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The Sociology of Health, Healing, and Illness,9780130981370
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The Sociology of Health, Healing, and Illness

by ;
Edition:
4th
ISBN13:

9780130981370

ISBN10:
0130981370
Format:
Hardcover
Pub. Date:
1/1/2003
Publisher(s):
Prentice Hall
List Price: $68.00
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Summary

Designed to reflect important changes in health care and significant advancements in medical sociology, this reader-friendly book provides a readable, interesting, and in-depth overview of the field. It offers solid coverage of traditional topics with a keen focus on the current issues and public policy debates affecting this dynamic area of study. The volume offers perspectives on the sociology of health, healing, and illness, the influence of the social environment on health and illness, health and illness behavior, health care practitioners and their relationships with patients and a look at the social implications of health care technology and comparative health care systems. For individuals looking for an appreciation for how the sociological perspective and social theory contribute to health, healing and illness.

Table of Contents

Preface xi
Part I Perspectives on the Sociology of Health, Healing, and Illness
A Brief Introduction to the Sociology of Health, Healing, and Illness
1(11)
Definition of Medical Sociology
1(1)
Historical Development of Medical Sociology
2(4)
Sociology's Contribution to Understanding Health, Healing, and Illness
6(3)
The Role of the Medical Sociologist in the Twenty-First Century
9(1)
Summary
10(1)
Health on the Internet
10(1)
Key Concepts and Terms
10(1)
Discussion Question
11(1)
References
11(1)
The Development of Scientific Medicine
12(22)
A Brief History of Medicine
13(1)
Early Humans
13(1)
The Egyptian Civilization
14(1)
Greek and Roman Societies
14(4)
The Medieval Era
18(1)
Medicine in the Renaissance
19(1)
Medicine from 1600 to 1900
20(3)
The Ascendancy of Medical Authority in America
23(6)
Perspectives on the Ascendancy of Medical Authority
29(2)
Summary
31(1)
Health on the Internet
32(1)
Key Concepts and Terms
32(1)
Discussion Question
32(1)
References
33(1)
Part II The Influence of the Social Environment on Health and Illness
Social Epidemiology
34(24)
The Work of the Epidemiologist
34(2)
The Epidemiological Transition
36(1)
Life Expectancy and Mortality
37(5)
Infant Mortality
42(4)
Maternal Mortality
46(2)
Morbidity
48(5)
Disability
53(1)
Summary
54(1)
Health on the Internet
54(1)
Key Concept and terms
55(1)
Discussion Case
55(1)
References
56(2)
Society Disease, and Illness
58(27)
The Interrelationship of Fundamental Causes and Proximate Risk Factors: The Case of Developing Countries
60(1)
The Influence of Genetic Transmission on Disease and Illness
61(1)
Cardiovascular Diseases
62(5)
Cancer
67(6)
HIV/AIDS
73(4)
Alzheimer's Disease
77(1)
Mental Illness
78(3)
Summary
81(1)
Health on the Internet
81(1)
Key Concepts and Terms
82(1)
Discussion Case
82(1)
References
83(2)
Social Stress
85(22)
Definition of Stress
85(1)
Historical Development of the Stress Concept
85(1)
A Model of Social Stress
86(1)
Stressors
87(6)
Appraisal of Stressors
93(1)
Mediators of Stress: Coping and Social Support
94(3)
Stress Outcomes
97(1)
The Role of Social Class, Race, and Gender in Social Stress
98(5)
Summary
103(1)
Health on the Internet
103(1)
Key Concepts and Terms
104(1)
Discussion Cases
104(1)
References
105(2)
Part III Health and Illness Behavior
Health Behavior
107(19)
The Concept of Health
107(2)
Health Behavior
109(1)
Describing Individual Health Behaviors
109(7)
Explaining Health Behavior
116(6)
Summary
122(1)
Health on the Internet
123(1)
Key Concepts and Terms
123(1)
Discussion Cases
123(1)
References
124(2)
Experiencing Illness and Disability
126(24)
Stages of Illness Experience
126(1)
Stage 1: Symptom Experience
126(3)
Stage 2: Assumption of the Sick Role; Illness as Deviance
129(5)
Stage 3: Medical Care Contact/Self-Care
134(8)
Stage 4: Dependent-Patient Role
142(1)
Stage 5: Recovery and Rehabilitation
142(1)
Experiencing Chronic Illness, Impairment, and Disability
143(3)
Summary
146(1)
Health on the Internet
147(1)
Key Concepts and Terms
147(1)
Discussion Question
148(1)
References
148(2)
Part IV Health Care Practitioners and Their Relationship with Patients
Physicians and the Profession of Medicine
150(25)
The Profession of Medicine
150(6)
The Social Control of Medicine
156(6)
The Number, Composition, and Distribution of Physicians in the United States
162(3)
Female Physicians
165(3)
Physician Satisfaction and Dissatisfaction
168(2)
Physician Impairment: Stresses and Strains of the Physician Role
170(1)
Summary
170(1)
Health on the Internet
171(1)
Key Concepts and Terms
171(1)
Discussion Case
172(1)
References
172(3)
Medical Education and the Socialization of Physicians
175(21)
The History of Medical Education
175(2)
Modern Medical Education
177(7)
The Medical School Experience: Attitude and Value Acquisition
184(3)
The Medical School Experience: Stress
187(3)
The Medical School Experience: Career Choices
190(1)
Future Directions in U.S. Medical Education
191(1)
Summary
192(1)
Health on the Internet
193(1)
Key Concepts and Terms
193(1)
Discussion Case
193(1)
References
194(2)
Nurses, Mid-Level Health Care Practitioners, and Allied Health Workers
196(23)
Evolution of Nonphysician Health Care Practitioners
196(3)
Nurses and the Field of Nursing
199(8)
Mid-Level Health Care Practitioners
207(2)
Allied Health Workers
209(1)
The Health Care Team
210(2)
Relationships among Health Care Workers
212(3)
The Changing Environment among Health Care Workers
215(1)
Summary
216(1)
Health on the Internet
216(1)
Key Concepts and Terms
216(1)
Discussion Question
217(1)
References
217(2)
Complementary and Alternative Medicine
219(26)
The Meaning of Complementary and Alternative Medicine
219(1)
Scientific Medicine and Alternative Healing
220(1)
Complementary and Alternative Healers
221(2)
Chiropractic
223(5)
Acupuncture
228(3)
Spiritual Healing and Christian Science
231(5)
Ethnic Folk Healing
236(4)
Summary
240(1)
Health on the Internet
241(1)
Key Concepts and Terms
241(1)
Discussion Case
241(1)
References
242(3)
The Physician-Patient Relationship: Background and Models
245(25)
Models of the Physician-Patient Relationship
245(2)
Key Dimensions of the Physician-Patient Relationship
247(9)
The Influence of Social Class, Race, and Symptomology on the Physician-Patient Relationship
256(1)
The Influence of Gender on the Physician-Patient Relationship
257(4)
Patient Satisfaction with Physicians
261(2)
Patient Compliance with Medical Regimens
263(2)
Summary
265(1)
Health on the Internet
265(1)
Key Concepts and Terms
265(1)
Discussion Case
266(1)
References
266(4)
Professional and Ethical Obligations of Physicians in the Physician-Patient Relationship
270(19)
Truth-telling as an Issue
270(4)
Confidentiality as an Issue
274(4)
Obligation to Treat AIDS Patients
278(6)
Summary
284(1)
Health on the Internet
285(1)
Key Concepts and Terms
285(1)
Discussion Cases
285(1)
References
286(3)
Part V The Health Care System
The Health Care System of the United States
289(25)
Health Care Expenditures
289(3)
Financing Health Care
292(4)
America's Uninsured Population
296(1)
Explaining the High Cost of Health Care
297(5)
Cost Containment: DRGs, Rationing, and Managed Care
302(6)
The Politics of Health Care Reform
308(3)
Summary
311(1)
Health on the Internet
311(1)
Key Concepts and Terms
311(1)
Discussion Cases
312(1)
References
312(2)
Health Care delivery
314(22)
The Emergence of Freestanding Ambulatory Care Sites
314(3)
The Flourishing of Managed Care Organizations: HMOs and PPOs
317(4)
Emergence of the Modern Hospital
321(11)
Home Health Care
332(1)
Summary
333(1)
Health on the Internet
333(1)
Key Concepts and Terms
333(1)
Discussion Case
334(1)
References
334(2)
The Social Implications of Advanced Health Care Technology
336(27)
Societal Control of Technology
336(1)
Health Care Technology
337(5)
The Right to Refuse or Demand Advanced Health Care Technology
342(8)
Organ Donation and Transplantation
350(5)
New Reproductive Technologies
355(4)
Summary
359(1)
Health on the Internet
360(1)
Key Concepts and Terms
360(1)
Discussion Case
360(1)
References
361(2)
Comparative Health Care Systems
363(23)
Major Influences on Health Care Systems
363(2)
Health Care Services in Developing and Industrialized Countries
365(1)
Types of Health Care Systems
366(2)
China
368(3)
Russia
371(3)
Canada
374(5)
Great Britain
379(3)
Common Challenges to Health Care Systems around the World
382(1)
Summary
382(1)
Health on the Internet
383(1)
Key Concepts and Terms
383(1)
Discussion Questions
383(1)
References
384(2)
Photo Credits 386(1)
Name Index 387(9)
Subject Index 396

Excerpts

We are living through a time of dynamic changes regarding disease and illness, health- and illnessrelated behaviors, the health care professions, and the health care systems in the United States and other countries. The fourth edition of this text has been written to update our description and analysis of these dynamic processes and the work of medical sociologists that help us to understand them. In preparing this fourth edition we have sought to retain and strengthen the emphases and features of the earlier editions; to thoroughly update patterns, trends, and statistics; and to present new material that reflects important changes in health care in society and important advancements in medical sociology. KEY EMPHASES WITHIN THE TEXT This edition of the text maintains the same five emphases as the earlier editions.First, we provide broad coverage of the traditional subject matter of medical sociology and include both new perspectives and new research findings on this material.The core areas of medical sociology (the influence of the social environment on health and illness, health and illness behavior, health care practitioners and their relationships to patients, and the health care system) all receive significant attention within the text. Naturally, statistics throughout the text have been updated to provide timely analysis of patterns and trends. Recent research findings and thought have been incorporated in every chapter. Attention devoted to relatively new areas in the field has not reduced coverage of traditional areas such as social stress, illness behavior, and the physician-patient relationship. Second, we have continued to emphasize emerging areas of analysis in medical sociology and recent work within the field.Recent health care reform efforts in both the public and private domains continue to have dramatic effects on almost every aspect of health care. We describe these effects on the profession of medicine (Chapter 8); medical education (Chapter 9); the status of nurses, mid-level health care practitioners, and alternative healers (Chapters 10 and 11); the physician-patient relationship (Chapter 12); the way that we pay for care (Chapter 14); and the sites at which we receive health care (Chapter 15). We also continue to incorporate key medical ethics issues throughout the text. These issues represent some of the most important health related debates occurring in the United States today, and many medical sociologists have acknowledged the importance of understanding these policy debates and setting them within a sociological context. We have attempted to provide balanced and comprehensive coverage of several of these issues (especially in Chapters 13 and 16 and in the Discussion Questions and Cases at the ends of chapters). This fourth edition also provides extended analysis of a wide range of topics including: Expanded focus on global perspective.Material on both developing and industrialized countries has been added to the text in several chapters. In addition, each chapter includes a new feature, "In Comparative Focus," that offers an informative comparison between the United States and one or more other countries on a selected topic. For example, infant mortality in developing countries (with a focus on Pakistan) is examined in Chapter 3; the provision of prenatal care in Western Europe is examined in Chapter 4; the status of female physicians in Mexico is examined in Chapter 8; the extent of truth-telling in the physician-patient relationship in Japan is examined in Chapter 13; and the exportation of managed care to Latin America is examined in Chapter 15. Extended coverage of health issues of children and adolescents. A reworking (and retitling) of Chapter 4 to extend coverage on experiencing chronic illness and disability. Extended coverage of the effects of the Human Ge


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