health impact assessment;
mortality differentials;
sickness;
public health;
midwifery;
fetal mortality;
maternal mortality;
historical demography;
evidence-based medical history;
D O I:
10.1093/shm/hkm072
中图分类号:
K [历史、地理];
学科分类号:
06 ;
摘要:
The case is made for forms of medical history that focus explicitly on sickness, health and life chances; ones that explore the effects of health interventions by examining their impact on mortality risks. Using a series of examples drawn from environmental health, midwifery and obstetric care, the paper illustrates various ways in which long-term trends in health and mortality may be read together. But it also demonstrates how fraught with problems of description and interpretation this process is likely to be. Finally, a plea is made for evidence-based medical history where 'progress', 'outcomes' and 'results' are given privileged positions.