Access to Care and Factors That Impact Access Patients as Partners in Care and Changing Roles of Health Providers Research in the Sociology of Health Care

This volume in the highly-regarded'Research in the Sociology of Health Care'series, deals with both macro-level system issues and micro-level issues involving access to care, factors that impact access, patients as partners in care and changing roles of health providers. It includes: an examination of factors that impact access to care such as racial/ethnic, social, demographic and structural sources, a discussion of changing patterns of care and changing patterns of interaction between patients and providers of care, and an investigation of changing roles of health care providers within the health care delivery system. Key contributions focus on linkages to policy, population concerns and patients and/or providers of care as ways to meet health care needs of people both in the US and in other countries. This volume relates to issues of consumers of health care services, providers of such services and policy perspectives. It also raises issues of the availability of services, access to those services, quality of services and the role of government in services provision. FRONT COVER 1 ACCESS TO CARE AND FACTORS THAT IMPACT ACCESS, PATIENTS AS PARTNERS IN CARE AND CHANGING ROLES OF HEALTH PROVIDERS 4 COPYRIGHT PAGE 5 CONTENTS 6 LIST OF CONTRIBUTORS 10 SECTION I: SYSTEMS OF HEALTH-CARE DELIVERY AND SOCIOLOGICAL ISSUES 14 SYSTEMS OF HEALTH-CARE DELIVERY: SOCIOLOGICAL ISSUES LINKED TO HEALTH REFORM AND ROLES OF PATIENTS AND PROVIDERS 16 SYSTEMS AND HEALTH CARE REFORM 17 PATIENTS AND CONSUMERS OF HEALTH-CARE SERVICES 23 PROVIDERS OF HEALTH-CARE SERVICES 25 ORGANIZATION OF THE BOOK 27 REFERENCES 28 SECTION II: PROVIDERS OF CARE 32 INSIDER KNOWLEDGE AND MALE NURSES: HOW MEN BECOME REGISTERED NURSES 34 LITERATURE REVIEW: WHY DO MEN ENTER ATYPICAL LINES OF WORK? 36 METHODOLOGY 41 WHY WOMEN CHOOSE NURSING 42 WHY MEN CHOOSE NURSING 45 CONCLUSION 51 NOTE 53 REFERENCES 53 THE DIRECT CARE WORKER: OVERCOMING DEFINITIONS BY NEGATION 56 INTRODUCTION 57 THE CONTEXTS OF CARE WORK: DEMOGRAPHIC, ECONOMIC, AND SOCIAL 58 CORPORATE RATIONALIZATION: MAKING CARE WORKERS INVISIBLE 71 CONCLUSIONS 83 REFERENCES 84 MEDICAL INTERPRETING BY BILINGUAL STAFF WHOSE PRIMARY ROLE IS NOT INTERPRETING: CONTINGENCIES INFLUENCING COMMUNICATION FOR DUAL-ROLE... 90 INTRODUCTION 92 METHODS 94 RESULTS 95 REFERENCES 102 PRIVATE REHABILITATION CLINICS IN A PUBLIC, UNIVERSAL HEALTH-CARE SYSTEM 106 INTRODUCTION 107 METHOD 109 ANALYSIS 111 CONCLUSION 122 REFERENCES 126 SECTION III: PATIENTS AS CONSUMERS OF HEALTH-CARE SERVICES 128 EMERGENT SITUATIONS WHEN OLDER HOMEBOUND WOMEN HAD FORTUITOUS HELP AND A TYPOLOGY OF HELPERS WHO WERE INVOLVED 130 REVIEW OF THE LITERATURE 132 METHOD 136 FINDINGS 140 DISCUSSION 151 ACKNOWLEDGMENTS 157 REFERENCES 157 PATIENTS, TRUST, AND PATIENT PARTICIPATION: FACTORS INFLUENCING WHETHER PATIENTS WANT TO BE ACTIVE HEALTH CARE PARTICIPANTS 162 BACKGROUND AND THEORY 164 METHODS 167 RESULTS 172 CONCLUSION AND DISCUSSION 179 ACKNOWLEDGMENTS 182 REFERENCES 182 HEALTH-CARE CONSUMERISM AND ACCESS TO HEALTH CARE: EDUCATING ELDERS TO IMPROVE BOTH PREVENTIVE AND END-OF-LIFE CARE 186 FOCUS ON CANCER PREVENTION 190 FOCUS ON END-OF-LIFE CARE 192 CONCEPTUAL MODEL OF PATIENT SELF-ADVOCACY FOR HEALTH CARE IN LATE LIFE 196 REFERENCES 200 SECTION IV: HEALTH-CARE SYSTEMS: MODIFICATIONS AND REFORMS 208 FEMINIST CENTERS NEGOTIATING MEDICAL AUTHORITY IN THE 21ST CENTURY: IMPLICATIONS FOR FEMINIST CARE AND THE U.S. WOMEN’S HEALTH MOVEMENT 210 WOMEN’S HEALTH MOVEMENT’S CRITIQUE OF MEDICALIZATION 211 FEMINISTS CLINICS: NEGOTIATING MEDICAL AUTHORITY FOR THE MOVEMENT 212 FEMINIST CLINICS: 1970–1990 213 FEMINIST CENTERS AND MEDICINE IN THE 21ST CENTURY 214 THE SETTINGS 215 ORGANIZATIONAL STRATEGIES TO NEGOTIATE MEDICAL AUTHORITY 216 MACRO-LEVEL INFLUENCES ON ORGANIZATIONAL NEGOTIATIONS 227 ECONOMIC PRESSURES: WOMEN’S HEALTH (AS) BUSINESS, BALANCING CARE AND BUSINESS 232 DEMEDICALIZATION AS A MULTILEVEL PROCESS: IMPLICATIONS FOR FEMINIST CARE/SERVICE DELIVERY AND FOR THE WHM 237 NOTES 239 REFERENCES 240 A STRANGE THING HAPPENED ON THE WAY TO THE MARKET: PRIVATIZATION IN MALAYSIA AND ITS EFFECTS ON THE HEALTH-CARE SYSTEM 242 INTRODUCTION 243 UNINTENDED CONSEQUENCES OF POLICY OF PRIVATIZATION 252 SUMMARY AND CONCLUSIONS 253 REFERENCES 254 AMERICAN HEALTH CARE: PUBLIC OPINION DIFFERENCES IN THE CONFIDENCE, AFFORDABILITY, AND NEED FOR REFORM 256 BACKGROUND 257 CURRENT ANALYSIS 260 METHOD 262 RESULTS 266 DISCUSSION 275 CONCLUSION 282 ACKNOWLEDGMENTS 282 REFERENCES 283 MEDICARE KNOWLEDGE AND HEALTH SERVICE UTILIZATION AMONG OLDER ADULTS 286 INTRODUCTION 287 METHODS 293 RESULTS 299 DISCUSSION 303 REFERENCES 309 This volume in the highly-regarded Research in the Sociology of Health Care series, deals with both macro-level system issues and micro-level issues involving access to care, factors that impact access, patients as partners in care and changing roles of health providers. It includes: examination of factors that impact access to care such as racial/ethnic, social, demographic and structural sources, discussion of changing patterns of care and changing patterns of interaction between patients and providers of care, and investigation of changing roles of health care providers within the health care delivery system. Key contributions focus on linkages to policy, population concerns and patients and/or providers of care as ways to meet health care needs of people both in the US and in other countries. This volume relates to issues of consumers of health care services, providers of such services and policy perspectives. It also raises issues of the availability of services, access to those services, quality of services and the role of government in services provision Part of the "Research in the Sociology of Health Care" series, this title deals with both macro-level system issues and micro-level issues involving access to care, factors that impact access, patients as partners in care and changing roles of health providers.