Sociology of medicine: Diversity, conflict, and change
Gespeichert in:
| 1. Verfasser: | |
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| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York
Harper & Row
1980
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIII, 445 S. graph. Darst. |
| ISBN: | 0060455829 |
Internformat
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Datensatz im Suchindex
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| adam_text | Contents Preface xi 1. Health Care and the Sociology of Medicine: Diversity, Conflict, and Change 3 Health as unstable equilibrium; Medicine as a policy science; Technology and professional and social organization; a recurring theme; Diversity, conflict, and change; The social character of illness; Professional organization; Social organization; Summary 2. The Changing Health Scene 31 Since 1900; Changes in population base; Changing death rates; Decline in communicable diseases; The leading causes of death and the half-sick 3. The Structure of Medical Economics 57 The structure of medical services and the escalation of costs; Failure of interhospital linkages; Specialization and higher costs; Proprietary hospitals as a special case for cost efficiency; Allocation of the health dollar; Involuntary nature of hospitalization; Changes in labor force; Medicine as a “special” economy; The effect of federal money; The medical economy as a flawed “system” 4. Problems of Method in Medical Sociology 87 Sociologists as “outsiders”; Different points of view; A false distinction; The medical model; The social model; Kuru: madness and death in Oceania; Birth defects and the Marxian tour de force; The social application of the medical model; The problems of medical sociology 5. Becoming a Physician 117 The problem of differential selection; The decision to enter medicine; Differential selection from the applicant pool; Medicine as middle class?; Women and minorities; The “informal” VII
viii CONTENTS recruitment of physicians; The moral socialization of the physician, The contexts of medical training; Elite education and colleagueship; State education and staff-student conflict in medical school; Urban medical education and alienation between faculty and students; Securing a practice 6. The Structure and Dynamics of Hospitals 159 Urban differentiation, medical training, and medical practice; From the citadel to voluntary technical bureaucracy; Hospitals as institutional extensions; Sponsorship, charters, and contemporary types of hospitals; charters and justifications; the community hospital and local community “liveliness”; Client biographies and hospital structure and dynamics 7. The Great and Marginal Systems of Medicine 203 Appearance in western medicine; Allopathic medicine; Homeopathic medicine; Market alternatives and counter-cultures; Fads, frauds, and fixations; Marginal systems in the psychiatric realm; LSD: cult or politics?; Science, fraud, and authentication in marginal medicine; Ayurvedic medicine—Ties to traditional colonialism; The self-help movement 8. Paraprofessionals in Medicine: The Decline or Crystallization of Medical Dominance 241 Medical occupational structure; Physician dominance; Strain in the division of responsibility; The nurse: Subordinate or co-worker?; The survival of the midwife on political rather than medical grounds; The sick role in pregnancy; The middle class and psychosomatics : The blue-collar class and magical thought; Illness as a personal crisis; The physician’s assistant 9. The Patient: Partner or Adversary in
Medical Care? 283 Socialization to the patient role; The sick role; Deviance and the division of services; Responsibility and prognosis in the definition of clienthood; Patient subservience in the place of treatment; Rhythm: the contingent nature of the role of the patient; Conceptions of the “normal” in the hospital; expectations of the normal course of events; The ecology of pain; Dying 10. The Functional Disorders 311 The social ecology of mental illness; Social structure and health ideology; Social context of treatment; Mental illness as symbolic
CONTENTS ix construct; The medical-social model dispute—The case of hyperkinesis; Mental illness and psychiatry—whither and whence?; The rise of the therapeutic milieu; Psychomedications and deinstitutionalization 11. The Search for Comprehensive Medical Care 359 The idea of comprehensive care; Problems of programmatic care —The care of the mentally retarded; Service structure as a mosaic; Initial diagnosis and client definition; Case finding and referral; Specialty diagnosis agencies; Individualization and agency autonomy; Negotiating a division of service; The search for comprehensive care; Some attempts at comprehensive care; Health maintenance organizations; Neighborhood health centers; Organizational integration and the “broker” role; Rehabilitation; Creating a health advocacy role 12. Emergent Patterns of Health Care: The Search for Moral Stability in the Midst of a Technological Revolution 393 Freedom versus constraint; Health as a right of citizenship; Medical charters and justifications; Organizations as general resources and the problem of membership; The positions of established medicine; Individual rights or general welfare?; Medical care: treatment or research?; The search for alternatives; Unraveling the problem of distributed costs; Freedom and opportunity in health; Division of labor as a source of conflict; Patients as occupants of multiple statuses; Inducements and trust in medical care; The patient as “client”; The ethical problem of patient control Index 435
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| indexdate | 2024-07-09T16:02:27Z |
| institution | BVB |
| isbn | 0060455829 |
| language | English |
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| physical | XIII, 445 S. graph. Darst. |
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| spelling | Rosengren, William R. Verfasser aut Sociology of medicine Diversity, conflict, and change New York Harper & Row 1980 XIII, 445 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Médecine sociale Médecine sociale - États-Unis Social Medicine Social medicine Social medicine United States Sociology, Medical Medizinsoziologie (DE-588)4038289-8 gnd rswk-swf USA Medizinsoziologie (DE-588)4038289-8 s DE-604 Digitalisierung UB Bamberg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=002288808&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Rosengren, William R. Sociology of medicine Diversity, conflict, and change Médecine sociale Médecine sociale - États-Unis Social Medicine Social medicine Social medicine United States Sociology, Medical Medizinsoziologie (DE-588)4038289-8 gnd |
| subject_GND | (DE-588)4038289-8 |
| title | Sociology of medicine Diversity, conflict, and change |
| title_auth | Sociology of medicine Diversity, conflict, and change |
| title_exact_search | Sociology of medicine Diversity, conflict, and change |
| title_full | Sociology of medicine Diversity, conflict, and change |
| title_fullStr | Sociology of medicine Diversity, conflict, and change |
| title_full_unstemmed | Sociology of medicine Diversity, conflict, and change |
| title_short | Sociology of medicine |
| title_sort | sociology of medicine diversity conflict and change |
| title_sub | Diversity, conflict, and change |
| topic | Médecine sociale Médecine sociale - États-Unis Social Medicine Social medicine Social medicine United States Sociology, Medical Medizinsoziologie (DE-588)4038289-8 gnd |
| topic_facet | Médecine sociale Médecine sociale - États-Unis Social Medicine Social medicine Social medicine United States Sociology, Medical Medizinsoziologie USA |
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