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73 Cards in this Set

  • Front
  • Back
doctrine of specific etiology
idea that each disease is a result of a particular pathogen or organ malfunction
machine metaphor
notion that the body is like a machine in that it has discrete parts operating together in order to function
medicalization-from-below
the tendency of people to creatively and idiosycratically resist the powerful medicalization of authorities with competing views of reality
non-disease
the non-existent category in medical practice, because doctors disagnose disease and their focus is not on health per se but returing the pateient to that condition
physical reductionism
focuses on the physically observeable at the expense of other aspects of the idividual. disregard for social, political, economic causes of illness
technological imperative
the concept that technological development precedes social change
epidemiological perspective of mental illness
studies the incidnc and prevelance of mental illness according to some social characteristics such as age, gender, social class
labeling theory of mental illness
focuses on the idea that mental illness is a diagnosis given to those who deviate from ongoing norms
allopathic medicine
doctors practicing within thw western paradigm of medicine who use the cinventional methods of their training to oppose diseas with surgery, raditation, drugs. trying to produce a condition of the body different from the condition essential to the disease
homeopathic
'like treats like' rather then opposing disease, highly diluted traces of botanical, mineral and other natural substances are used to stimulate the bodys self healing abilities and to build the bodys defences to promote health. giving the disease to make go away, not opposite
epidemiology
study of the causes and distribution of disease
iatrogenic
illness of disability that results from medical intervention
intersubjectivity/reflexivity
the social scientist is a participant in the very social reality that they are studying. impossible to gather unbiased data
macro analysis
focuses on systems, conflict theory, structural functionalism
mico analysis
individual mind, slef, interaction and meaning. symbolic interactionist
medicalization
more and more of everyday life has come under medicsl dominance, influence and control
negative case analysis
a mode of proof which requires that for a hypothesis to be true every single instance myst support the hypothesis
positivism
social facts are real and external and can be studied objectively. used with structural-functionalist theory`
psotivist methodology
based in the method of the physical sciences. data assumed to be objected is collected from surveys, questionnaires etc.
drapetomania
disease defined as causing slaves to run away from their masters
technological imperative
the tendency for new techniques to drive social and medical practice
verstehen
empathetic understanding, webers basic method
the sick role
created by talcott parsons. accounts for the way society organizes behaviour around sickness. two rights and two duties for the sick person
disease mongering
creation of new disease for sake of profit
christian science
mary baker eddy --> belief that illness is a form of sin
moral entrepreneur
someone who intentionally or unwittingly imposes a personal moral paradigm on others, like when the work of a doctor involves moral decision make and patient can be drawn to doctors thinking
voice of the life world
referes to the way that patients talk about their lives, bodies and health
voice of medicine
refers to the way that doctors talk focuses on physiology, anatomy, pathology and medical treatement
universaility
its availability to the whole population, part of medicare for canada, portable as it can move from province to province
comprehensive coverage

administration

accessibility
medicare. benefits include all necessary coverage

non-profit basis

accessible to all canadians
affective neutrality
the doctor must remain emotionally uninvolved and objective in dealing with patients, according to the requirements for a preofessional identity
collective rationalization
in the face of mistakes doctors will band together to provide mutal support and to explain that the error was unavoidable or logical
collective orientation
doctors as professionals must be motivated by altruism and a sense of vocation and not by any other considerations
exclusions
occupational group to deny the legitimacy of its practice by a different group (allopaths and naturopaths)
functional specificity
physicans do not offer advice to patients on non-medical things
neturalization
applied to doctors managing of their mistakes by ignoring them, justifying or denying their importance
universalism
same standard of care to everyone
profession of idology
characterized by a set of belies which determine the practice, and viewpoints of its members
subordination
doctors being supported by midwives, nurses, primary care givers.
limitation
restricting the sphere of practice of health care professional such as dentists and pharmacists by limiting them to certain areas
case mix grouping
a category to which a patient is assigned on the basis of their clinical attributes. patients with same CMG are assumed to require equivalent regimins of care, time and resources
eugenics

negative

positive
science of the improvement of the human species by genetic means

selective abortions, eliminate defectives

genetic disorders can be remedied through gene therapy
doctor-nurse game
game in which the nurse makes recommendations to the doctor while acting as if the doctor has made it first
managerial ideology
assumption that managers must run organizations as efficiently as possible in order to provide adequate service at minimal cost. CMG is an example
reproductive technology
full range of bio-medical/technical interventions in the process of procreation, both that produce, prevent or terminate pregnancy. for example ivf
holistic health care
health care that attempts to consider the body/mind and spirit as integrated and thus in need of integrated treatment
naturopathy
form of holistic health care which assumes that health and illness are both natural components of the total person. body has inherent healing process
homeopathy
system of treating illness based on the principle of similars. substances which produce symptoms in healthy people will cure similar symptoms in sick people
chiropractic
method of treating disease primarily by manipulation of the spine and extremities
medical model
scientific approach ot illness which focuses on the body as a system of integrated sub-systems and disease as a deviation from normal functioning
antibiotic resistance
refers to the ineffectiveness of antibiotics developed through the over use of them
drug detail men and women
sales representatives of drug companies who visit physicians, pharmacists and hospitals to market their companies' products
DTC advertising
direct to consumer advertising, illegal in canada and most parts of the world
generic name
name that refers to the active ingredient in the drug which is attributed to it by the World Health Organization
irrational mixture
drug which contains a combination of ingredients, some of which have no proven effect against the symptoms being treated and some of which might not be safe
medical industrial complex
network of private corporations engaged in supplying medical care for profit. privately run hospitals, nursing homes, pharmaceutical companies
premature adoption of new technology
refers to the tendency in moder capitalism to begin using new technology before it was adequately tested
Compendium of Pharmaceuticals and Specialities (CPS)
reference book sent free to all doctors and published by the canadian pharmaceutical association. never up to date and not accurate
biomedical model
a model of illness that sees the cause of illness as located in the organs and systems of the body
environmental/ social structure model
see the cause of illness originating in the physical environment through, for instance, polluted water or position in the social structure such as poverty
lifestyle model
cause of illness as located in lifestyle decisions such as smoking and wearing seat belts
risk society
term coined by Giddens which points to the pervasive experience of risk that is part of modern social life
health promotion
enactment of social conditions that encourage health
globalization
increasingly complex and integrated links amongst all of the nations in the world
medical tourism
seeking of medical care outside of the country of origin of the patient
home care
most often done by women. provision of some medical, nuring and living services in home to prevent ongoing hospitalization
primary health care
basic health care at local level
managed care
medical care that is provided with the oversight of health maintenance organizations usually in the US (HMOs)
inverse care
situation in which the wealthiest countries use the greatest amount of health care
impoverishing care
medical care that casuses impoverishment to the sick and their families
unsafe care
medical care that is unsafe and thus iatrogenic
fragmenting care
medical care that does not provide integrated services
misdirected care
care directed away from essential care to speciality care