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Sociology of health in New Zealand
Kevin Dew and Allison Kirkman. Published by Oxford
University Press, 2002. ISBN 0-195584-54-6. Contains 303 pages. Price
$44.95
A broad range of sociological themes in health and
healthcare is canvassed in this readable text. The book is designed to support
introductory courses in the sociology of health but will have wider appeal,
being an accessible introduction to sociological analysis for readers from a
variety of backgrounds, including clinicians. The authors aim to
‘sensitise you to this approach, and to demonstrate the strengths of a
perspective that emphasises the social (rather than biological or psychological)
factors that shape our experiences of health and our relationship to health
services.’
Basic sociological concepts are explained in the
introductory chapter, and successive chapters discuss inequalities in health,
stigmatisation, sexuality, institutions of healthcare, medicalisation, death and
dying, the relationships between professional groups, consumerism, mental
health, the media, public health and health technology. The bibliography is a
fascinating collection of New Zealand research and selected overseas literature
for novices in this field, and the listing of relevant web sites is a bonus. A
glossary is provided to help overcome the jargon gap.
A major strength of this book is the use of recent New
Zealand material wherever possible to illustrate generic themes. However, a
brief overview for students of a wide range of topics must be limited in depth,
and so some complex and emotionally charged issues relevant to the working lives
of health professionals have been reduced to a few generalisations. The changes
in functioning and culture of healthcare institutions with the rise of
managerialism, and the demoralisation of the healthcare workforce with resulting
shortages, are major contemporary issues that are largely untouched. Differences
of attitudes, politics and understandings within groups are sometimes moulded
into painful caricatures, inviting readers to swallow them whole or cast them
aside. For readers of this journal, who have experienced the diverse realities
of actually working in the health sector in New Zealand over the past twenty
years, this can be somewhat alienating.
Overall, this book discusses a range of interesting and
important health-related issues, in a New Zealand context. The sociological
approach of the discussion may offer the reader new insights and new
challenges.
Jennie Connor
Department of Community Health University of Auckland |
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