Medical Sociology Chapter 12 Book Notes

Medical Sociology Chapter 12 Book Notes - Sociology Chapter...

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Sociology Chapter 12 – The Physician in a Changing Society Page 1 of 6 - Introduction o The reason why the public is dissatisfied with America’s health care system is largely due to its economic and social origins. o The specific issues usually cited are those of the rising financial costs of services and the failure to provide quality care for all Americans. Both of these issues are based on the organization of medical practice around the concept of financial profit in a free enterprise system. Advocates argue that this system enhances efficiency in providing services and incentive for research and development. Opponents argue that the system discriminates against people who are unable to pay and fosters the unnecessary duplication of services (which increases cost) o The model of professionalism followed by the medical profession is based upon the image of medical practice in the early twentieth century, when majority of physicians worked on a solo basis as an independent private practitioner. o The gap between physicians and non physician medical personal has gotten a lot smaller Physicians are still in charge, but they are more of equal with the people they work with - Social Control Of Medical Practice o It has been argued that the two most common forms of social control in advanced society is bureaucratic supervision and judgment by the recipient of services are lacking. o Society is justified in granting the physician professional autonomy because the physician is a member of a self controlled collectivity performing a vital function for society’s general good. o This argument has three major defects: One defect is that laypersons do judge technical performance, regardless of whether they are competent to do so. Layperson - someone who is not a clergyman or a professional person Sociology Chapter 12 – The Physician in a Changing Society Page 2 of 6 The choices of clients act as a form of social control over professionals and can reduce the survival of a group as a profession A second major defect in the argument legitimizing the medical profession’s autonomy relates to physicians’ efforts at peer regulation. Autonomy - Self-government or the right of self-government
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This note was uploaded on 11/16/2011 for the course SOC 210 taught by Professor Hanssell during the Fall '10 term at Rutgers.

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Medical Sociology Chapter 12 Book Notes - Sociology Chapter...

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