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Extra info for Understanding Health Services (Understanding Public Health)
Sample text
In the previous chapter you saw that lay care has a major influence on formal care. You will now explore the concepts of diseases and medical knowledge, which are fundamental to understanding health services. You will learn what disease is and how categories of diseases change over time. You will also explore how cultural factors affect medical knowledge and how this contributes to our understanding of international differences between health services. Learning objectives By the end of this chapter you will be better able to: • outline the concept of ‘disease’ and describe how it relates to social and cultural factors • describe the generation of medical knowledge and give examples of how categories of diseases arise • analyse the relationship between culture and medicine and exemplify how cultural factors affect international comparison.
Unlike the preceding attitude, the independence of lay carers is encouraged rather than restricted and controlled. Lay contributions are seen as an opportunity rather than a threat. Summary Health care encompasses a wide range of activities with a primary intention to improve health. The distinction between formal and lay care is important for understanding the scope of health care. The major part of care is provided by the lay sector in an informal setting and is unpaid. Lay care is a major determinant of the amount of formal care consumed.
In all the 10 focus groups and 20 unstructured interviews, self-care was a predominant option in dealing with STDs. Self-care is particularly important in STDs due to the shame and stigma and social cost attached to the management of the illness. Although there is little consistency in the definition of self-care among researchers, studies have shown that as much as 65–85% of health care is self-care. In the absence of studies on the quality of self-care that STD patients are providing for themselves, there is a potential danger of the emergence of resistant strains of STD organisms, of partially treated STDs and hence of increased complications.
