ABSTRACT

This chapter is about how difference is dealt with in health care delivered in particular places. In one sense, analysis of difference has been an important part of the geography of health care delivery since its inception in the 1960s. Many studies have examined inequalities among groups of people living in different geographic areas in terms of, typically, access to and utilization of different types of care (for many examples, see Joseph and Phillips 1984). These kinds of inequalities or differences are easily mapped and are based upon what may be termed spatial difference (Barnes and Gregory 1997).