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The place of health in the health of place: The case of the Hokianga special medical area

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  • Kearns, Robin A.

Abstract

Contemporary models of health have broadened the concept so that health includes, but is not exclusively, biomedical wellness. One concern arising from this widened perspective is the degree to which health service provision promotes healthier, more convivial communities. This paper examines the contribution of health services to the experience of place in the Hokianga, an isolated and predominantly Maori area of New Zealand. While other public services are being increasingly privatised, charged to users and restructured to central nodes of provision, health care in the Hokianga remains free and delivered within a network of community clinics. It is argued that the taking of health care into communities both enhances the wellness of the population and positively enhances the experience of place for local residents.

Suggested Citation

  • Kearns, Robin A., 1991. "The place of health in the health of place: The case of the Hokianga special medical area," Social Science & Medicine, Elsevier, vol. 33(4), pages 519-530, January.
    • Handle: RePEc:eee:socmed:v:33:y:1991:i:4:p:519-530
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    Cited by:

    1. Neuwelt, Pat M. & Kearns, Robin A. & Browne, Annette J., 2015. "The place of receptionists in access to primary care: Challenges in the space between community and consultation," Social Science & Medicine, Elsevier, vol. 133(C), pages 287-295.
    2. Brown, Malcolm C. & Crampton, Peter, 1997. "New Zealand policy strategies concerning the funding of general practitioner care," Health Policy, Elsevier, vol. 41(2), pages 87-104, August.
    3. Allison Williams & Peter Kitchen, 2012. "Sense of Place and Health in Hamilton, Ontario: A Case Study," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 108(2), pages 257-276, September.
    4. Karen Witten & Daniel Exeter & Adrian Field, 2003. "The Quality of Urban Environments: Mapping Variation in Access to Community Resources," Urban Studies, Urban Studies Journal Limited, vol. 40(1), pages 161-177, January.
    5. Jones, Alasdair & Goodman, Anna & Roberts, Helen & Steinbach, Rebecca & Green, Judith, 2013. "Entitlement to concessionary public transport and wellbeing: A qualitative study of young people and older citizens in London, UK," Social Science & Medicine, Elsevier, vol. 91(C), pages 202-209.
    6. Karen Witten & Robin Kearns & Nick Lewis & Heather Coster & Tim McCreanor, 2003. "Educational Restructuring from a Community Viewpoint: A Case Study of School Closure from Invercargill, New Zealand," Environment and Planning C, , vol. 21(2), pages 203-223, April.
    7. Kpienbaareh, Daniel & Atuoye, Kilian N. & Ngabonzima, Anaclet & Bagambe, Patrick G. & Rulisa, Stephen & Luginaah, Isaac & Cechetto, David F., 2019. "Spatio-temporal disparities in maternal health service utilization in Rwanda: What next for SDGs?," Social Science & Medicine, Elsevier, vol. 226(C), pages 164-175.

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