Health and Illness in the Neoliberal Era in Europe

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Health and illness in the Neoliberal Era in Europe discusses the impact of neoliberalism on public health and the social construction of health and illness in Europe, analysing case studies at a European and national level. The book focusses on three main topics: health inequity, self-responsibilisation and organisational reforms. Increasing inequity is one of the main outcomes of neoliberal policy in Europe and here the authors examine the impact of neoliberal policies on health inequality, providing a European comparative data analysis of healthy life expectancy and mental health issues in Spain. The book looks at self-responsibilisation, as part of neoliberal citizenship, through topics such as crowdsourcing medicine and citizen science. Finally, it analyses organizational reform in Europe using three case studies: Italian national health care reforms, mental health policy in Italy and maternal care in Russia. The book includes contributions from the Czech Republic, Italy, Russia and Spain and fosters the development of sociological debate in such countries within a European framework. It presents quantitative data analysis as well as ethnographic research and outlines a complex scenario affecting the everyday life of European citizens, their health and illness.

Author(s): Jonathan Gabe, Mario Cardano, Angela Genova
Publisher: Emerald Publishing
Year: 2020

Language: English
Pages: 220
City: Bingley

Half Title Page
Title Page
Copyright Page
Dedication Page
Contents
List of Figures and Tables
List of Contributors
About the Editors
Acknowledgements
Introduction
References
Inequities
Chapter One-Neoliberal Epidemics: Etiology, A Bit of History, and a View from Ground Zero
1. Introduction: Why Neoliberal Epidemics?
2. The Analytical Indispensability of Neoliberalism
3. Observations from Ground Zero: Austerity in the UK Post-2010
4. Conclusion: Future Directions
References
Chapter Two-Health Inequalities in Europe: Policy Matters in the Neoliberal Era
1. Introduction
2. Theoretical Framework. Health Inequalities in Europe: Places Matter
3. Inequalities in Healthy Life Expectancy for the Older People in Europe
4. Data and Analysis
4.1. Changes in HLY65+ within Each Member State and Welfare Regimes
4.2. Correlation between Income Inequality and HLY65+
5. Conclusion: Policy Matters in the Neoliberal Era
References
Chapter Three-Economic Crisis, Young Adults and Health in Spain
1. Introduction
2. Methodology
3. Results
3.2. Mental Health
4. Conclusions
References
Self-responsibilisation
Chapter Four-Citizenship, Neoliberalism and Healthcare
1. Introduction
2. Healthcare, Neoliberalism and Citizenship
3. Neoliberalism and Healthcare in the Czech Republic
4. From Neoliberal Citizenship to Citizenship in the Neoliberal Era
4.1. Patient Compliance with Neoliberalism
4.2. Patient Appropriation of Neoliberalism
4.3. Patient Resistance to Neoliberalism
5. Discussion and Conclusions
Bibliography
Chapter Five-Crowdsourcing in Medicine in the Neoliberal Era
1. Crowdsourcing in Medicine
1.1. The Conceptual Background
1.2. Experiences and Platforms for Crowdsourcing in Medicine
2. Bottom-Up and Top-Down: The Neoliberal Roots of Crowdsourcing in Medicine
3. The Client, Citizen and Expert Patient, and the Crowd
4. Conclusions: Data Philanthropy and the Neoliberal Form of Participation
References
Chapter Six-Adjusting Life to Illness or Illness to Life? Reflections on Children’s Competences in the Neoliberal Era
1. Children and Health from the Neoliberal Perspective
2. Children and Adults in the Process of Diagnosing Chronic Illness
3. Children and Strategies of Illness Management: The Contextual Nature of Competences
4. Conclusion: How to Adjust Illness to Life, Despite Adults
References
Chapter Seven-Neoliberalism and Illness Narratives: The Intertwined Logics of Choice and Care
1. The Place for Illness Narratives in the Neoliberal Era
2. The Logic of Choice and the Logic of Care
3. Research Question and Methodology
4. The Patient’s Work
5. The Family Caregiver’s Work
6. Conclusions
References
Cost Containment Processes
Chapter Eight-The Italian NHS Between Latent Paradoxes and Problematic Sustainability
1. The Three Phases of the Evolution of the Italian NHS
2. First Paradox: A Public Healthcare System Between De-Financing and Creeping Privatisation
3. Second Paradox: Corporatisation without a Market and Leopard-Like Managerialisation
4. Third Paradox: A Schizophrenic Regionalism Between Devolution and Re-Centralisation
5. Fourth Paradox: One of the Highest Levels of Performance in the World, Despite Everything
6. Conclusions: What Future Sustainability is There for the Italian NHS?
References
Chapter Nine-The Neoliberal Politics of Otherness in Italian Psychiatric Care: Notes on a Team Ethnography in Six Acute Psychiatric Wards
1. Prologue: Psychiatric Care in Italy Before the Psychiatric Reform
2. Psychiatric Care in Italy after 1978: The Outcome of De-Institutionalisation
3. Psychiatric Care in Italy Today
4. Two Persisting Politics of Otherness Emerging from a Team Ethnography
4.1. Inappropriate Hospitalisation
4.2. Extreme Physical Restraint: Mechanical and Anaesthesiological Restraint
The Construction of ‘Unmanageable Disruptive Behaviour’. With the expression ‘construction of unmanageable disruptive behaviour’ we refer to the social process occurring in all acute wards that is likely to lead towards the use of extreme physical restrai
The Heterogeneity of Extreme Physical Restraint Techniques. ‘Implicit coercion logic’ (Gariglio, 2018, pp. 81–101) is a key feature of coercive organisations: anyone involved in any particular interaction knows that staff can use coercion when the situati
Mechanical Restraint Versus Anaesthesiological Restraint. Extreme physical restraint techniques aim to take control of the embodied otherness of psychiatric patients. The first technique is mechanical restraint. In Italy, it has persisted over the years o
5. Conclusion
References
Chapter Ten-Some Symptoms of Neoliberalisation in the Institutional Arrangement of Maternity Services in Russia
1. Introduction
2. Changing Health Services and Professions in the Context of Neoliberal Reforms
3. Background to Maternity Care in Russia
4. Methodology
5. Institutional Contradictions in the Field of Maternity Care
6. Organisational Constraints and Fragmentation of Maternity Care
7. Conclusion
References
Index