9 - Sociology of Health & Illness Flashcards
(15 cards)
Policy sociology
Concerned with attempts to improve the delivery of health services through sociologically informed research
Critical sociology
Examines the practices of multinational pharmaceutical companies, medical schools, and privately run, for-profit clinics and hospitals
Four expectations of the sick/patient role
- Should be exempted from normal social responsibilities
- Should be taken care of instead of having to take care of themselves
- Are socially obligated to try to get well
- Are socially obligated to seek technically competent help
Medicalisation
- Process by which certain behaviours or conditions are defined as medical problems
and medical intervention becomes the focus of remedy and social control - Criticised as form of reductionism that reduces complex medical conditions to biomedical causes without examining possible sociocultural or political factors
Iatrogenesis
Doctor-generated epidemics that avert people from preventing and treating their illness
3 kinds of iatrogenesis
- Clinical
- Social
- Cultural
Clinical iatrogenesis
This refers to ways in which diagnosis and cure can cause problems that are as bad or worse than the health problems they are meant to resolve.
Social iatrogenesis
This occurs when political
conditions that “render society unhealthy” are hidden or obscured.
Cultural iatrogenesis
This entails how the knowledge and abilities of the medical community are extolled, and patients are given no credit for their recovery
Critical issues in medical sociology
- Unemployment and Immigration of Doctors
- Immigrant doctors’ credentials are often considered insufficient
Racialisation of a disease
A disease becomes racialized when it is strongly associated with people of a particular racial or ethnic background, so that people of this background are treated negatively
Female doctors are more likely to
- Enter family medicine
- Leave the profession sooner
- Work fewer hours and see fewer patients
Female doctors are less likely to
- Become surgeons
- Be sued for malpractice
- Join professional organizations
Inverse care law
- The availability of good medical care tends to vary inversely with the need for it in the population served.
- In poor areas, where need is often highest, we are more likely to see doctor shortages, overworked doctors, and obsolete facilities and
equipment.