Primary Health Care People Practice Place

Health care is constantly undergoing change and refinement resulting from the adoption of new practices and technologies, the changing nature of societies and populations, and also shifts in the very places from which care is delivered. Primary Health Care: People, Practice, Place draws together significant contributions from established experts across a variety of disciplines to focus on such changes in primary health care, not only because it is the most basic and integral form of health service delivery, but also because it is an area to which geographers have made significant contributions and to which other scholars have engaged in 'thinking geographically' about its core concepts and issues. Including perspectives from both consumers and producers, it moves beyond geographical accounts of the context of health service provision through its explicit focus on the practice of primary health care. With arguments well-supported by empirical research, this book will appeal not only to scholars across a range of social and health sciences, but also to professionals involved in health services.

Health care is constantly undergoing change and refinement resulting from the adoption of new practices and technologies, the changing nature of societies and populations, and also shifts in the very places from which care is delivered. Primary Health Care: People, Practice, Place draws together significant contributions from established experts across a variety of disciplines to focus on such changes in primary health care, not only because it is the most basic and integral form of health service delivery, but also because it is an area to which geographers have made significant contributions and to which other scholars have engaged in 'thinking geographically' about its core concepts and issues. Including perspectives from both consumers and producers, it moves beyond geographical accounts of the context of health service provision through its explicit focus on the practice of primary health care. With arguments well-supported by empirical research, this book will appeal not only to scholars across a range of social and health sciences, but also to professionals involved in health services.

Primary health care (PHC) began as a solution to problems in the developing world and is coming to be seen as a profound challenge to medical attitudes the world over. The book points to three issues at the root of PHC - universal availability of essential health care to individuals, families and population groups according to need, the involvement of communities in planning, delivering and evaluating such care and an organized active role for other sectors in health activities. It is pointed out although these principles may seem uncontroversial their introduction in developing countries has been far from smooth. When it comes to the north the principles of equity, participation and intersectoral collaboration have been resisted even more strongly by both planners and the medical establishment. By examining the lessons learnt from the developing countries, the author demonstrates the necessity to de-professionalize health. He writes at a time when resistance to PHC in the Third World is increasingly being based on dubious northern models for health care. This book demonstrates the way in which a strategy for survival in poor regions becomes a model for adequate and sustainable living everywhere.

Primary health care (PHC) began as a solution to problems in the developing world and is coming to be seen as a profound challenge to medical attitudes the world over. The book points to three issues at the root of PHC - universal availability of essential health care to individuals, families and population groups according to need, the involvement of communities in planning, delivering and evaluating such care and an organized active role for other sectors in health activities. It is pointed out although these principles may seem uncontroversial their introduction in developing countries has been far from smooth. When it comes to the north the principles of equity, participation and intersectoral collaboration have been resisted even more strongly by both planners and the medical establishment. By examining the lessons learnt from the developing countries, the author demonstrates the necessity to de-professionalize health. He writes at a time when resistance to PHC in the Third World is increasingly being based on dubious northern models for health care. This book demonstrates the way in which a strategy for survival in poor regions becomes a model for adequate and sustainable living everywhere.

General practitioners and other primary care professionals have aleading role in contemporary health care, which Trisha Greenhalghexplores in this highly praised new text. She provides perceptiveand engaging insights into primary health care, focussing on: • its intellectual roots • its impact on the individual, the family and thecommunity • the role of the multidisciplinary team • contemporary topics such as homelessness, ethnic health andelectronic records. Concise summaries, highlighted boxes, extensive referencing anda dedicated section on effective learning make this essentialreading for postgraduate students, tutors and researchers inprimary care. ___ From the foreword by Julian Tudor Hart “Trish Greenhalgh, in her frequent columns in the BritishMedical Journal…more than any other medical journalist spoketo her fellow GPs in the language of experience, but never withoutlinking this to our expanding knowledge from the whole of humanscience. When I compare the outlines of primary care so lucidlypresented in this wonderful book, obviously derived from richexperience of real teaching and learning, with the grand guignoltheatre of London medical schools when I was a student 1947-52, theadvance is stunning.” ___ "Trish Greenhalgh is one of the international stars ofgeneral practice and a very clever thinker. This new book is awonderful resource for primary health care and general practice.Every general practice registrar should read this book and soshould every general practice teacher and primary careresearcher." Professor Michael Kidd, Head of the Department of GeneralPractice, University of Sydney and Immediate Past President of TheRoyal Australian College of General Practitioners “This important new book by one of primary care's mostaccomplished authors sets out clearly the academic basis forfurther developments in primary health care. Health systems willonly function effectively if they recognise the importance of highquality primary care so I strongly recommend this book to students,teachers, researchers, practitioners and policymakers.” Professor Martin Marshall, Deputy Chief Medical Officer,Department of Health, UK

Complementary and integrative medicine (CIM) has become big business. Alongside the increased consumption of complementary medicine and the swelling numbers of complementary health practitioners has emerged a growing interest in these medicines and therapies from within the ranks of conventional primary health care. At the level of practice and beyond, a culture of confrontation and antagonism has begun to be replaced by a focus upon potential integration, collaboration and common ground. With these significant developments in mind, this ground-breaking book is a valuable and timely addition to the CIM and primary health care research literature. The collection outlines the core issues, challenges and opportunities facing the CIM–primary health care interface and its study and will provide insight and inspiration for those practising, studying and researching the contemporary relations between CIM and primary health care. The book is the first to be authored by leading international CIM–primary health care researchers from diverse disciplines and backgrounds, including health social science, statistics, qualitative methodology, general practice, clinical trials design, clinical pharmacology, health services research and public health. All contributors are active CIM–primary health care researchers and their extensive research and practice experience helps lend a unique immediacy and richness to the contributions and collection. Contents:Patients, Illness and Disease: CIM Use and Its Context in Primary Health Care:Primary Health Care, Complementary and Alternative Medicine and Women's Health: A Focus upon Menopause (Amie Steel, Jane Frawley, Jon Adams, David Sibbritt, and Alex Broom)Complementary and Integrative Medicine, Aging and Chronic Illness: Towards an Interprofessional Approach in Primary Health Care (Kevin D Willison, Sally Lindsay, Marissa Taylor, Harold Schroeder, and Gavin J Andrews)Complementary and Alternative Medicine and Skin Disease in General Practice (Parker Magin and Jon Adams)Practitioners and the Professional CIM Interface:Naturopaths: Their Role in Primary Health Care Delivery (Jon Wardle and Jon Adams)Linking Complementary and Alternative Medicine, Traditional Medicine and Primary Health Care: The Role of Local Health Traditions in Promoting Health Security (Daniel Hollenberg and Maria Costanza Torri)Examining the Relationship between Complementary and Integrative Medicine and Rural General Practice: A Focus upon Health Services Research (Jon Wardle, Jon Adams, Alex Broom, and David Sibbritt)(Just) Who is the Expert? The Ambiguity of Expertise in Over-the-Counter CAM Purchasing: An Ethnographic Study of UK Community Pharmacies and Health Shops (Helen Cramer, Lesley Wye, Marjorie Weiss, and Ali Shaw)Conceptualising Integrative Medicine in Primary Health Care: Experience and Challenges:Integrating Complementary Medicine in Primary Health Care as a Response to Contemporary Challenges: A Focus upon Effectiveness Gaps and Self-Care (David Peters)Exploring a Model of Integrative Medicine: A Case Study in Swedish Primary Health Care (Tobias Sundberg)Integration in Primary Health Care: A Focus upon Practice and Education and the Importance of a Critical Social Science Perspective (Jon Adams, Daniel Hollenberg, Alex Broom, Amie Steel, David Sibbritt, and Chi-Wai Lui) Readership: Practitioners, pharmacists, nurses, health care managers, governments, policy makers and regulators, researchers, academia, and advanced students of conventional as well as alternative healthcare, and the general audience who are interested in evidence-based holistic self-care. Keywords:Primary Health Care;Complementary Medicine;Integrative Medicine;General Practice;Pharmacy;Health Services Research

Health Geographies: A Critical Introduction explores health and biomedical topics from a range of critical geographic perspectives. Building on the field’s past engagement with social theory it extends the focus of health geography into new areas of enquiry. Introduces key topics in health geography through clear and engaging examples and case studies drawn from around the world Incorporates multi-disciplinary perspectives and approaches applied in the field of health geography Identifies both health and biomedical issues as a central area of concern for critically oriented health geographers Features material that is alert to questions of global scale and difference, and sensitive to the political and economic as well sociocultural aspects of health Provides extensive pedagogic materials within the text and guidance for further study