What about the workers? The missing geographies of health care

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Abstract

Geographies of health have neglected relevant consideration of health human resources. Five developments in the sub-discipline are examined to demonstrate how health labour has been neglected. Three research themes, circulation, regulation and distribution, are then presented to indicate the value of a greater focus on health workers for the geography of health, and we suggest that deeper analytical engagement with labour and feminist geographies can support this. Each theme points to the increasingly global organization of health care and the need for health geographers to seriously examine the role of health workers during a period of health transformation, globalization, and privatization.

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THE INVERSE CARE LAW

Julian Tudor Hart (1971)

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Global production networks: realizing the potential

P. Dicken, M. Hess, N. M. Coe (2008)

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Understanding and representing 'place' in health research: a relational approach.

Steven Cummins, Sarah V Curtis, Ana V Diez-Roux … (2007)

Epidemiology, sociology, and geography have been successful in re-establishing interest in the role of place in shaping health and health inequalities. However, some of the relevant empirical research has relied on rather conventional conceptions of space and place and focused on isolating the "independent" contribution of place-level and individual-level factors. This approach may have resulted in an underestimate of the contribution of 'place' to disease risk. In this paper we argue the case for extensive (quantitative) as well as intensive (qualitative) empirical, as well as theoretical, research on health variation that incorporates 'relational', views of space and place. Specifically, we argue that research in place and health should avoid the false dualism of context and composition by recognising that there is a mutually reinforcing and reciprocal relationship between people and place. We explore in the discussion how these theoretical perspectives are beginning to influence empirical research. We argue that these approaches to understanding how place relates to health are important in order to deliver effective, 'contextually sensitive' policy interventions.

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Author and article information

Journal

Title: Progress in Human Geography

Abbreviated Title: Progress in Human Geography

Publisher: SAGE Publications

ISSN (Print): 0309-1325

ISSN (Electronic): 1477-0288

Publication date Created: April 2016

Publication date (Electronic): February 18 2015

Publication date (Print): April 2016

Volume: 40

Issue: 2

Pages: 158-176

Affiliations

[1 ]The University of Sydney, Australia

[2 ]The Balsillie School of International Affairs, Waterloo, ON, Canada

Article

DOI: 10.1177/0309132515570513

SO-VID: 97dba33a-f97e-4f8d-b2cf-9c503eeed065

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http://journals.sagepub.com/page/policies/text-and-data-mining-license

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