Rethinking Women’s Health: Implications For Research, Medical Care, and Public Policy

1996 ◽  
Vol 12 (5) ◽  
pp. 291 ◽  
Author(s):  
Deborah N. Pearlman ◽  
Charlotte S. Seidman
1983 ◽  
Vol 13 (3) ◽  
pp. 373-387 ◽  
Author(s):  
Lesley Doyal

The women's health movement in Britain can be divided into three main stages. During the first period, most activities took place outside the National Health Service (NHS) and the emphasis was on women as consumers of medical care. Feminists exposed the sexism inherent in most medical practice and stressed the need for women to gain control of reproductive technology. During the second phase, these priorities shifted toward a greater concern with the need to defend the NHS against reductions in resources and to oppose the increasing privatization of medical care. These campaigns involved women not only as users of medical services but also as health workers, thereby bringing the women's health movement into the wider political arena. They also led to the growth of a socialist feminist analysis of women's health issues and a recognition that feminist participation in health struggles is essential if the NHS is to be not merely defended but qualitatively changed to meet the real needs of consumers and workers. During the third (and current) stage of the women's health movement, feminists have moved beyond a concern with medical care alone toward the development of a socialist feminist epidemiology—toward the identification and eventual elimination of those aspects of contemporary society that make women sick.


1994 ◽  
Vol 20 (1-2) ◽  
pp. 147-167
Author(s):  
Marc A. Rodwin

This article contrasts the prevailing model for assessing and improving medical care—the quality of care paradigm—with an alternative approach—the patient accountability paradigm. The first approach is technocratic: it measures and promotes the quality of medical care through technical and objective means. It relies on outside experts, analysis of data and protocols, and impersonal judgements of professionals to guide decisions. The second approach guides physicians and providers and subjects them to patient control. It enlists the participation of patients and consumers to evaluate and change the medical care system and to promote the rights and choices of patients and consumers. The strengths and limitations of the patient accountability approach are illustrated by four movements: 1) the patients’ rights movement; 2) medical consumerism; 3) the women’s health movement; and 4) the disability rights movement.


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