The Physician-Legislators of France


Book Description

Explores the causes and significance of the political influence gained by French medical doctors between 1870-1914.




Organization and Financing of Public Health Services in Europe


Book Description

What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).




Building Primary Care in a Changing Europe


Book Description

For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.




Voluntary Health Insurance in Europe: Country Experience


Book Description

No two markets for voluntary health insurance (VHI) are identical. All differ in some way because they are heavily shaped by the nature and performance of publicly financed health systems and by the contexts in which they have evolved. This volume contains short structured profiles of markets for VHI in 34 countries in Europe. These are drawn from European Union member states plus Armenia Iceland Georgia Norway the Russian Federation Switzerland and Ukraine. The book is aimed at policy-makers and researchers interested in knowing more about how VHI works in practice in a wide range of contexts. Each profile written by one or more local experts identifies gaps in publicly-financed health coverage describes the role VHI plays outlines the way in which the market for VHI operates summarises public policy towards VHI including major developments over time and highlights national debates and challenges. The book is part of a study on VHI in Europe prepared jointly by the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe. A companion volume provides an analytical overview of VHI markets across the 34 countries.




The End of the Soul


Book Description

On October 19, 1876, a group of leading French citizens, both men and women, joined together to form an unusual group, the Society of Mutual Autopsy, with the aim of proving that souls do not exist. This is the story of this group of atheists who createdthe science of anthropology.




Approaching Hysteria


Book Description

Few diseases have exercised the Western imagination as chronically as hysteria--from the wandering womb of ancient Greek medicine, to the demonically possessed witch of the Renaissance; from the "vaporous" salong women of Enlightenment Paris, through to the celebrated patients of Sigmund Freud, with their extravagant, erotically charged symptoms. In this fascnating and authoritative book, Mark Micale surveys the range of past and present readings of hysteria by intellectual historians; historians of science and medicine; scholars in gender studies, art history, and literature; and psychoanalysts, psychiatriasts, clinical psychologists, and neurologists. In so doing, he explores numerous questions raised by this evergrowing body of literature: Why, in recent years, has the history of hysterical disorders carried such resonance for commentators in the sciences and humanities? What can we learn form the textual traditions of hysteria about writing the history of disease in general? What is the broader cultural meaning of the new hysteria studies? In the second half of the book, Micale discusses the many historical "cultures of hysteria." He reconstructs in detail the past usages of the hysteria concept as a powerful, descriptive trope in various nonmedical domains, including poetry, fiction, theater, social thought, political criticism, and the arts His book is a pioneering attempt to write the historical phenomenology of disease in an age preoccupied with health, and a prescriptive remedy for writing histories of disease in the future. Mark S. Micale is Assistant Professor of History at Yale. He is the editor of Beyond the Unconscious: Essays of Henri F. Ellenberger (Princeton). Originally published in 1994. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.




From Popular Medicine to Medical Populism


Book Description

From Popular Medicine to Medical Populism presents the history of medical practice in Costa Rica from the late colonial era—when none of the fifty thousand inhabitants had access to a titled physician, pharmacist, or midwife—to the 1940s, when the figure of the qualified medical doctor was part of everyday life for many of Costa Rica’s nearly one million citizens. It is the first book to chronicle the history of all healers, both professional and popular, in a Latin American country during the national period. Steven Palmer breaks with the view of popular and professional medicine as polar opposites—where popular medicine is seen as representative of the authentic local community and as synonymous with oral tradition and religious and magical beliefs and professional medicine as advancing neocolonial interests through the work of secular, trained academicians. Arguing that there was significant and formative overlap between these two forms of medicine, Palmer shows that the relationship between practitioners of each was marked by coexistence, complementarity, and dialogue as often as it was by rivalry. Palmer explains that while the professionalization of medical practice was intricately connected to the nation-building process, the Costa Rican state never consistently displayed an interest in suppressing the practice of popular medicine. In fact, it persistently found both tacit and explicit ways to allow untitled healers to practice. Using empirical and archival research to bring people (such as the famous healer or curandero Professor Carlos Carbell), events, and institutions (including the Rockefeller Foundation) to life, From Popular Medicine to Medical Populism demonstrates that it was through everyday acts of negotiation among agents of the state, medical professionals, and popular practitioners that the contours of Costa Rica’s modern, heterogeneous health care system were established.










Consuming Visions


Book Description

Plastic Madonnas, packaged holy tours, and biblical theme parks can arouse discomfort, laughter, and even revulsion in religious believers and nonbelievers alike. Scholars, too, often see the intermingling of religion and commerce as a corruption of true spirituality. Suzanne K. Kaufman challenges these assumptions in her examination of the Lourdes pilgrimage in late nineteenth-century France.Consuming Visions offers new ways to interpret material forms of worship, female piety, and modern commercial culture. Kaufman argues that the melding of traditional pilgrimage activities with a newly developing mass culture produced fresh expressions of popular faith. For the devout women of humble origins who flocked to the shrine, this intensely exciting commercialized worship offered unprecedented opportunities to connect with the sacred and express their faith in God.New devotional activities at Lourdes transformed the act of pilgrimage: the train became a moving chapel, and popular entertainments such as wax museums offered vivid recreations of visionary events. Using the press and the strategies of a new advertising industry to bring a mass audience to Lourdes, Church authorities remade centuries-old practices of miraculous healing into a modern public spectacle. These innovations made Lourdes one of the most visited holy sites in Catholic Europe.Yet mass pilgrimage also created problems. The development of Lourdes, while making religious practice more democratically accessible, touched off fierce conflicts over the rituals and entertainments provided by the shrine. These conflicts between believers and secularists played out in press scandals across the European continent. By taking the shrine seriously as a site of mass culture, Kaufman not only breaks down the opposition between sacred and profane but also deepens our understanding of commercialized religion as a fundamental feature of modernity itself.