The geography of health care systems

David Rosser PHILLIPS, Mark W. ROSENBERG, Kathleen WILSON

Research output: Book Chapters | Papers in Conference ProceedingsEntry for encyclopedia/dictionaryResearchpeer-review

Abstract

We begin by defining what is a health care system? As medical science and medical geography have evolved since the 1950s, so has thinking about what constitutes a health care system from a relatively simple system focusing on single physician practices, hospitals and asylums to complex systems of single and multiple group practices, community health and mental health centres, hospitals, long-term care (LTC) facilities, etc. As health care systems have become more complex so have the issues of access to health care services. The impacts of demographic transitions resulting from declining fertility rates, changes in internal migration patterns, legal and illegal immigration, forced migration resulting from wars and natural disasters challenge the notion of who has access to health care. Similarly, changing social and economic values also raise questions about who has access to health care. In every country, the questions of who should have access to the health care system and how do we make health care accessible is leading to the restructuring of health care systems. The sites of the health care system are increasingly contested places. Another outcome of restructuring or in some cases the breakdown or even collapse of national health care systems is that people are seeking health care from alternative or traditional health providers or in their homes creating new spaces in the health care system. We conclude our discussion by pointing to the growing complexity of the geography of health of care systems and the research challenges this creates.
Original languageEnglish
Title of host publicationEncyclopedia of Life Support Systems. Medical Sciences. Vol. 1
PublisherEolss Publishers
Pages169-180
Number of pages12
ISBN (Print)9781848267336
Publication statusPublished - 1 Jan 2007

Fingerprint

Geography
Delivery of Health Care
Health Services Accessibility
Medical Geography
Group Practice
Birth Rate
Health Services Research
Emigration and Immigration
Health
Population Dynamics
Long-Term Care
Disasters
Health Services
Mental Health
Economics

Cite this

PHILLIPS, D. R., ROSENBERG, M. W., & WILSON, K. (2007). The geography of health care systems. In Encyclopedia of Life Support Systems. Medical Sciences. Vol. 1 (pp. 169-180). Eolss Publishers.
PHILLIPS, David Rosser ; ROSENBERG, Mark W. ; WILSON, Kathleen. / The geography of health care systems. Encyclopedia of Life Support Systems. Medical Sciences. Vol. 1. Eolss Publishers, 2007. pp. 169-180
@inbook{b83daa3cbae049bf89cae50341e3ac80,
title = "The geography of health care systems",
abstract = "We begin by defining what is a health care system? As medical science and medical geography have evolved since the 1950s, so has thinking about what constitutes a health care system from a relatively simple system focusing on single physician practices, hospitals and asylums to complex systems of single and multiple group practices, community health and mental health centres, hospitals, long-term care (LTC) facilities, etc. As health care systems have become more complex so have the issues of access to health care services. The impacts of demographic transitions resulting from declining fertility rates, changes in internal migration patterns, legal and illegal immigration, forced migration resulting from wars and natural disasters challenge the notion of who has access to health care. Similarly, changing social and economic values also raise questions about who has access to health care. In every country, the questions of who should have access to the health care system and how do we make health care accessible is leading to the restructuring of health care systems. The sites of the health care system are increasingly contested places. Another outcome of restructuring or in some cases the breakdown or even collapse of national health care systems is that people are seeking health care from alternative or traditional health providers or in their homes creating new spaces in the health care system. We conclude our discussion by pointing to the growing complexity of the geography of health of care systems and the research challenges this creates.",
author = "PHILLIPS, {David Rosser} and ROSENBERG, {Mark W.} and Kathleen WILSON",
year = "2007",
month = "1",
day = "1",
language = "English",
isbn = "9781848267336",
pages = "169--180",
booktitle = "Encyclopedia of Life Support Systems. Medical Sciences. Vol. 1",
publisher = "Eolss Publishers",

}

PHILLIPS, DR, ROSENBERG, MW & WILSON, K 2007, The geography of health care systems. in Encyclopedia of Life Support Systems. Medical Sciences. Vol. 1. Eolss Publishers, pp. 169-180.

The geography of health care systems. / PHILLIPS, David Rosser; ROSENBERG, Mark W.; WILSON, Kathleen.

Encyclopedia of Life Support Systems. Medical Sciences. Vol. 1. Eolss Publishers, 2007. p. 169-180.

Research output: Book Chapters | Papers in Conference ProceedingsEntry for encyclopedia/dictionaryResearchpeer-review

TY - CHAP

T1 - The geography of health care systems

AU - PHILLIPS, David Rosser

AU - ROSENBERG, Mark W.

AU - WILSON, Kathleen

PY - 2007/1/1

Y1 - 2007/1/1

N2 - We begin by defining what is a health care system? As medical science and medical geography have evolved since the 1950s, so has thinking about what constitutes a health care system from a relatively simple system focusing on single physician practices, hospitals and asylums to complex systems of single and multiple group practices, community health and mental health centres, hospitals, long-term care (LTC) facilities, etc. As health care systems have become more complex so have the issues of access to health care services. The impacts of demographic transitions resulting from declining fertility rates, changes in internal migration patterns, legal and illegal immigration, forced migration resulting from wars and natural disasters challenge the notion of who has access to health care. Similarly, changing social and economic values also raise questions about who has access to health care. In every country, the questions of who should have access to the health care system and how do we make health care accessible is leading to the restructuring of health care systems. The sites of the health care system are increasingly contested places. Another outcome of restructuring or in some cases the breakdown or even collapse of national health care systems is that people are seeking health care from alternative or traditional health providers or in their homes creating new spaces in the health care system. We conclude our discussion by pointing to the growing complexity of the geography of health of care systems and the research challenges this creates.

AB - We begin by defining what is a health care system? As medical science and medical geography have evolved since the 1950s, so has thinking about what constitutes a health care system from a relatively simple system focusing on single physician practices, hospitals and asylums to complex systems of single and multiple group practices, community health and mental health centres, hospitals, long-term care (LTC) facilities, etc. As health care systems have become more complex so have the issues of access to health care services. The impacts of demographic transitions resulting from declining fertility rates, changes in internal migration patterns, legal and illegal immigration, forced migration resulting from wars and natural disasters challenge the notion of who has access to health care. Similarly, changing social and economic values also raise questions about who has access to health care. In every country, the questions of who should have access to the health care system and how do we make health care accessible is leading to the restructuring of health care systems. The sites of the health care system are increasingly contested places. Another outcome of restructuring or in some cases the breakdown or even collapse of national health care systems is that people are seeking health care from alternative or traditional health providers or in their homes creating new spaces in the health care system. We conclude our discussion by pointing to the growing complexity of the geography of health of care systems and the research challenges this creates.

UR - http://commons.ln.edu.hk/sw_master/3973

M3 - Entry for encyclopedia/dictionary

SN - 9781848267336

SP - 169

EP - 180

BT - Encyclopedia of Life Support Systems. Medical Sciences. Vol. 1

PB - Eolss Publishers

ER -

PHILLIPS DR, ROSENBERG MW, WILSON K. The geography of health care systems. In Encyclopedia of Life Support Systems. Medical Sciences. Vol. 1. Eolss Publishers. 2007. p. 169-180