Health Matters: Evidence, Critical Social Science, and Health Care in Canada

Edited by Eric Mykhalovskiy, Jacqueline A. Choiniere, Pat Armstrong, and Hugh Armstrong

© 2020

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.

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Product Details

  • World Rights
  • Page Count: 304 pages
  • Dimensions: 6.0in x 0.9in x 9.0in
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  • PUBLISHED JUN 2020
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This book calls into question the complexity of social, political, cultural, and technological aspects of the health care system. It explores how critical social science research can be put into action to improve health care in Canada.

Health Matters: Evidence, Critical Social Science, and Health Care in Canada

Edited by Eric Mykhalovskiy, Jacqueline A. Choiniere, Pat Armstrong, and Hugh Armstrong

© 2020

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.

Continue Reading Read Less

Product Details

  • World Rights
  • Page Count: 304 pages
  • Dimensions: 6.0in x 0.9in x 9.0in
  • Reviews

    "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 Information

    Eric 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

    1.Introduction
    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
    Craig Dale

    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
    Alisa Grigorovich

    SECTION 2— Health Markets, Individualization and Commodification

    8. Cigarette Packaging Legislation in Canada and the Smoking Subject
    Kirsten Bell

    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
    Christine Kelly

    12. Medical Laboratories: For-Profit Delivery and the Disintegration of Public Health Care
    Ross Sutherland

    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

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