Women and Health Research

Women and Health Research

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1994-02-01

Total Pages: 286

ISBN-13: 030904992X

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In the nineteenth century some scientists argued that women should not be educated because thinking would use energy needed by the uterus for reproduction. The proof? Educated women had a lower birth rate. Today's researchers can only shake their heads at such reasoning. Yet professional journals and the popular press are increasingly criticizing medical research for ignoring women's health issues. Women and Health Research examines the facts behind the public's perceptions about women participating as subjects in medical research. With the goal of increasing researchers' awareness of this important topic, the book explores issues related to maintaining justice (in its ethical sense) in clinical studies. Leading experts present general principles for the ethical conduct of research on womenâ€"principles that are especially important in the light of recent changes in federal policy on the inclusion of women in clinical research. Women and Health Research documents the historical shift from a paternalistic approach by researchers toward women and a disproportionate reliance on certain groups for research to one that emphasizes proper access for women as subjects in clinical studies in order to ensure that women receive the benefits of research. The book addresses present-day challenges to equity in four areas: Scientificâ€"Do practical aspects of scientific research work at cross-purposes to gender equity? Focusing on drug trials, the authors identify rationales for excluding people from research based on demographics. Social and Ethicalâ€"The authors offer compelling discussions on subjectivity in science, the evidence for male bias, and issues related to race and ethnicity, as well as the recruitment, retention, and protection of research participants. Legalâ€"Women and Health Research reviews federal research policies that affect the inclusion of women and evaluates the basis for researchers' fears about liability, citing court cases. Riskâ€"The authors focus on risks to reproduction and offspring in clinical drug trials, exploring how risks can be identified for study participants, who should make the assessment of risk and benefit for participation in a clinical study, and how legal implications could be addressed. This landmark study will be of immediate use to the research community, policymakers, women's health advocates, attorneys, and individuals.


Medicine and Social Justice

Medicine and Social Justice

Author: Rosamond Rhodes Ph.D

Publisher: Oxford University Press

Published: 2002-08-29

Total Pages: 489

ISBN-13: 0199748969

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Because medicine can preserve and restore health and function, it has been widely acknowledged as a basic good that a just society should provide its members. Yet there is wide disagreement over the scope of what is to be provided, to whom, how, when and why. In this uniquely comprehensive book some of the best-known philosophers, doctors, lawyers, political scientists, and economists writing on the subject discuss the concerns and deepen our understanding of the theoretical and practical issues that run through the contemporary debate. The first section lays a broad theoretical basis for understanding the concept of justice, particularly as it relates to the distribution of health care. The second section critically examines how medical care is distributed in different countries around the world and the particular advantages and injustices associated with those systems. The third section draws attention to the special needs of different social groups and the specific issues of justice that are raised by the impact of various policies on health care distribution. The concluding section delves intothe dilemmas that confront those designing health care systems--the politics, the priorities, and the place of desires as opposed to needs in a socially just scheme.


Distributive Justice and the New Medicine

Distributive Justice and the New Medicine

Author: George Patrick Smith

Publisher: Edward Elgar Publishing

Published: 2010-01-01

Total Pages: 201

ISBN-13: 1848441487

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Smith has packed an incredible amount of information into this relatively short and clearly written book. His erudition is unquestionable, and his knowledge of current trends in medical technology and the ethical issues surrounding them is obvious on every page. P. Jenkins, Choice George P. Smith is one of the world s leading experts on the legal and ethical issues raised by modern medicine. His book is a wide-ranging and deeply informed and considered analysis of those issues, with particular emphasis on the inequality with which the benefits of modern medicine are bestowed on the sick. Knowledgeable as well about the technical aspects of the biomedical revolution, Smith writes with insight and authority, and offers a perspective that will influence the policy debates. Richard A. Posner, United States Court of Appeals for the Seventh Circuit and University of Chicago Law School, US While much has been written about the various issues addressed in this book genetics, cloning, informed consent, organ donation Smith s book moves beyond traditional legal analysis, tying these issues together by examining them through the lens of distributive justice. He thus provides the reader with a unique and valuable perspective on this important area. Distributive Justice and the New Medicine will be of interest to all those interested in health law and bioethics and in particular for those interested in distributive justice. Belinda Bennett, Journal of Law, Social Justice and Global Development Professor George P. Smith s Distributive Justice and the New Medicine is a major new work by one of the world s leading medical lawyers. This book brings important new insights into the complex area of rationing health care resources and should be read by anyone interested in seeking to create a just society. Jonathan Herring, Exeter College, University of Oxford, UK Is the advancement of scientific knowledge and the development of biomedical technologies known as the New Medicine desirable? George P. Smith asks this fundamental question while also confronting the distribution of these scarce medical resources. Law, economics, medical science, philosophy and ethics all coalesce in this discussion of how to structure normative standards of conduct that will improve the quality of human life. The author begins by examining various economic constructs as aids for achieving a fair and equitable delivery of health care services. He then assesses their level of practical application and evaluates the costs and benefits to society of pursuing the development and use of the New Medicine . The book ends with a case study of organ and tissue transplantation that illustrates the implementation of distributive justice. The author concludes that as long as clinical medicine maintains its focus on healing and alleviating suffering among patients, a point of equilibrium will be reached that advances the common good. This timely and compelling exploration will be a must-read for scholars, researchers, policymakers and all those interested in advances in medical technology and the issues surrounding access to health care.


Understanding Health Inequalities and Justice

Understanding Health Inequalities and Justice

Author: Mara Buchbinder

Publisher: UNC Press Books

Published: 2016-09-19

Total Pages: 351

ISBN-13: 1469630362

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The need for informed analyses of health policy is now greater than ever. The twelve essays in this volume show that public debates routinely bypass complex ethical, sociocultural, historical, and political questions about how we should address ideals of justice and equality in health care. Integrating perspectives from the humanities, social sciences, medicine, and public health, this volume illuminates the relationships between justice and health inequalities to enrich debates. Understanding Health Inequalities and Justice explores three questions: How do scholars approach relations between health inequalities and ideals of justice? When do justice considerations inform solutions to health inequalities, and how do specific health inequalities affect perceptions of injustice? And how can diverse scholarly approaches contribute to better health policy? From addressing patient agency in an inequitable health care environment to examining how scholars of social justice and health care amass evidence, this volume promotes a richer understanding of health and justice and how to achieve both. The contributors are Judith C. Barker, Paula Braveman, Paul Brodwin, Jami Suki Chang, Debra DeBruin, Leslie A. Dubbin, Sarah Horton, Carla C. Keirns, J. Paul Kelleher, Nicholas B. King, Eva Feder Kittay, Joan Liaschenko, Anne Drapkin Lyerly, Mary Faith Marshall, Carolyn Moxley Rouse, Jennifer Prah Ruger, and Janet K. Shim.


Medical Education, Politics and Social Justice

Medical Education, Politics and Social Justice

Author: Alan Bleakley

Publisher: Routledge

Published: 2020-12-30

Total Pages: 206

ISBN-13: 1000339483

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This book critically analyses how politics and power affect the ways that medicine is taught and learned. Challenging society’s historic reluctance to connect the realm of politics to the realm of medicine, Medical Education, Politics and Social Justice: The Contradiction Cure emphasizes the need for medical students to engage with social justice issues, including global health crises resulting from the climate emergency, and the health implications of widening social inequality. Arguing for an increased focus on community-based learning, rather than acute care, this innovative text maps the territory of medicine’s contradictory engagement with politics as a springboard for creative curriculum design. It demonstrates why the socially disempowered - such as political and climate refugees, the homeless, or those without health insurance should be primary subjects of attention for medical students, while exploring how political engagement can be refined, sharp, cultivated and creative, engaging imagination and demanding innovation Exploring how the medical humanities can promote engagement with politics to improve medical education, this book is a ground-breaking and inspiring contribution. It is an essential read for all those with a focus on medical education and medical humanities, as well as medical and healthcare students with an interest in the social determinants of health.


Social Justice and Medical Practice

Social Justice and Medical Practice

Author: Merrill Singer

Publisher: Routledge

Published: 2017-12-14

Total Pages: 379

ISBN-13: 135162153X

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How do we understand and respond to the pressing health problems of modern society? Conventional practice focuses on the assessment and clinical treatment of immediate health issues presented by individual patients. In contrast, social medicine advocates an equal focus on the assessment and social treatment of underlying social conditions, such as environmental factors, structural violence, and social injustice. Social Justice and Medical Practice examines the practice of social medicine through extensive life history interviews with a physician practicing the approach in marginalized communities. It presents a case example of social medicine in action, demonstrating how such a practice can be successfully pursued within the context of the existing structure of twenty-first-century medicine. In examining the experience of a physician on the frontlines of reforming health care, the book critiques the restrictive nature of the dominant clinical model of medicine and argues for a radically expanded focus for modern-day medical practice. Social Justice and Medical Practice is a timely intervention at a time when even advanced health care systems are facing multiple crises. Lucidly written, it presents a striking alternative and is important reading for students and practitioners of medicine and anthropology, as well as policy makers.


Public Health and Social Justice

Public Health and Social Justice

Author: Martin T. Donohoe

Publisher: John Wiley & Sons

Published: 2012-10-10

Total Pages: 656

ISBN-13: 1118236769

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Praise for Public Health and Social Justice "This compilation unifies ostensibly distant corners of our broad discipline under the common pursuit of health as an achievable, non-negotiable human right. It goes beyond analysis to impassioned suggestions for moving closer to the vision of health equity." —Paul Farmer, MD, PhD, Kolokotrones University Professor and chair, Department of Global Health and Social Medicine, Harvard Medical School; co-founder, Partners In Health "This superb book is the best work yet concerning the relationships between public health and social justice." —Howard Waitzkin, MD, PhD, Distinguished Professor Emeritus, University of New Mexico "This book gives public health professionals, researchers and advocates the essential knowledge they need to capture the energy that social justice brings to our enterprise." —Nicholas Freudenberg, DrPH, Distinguished Professor of Public Health, the City University of New York School of Public Health at Hunter College "The breadth of topics selected provides a strong overview of social justice in medicine and public health for readers new to the topic." —William Wiist, DHSc, MPH, MS, senior scientist and head, Office of Health and Society Studies, Interdisciplinary Health Policy Institute, Northern Arizona University "This book is a tremendous contribution to the literature of social justice and public health." —Catherine Thomasson, MD, executive director, Physicians for Social Responsibility "This book will serve as an essential reference for students, teachers and practitioners in the health and human services who are committed to social responsibility." —Shafik Dharamsi, PhD, faculty of medicine, University of British Columbia


Health and Social Justice

Health and Social Justice

Author: Jennifer Prah Ruger

Publisher: Oxford University Press

Published: 2010

Total Pages: 313

ISBN-13: 019955997X

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This book brings together the latest thinking in social justice and health policy and seeks to integrate a capabilities perspective with the demands of health and economic policies that impact on health


Health Care Politics, Policy, and Services

Health Care Politics, Policy, and Services

Author: Gunnar Almgren, MSW, PhD

Publisher: Springer Publishing Company

Published: 2006-11-07

Total Pages: 364

ISBN-13: 0826104797

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Designated a Doody's Core Title! Winner of an AJN Book of the Year Award! Who Has a Right to Health Care? What Is the Government's Role in Providing Accessible Health Care? How Are Corporations, Insurance Companies, and Health Care Providers Affecting the Quality of Health Care? And, Most Importantly, Can We Reform the U.S. Health Care System? We often debate these issues in health care policy or public health courses, yet we do so without the proper knowledge of the underlying structure of the U.S. health care system--or a framework by which it can be judged. Many health care workers entering the system are ill-equipped to address the issues faced in direct health care practice, in part because they have no ability to evaluate it. In this innovative text, Gunnar Almgren provides all the tools necessary to understand and critique a health care policy in dire need of change. First, he describes the historical evolution of U.S. health care, explaining how the early roles of hospitals, doctors, and nurses still influence today's system. He explains the complex financial aspects of health care, including the concerns of all its major stakeholders. He looks at the government's role in regulating and funding health care, and how that role has expanded and contracted through various political administrations. An entire chapter describes the facilities and services available for the elderly--an issue that will continue to rise in importance as America ages. Finally, he examines the many causes of disparities in the U.S. health care system. In addition, Almgren offers a unique social justice analysis as a framework by which the current system--and proposed reforms--can be judged. By analyzing the health care system through various models of social justice, we can begin to understand and address the urgent issues of economic, racial, and geographic disparities that plague our current system. With its clear, thorough, and comprehensive coverage of U.S. health care, this unique text is accessible to all those in public health, nursing, social work, public policy, or public administration. No other book addresses the underlying issues of the U.S. health care system alongside a variety of social justice models that we can use to evaluate, and perhaps eventually, change it.


Health Justice

Health Justice

Author: Sridhar Venkatapuram

Publisher: John Wiley & Sons

Published: 2013-04-17

Total Pages: 282

ISBN-13: 0745637507

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Social factors have a powerful influence on human health and longevity. Yet the social dimensions of health are often obscured in public discussions due to the overwhelming focus in health policy on medical care, individual-level risk factor research, and changing individual behaviours. Likewise, in philosophical approaches to health and social justice, the debates have largely focused on rationing problems in health care and on personal responsibility. However, a range of events over the past two decades such as the study of modern famines, the global experience of HIV/AIDS, the international women’s health movement, and the flourishing of social epidemiological research have drawn attention to the robust relationship between health and broad social arrangements. In Health Justice, Sridhar Venkatapuram takes up the problem of identifying what claims individuals have in regard to their health in modern societies and the globalized world. Recognizing the social bases of health and longevity, Venkatapuram extends the ‘Capabilities Approach’ of Amartya Sen and Martha Nussbaum into the domain of health and health sciences. In so doing, he formulates an inter-disciplinary argument that draws on the natural and social sciences as well as debates around social justice to argue for every human being’s moral entitlement to a capability to be healthy. An ambitious integration of the health sciences and the Capabilities Approach, Health Justice aims to provide a concrete ethical grounding for the human right to health, while advancing the field of health policy and placing health at the centre of social justice theory. With a foreword by Sir Michael Marmot, chair of the WHO Commission on the Social Determinants of Health.