From Self-Care to Healing Justice

2020 ◽  
pp. 141-180
Author(s):  
Patricia Zavella
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Self Care ◽  
Historical Trauma ◽  
Communities Of Color ◽  
Spiritual Activism ◽  
Care Systems

Drawing on Gloria Anzaldúa’s thinking about spiritual activism, this chapter presents four cases of self-care as well as public practices that help communities heal from historical trauma. It argues that the work of self-care and spiritual activism in communities of color contests the individualism embedded in neoliberal health-care systems and instead crafts the collective politics of healing justice.

Alternative Healing as Magical Self-Care in Alternative Modernity

Numen ◽  
2015 ◽  
Vol 62 (4) ◽  
pp. 431-459
Author(s):  
Anne Koch
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Self Care ◽  
Spiritual Healing ◽  
Medical Pluralism ◽  
Medical Treatments ◽  
Alternative Healing ◽  
Alternative Modernities ◽  
Care Systems ◽  
Rational Knowledge

Alternative healing, including spiritual healing, unconventional, traditional/folk, and complementary medical treatments, is an increasingly relevant health-care resource in contemporary health-care systems, and a broad, constantly changing, and heterogeneous field of medical pluralism. Some suggestions for classifying spiritual healing as presented in the academic and gray literature are summarized and discussed. The findings are interpreted in terms of the paradigm of alternative modernities. In the direction of, but also in addition to, this paradigm, magic is introduced as a concept to denote certain highly ambiguous occurrences in the alternative modern. Magic is still very much alive and not easy to identify merely as a counterpart of rational, knowledge-generating, disembodying modernity. In this setting, spiritual healing might be seen as a form of magical self-care. Magic is neither modern nor traditional nor irrational per se, but has to be contextualized and described in terms of characteristics like holistic diagnosis, interpersonal congruence, the imaginations of agency, and efficacy.

Self-Care is Not a Solipsistic Trap: A Reply to Critics

1980 ◽  
Vol 10 (2) ◽  
pp. 329-336 ◽  
Author(s):  
Alfred H. Katz ◽  
Lowell S. Levin
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Self Care ◽  
The Self ◽  
Social Awareness ◽  
Victim Blaming ◽  
Empirical Examination ◽  
Social Resistance ◽  
Self Help ◽  
Care Systems

This paper is an answer to criticism of the self-care, self-help movement in health recently advanced by Robert Crawford and other writers. The authors review the multiple and varied origins, motivations, and ideologies associated with self-care developments. It is maintained that the self-care movement embodies a broad, popular social resistance to the ills, inequities, and iatrogenic elements in highly technological health care systems. Empirical examination of specific programs and formulations of this movement reveals that it cannot be fitted into a simplistic “victim-blaming” ideology, but instead operates to decrease dependency and heighten individual and political/social awareness of hazards to health.

scholarly journals Assessing the Relative Effectiveness of Combining Self-Care with Practitioner-Delivered Complementary and Integrative Health Therapies to Improve Pain in a Pragmatic Trial

Pain Medicine ◽  
2020 ◽  
Vol 21 (Supplement_2) ◽  
pp. S100-S109
Author(s):  
Steven B Zeliadt ◽  
Scott Coggeshall ◽  
Hannah Gelman ◽  
Marlena H Shin ◽  
A Rani Elwy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Pragmatic Trial ◽  
Self Care ◽  
Pain Patient ◽  
Business Practices ◽  
Health Administration ◽  
Integrative Health ◽  
Patient Reported ◽  
Care Systems

Abstract Background Many health care systems are beginning to encourage patients to use complementary and integrative health (CIH) therapies for pain management. Many clinicians have anecdotally reported that patients combining self-care CIH therapies with practitioner-delivered therapies report larger health improvements than do patients using practitioner-delivered or self-care CIH therapies alone. However, we are unaware of any trials in this area. Design The APPROACH Study (Assessing Pain, Patient-Reported Outcomes and Complementary and Integrative Health) assesses the value of veterans participating in practitioner-delivered CIH therapies alone or self-care CIH therapies alone compared with the combination of self-care and practitioner-delivered care. The study is being conducted in 18 Veterans Health Administration sites that received funding as part of the Comprehensive Addiction and Recovery Act to expand availability of CIH therapies. Practitioner-delivered therapies under study include chiropractic care, acupuncture, and therapeutic massage, and self-care therapies include tai chi/qi gong, yoga, and meditation. The primary outcome will be improvement on the Brief Pain Inventory 6 months after initiation of CIH as compared with baseline scores. Patients will enter treatment groups on the basis of the care they receive because randomizing patients to specific CIH therapies would require withholding therapies routinely offered at VA. We will address selection bias and confounding by using sites’ variations in business practices and other encouragements to receive different types of CIH therapies as a surrogate for direct randomization by using instrumental variable econometrics methods. Summary Real-world evidence about the value of combining self-care and practitioner-delivered CIH therapies from this pragmatic trial will help guide the VA and other health care systems in offering specific nonpharmacological approaches to manage patients’ chronic pain.

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems

Barriers versus promotion: Culturally sensitive healthcare for elderly Turkish migrants in Austria and Germany

2014 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Nevin Altıntop
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Elderly Care ◽  
Field Research ◽  
Diversity Management ◽  
Culturally Sensitive ◽  
Turkish Migrants ◽  
Care Givers ◽  
Individual Care ◽  
Care Systems

What is the perception of Turkish migrants in elderly care? The increasing number of elder migrants within the German and Austrian population is causing the challenge of including them in an adequate (culturally sensitive) way into the German/Austrian health care system. Here I introduce the perception of elder Turkish migrants within the predominant paradigm of intercultural opening of health care in Germany as well as within the concept of diversity management of health care in Vienna (Austria). The qualitative investigation follows a field research in different German and Austrian cities within the last four years and an analysis based on the Grounded Theory Methodology. The meaning of intercultural opening on the one hand, and diversity management on the other hand with respect to elderly care will be evaluated. Whereas the intercultural opening directly demands a reduction of barriers to access institutional elderly care the concept of diversity is hardly successful in the inclusion of migrants into elderly care assistance – concerning both, migrants as care-givers and migrants as care-receivers. Despite the similarities between the health care systems of Germany and Austria there are decisive differences in the perception and inclusion of migrants in elderly care that is largely based on an 'individual care' concept of the responsible institutions. Finally, this investigation demonstrates how elderly care in Germany and Austria prepares to encounter the demand of 'individual care' in a diverse society.

Modernization, Globalization, Trends, and Convergence in Health Expenditure in Latin America and the Caribbean

2015 ◽  
Vol 1 (2) ◽  
pp. 321-346 ◽  
Author(s):  
Shiri Noy ◽  
Patricia A. McManus
Keyword(s):  
Health Care ◽  
Latin America ◽  
Health Care Systems ◽  
Health Care Financing ◽  
Health Spending ◽  
Modernization Theory ◽  
The Public ◽  
National Differences ◽  
Care Systems ◽  
Public Private Mix

Are health care systems converging in developing nations? We use the case of health care financing in Latin America between 1995 and 2009 to assess the predictions of modernization theory, competing strands of globalization theory, and accounts of persistent cross-national differences. As predicted by modernization theory, we find convergence in overall health spending. The public share of health spending increased over this time period, with no convergence in the public-private mix. The findings indicate robust heterogeneity of national health care systems and suggest that globalization fosters human investment health policies rather than neoliberal, “race to the bottom” cutbacks in public health expenditures.

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