By Rob Baggott (auth.)
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Extra info for Health and Health Care in Britain
In 1996 a survey by the Research Council for Complementary Medicine (British Medical Journal, 1996) found that in the previous year 10 per cent of the British public had consulted a practitioner of complementary medicine, with acupuncture, chiropractic, osteopathy, homoeopathy, herbal medicine and hypnotherapy being the most popular, accounting for three-quarters of those therapies used (over 150 other therapies were identified). Meanwhile, in other countries the public are even more enthusiastic about alternative medicine.
The extent to which the identification of disease is influenced by culture was explored in a comparative study of medicine and health in West Germany, France, Germany and the USA by Lynn Payer (1989). She claimed that the choice of diagnoses and treatments is not a scientific process, for two main reasons. First, most consultations are about health problems - such as, fatigue or anxiety, for example - for which there are no scientific solutions. Second, cultural factors, which vary from nation to nation, have a great impact on the treatment of disease and upon the diagnosis of illness.
Social structure and health o Social class, deprivation and health Interest in the relationship between social class and health in the UK was stimulated by the Black report of 1980 which found considerable inequalities in health status between different socio-economic groups (DHSS, 1980; Townsend, Davidson and Whitehead, 1992). Although an official report, this document was disowned by the government of the day, for reasons which will be discussed in later chapters. , 1994; Smith, Bartley and Blane, 1990; Townsend, Davidson and Whitehead, 1992; Whitehead, 1987).