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Showing papers in "Social Science & Medicine in 1979"


Journal ArticleDOI
TL;DR: It is argued that current critiques of medical expansion are in some places misleading of exaggerated, for this young discipline and its ally, public health, have a vested interest in the diminution of the present form of the medical empire.

135 citations


Journal ArticleDOI
Igun Ua1
TL;DR: An eleven stage model of the stages of health-seeking, made up of symptoms-experience stage; sell-treatment stage; communication to significant others stage; assessment of symptoms stage; assumption of the sick-role stage; expression of concern stage; and recovery and rehabilitation stage are presented.

98 citations


Journal ArticleDOI
TL;DR: A controlled trial of crisis intervention with patients hospitalized for treatment of road trauma shows that crisis intervention was effective in returning patients to normal functioning at 3–4 months after injury and may have reduced length of hospitalization.

95 citations


Journal ArticleDOI
TL;DR: Perinatal mortality did not increase among the smokers, but birth weight was lower, and both morbidity and mortality up to the age of five were higher than among the controls.

68 citations


Journal ArticleDOI
TL;DR: It is suggested that themodern system can be consciously articulated downwards so as to increase the potential for integration with traditional medicine at the village level through referral systems and training programs while traditional medicine can be supported by the modern system with the use of village health aides.

53 citations


Journal ArticleDOI
TL;DR: A simple gravity model is proposed as an economical and easy to update technique for HSAs based on a patient flow matrix from small, census tract size neighborhoods to the existing hospitals, which helps the planners to identify underserved areas, provide hospital administrators with a method to define their service area and make it possible to predict changes in flow patterns should existing facilities expand or restrict their capacities.

51 citations



Journal ArticleDOI
TL;DR: A high and persisting level of psychiatric morbidity was found mainly involving neurotic and psychosomatic symptoms and a review of the literature on stress and its relevance for psychiatry was followed.

35 citations


Journal ArticleDOI
TL;DR: This paper summarizes this process of consolidation of the concept of Primary Health Care, gives some examples of national plans, and then deals with types of support that facilitate community participation.

35 citations


Journal ArticleDOI
TL;DR: The answers showed, that attenders and non-attenders are comparatively well-informed on the features of the programme, the hazards of cancer and the necessity of early detection.

28 citations


Journal ArticleDOI
TL;DR: The role of the traditional and spiritual healers in the area, the type of patients who visit particular healers, the factors which influence their choice, and the reason for the popularity of traditional and Spiritual healers despite increasing urbanisation and expansion of medical facilities are addressed.

Journal ArticleDOI
TL;DR: There is a need for more examination of the structural issues involved and the danger of a “blaming the victim ideology” developing, a danger especially present for certain groups such as the low socioeconomic groups.

Journal ArticleDOI
TL;DR: A methodological overview of empirical research in the role of the family in health and illness, plagued by methodological imprecision and minimal integration with family theory is examined.


Journal ArticleDOI
TL;DR: An attempt is made to explain and predict illness and personal life satisfaction from life change events, age, sex, education, marital status, income, and occupation.

Journal ArticleDOI
F.M. Mburu1
TL;DR: This paper discusses the system available to the rural population, how it is implemented and goes on to show that the Kenyan health development programme stresses the improvement of hospitals in urban areas rather than the Improvement of rural health services.

Journal ArticleDOI
TL;DR: The findings of this research show that chronological age alone does not affect the pattern of residential mobility of the elderly, and other socioeconomic variables, together with the above-mentioned processes and theories, are also responsible for their decision-making process.

Journal ArticleDOI
TL;DR: Additional negative effects in the organization of the public health sector produced by the near medical monopoly of decisions are discussed.


Journal ArticleDOI
TL;DR: Staff have been particularly concerned with strengthening the health service infrastructure in the area in order thai project activities can be replicated elsewhere.

Journal ArticleDOI
TL;DR: Compared to other groups, female health professionals showed a bias against both healthy and ill males by attributing less socially desirable traits to them, supporting the hypothesis that men suffer a loss of sexual identity when ill.

Journal ArticleDOI
TL;DR: The ways in which health planning may be a channel through which a more systematic process of decision making can be incorporated into general economic development in developing countries are discussed.


Journal ArticleDOI
TL;DR: The paper provides a brief review of trends in organization theory in the recent past and goes on to show that British work in the field of health has been a reasonably faithful reflection of these trends.

Journal ArticleDOI
TL;DR: In this paper, the authors examine the various factors affecting health policies in Kenya, with special reference to the role of church-related health organizations, and the increasingly important role of the state has led to conflict over the financing and development of health-promoting facilities in Africa.

Journal ArticleDOI
TL;DR: The state of the art of comparative research in health care systems is characterized and those anthropologists who emphasize the concept of culture as the prime independent variable shaping a medical system are sufficiently equipped to approach pluralistic settings and to explain change.


Journal Article
TL;DR: The results show that people in urban areas and the more highly educated are more demanding in regard to the social participation they expect from the physician and more rural people and also the younger ones consider the physician more active in the society.


Journal ArticleDOI
TL;DR: Utilizing suitable indicators for anomie, isolation, and psychopathology the relative contributions of these factors to Florida white suicide rates were found by path analysis.