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Social Inequalities, Health and Health Care Delivery

Опубликовано на портале: 08-09-2006
Amsterdam: JAI Press, 2002, 252 с.
The research presented in this volume varies in its coverage and its approach to issues of social inequality in health and health care delivery. This volume includes both theoretical and quantitative papers, and deals with complex understandings of macro system issues, the impact of the patient and individual factors on health and health care and the impact of the provider and interaction between providers and patients. The first section focuses on macro system issues and includes both more theoretical approaches to the topic and quantitative approaches. The second section includes articles with a greater focus on patient characteristics. These articles vary greatly in their coverage, with some focusing on the US as a whole, and others on specific sections of the US or subgroups within the population such as African American women or the elderly. The third section focuses on providers and issues of social inequality and health care delivery. These papers examine issues of gender, race and poverty as examples of sources of inequality in modern societies. In contrast to the second section, although these papers may pay some attention to individual factors, the focus of the chapters are on aspects of health care providers. Research on providers of care is another long, important research tradition within medical sociology.

Macro-System Issues in Social Inequality and Health Care

  • Explaining health related inequalitities with a social capital model (J.W.Grimm, Z.W. Brewster)
  • Inequalities created in the bio-medicine as the body business (B. Hanson)
  • Unforeseen policy effects on the safety net: Medicaid, private hospital closures and the use of the local VAMCs (B.D. Gifford et al.)
  • A critical realist perspective on class relations and health inequalities (G. Scambler et al.)

Patient Characteristics, Social Inequality and Health and Health Care Services

  • Social Inequalities, psychological well-being, and health: longitudinal evidence from a US national study (N.F. Marks, Heejjeong Choi)
  • Health lifestyles and social class in the Deep South (M.C. Snead, W.C. Cokerham)
  • Mid-life health of African-American women: cumulative disadvantage as a predictor of early senescence (Y.J. Coombs)
  • Consumer direction in home and community-based long-term eldercare services (M. Signatur, L. Hollis-Sawyer)

Providers and Issues of Social Inequality and Health Care Delivery

  • Organizational supports for and barriers to part-time work arrangements for professionals: the case of radiology (C.E. Bird et al.)
  • Race and evaluation of health care providers: theoretical and methodological issues (J. Malat)
  • Poverty and health disparities: lessons and solutions for health care providers (M. Wilken, B. Furlong)
  • Physician office access for the uninsured: an observational study (M. Penner et al.)
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