Care for Major Health Problems and Population Health Concerns: Impacts on Patients, Providers and Policy (Research in the Sociology of Health Care, 26)

This volume contains papers dealing with macro-level system issues and micro-level issues involving provision of health care as related to major health problems or population health concerns. In the first chapter, the topic of population health is reviewed and examined, looking at relationships between social structure, including socioeconomic status, and health. A number of papers examine social, demographic and structural problems, and a wide variety of major health problems including chronic illnesses, mental illness, serious acute health problems, and disabilities that require health care. Some of the specific health problems covered include major chronic health problems such as coronary heart diseases and arthritis, as well as HIV/AIDs and other sexually transmitted diseases, obesity and how to deal with obesity, mental health concerns, poverty, homelessness and health care problems with a focus on urban contexts within the United States.The last two papers in the volume extend the focus to look at more international concerns. One paper focuses on urban slum prevalence as a key factor in shaping population level rates of social well being in developing countries, and another on medical tourism. This volume includes papers that focus on the perspectives of patients, providers, and also the relevant links with health policy. Research in the sociology of health care......Page 1 sdarticle_001.pdf......Page 2 sdarticle_002.pdf......Page 3 List of Contributors......Page 4 Population health concerns and major health problems: An introduction to the topic and the volume......Page 6 Introduction to population health......Page 7 Sociological discussions of population health and the importance of social class......Page 8 Population health concerns and newer research articles......Page 11 Review of the other sections and selections in this volume......Page 13 References......Page 15 Introduction......Page 17 Inequalities in health......Page 18 Inequalities in managing chronic illness......Page 20 Methods......Page 22 Results......Page 23 Economic Barriers and Inequalities......Page 25 Age-Related Barriers......Page 28 Barriers Stemming from Marital Status......Page 30 Gender-Related Barriers and Inequalities......Page 32 Discussion......Page 33 References......Page 36 Functional ability and disability among older adults with arthritis: The impact of age, duration of arthritis, and severity of arthritis......Page 40 Introduction......Page 41 Background......Page 43 The Disability Process......Page 46 Data and methodology......Page 47 Dependent Variables......Page 48 Independent Variables......Page 49 Results......Page 53 Discussion......Page 58 Notes......Page 60 References......Page 61 Weight loss surgery patients’ negotiations of medicine’s institutional logic......Page 64 Introduction......Page 65 Theoretical considerations......Page 66 Methods......Page 68 Developing an ideal patient archetype......Page 69 Patients’ negotiations of the ideal archetype......Page 75 Embracing the Ideal......Page 76 Having a Mixed Response to the Ideal......Page 80 Strategically Negotiating the Ideal......Page 82 Conclusions......Page 86 References......Page 88 From the patient’s point of view: Practitioner interaction styles in the treatment of women with chronic STDs......Page 92 Intersections of morality and medicine......Page 94 Socio-historical perspectives on STDs......Page 95 Sexual health interactions: Stigmatized crossroads......Page 96 Models of practitioner-patient interaction styles......Page 98 The importance of studying patients’ perceptions of practitioner-patient interactions......Page 99 Setting and method......Page 101 Practitioner interaction styles......Page 104 Moral Surveillance Model......Page 105 Biomedical Model......Page 106 Patient-Centered Model......Page 108 Practitioner Sex/Gender: A Factor in Interaction Style......Page 110 Interaction Style as Risk to Patient Health......Page 112 Conclusions......Page 114 References......Page 116 ‘‘I’m Still Here’’: a 10 year follow-up of women’s experiences living with HIV......Page 120 Introduction......Page 121 Background......Page 122 Design and Theoretical Influences......Page 124 Recruitment and Sampling......Page 125 Data Collection......Page 126 Interview and Analysis Processes......Page 127 ‘‘I’m Still Here’’......Page 128 Normalcy......Page 129 Discussionsolconclusions......Page 131 References......Page 133 Physicians as advocates for their patients: Depression treatment in primary care......Page 136 Introduction......Page 137 Physicians as street-level bureaucrats......Page 139 Study Site......Page 143 Sample......Page 144 Primary Care Physician’s Interpretation of State Policy and Medicaid Reimbursement for Mental Health......Page 145 The Beliefs and Willingness of Primary Care Physicians to Serve as Advocates for Their Patients by Treating Mental Health......Page 147 Barriers That Prevent the Primary Care Physicians from Providing High Quality Depression Care......Page 150 The Medicaid Patient’s Status as a Non-Voluntary Client and its Effect on Primary Care Depression Treatment......Page 152 Discussion......Page 153 References......Page 156 Interview questions......Page 159 Social support and the use of mental health services among Asian Americans: results from the national Latino and Asian American study......Page 161 Social support and the use of mental health services among Asian Americans......Page 162 Social support, Asian Americans and mental health services......Page 163 Data......Page 164 Measures......Page 165 Findings......Page 166 Variations by US-Born Asian Subgroups: Use of Generalist Services......Page 167 Social Support and Use of Generalist Services......Page 168 Social Support and Use of Specialist Services......Page 170 Discussion......Page 171 Conclusions......Page 176 References......Page 177 ‘‘Falling through the cracks’’: health care needs of the older homeless population and their implications......Page 179 Health and Health Care of Older Homeless Persons......Page 181 Methods......Page 183 Provider Interviews......Page 184 Focus Groups and Interviews with Older Homeless Men and Women......Page 185 Health Issues of the Older Homeless......Page 186 Chronic and Complicated Conditions......Page 187 Access to Health Care Services......Page 188 Nutrition and Exercise......Page 189 Health Care Policy Barriers......Page 190 Discussion......Page 191 Policy and Program Considerations......Page 192 Limitations......Page 193 References......Page 194 The urbanization of poverty and urban slum prevalence: The impact of the built environment on population-level patterns of social well-being in the less developed countries......Page 197 Introduction......Page 198 The ascendance of urban slums in the developing world: An overview......Page 200 Urban social organization in the developing countries: Examining the conundrum......Page 205 Dependency relations and the proliferation of urban slums in the developing countries......Page 211 Implications of urban slum prevalence for population-level health concerns......Page 215 Conclusions......Page 218 Notes......Page 220 References......Page 221 Unsettled borders of care: medical tourism as a new dimension in america’s health care crisis......Page 227 References......Page 239 This volume contains papers dealing with macro-level system issues and micro-level issues involving provision of health care as related to major health problems or population health concerns. In the first chapter, the topic of population health is reviewed and examined, looking at relationships between social structure, including socioeconomic status, and health. A number of papers examine social, demographic and structural problems, and a wide variety of major health problems including chronic illnesses, mental illness, serious acute health problems, and disabilities that require health care. Some of the specific health problems covered include major chronic health problems such as coronary heart diseases and arthritis, as well as HIV/AIDs and other sexually transmitted diseases, obesity and how to deal with obesity, mental health concerns, poverty, homelessness and health care problems with a focus on urban contexts within the United States. The last two papers in the volume extend the focus to look at more international concerns. One paper focuses on urban slum prevalence as a key factor in shaping population level rates of social well being in developing countries, and another on medical tourism. This volume includes papers that focus on the perspectives of patients, providers, and also the relevant links with health policy. "This volume deals with macro-level system issues and micro-level issues involving provision of health care as related to major health problems or population health concerts. It examines social, demographic and structural problems, and a wide variety of major health problems including chronic illnesses, mental illness, serious acute health problems, and disabilities that require health care. Some of the specific health problems covered include major chronic health problems such as coronary heart diseases and arthritis, as well as HIV/AIDS and other sexually transmitted diseases, obesity and how to deal with obesity, mental health concerns, poverty, homelessness and health care problems with a focus on urban contexts within the United States. The volume includes a focus on the perspectives of patients, providers, and also the relevant links with healthy policy."--Résumé de l'éditeur "This volume deals with macro-level system issues and micro-level issues involving provision of health care as related to major health problems or population health concerts. It examines social, demographic and structural problems, and a wide variety of major health problems including chronic illnesses, mental illness, serious acute health problems, and disabilities that require health care. Some of the specific health problems covered include major chronic health problems such as coronary heart diseases and arthritis, as well as HIV/AIDS and other sexually transmitted diseases, obesity and how to deal with obesity, mental health concerns, poverty, homelessness and health care problems with a focus on urban contexts within the United States. The volume includes a focus on the perspectives of patients, providers, and also the relevant links with healthy policy."--Jacket Deals with macro-level system issues and micro-level issues involving provision of health care as related to major health problems. This work examines social, demographic and structural problems, and a variety of health problems including chronic illnesses, mental illness, serious acute health problems, and disabilities that require health care.