Integrated healthcare A way forward for the next five years? A discussion document

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Beyond Belief? Consumer Culture, Complementary Medicine, and the Dis-Ease of Everyday Life

The increasing popularity of complementary and alternative medicine (CAM) in the West raises profound questions for social scientists, not least because it is as much about consumerism as it is about health care. Although the sociology of CAM is well developed, its geography remains almost wholly unexplored. In this paper we argue that one of the main reasons for this neglect is the fact that (post)medical geography has found it extremely difficult to come to terms with the disconcerting fusion of health care and consumer culture, and its dispersion across a vast array of materials and practices that are often far removed from the established concerns of the subdiscipline. Accordingly, in this paper we approach the dispersed geography of CAM through two key sources of consumer information: a range of 'popular' health-related magazines produced for the UK market, contextualized in relation to a sample of twenty-four British-based patient support groups. Specifically, we consider three critical issues that are shaping the mass mediation of CAM: the displacement of efficacy; the abrogation of authority; and the cultivation of anxiety. The paper concludes with a brief consideration of a profoundly geographical problem: the difficulty of constructing effective pathways through a profusion of disparate materials and practices in a context that is literally beyond belief

Alternative medicine and the health care division of labour: present trends and future prospects

Consumer interest in alternative medicine has expanded greatly in western societies in recent years. This has been associated, among other things, with the rapid growth of the numbers and range of practitioners of such therapies. This article discusses from a neo-Weberian perspective the present influence of this development on the nature and form of the health care division of labour, with special reference to such trends as the increasing professionalization of alternative medicine and the growing incorporation of such therapies into orthodox medical delivery systems. The article also considers the possible future impact of rising public interest in therapies currently defined as alternative on the occupational structure in health care. Of particular interest in this context is the extent to which such unorthodox practices are likely to pose a challenge to long-established patterns of biomedical dominance in the division of labour