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32 Cards in this Set
- Front
- Back
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when were many medical advances introduced? |
when diseases were already on the decline |
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what percent of the total decline of mortality is due to medical advances? |
3.5% |
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what three factors helped reduce mortality? |
sewers water supplies diet |
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what 4 factors add to isolation? |
aging of urban population fear of crime degradation of public space transformation of state social services/support systems |
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outline aging of urban population |
seniors outlive friends family migrates increase of 85+ rise of blacks/latinos who are more likely to be impoverished + at risk for poor health care |
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outline fear of crime |
criminals prey on elderly elderly fear serious consequences of victimization |
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outline degradation of public space |
exposure to violent criminals/drug dealers |
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outline transformation of state social services/support systems |
current array of programs insufficient govt makes it hard for elderly to enter programs/obtain resources elderly left air off because of high bills |
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who was the woman in the isolation article? |
pauline |
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define medicalization |
the process by which human conditions come to be defined and treated as a medical problem |
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what are the four factors that drive medicalization? |
commercial/market biotechnology/pharma consumers managed care |
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what is the breakdown of the berman sisters' book? |
25 pages to medical approaches, 4 to therapy |
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what does new view want to do? |
bring FSD into the political domain and out of the health+treatment domain |
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outline ESG |
provide individuals with the opportunity to come together and make sense of their suffering breeds mistrust of doctors idea that collective knowledge trumps doctors |
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define compliance |
extent to which a person's behavior coincides with medical/health advice |
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how many patients are noncompliant? |
1/3 |
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outline doctor patient communication |
the better a doctor communicates, the more likely their patients are to be compliant |
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outline health belief model |
patients are more likely to be compliant when: they feel susceptibility to illness |
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why doesn't conrad like the idea of compliance? |
he believes it is medically centered and is developed from the doctors perspective, noncompliance=deviance |
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what method does conrad prefer? |
patient centered perspective |
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outline patient centered perpsective |
sees patient as an active agent in their treatment rather than a passive recipient of medical instruction |
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why don't epilepsy patients take their medicine? |
test progress of disease control perceived dependance comply with social situations |
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define legally enforced monopoly of practice |
when scientific medicine could guarantee its effectiveness and superiority, a monopoly was created by licensure and registration, eliminating competition |
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define functional autonomy |
physicians not externally evaluated and free to regulate own performance |
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how was the rise of the medical profession reinforced by government action? |
legitimized profession, guaranteed profits through medicaid/medicare |
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what has happened to the state and physicians? |
state seems unable/unwilling to act on behalf of/protect physicians |
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what proof is there of states lacking ability to act on behalf of physicians? |
health care reform defeat of anti tobacco legislation rise in managed care |
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what does the state focus on and what is their attitude? |
focus on private interests laissez faire attitude let market forces prevail |
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what kind of environment do doctors work in? |
assembly line |
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who is competition for physicians? |
nonphysician clinicians (NPCs) |
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how many people a year die from medical errors? |
98,000 |
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why isn't anything being done about medical errors? |
not enough public pressure lack of federal support/funding reluctance to expand government regulatory power |
