Values in Health Care
Social Science and Medicine. 1984; 19(4): 333-339.
In the first part of his paper, Gish identifies and discusses the health care values of five groups: the resource oriented, such as planners and economists; the disease oriented, such as physicians; political decision makers; organized sellers and purchasers of health care, such as insurers and trade unions; and patients and their families. He further divides the groups according to certain political/ideological and socioeconomic characteristics, essentially along capitalist and socialist/Marxist lines. The second part of the paper focuses on values in public health education and practice. Gish urges public health professionals to assume an adversarial stance vis-a-vis the market approach to health care in capitalist countries. An activist approach is necessary, he argues, to the development of healthier, more democratic societies, defined by Gish as socialist societies. (KIE abstract)
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