CONTENTS // Preface xi // Acknowledgments xv // PART I INTRODUCTION 1 // Summary 53 // Critical Thinking Questions 53 Suggested Readings 53 References 54 // 1 Medical Sociology 3 // The Social Determinants of Health 4 The Development of Medical Sociology 5 Defining Health 10 // Contrasting Ideas About Health and Social Behavior 11 // The Reemergence of Infectious Diseases 16 // Bioterrorism 23 // Bioethics 25 // Summary 26 // Critical Thinking Questions 27 Suggested Readings 27 Note 27 References 27 // 2 Epidemiology 31 // Epidemiological Measures 32 // The Development of Epidemiology 34 // Disease and Modernization 37 // The Complexity of Modern Ills 39 // Pandemics: HIV/AIDS and Influenza 43 // HIV/AIDS 43 // Influenza 51 // 3 The Social Demography of Health: Social Class 57 // The Components of Social Class 59 // Modern Diseases and the Poor 65 // Equality of Care and the Social Gradient in Mortality: The British Experience 68 // Neighborhood Disadvantage 71 // SES as a Fundamental Cause of Sickness and Mortality 74 // Summary 77 // Critical Thinking Questions 77 Suggested Readings 77 References 77 // 4 The Social Demography of Health: Gender, Age, and Race 84 // Gender 85 Age 98 Race 101 Summary 113 // Critical Thinking Questions 114 Suggested Readings 114 References 114 // VII // viii Contents // PARTII HEALTH AND ILLNESS 121 // 5 Social Stress and Health 123 // Cooley, Thomas, and Goffman: // Symbolic Interaction 124 // Durkheim: The Larger Society 127 // Stress 130 // Social
Factors and Stress 133 Life Changes 138 Gene-environment Interaction 144 Summary 145 // Critical Thinking Questions 145 Suggested Readings 145 References 146 // 6 Health Behavior and Lifestyles 151 // Health Lifestyles 153 Preventive Care 163 Summary 164 // Critical Thinking Questions 165 Suggested Readings 165 References 165 // 7 Illness Behavior 168 // Self-Care 170 // Sociodemographic Variables 170 // Recognizing and Coping with Illness Symptoms 182 // Summary 184 // Critical Thinking Questions 185 Suggested Readings 185 References 185 // PARTHI SEEKING HEALTH CARE 187 // 8 The Sick Role 189 // Illness as Deviance 190 // The Functionalist Approach to Deviance 192 // The Sick Role 194 // Medicalization 200 // Criticism of the Sick Role 202 // Labeling Theory 208 // Sickness as Social Deviance? 211 // Being Sick and Disabled 212 // Stigma 213 // Summary 215 // Critical Thinking Questions 216 Suggested Readings 216 References 216 // 9 Doctor-Patient Interaction 219 Models of Interaction 221 Misunderstandings in Communication 224 Communication and Class Background 226 Male Physicians and Women Patients 227 Women Physicians 228 // Cultural Differences in Communication 230 // Patient Compliance 232 // The Future of Doctor-Patient Relations 233 // Doctor-Patient Relations and New Technology 234 // The New Genetics 238 // Summary 242 // Contents IX // Critical Thinking Questions 242 Suggested Readings 242 References 242 // PART IV PROVIDING HEALTH CARE 247 // 10 Physicians 249 // The
Professionalization of the Physician 250 // The Control of Medical Education 255 // The Socialization of the Physician 258 // Osteopaths 264 // The Power Structure of American Medicine 265 // Summary 268 // Critical Thinking Questions 268 Suggested Readings 268 References 269 // 11 The Physician in a Changing Society 272 // Social Control of Medical Practice 274 // Countervailing Power 279 // Government Regulation 280 // Managed Care 281 // The Coming of the Corporation 282 // The Changing Physician-Patient Relationship 285 // The Deprofessionalization of Physicians 286 // The Evolution of the Organization of Medical Practice 288 // Summary 289 // Critical Thinking Questions 289 Suggested Readings 289 References 289 // 12 Nurses, Physician Assistants, Pharmacists, and Midwives 292 // Nursing: Past and Present 293 Nursing: Future Trends 303 Physician Assistants 306 Pharmacists 307 Midwives 308 Summary 309 // Critical Thinking Questions 310 Suggested Readings 310 References 310 // 13 Complementary and Alternative Medicine (CAM) 312 // Complementary and Alternative Medicine (CAM) 313 // Chiropractors 315 // Religion and Faith Healing 316 // Folk Healing 321 // Summary 328 // Critical Thinking Questions 328 Suggested Readings 329 References 329 // X Contents // PART V HEALTH CARE DELIVERY SYSTEMS 333 // 14 Hospitals 335 // The Development of the Hospital as a Social Institution 336 // Hospitals in the United States 340 // The Organization of the Nonprofit Community Hospital 342
The Hospital Patient Role 348 // The Rising Cost of Hospitalization 352 // Summary 356 // Critical Thinking Questions 356 Suggested Readings 356 Note 356 References 357 // 15 Health Care Reform and Health Policy in the United States 359 // Rising Costs 361 // The Road to Health Care Reform 364 Equity in Health Services 376 // Geographic Distribution of Services 377 Overview of Health Care Delivery 378 Health Care: A Right or a Privilege? 382 Summary 385 // Critical Thinking Questions 386 Suggested Readings 386 Notes 386 References 387 // 16 Global Health Care 389 // Socialized Medicine: Canada, Britain, and Sweden 394 // Decentralized National Health Programs: Japan, Germany, and Mexico 403 // Socialist Medicine: Alterations in Russia an China 411 // Conclusion 420 // Critical Thinking Questions 421 // Suggested Readings 421 // References 422 // Name Index 426 Subject Index 432