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Author: Annemarie Mol
ISBN : B001PDW7DE
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Format: PDF, EPUB
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**Shortlisted for the BSA Sociology of Health and Illness Book Prize 2010**
What is good care? In this innovative and compelling book, Annemarie Mol argues that good care has little to do with 'patient choice' and, therefore, creating more opportunities for patient choice will not improve health care.
Although it is possible to treat people who seek professional help as customers or citizens, Mol argues that this undermines ways of thinking and acting crucial to health care. Illustrating the discussion with examples from diabetes clinics and diabetes self care, the book presents the 'logic of care' in a step by step contrast with the 'logic of choice'. She concludes that good care is not a matter of making well argued individual choices but is something that grows out of collaborative and continuing attempts to attune knowledge and technologies to diseased bodies and complex lives.
Mol does not criticise the practices she encountered in her field work as messy or ad hoc, but makes explicit what it is that motivates them: an intriguing combination of adaptability and perseverance. The Logic of Care: Health and the problem of patient choice is crucial reading for all those interested in the theory and practice of care, including sociologists, anthropologists and health care professionals. It will also speak to policymakers and become a valuable source of inspiration for patient activists.
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- File Size: 382 KB
- Print Length: 142 pages
- Page Numbers Source ISBN: 0415453437
- Simultaneous Device Usage: Up to 4 simultaneous devices, per publisher limits
- Publisher: Routledge; 1 edition (May 24, 2008)
- Sold by: Amazon Digital Services, Inc.
- Language: English
- ASIN: B001PDW7DE
- Text-to-Speech: Enabled
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- Lending: Not Enabled
- Amazon Best Sellers Rank: #683,933 Paid in Kindle Store (See Top 100 Paid in Kindle Store)
Free The Logic of Care: Health and the Problem of Patient Choice
The ideal of individual choice has lately been enthusiastically embraced in health care as it tries to provide a counterweight to the overbearing paternalism that has characterized patient-professional relationships for so long. Furthermore, patient choice fits well with the drive towards market-based reforms to increase efficiency and competition and hence reduce the demands of a costly service system on cash-strapped governments.
Annemarie Mol's `The Logic of Care' is a wonderfully perceptive book that sensitively deconstructs the mantra of patient choice in contemporary health care. In criticizing the maxim of choice, Mol steers clear of a familiar argument that denies patients the emotional and cognitive abilities to make correct assessments about life or death questions. Rather than focusing on patients' abilities, Mol shows that people in care practices do not primarily figure as subjects of choice but as subjects of a much more nuanced meshwork of activities and judgments. So, instead of 'pushing professionals back into their cage' in the choice model, or allowing them paternalistically to do whatever they want, this book investigates the dense texture of a care practice that emerges around crucial substantive questions: how to live well, what to die from, how to shape good care?
Mol's ambition is not to supplant a monolithic and abstract choice-based discourse with another theoretical framework. Her approach is case based - focusing on the treatment of/life with diabetes - and Mol does not wish to stretch the logic of care articulated in her study beyond the boundaries of that particular case.
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