This book is about geographical variation in the organisation, provision and use of health services in Britain. Its main theme is that neither the quantity nor the quality of health care provided by the National Health Service (NHS) is uniform from place to place. Chapters discuss and evaluate: The reorganisation of the NHS in the years up to 1987 The relationships between the need for health care and the supply of health services The redistribution of health service resources geographically The distribution of doctors, dentists, community nurses and hospitals across the UK Access to health services The distribution of both private health facilities and social welfare services and their effect on the NHS.
Health issues such as the emergence of infectious diseases, the potential influence of global warming on human health, and the escalating strain of increasing longevity and chronic conditions on healthcare systems are of growing importance in an increasingly peopled and interconnected world. A geographic approach to the study of health offers a critical perspective to these issues, considering how changing relationships between people and their environments influence human health. An Introduction to the Geography of Health provides an accessible introduction to this rapidly growing field, covering theoretical and methodological background. The text is divided into three sections which consider distinct approaches and techniques related to health geographies. Section one introduces ecological approaches, with a focus on how natural and built environments affect human health. For instance, how have irrigation projects influenced the spread of water-borne diseases? How can modern healthcare settings, such as hospitals, affect the spread and evolution of pathogens? Section two discusses social aspects of health and healthcare, considering health as not merely a biological interaction between a pathogen and human host, but as a process that is situated among social factors which ultimately drive who suffers from what, and where disease occurs. Section three then considers spatial techniques and approaches to exploring health, giving special focus to the growing role of cartography and geographic information systems (GIS) in the study of health. This clearly written text contains a range of pedagogical features including a wealth of global case studies, discussion questions and suggestions for further reading at the end of each chapter, a colour plate section and over eighty diagrams and figures. The accompanying website also provides presentations, exercises, further resources, and tables and figures. This book is an essential introductory text for undergraduate students studying Geography, Health and Social Studies.
These essays trace the evolution of British geography as an academic discipline during the last hundred years, and stress how the study of the world we live in is fundamental to an understanding of its problems and concerns. Never before has such an ambitious and wide-ranging review been attempted, and never before has it been done with so much knowledge and passion. The principal themes covered in this volume are those of environment, place and space, and the applied geography of map-making and planning. The volume also addresses specific issues such as disease, urbanization, regional viability, and ethics and social problems. This lively and accessible work offers many insights into the minds and practices of today's geographers.
The NHS came into existence in an atmosphere of conflict centred on the strong ideological commitment of the Post-war Labour Government and the opposition of the Conservative Party of that time to the idea of a universally available and centrally planned medical care service. There was also opposition from some sections of the medical establishment who feared the loss of professional autonomy. Setting health policy in both an historical and modern context (post 1997) Carrier and Kendall weigh up the successes and failures of the National Health Service and examine the conflicts which have continued for over sixty years, in spite of efforts to solve financial problems in the NHS through increases in funding as well as structural and organisational change. After looking at recent responses to supposed failures of the NHS, they conclude that the NHS has successfully faced the challenges before it and is likely to continue to meet the changing health needs of the population. Financial stresses, concerns about the quality of care and demographic change, with consequent issues for the elderly and the chronically ill, continue to be urgent and politically contentious issues. This book is appropriate for a wide range of undergraduate and postgraduate students studying health policy and the NHS.
Over the past two decades, rates of adult and childhood obesity in the developed world have risen sharply. By the year 2000, 65% of the United States population were overweight, 30% of these obese. Whilst medical treatment has tended to focus on individual habits of diet and exercise, this approach does little to account for globally increasing levels of obesity, and the external, environmental factors that may be responsible. This in-depth study assembles the evidence for a geographical explanation of current obesity trends, and is the first work to examine the ways in which environment and living conditions promote an imbalance of energy intake over energy expenditure. The book calls upon the expertise of geographers, nutritionists, epidemiologists, sociologists and public health researchers, resulting in a broad, multidisciplinary analysis of this important health issue. Cover graphic designed by Georgia Witten-Sage.
This book contrasts the proposals of the Royal Commission of the late 1970s with the very different set of priorities enshrined in the 1989 White Paper and describes how the changes between the two documents came about. It argues that the NHS reforms should be seen not as the inevitable product of technical developments nor as a consensus response to narrowly managerial difficulties within the NHS, but rather as part of a wider political strategy towards state provision of welfare. The book strongly emphasises the uneven geographical impacts of post-1979 changes, a topic usually underplayed by analysts of social policy, and draws heavily on previously unpublished material.
This Companion provides a comprehensive account of health and medical geography and approaches the major themes and key topics from a variety of angles. Offers a unique breadth of topics relating to both health and medical geography Includes contributions from a range of scholars from rising stars to established, internationally renowned authors Provides an up-to-date review of the state of the sub-discipline Thematically organized sections offer detailed accounts of specific issues and combine general overviews of the current literature with case study material Chapters cover topics at the cutting edge of the sub-discipline, including emerging and re-emerging diseases, the politics of disease, mental and emotional health, landscapes of despair, and the geography of care
