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GGR353H Lec 02.docx

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Caroline Barakat

GGR353H Lec 02 1/15/2013 8:18:00 AM Lecture outline  Theory in traditional medical Geo  Theory in new geo of health  Role of place  Critical health geo Traditional medical Geo  Curtis and Taket (1996)- 2 res who were interested in this topic as they were concerned with medical geo  Concerns: 1.-spatial variation of health 2.-health variations of healthcare- care or cure or treatment of ill health, disease prevention, and health promotion- equity and accessibility -interaction btw health and health services -Kearns R.A(1993)- „place and Health: Towards a reformed medical Geo”.  he spoke of several things regarding the traditional idea of health -„engagement with public health concerns and aspects of social theory‟ -link btw places and health –we need to take a deeper look with in this topic, ( places contain meanings) Kearns( 1993) exerts from his paper - “a preoccupation with spatial relationships btw indv. Places and insinuations, rather than with the health-related characteristics of place themselves” -“maintained a detached perspective in analyzing the links btw health and places” -“has neither been adequate analysis to the role of health or in contributing to the experience of place, nor has there been sufficient work in health services research that has adopted a place- centered theoretical perspective” -Entrikin (1991): “lies somewhere btw the subjectivity of experience of place and the knowledge of place as an object” New Conceptual models of Health - ideas of health rather than medicine – focuses on treatment - socio- ecological model- interactive set of relationships btw a population and their social, cultural, and physical environment – focuses on relationships *”Health is a state of complete physical, mental, and social well- being and not merely the absence of disease or infirmity” ( this explains that you don‟t have to be just one or the other, everything else has an impact on the individual so to be healthy you have to be mentally, socially, and physically well)  From treatment to prevention  “reorientation towards health and away from curative medicine converges on place, a key geographical concern” Examples i) Planned Home Birth- family centered event, empowering, satisfying, partner presence, healthy experience; ii) primary Health Care- bringing health care into small communities (Maori); contributes to the health of the place as well as the population - Health- related rather than medical concerns”, leading to two streams:  medical Geo- involve spatial and ecological perspective on diseases and health care delivery  Geo of health- considers the dynamic relationship btw health and place  “place and location” i.e. interpreting health experience with as well as analyzing data in order to integrate the issue of place, identity and health into medical geo  the environment has an impact on the envi Transitioning to Health Geo -Kearns (1995(- “stirring the water of formerly well defined routes of inquiry” -although no self- consciously post modern medical geo has emerge; post- modern consequences‟ are beginning to be evident in the field‟ -recognition of difference - recognition that heatlh……. Important shifts -“progress” through models of health and medicine -definition of health - social justice and the correction of inequities -introduction of gender concerns -matthrews( 1993)- field has been gender……… -naming the changed field of study -“blurring of boundaries but an acknowledgement of differences- position of other‟ - a measure of progress in medic
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