Rosenberg M W
Department of Geography, Queen's University, Kingston, Ontario, Canada.
Soc Sci Med. 1988;26(1):179-86. doi: 10.1016/0277-9536(88)90057-3.
The models and methodologies used by medical geographers for analysing health care delivery systems are critically reviewed. As a result, it is argued that an intellectual cul-de-sac has been reached because of the lack of linkage in these models and methodologies that explicitly recognize the socio-cultural and political-economic influences in the environment, where the health care delivery system under study exists. Using the example of abortion services in Canada in general, and Ontario specifically for illustrative purposes, a general model for linking the geographical, the medical and the political aspects of health care delivery is proposed.
对医学地理学家用于分析医疗保健提供系统的模型和方法进行了批判性审视。结果表明，由于这些模型和方法缺乏明确认识到研究中的医疗保健提供系统所处环境中的社会文化和政治经济影响的联系，已陷入了知识上的死胡同。以加拿大堕胎服务为例，特别是安大略省为例进行说明，提出了一个将医疗保健提供的地理、医学和政治方面联系起来的通用模型。
