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54 Cards in this Set

  • Front
  • Back
the sick role
perspective that all roads lead to medical care, with tends to create a doctor centered picture with illness being viewed from outside the individual
medicalization
is the process by which nonmedical problems usually in terms of illness or disorder
criticism
maintain that the U.S. health care system is one that pays off only when
the patient can pay
acute, curative, hospital based
our approach to medicine is organized around the cure or control of serious diseases and repairing serious injuries rater than caring for the sick or preventing diseases
workforce
broad based triangle with a small number of highly paid physicians and administrators at the top. little movement from levels because little qualifications
men and women death rates
male death rates go beyond female death rates at all ages and for the leading causes of death such as heart disease, cancer, cerebrovasculer disease, accidents, and pneumonia
women
seem to suffer from illness and disability more than men, but their health problems are usually not as life threatening
bodily discomforts
women may not be sick often but they are more sensative to bodily discomfort and more willing to report them to a doctor
Asian americans
best health profile followed by whites
african american and native american
have the worst health profiles. on average the life expectancy for african american infants is about five years less than four white infants for both males and females
poverty health
contributes to desease and shortened life span both directly and indirectly diseases such as tuberculosis,influeza, whooping cough
obesity
is most prevalent among middle-aged adults, black and hispanic adults and among peoples with less education and lower income
sex ratio
because morality rates are higher for men there is a substantial sex ratio imbalance in over 75 group that becomes more apparent as one goes up the age scale
future trends
population aging will continue to affect health care, family composition and living arangments, housing and migration
baby boom population
will age. its large number will cause cycle of relative growth and decline each stage of life. the rising cost of elderly care will become a problem
medicre
pays for medical care for people older than 65
medicade
pays for care of those too pore to pay their own medical cost
first U.S. CENCUS IN 1790
about 50,000 americans were older than 65, representing 2% of the population of 2.5 million
life expectancy for newborn white children in 1890
was only 50 years. it was less for african americans
medical technology
has inproved the elderly population. it also created a dramatic increase in life expectancy
composition
more elderly are living longer and doing more things, the number of elderly is growing
the next 20 years
the growth in the elderly population is going to be influenced by the aging of the baby population
age and wealth
to get more accurate we should not focus on the financial conditions of older americans - that is net worth or the market value of all yhe assets minus all the debts
aging marital status
it is better to be married as you get older. 75% of women are widows
global aging
the numerical and proportional growth of older populations around the world is indicative or major achievments decreased fertility rates, reduction in infant and maternal morality
medicine and health care issues
intertwined with our social, emotional, and cultural life
illness
not only involves the body, but it also affects the individuals social relationship, self image, and behavior
Tallcot Parsons
has suggested that to prevent the potentially disruptive consequences of illness on a group or society, a sick role exist
definition of sick role
a shared set of cultural norms that legitimates deviant behavior caused by the illness and channels the individual into a health care system
first component of the sick role
the sick person is excused from normal social responcabilities except to the extent that he or she is supposed to do whatever necessary to get better
second component of the sick role
the sick person is not held responcable for his or her condition and is not expected to recover by any act of will
third component of the sick role
the sick person must recognize that being ill is undesirable and must want to recover
fourth component of the sick role
the sick person is obligated to seek medical care cooperate with the advice of the designated experts, notably the physicians
examples of things that once were not considered a medical condition but now are
alcoholism, drug abuse, battering, gender confusion, obesity, anorexia, and bulimia
best health care resources in the world
United States
medicare workers
majority of doctors are men a quarter are women. minority most come from lower middle class background. majority are white upper middle class
life expectancy of women
has countinuosly higher than men
between 1940 and 2006
life expectancy at birth has increased by 15 years for women and 14.3 years for men
leadind cos of death for both men and women
heart disease
the infant morality rate for african americans
more than twice that for a while infant
low birth weight babies
more than twice as common among african americans than among whites
premature birth
african american
life espectancy between races
african american have the lowist
black cause of death
homicide and HIV
hispanics
higher infant mortality rate, a shorter life exspecancy, and higher rates of death from influenza, pneumonia, diabetes, and accidents than Algo-Americans
aids spreads mostly in
california, florida, and new york
in 2007 majority of aids deaths
black and hispanic men
third party payments
those made through public or private insurance or charitable organizations
public insurance programs
include medicare and medicade which are fund with tax money collected by federal, state, and local government
commercial insurance companies
appeared after world war 2 and based their prices on experoance rating , which bases preniums on the statistical likliehood of individual nedding medical care. blue cross blue shieled
women in the medical fieled
are younger and less experianced than men
doctors pay
not payed hourly but by how many people they see
female doctors
spend more time with each patiant. they see fewer than men do
how long till aids affects a person
two years