LEADER 04716nam 22003973 450 001 9911035169703321 005 20251127080514.0 010 $a3-8394-4028-9 035 $a(CKB)41665593900041 035 $a(MiAaPQ)EBC32334585 035 $a(Au-PeEL)EBL32334585 035 $a(EXLCZ)9941665593900041 100 $a20251127d2025 uy 0 101 0 $aeng 135 $aur||||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 14$aThe Construction of Social Health Systems $eHistory and Self-Reference of Medicine and Public Health 205 $a1st ed. 210 1$aBielefeld :$ctranscript Verlag,$d2025. 210 4$d©2025. 215 $a1 online resource (325 pages) 311 08$a3-8376-7954-3 327 $aCover -- Contents -- Acknowledgements -- Preface -- Chapter 1: Introduction -- PART I -- Chapter 2: Social Systems Theory -- Concepts -- Observing systems -- Chapter 3: Self?Reference -- Symbolic medium -- Medicine self?reference as science and as practice -- Public health -- Health systems -- PART II -- Chapter 4: The History of Medicine in Four Acts -- First period (from the fifth century BC to the fifth century AD). Craftsmen's medicine, observing the surface of the body at the bedside -- Characteristics of the period -- System's features -- Complexities -- Summary of medicine self?reference: first period -- Second period (from the fifth to the fifteenth century). Medicine of books, universities and hospitals -- Characteristics of the second period -- System's features -- Complexities -- Summary of medicine self?reference: second period -- Third period (from the sixteenth to the eighteenth century Reformation, Renaissance and Enlightenment). Medicine of the visible inside the body -- medicine as science and technique -- Characteristics of the period -- System's features -- Complexities -- Complexity and causes -- Self?reference and complexities -- Summary of medicine self?reference: third period -- Fourth period (from the nineteenth to the twenty?first century). Medicine of the invisible made visible, medicine of specialities and medicine of the health systems -- Characteristics of the period -- System's features -- Complexities -- Summary of medicine self?reference: fourth period -- Chapter 5: Canguilhem and Foucault -- Foucault -- Medicine of species -- The gaze and the clinical -- The French Revolution and its health concerns -- Canguilhem -- Health system -- Conclusions of the chapter -- Foucault and the Greeks -- Complexity and meaning surplus -- Closure of the system -- Closure and power: a few words -- Final remarks -- PART III. 327 $aChapter 6: "Anatomy" of Public Health: Indicators and Self?Reference -- Introduction -- The form of problem -- Meanings and complexities: what the theory tells us -- Indicators: anatomical features of public health -- (A) Indicators directly concerned with population's health needs and risks -- (B) Indicators linked to means for achieving the necessary conditions for healthcare provision -- (C) Indicators mainly of interest to observers outside the health system -- Discussion -- Concluding remarks -- Risk -- Luhmann's approach to risk -- Take?home messages -- Chapter 7: The Construction of the Self?Reference of Social Health Systems -- Self?reference and complexity -- (1) How does the history of medicine show the development of self?reference? -- (2) How did medicine self?reference become the foundation of the self reference of health systems? -- (3) How did the coupling of the self?references of medicine and public health create health systems? -- PART IV -- Chapter 8: Concluding Remarks -- Ways of looking -- Chapter 9: Advanced Theoretical Topics -- Decision, tautology and paradox -- Studying self?reflection -- Social differentiation, form of problem and complexity -- Symbolic medium and second?order observation -- The body -- The symbolically generalized medium of communication (SGMC) -- Second?order observation -- Public health, self?reference of a scientific domain -- Appendix -- References -- Mentioned in the book -- Further reading -- Brief Glossary of Luhmann's Terms -- Index. 330 $aDespite governmental and international funding as well as numerous publications on health systems, questions remain.Joćo Costa offers new insight into health systems thinking by emphasizing the social nature of health systems. 676 $a362.1 700 $aCosta$b Joćo$0591888 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9911035169703321 996 $aThe Construction of Social Health Systems$94458167 997 $aUNINA