Health geographies II: complexity and health care systems and policy
Health geographies II: complexity and health care systems and policy
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健康地理学 II：复杂性以及医疗保健系统和政策
DOI：
10.1177/0309132509336029
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发表时间：
2010
影响因子：
7.1
通讯作者：
M. Riva
中科院分区：
文献类型：
--
作者：
S. Curtis;M. Riva
在这两份关于健康地理学的进展报告中，我们继续从复杂性理论的角度进行讨论，以考虑更特别关注卫生保健和卫生政策的研究。使用选定的例子，我们讨论了医疗保健和政策的影响，从复杂性理论的想法，并考虑在未来的研究范围更综合的健康地理。这些研究说明了卫生地理学对卫生系统不同部分整合的不断变化的观点，以及对规划、提供和接受与卫生有关的护理和干预措施的人的影响。他们显示了一个日益复杂的理论化的方式，在其中的理解“治疗”设置个人和社会建设，以及如何解决健康不平等的问题，实现健康的改善。这些研究强调的研究考虑到保健和卫生政策在时间和空间上的动态。对复杂性理论的思考引发了对重新评估其他理论框架的潜力的质疑，并将不同的理论观点视为互补而不是竞争的话语。
In this second of two progress reports on geographies of health, we continue a discussion framed from the perspective of complexity theory to consider research which is more particularly focused on health care and health policy. Using selected examples, we discuss how health care and policy have been influenced by ideas from complexity theory and consider the scope for more integrated health geography in future research. These studies illustrate changing perspectives in health geography on the integration of different parts of health systems and the implications for those who plan, deliver and receive health-related care and interventions. They show an increasingly sophisticated theorization of the ways in which understandings of ‘therapeutic’ settings are individually and socially constructed, and how to tackle issues of health inequality and achieve health improvement. These studies emphasize research which takes into account the dynamics of health care and health policy in time as well as space. A consideration of complexity theory raises questions about the potential for re-evaluating other theoretical frameworks and treating different theoretical perspectives as complementary rather than competing discourses.