Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90021-X
Harmon L. Smith
The development of large numbers of bio-medical interventions within a relatively brief period of time presents both promise and peril. This paper is a brief comment upon some of the ways in which newly-found technologies threaten certain time-honored values and protections which, in Western culture, have attented individuals and groups. New knowledge and new technical capability sometimes are in conflict and competition with old warrants for intervention and old notions of human well-being. Who will decide whether a given intervention is good or bad, appropriate or inappropriate, full of promise or full of peril? And on what predicates will these assessments be made? Enlarging proficiency in technologic intervention makes control of our species life possible; incremental accomplishment in interventions makes control of our technology necessary.
{"title":"Threats to the individual","authors":"Harmon L. Smith","doi":"10.1016/0037-7856(77)90021-X","DOIUrl":"10.1016/0037-7856(77)90021-X","url":null,"abstract":"<div><p>The development of large numbers of bio-medical interventions within a relatively brief period of time presents both promise and peril. This paper is a brief comment upon some of the ways in which newly-found technologies threaten certain time-honored values and protections which, in Western culture, have attented individuals and groups. New knowledge and new technical capability sometimes are in conflict and competition with old warrants for intervention and old notions of human well-being. Who will decide whether a given intervention is good or bad, appropriate or inappropriate, full of promise or full of peril? And on what predicates will these assessments be made? Enlarging proficiency in technologic intervention makes control of our species life possible; incremental accomplishment in interventions makes control of our technology necessary.</p></div>","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Pages 449-451"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90021-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12113649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90025-7
Gerry V. Stimson
United Kingdom general practice is taken as a case study of the way in which new areas of concern come to be seen as within the sphere of competence of doctors. In defining the themes of general practice, prominent U.K. practitioners have pointed to a social orientation which distinguishes general practice from other areas of medicine. This loosely defined social orientation appears to include several themes. On the one hand there is an awareness of social relationships, social factors in disease and illness behaviour, and of the social causes of disease, and on the other, a feeling for a responsibility for caring for the social consequences of diseases, for social welfare problems, and for socio- or psychotherapeutic care. An involvement in social care raises certain questions about the role of the general practitioner which have not been explored by those doctors who have discussed this social orientation. At one level there are practical problems of the conflict between the provision of medical and social care and the relationship with other care workers, but at a more basic level there is a fundamental question concerning our socio-political approach to social problems.
{"title":"Social care and the role of the general practitioner","authors":"Gerry V. Stimson","doi":"10.1016/0037-7856(77)90025-7","DOIUrl":"10.1016/0037-7856(77)90025-7","url":null,"abstract":"<div><p>United Kingdom general practice is taken as a case study of the way in which new areas of concern come to be seen as within the sphere of competence of doctors. In defining the themes of general practice, prominent U.K. practitioners have pointed to a social orientation which distinguishes general practice from other areas of medicine. This loosely defined social orientation appears to include several themes. On the one hand there is an awareness of social relationships, social factors in disease and illness behaviour, and of the social causes of disease, and on the other, a feeling for a responsibility for caring for the social consequences of diseases, for social welfare problems, and for socio- or psychotherapeutic care. An involvement in social care raises certain questions about the role of the general practitioner which have not been explored by those doctors who have discussed this social orientation. At one level there are practical problems of the conflict between the provision of medical and social care and the relationship with other care workers, but at a more basic level there is a fundamental question concerning our socio-political approach to social problems.</p></div>","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Pages 485-490"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90025-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12113651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90029-4
Louis A. Fourcher
A non-technical approach to psychology in the medical setting, and distinct from the medical assumptions of psychiatry, is proposed. This view which emphasizes a concern for the social “reciprocity” of human existence is developed in contradistinction to more biological or mechanistic theories. The application of the “critical” psychology to the study of “medical interactions” is explained. A method of psychological consultation following from this perspective is also described.
{"title":"Psychology and somatology: A critical psychology in the medical setting","authors":"Louis A. Fourcher","doi":"10.1016/0037-7856(77)90029-4","DOIUrl":"10.1016/0037-7856(77)90029-4","url":null,"abstract":"<div><p>A non-technical approach to psychology in the medical setting, and distinct from the medical assumptions of psychiatry, is proposed. This view which emphasizes a concern for the social “reciprocity” of human existence is developed in contradistinction to more biological or mechanistic theories. The application of the “critical” psychology to the study of “medical interactions” is explained. A method of psychological consultation following from this perspective is also described.</p></div>","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Pages 511-514"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90029-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12113654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90034-8
Nikitas J. Zervanos
{"title":"Community hospitals and primary care","authors":"Nikitas J. Zervanos","doi":"10.1016/0037-7856(77)90034-8","DOIUrl":"https://doi.org/10.1016/0037-7856(77)90034-8","url":null,"abstract":"","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Page 523"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90034-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92012057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90037-3
Richard A. Kiel
{"title":"The health risks of imprisonment","authors":"Richard A. Kiel","doi":"10.1016/0037-7856(77)90037-3","DOIUrl":"https://doi.org/10.1016/0037-7856(77)90037-3","url":null,"abstract":"","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Pages 524-525"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90037-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92030022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90033-6
David C. Thomasma
{"title":"Ethics and health policy","authors":"David C. Thomasma","doi":"10.1016/0037-7856(77)90033-6","DOIUrl":"https://doi.org/10.1016/0037-7856(77)90033-6","url":null,"abstract":"","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Pages 522-523"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90033-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92128344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90031-2
Kurt W. Back
{"title":"The modern rise of population","authors":"Kurt W. Back","doi":"10.1016/0037-7856(77)90031-2","DOIUrl":"10.1016/0037-7856(77)90031-2","url":null,"abstract":"","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Page 521"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90031-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122174485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90023-3
David W. Dunlop, Holly R. Caldwell
“The relationship between rural hopelessness and health is a complex one. Ill health adds to hopelessness, but its removal does not mean there is hope…. The problem and the priority have to be the total rural hopelessness complex and not just ill health. We are only slowly beginning to understand that people themselves are aware that health may have a low ranking among the starting points for change.” [1].
{"title":"Priority determination for the provision of health services: An economic and social analysis","authors":"David W. Dunlop, Holly R. Caldwell","doi":"10.1016/0037-7856(77)90023-3","DOIUrl":"10.1016/0037-7856(77)90023-3","url":null,"abstract":"<div><p>“The relationship between rural hopelessness and health is a complex one. Ill health adds to hopelessness, but its removal does not mean there is hope…. The problem and the priority have to be the total rural hopelessness complex and not just ill health. We are only slowly beginning to understand that people themselves are aware that health may have a low ranking among the starting points for change.” [1].</p></div>","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Pages 471-475"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90023-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12113650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90026-9
Selma J. Mushkin
This paper examines the reasons for the current pressures to achieve accountability through evaluation, summarizes major issues of benefit or effectiveness assessment, reviews the current status of evaluation studies on health policy, and indicates some directions for the future.
{"title":"Evaluation of health policies and actions","authors":"Selma J. Mushkin","doi":"10.1016/0037-7856(77)90026-9","DOIUrl":"10.1016/0037-7856(77)90026-9","url":null,"abstract":"<div><p>This paper examines the reasons for the current pressures to achieve accountability through evaluation, summarizes major issues of benefit or effectiveness assessment, reviews the current status of evaluation studies on health policy, and indicates some directions for the future.</p></div>","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Pages 491-499"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90026-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11618790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1977-05-01DOI: 10.1016/0037-7856(77)90036-1
Elizabeth J. Kramer
{"title":"The challenges of community medicine","authors":"Elizabeth J. Kramer","doi":"10.1016/0037-7856(77)90036-1","DOIUrl":"https://doi.org/10.1016/0037-7856(77)90036-1","url":null,"abstract":"","PeriodicalId":101166,"journal":{"name":"Social Science & Medicine (1967)","volume":"11 8","pages":"Page 524"},"PeriodicalIF":0.0,"publicationDate":"1977-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0037-7856(77)90036-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92128343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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