sociology. Their investigation analyses the discipline as a social
institution, whose product is inexorably shaped by the everyday
circumstances of its producers; it is the concrete outcome of
people's work, rather than a body of abstract ideas. Drawing upon
their varied experience as teachers and researchers, they identify
three major trends in contemporary sociology. First, that the
discipline's rapid expansion has led to a retreat from rigorous
research into Utopian and introspective theorising. Second, that
the concept of sociological research is being taught in a totally
false way because of this, and encourages 'research' within a
wholly academic environment. Third, that the current unpopularity
of sociology with academics, prospective students and politicians
is no coincidence, but a reflection of the conditions under which
sociology is now produced and practised. In Sociology and Social
Research the authors suggest substantial changes in sociological
research, the way in which it is carried out and the conditions
under which it is undertaken. Their book is a timely warning to
fellow sociologists when the profession is under attack as a result
of public expenditure cuts.
In recent years the study of nursing history in Britain has been
transformed by the application of concepts and methods from the
social sciences to original sources. The myths and legends which
have grown up through a century of anecdotal writing have been
chipped away to reveal the complex story of an occupation shaped
and reshaped by social and technological change. Most of the work
has been scattered in monographs, journals and edited collections.
The skills of a social historian, a sociologist and a graduate
nurse have been brought together to rethink the history of modern
nursing in the light of the latest scholarship. The account starts
by looking at the type of nursing care available in 1800. This was
usually provided by the sick person's family or household servants.
It traces the interdependent growth of general nursing and the
modern hospital and examines the separate origins and eventual
integration of mental nursing, district nursing, health visiting
and midwifery. It concludes with reflections on the prospects for
nursing in the year 2000.
The British National Health Service celebrated its thirtieth
birthday in 1978. A Royal Commission was set up to consider the
role of the National Health Service, and it is the debates that
surrounded this Royal Commission that form the basis for the twelve
topics covered by this book. The economic difficulties that the
country was facing when this book was published in 1979 highlighted
the widely publicised malaise in the health service, and exposed
the limitation of a set of ideals developed by the NHS in the years
after the Second World War. These limitations, reflected in the
economic recession of all industrial countries, presented a
challenge and thus an opportunity to re-examine the nature and
purpose of our health service. Although this work offered no easy
solutions, it did present significant implications for public
debate and public appraisal of the prospects of the National Health
Service, and greatly mirrors the debates that have been stirring in
more recent years. This title will be of interest to students of
sociology.
A social science which has become so remote from the society which
pays for its upkeep is ultimately doomed, threatened less by
repression than by intellectual contempt and financial neglect.
This is the message of the authors of this book in this
reassessment of the evolution and present state of British
sociology. Their investigation analyses the discipline as a social
institution, whose product is inexorably shaped by the everyday
circumstances of its producers; it is the concrete outcome of
people's work, rather than a body of abstract ideas. Drawing upon
their varied experience as teachers and researchers, they identify
three major trends in contemporary sociology. First, that the
discipline's rapid expansion has led to a retreat from rigorous
research into Utopian and introspective theorising. Second, that
the concept of sociological research is being taught in a totally
false way because of this, and encourages 'research' within a
wholly academic environment. Third, that the current unpopularity
of sociology with academics, prospective students and politicians
is no coincidence, but a reflection of the conditions under which
sociology is now produced and practised. In Sociology and Social
Research the authors suggest substantial changes in sociological
research, the way in which it is carried out and the conditions
under which it is undertaken. Their book is a timely warning to
fellow sociologists when the profession is under attack as a result
of public expenditure cuts.
Over the past 30 years Robert Dingwall has published an influential
series of articles on the professions, especially law and medicine.
This represents a substantial and coherent body of work in an
important sub-discipline of sociology. This volume assembles the
best of these writings in one single accessible place. The ten
essays are republished in their original form, each bearing the
traces of the time and place it was written. In sum, they provide a
fascinating account of an academic journey. They are introduced
with a foreword from the author, who places the work in context and
offers some thoughts about how the work might be used by scholars
in developing the field, to evaluate, for example, the effects of
the New Labour period on professional autonomy. The essays will be
indispensable to sociologists with a general interest in the
professions and to scholars of law, medicine and business.
First published in 1998, this edited volume reflected on the role
of universities and aimed to improve the preparation of social
welfare professionals by the University of Warsaw for employment in
the new market-oriented society that was being created in Poland
after the end of 'real socialism' in 1989. Many of its articles
were previously published in Polish and were published, revised and
updated, in English for the first time in this collection. The
contributors discuss two key issues. First, should universities
worry about the employment of their graduates and the skills that
are needed by the wider economy and society or just focus on
transmitting advanced learning? Second, they considered the
modernisation of the welfare state. The Polish experience, and the
Western partners' reaction to it, has proved an excellent case
study for these issues.
First published in 1998, this edited volume reflected on the role
of universities and aimed to improve the preparation of social
welfare professionals by the University of Warsaw for employment in
the new market-oriented society that was being created in Poland
after the end of 'real socialism' in 1989. Many of its articles
were previously published in Polish and were published, revised and
updated, in English for the first time in this collection. The
contributors discuss two key issues. First, should universities
worry about the employment of their graduates and the skills that
are needed by the wider economy and society or just focus on
transmitting advanced learning? Second, they considered the
modernisation of the welfare state. The Polish experience, and the
Western partners' reaction to it, has proved an excellent case
study for these issues.
This title was first published in 2001. With critical observations
on past approaches to this issue and the proposal of alternative
lines of inquiry, this book is concerned with the attempts made by
sociologists (and to a lesser extent, doctors) to account for
patterns of social conduct that are observably associated with
periods of illness. The author argues that medical sociologists
have confused the proper realms of biological and sociological
inquiry, and that it is this confusion that lies at the heart of
the paucity of genuinely informative work in this field. The first
chapter examines some of the influential explanations of the social
consequences of illness that medical sociologists have put forward.
The author analyzes representative selections from the body of
literature on illness behaviour and on attempts to formulate
accounts of illness within that tradition.
This title was first published in 2001. A classic ethnographic
study of the interactions between paediatricians and parents of
children thought to be neurologically handicapped. Strong used this
work to systematize the often chaotic ideas of Erving Goffman, to
explore the connections between micro and macro analysis in
sociology and to reflect on the nature of medical practice in
modern liberal societies. The book stands as a testament to
Strong's pursuit of methodological rigour in qualitative sociology.
This title was first published in 2001. A classic ethnographic
study of the interactions between paediatricians and parents of
children thought to be neurologically handicapped. Strong used this
work to systematize the often chaotic ideas of Erving Goffman, to
explore the connections between micro and macro analysis in
sociology and to reflect on the nature of medical practice in
modern liberal societies. The book stands as a testament to
Strong's pursuit of methodological rigour in qualitative sociology.
Children Act 1989 introduced the most radical changes to child care
law for a generation. Eekelaar and Dingwall provide a concise,
practical guide to the legislation for all professionals practising
in this area.
This title was first published in 2001. With critical observations
on past approaches to this issue and the proposal of alternative
lines of inquiry, this book is concerned with the attempts made by
sociologists (and to a lesser extent, doctors) to account for
patterns of social conduct that are observably associated with
periods of illness. The author argues that medical sociologists
have confused the proper realms of biological and sociological
inquiry, and that it is this confusion that lies at the heart of
the paucity of genuinely informative work in this field. The first
chapter examines some of the influential explanations of the social
consequences of illness that medical sociologists have put forward.
The author analyzes representative selections from the body of
literature on illness behaviour and on attempts to formulate
accounts of illness within that tradition.
The Children Act 1989 introduces the most radical changes to child
care law for a generation. Eekelaar and Dingwall provide a concise,
practical guide to the legislation for all professionals practising
in this area. This book should be of interest to students and
practitioners of social work, applied social studies, health
visiting, and law.
Combining the skills of a social historian, a sociologist and a
graduate nurse, this book traces the history of nursing from 1800
and speculates on the future of nursing in the year 2000. This book
should be of interest to students in nursing, social
administration, medical sociology and the history of nursing.
When health and safety regulatory frameworks took their present
form in the 1970s, they were seen as a triumph of welfare state
intervention. Since then, as heavy industry has declined and office
and retail employment have expanded, new ways of working have
radically altered the context of health and safety policy. Many
people have come to see health and safety interventions as an
obstacle to innovation. This book aims to address the changing
context of health and safety policy, exploring concerns arising
within the profession and the appropriate responses. Its manifesto
for reform promises to frame the debate within the professional and
policy community for a generation. The result of a major research
programme funded by the Institution of Occupational Safety and
Health (IOSH), Health and Safety in a Changing World shows how
health and safety policy has developed over time, how it is applied
in practice and how best to make it fit-for-purpose in the 21st
century. The book will be essential reading for professionals,
practitioners and academic readers with an interest in the
rapidly-evolving field of health and safety.
Who is Howard S. Becker? This book traces his career, examining his
work and contributions to the field of sociology. Themes covered
include Becker's theoretical conceptualizations, approaches,
teaching style, and positioning in the intellectual milieu.
Translated from French by sociologist Robert Dingwall, the English
edition benefits from an editorial introduction and additional
referencing, as well as a new foreword by Becker himself.
Originally published in 1977, Health Care and Health Knowledge
presents some of the best new work being done in the field of
medical sociology. Developments in the field have been prompted by
both intellectual and social stimuli, and this book addresses the
issue of medicine as an element in the maintenance of social order.
The book studies how in the social context of medicine, health care
is now a substantial element of most countries gross national
product, and states that given this, there are inevitably strong
pressures for state interest and stare intervention to regulate the
allocation of national resources to secure the maximum social and
economic returns. This has drawn the sociologist into studying
medicine both as an institution and as a critical factor in the
development of social policy.
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