Sociology of Health and Health Care

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ISBN: 9781405151726 | 1405151722
Cover: Paperback
Copyright: 5/7/2007

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Sociology and its applications are key components of the core foundation programme taught to all nursing students on degree and diploma courses. This acclaimed textbook explores the nature of sociology and sociological research, and their application to health and health care. It is organised in four parts: the nature of sociology and sociological research, the social patterning of health and disease, the social aspects of illness and dying; and the organisation and delivery of health care. This new edition explores current contexts of nursing and interprofessional working. It examines new approaches to understanding social inequalities in health and experiences of chronic illness and dying and explains recent changes in the NHS and health policy and explores their implications for nursing.

List of contributors	p. viii
Preface	p. ix
Introduction	p. 1
Sociology, social research and health (S. Taylor)	p. 3
Introduction	p. 3
What is sociology?	p. 3
Social research	p. 6
Doing social research	p. 8
Research methods	p. 13
Theoretical divisions in sociology	p. 19
Sociology applied to health and health care	p. 22
Summary	p. 23
References	p. 24
Further reading	p. 24
Approaches to health and illness (S. Taylor)	p. 25
The bio-medical model of health	p. 25
Socio-medical models of health	p. 30
Social aspects of sickness	p. 37
Summary	p. 42
References	p. 43
Further reading	p. 44
Social patterns in health and disease	p. 45
Socio-economic inequalities in health (E. Annandale and D. Field)	p. 47
Introduction	p. 47
Historical background	p. 47
Measuring inequality and health	p. 48
The widening gap in socio-economic health inequalities	p. 49
Explanations for socio-economic health inequalities	p. 53
Relative deprivation and psycho-social stress	p. 61
Addressing socio-economic inequalities	p. 64
Summary	p. 66
References	p. 66
Further reading	p. 68
Ethnicity and health (D. Field and K. Blakemore)	p. 69
Race and ethnicity	p. 69
Health and illness in minority ethnic communities	p. 74
Explaining ethnic variations in health and illness	p. 83
Health services and health care	p. 87
Summary	p. 90
References	p. 90
Further reading	p. 91
Gender differences in health (E. Annandale and D. Field)	p. 93
Gender patterns in mortality	p. 93
Explaining gender differences in mortality	p. 94
The narrowing gap in gender mortality	p. 97
Morbidity: are women really sicker?	p. 102
Explaining gender patterns in morbidity	p. 104
Gender, health and social change	p. 107
Summary	p. 110
References	p. 110
Further reading	p. 112
Health and disease in old age (D. Field and K. Blakemore)	p. 113
Older people and the ageing of society	p. 113
Understanding ageing and health in older people	p. 115
Older people in contemporary Britain	p. 117
Chronic illness and disability in old age	p. 120
Healthy life expectancy	p. 123
Health care and older people	p. 126
Summary	p. 131
References	p. 132
Further reading	p. 133
Illness and dying	p. 135
Chronic illness and physical disability (D. Field and M.P. Kelly)	p. 137
Introduction	p. 137
Approaches to chronic illness and disability	p. 137
Chronic illness and physical disability in contemporary Britain	p. 140
Body and identity	p. 143
Experiencing chronic illness and physical disability	p. 145
Adjusting to a chronic condition	p. 151
Care and caring	p. 154
Summary	p. 157
References	p. 157
Further reading	p. 158
Mental disorders (S. Taylor and D. Birnbaum-Carmeli)	p. 159
Approaches to mental disorders	p. 159
Self-harming behaviour	p. 164
Care of the mentally disordered	p. 170
Care or control?	p. 175
Summary	p. 178
References	p. 178
Further reading	p. 179
Death and dying (D. Field)	p. 181
Death in contemporary Britain	p. 181
The main places of care	p. 184
Communication and disclosure	p. 192
Bereavement	p. 194
End of life issues	p. 196
Summary	p. 201
References	p. 201
Further reading	p. 203
Health care	p. 205
Health care in contemporary Britain (D. Field and S. Taylor)	p. 207
Social and cultural changes in contemporary societies	p. 207
Pressures on the NHS	p. 210
The organisation of health care	p. 214
The changing culture of health care	p. 220
Summary	p. 226
References	p. 226
Further reading	p. 228
Health policy (E. Griggs)	p. 229
Introduction	p. 229
Health policy and the politics of health	p. 229
The NHS: origins and development	p. 234
Changing patterns of work in the NHS	p. 242
Summary	p. 247
References	p. 247
Further reading	p. 248
Nurses and nursing (D. Field and E. Annandale)	p. 249
Nursing and the changing NHS	p. 249
Changing roles in nursing	p. 254
Nurses, doctors and patients	p. 257
New roles and the organisation of nursing work	p. 259
Risk and regulation	p. 264
Summary	p. 267
References	p. 267
Further reading	p. 268
Index	p. 269
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