Objectives To provide counterevidence to existing literature on healer shopping in Africa through a systematic analysis of illness practices by Ghanaians with diabetes; to outline approaches towards improving patient centred health care and policy development regarding diabetes in Ghana. Design...

Richard Layard has spent much of his professional life tackling unemployment and inequality. But in his latest work, he argues that mental illness is now Britain's biggest social problem.

Why do over 20% of children die in some poor countries, while in others only 2% die? We examine this question using survey data covering 278,000 children in 45 low-income countries. We find that parents’ education and a mother’s propensity to seek out modern healthcare are empirically...

Research suggests that rural and urban Ghanaians living with uncontrolled diabetes—typified by extreme weight loss—experience HIV/AIDS-related stigma. This paper reports a multilevel analysis of this stigma within the broader context of diabetes handicap in two rural communities. Two key...

This paper examines whether or not hospital competition in a market with fixed reimbursement prices can prompt improvements in clinical quality. In January 2006, the British Government introduced a major extension of their market-based reforms to the English National Health Service. From January...

Recent substantive reforms to the English National Health Service expanded patient choice and encouraged hospitals to compete within a market with fixed prices. This study investigates whether these reforms led to improvements in hospital quality. We use a difference-in-difference-style...

Recent work in psychology and economics has investigated ways in which individuals experience their lives. This literature includes influences on individuals’ momentary happiness. We contribute to this literature using a new data source, Mappiness (www.mappiness.org.uk), which permits...

Within the Social Representations Theory (SRT) paradigm, social representations are defined technically as practical social knowledge that is produced when groups and individuals encounter the unfamiliar. Social representations therefore function to familiarise the unfamiliar. Theorists also...

Current debates about the sustainability of public commitments include discussion of the adequacy and affordability of collective health and social care responses to the rapidly growing needs of ageing communities. A recurrent theme in England is whether communities can play greater roles in...