Health Matters: Evidence, Critical Social Science, and Health Care in Canada
In Health Matters, contributors from a range of disciplinary and interdisciplinary traditions address multiple dimensions of health care, such as nursing, midwifery, home care, pharmaceuticals, medical education, and palliative care. Through their explorations, the book poses questions about the role that the forms of expertise associated with evidence-based health care play in shaping how we understand and organize health services. Authors critique instrumental, managerial ways of knowing health care and focus on how such ways of knowing limit our understandings of and responses to health care problems and are linked with the growing commodification, individualization, and privatization of Canadian health services. Working with analytic perspectives such as feminism, Marxist political economy, critical ethnography, science and technology studies, governmentality studies, and institutional ethnography, the volume demonstrates how critical social science perspectives contribute alternative perspectives about what counts as health care problems and how to best to address them.
- World Rights
- Page Count: 304 pages
- Dimensions: 6.0in x 0.9in x 9.0in
"Offering a refreshing analytic awareness of the constitutive ‘neoliberal’ effect on health care, Health Matters not only challenges the status quo, but is inspirational of social change; it reveals the systemic problems. Health Matters focuses on demonstrating how critical health research fills specific lacunae in contemporary health knowledge, thereby offering new and needed insights and inspiration for efforts to change the organization of Canadian health care, making it a serious advance in state-of-the-art research."
Marie Campbell, Professor Emerita, Faculty of Human and Social Development, University of Victoria
"Health Matters offers a number of timely, interesting, and useful critiques of trends in clinical practice, research, and management practices."
William Magee, Department of Sociology, University of Toronto
Author InformationEric Mykhalovskiy is a professor in the Department of Sociology at York University.
Jacqueline Choiniere is an associate professor with the School of Nursing in the Faculty of Health at York University.
Pat Armstrong is a Distinguished Research Professor of Sociology, Fellow of the Royal Society of Canada, and a professor in the Department of Sociology at York University.
Hugh Armstrong is a Distinguished Research Professor and professor emeritus of Social Work, Political Economy, and Sociology at Carleton University.
Table of contents
Eric Mykhalovskiy, Jacqueline A. Choiniere, Pat Armstrong, and Hugh Armstrong
SECTION 1—What Counts as Evidence?: Managerial Knowledge, Visibility and Experience
2. Dematerialization of Fundamental Nursing Care in an Era of Managerial Reforms
3. From “Making a Decision” to “Decision Making”: A Critical Reflection on a Discursive Shift
Mary Ellen Macdonald and David K. Wright
4. Code Work: RAI-MDS, Measurement, Quality and Work Organization in Long-term Care Facilities in Ontario
Tamara Daly, Jacqueline A. Choiniere, and Hugh Armstrong
5. Disputing Evidence: Canadian Health Professionals’ Responses to Evidence About Midwifery
Vicki Van Wagner RM, PhD and Elizabeth Darling RM, PhD
6. “Tell Me Where It Hurts:” A Case Study of the Impacts of Structural Violence, Syndemic Suffering, and Intergenerational Trauma on Indigenous People’s Health
Christianne V. Stephens
7. Satisfaction Not Guaranteed: Broadening the Discourse on Quality Improvement in the Home Care System
SECTION 2— Health Markets, Individualization and Commodification
8. Cigarette Packaging Legislation in Canada and the Smoking Subject
9. Public Good, or Goods for the Public: The Commercialization of Academic Health Research
Kelly Holloway and Matthew Herder
10. Making Sense of Vaginal Mesh
Ariel Ducey, with Barry Hoffmaster, Magali Robert, and Sue Ross
11. Seeking Disability Politics in Disability and Health-Related Non-Profit Organizations
12. Medical Laboratories: For-Profit Delivery and the Disintegration of Public Health Care
13. Nail Salons, Toxics and Health: Organizing for a Better Work Environment
Anne Rochon Ford
14. Conclusion. Health Matters: Research in Practice
Pat Armstrong, Hugh Armstrong, Jacqueline A. Choiniere, Eric Mykhalovskiy
About the Authors
Subjects and Courses