Questions related to Sociology of Health
It seems that the paradigm of the Social Determinants of Health is no longer enough to explain health - the dynamics of the disease. Is it time to propose new and better models of explanation?
Lipsky's book on Street-Level Bureaucracy is more general than the health-care sector, but applies to what I have seen in my field-study locations (public health clinics in South Africa). Sociology of Health and Illness has articles on nurse-doctor relationships (eg Allen 1997 on Negotiated Order). Social Science and Medicine has more relevant articles (eg Walker and Gilson 2004 use Lipsky). But forward-chaining from these turns up very little.
Academy of Management has articles on high- and low-status work. Org Sci, Adm Sci Q and Organization have articles that are generally too removed from the domain to be much use.
The work is important to the quality of life of individuals. Seniors face the difficulty of staying in the labor market. It is important in the preparation for retirement phase and participation in all spheres of social life.
I'm doctoral researcher and I wish to understand factors influencing mental wellbeing of a community from a salutogenic perspetcive. But I'm not sure whether the salutogenic theory or is only suited to health-promoting/ protective factors.
i am a bit confused on how to tackle the above question, do i look at the factors such as culture, religion that affect gender and then link it to public health ?
Your help will greatly be appreciated
Currently specialization divides medical disciplines into sectors, much like slices of a cake. The results are that (i) patients with multiple morbidities are shunted from one doctor to another to another etc., (ii) it is impossible to have all the necessary specialists in one place unless that place is sufficiently large (and wealthy), (iii) emergency cover is unsustainable in all areas unless certain specialists double for others, (iv) the inevitable consequence is that a specialists, even if perfectly trained and competent, cannot deal with a patient with a malady accorded to a different specialty than his own, (v) specialists leave the simpler aspects of their field to their juniors, as they prefer to deal with the complex, "more interesting" issues (except in private practice). (vi) the system is more and more expensive to run, (vii) specialization leads to further "super-specialization" and further fragmentation of medicine, (viii) the model is exported to LMICs with catastrophic results as they cannot afford nor accommodate such a system, (ix) inevitably medical schools will be pushed to limit training of their students pertaining to their final specialty destination, (x) the specialties are themselves not defined and "turf wars" are created in bordering areas of practice, both in terms of departmental control and patient care.
There is no proper definition of the generalist, neither in medicine nor surgery. Yet, on the shoulders of this dying breed rests the burden of most "ordinary" patients' treatment worldwide.
Where therefore are we going? Is it not time to define the "Generalist" as a "Specialist" in his own right, and let him deal with the central part of the cake, leaving the periphery to be divided by the particulate specialists?
After all, everyone knows that the cherry is usually in the middle of the cake.
I am working on a project to show how social media can be used to improve patient outcomes, specifically in community health centers.
I am discussing my results for an upcoming conference presentation on the determinants of health-related quality of life (HRQoL) among adults with diabetes. My results is showing that higher levels of interpersonal sensitivity is a predictor for HRQoL. Can any one offer me some reasons why this is possible? Any previous studies will be much helpful.
I am researching the social determinants of health of women working in garment factories in Cambodia.
Do you know of any research of Tong Tin in Cambodia? Or about the impact of garment work on commuters villages in Cambodia?
Poor and illiterate individuals may understand complex health related topics. However, in order to sustain the knowledge they will need to reinforce it. Handouts and pamphlets may not be useful. Illustrative pamphlets may not be adequate. Audiovisual tools will be beyond affordability. How can such a population self- reinforce and revise the education provided to them?
I am normally using discussion and focus groups with patients but I would like to go further and learn more about projects, methods and techniques that are properly applied in the healthcare and medicine domain from a sociological perspective. Thank you!
Patients are reporting issues such as poor access to care, availability of socio-economic resources and time; knowledge; and emotional and physical energy. (Bee et al. 2014)
The work patients must do to care for their health; problem-focused strategies and tools to facilitate the work of self-care; and factors that exacerbate the burden felt (Eton et al 2014)
Capacity, responsibility, and motivation: a critical qualitative evaluation of patient and practitioner views about barriers to self-management in people with multimorbidity. BMC Health Services Research (Impact Factor: 1.77). 11/2014; 14::536. DOI: 10.1186/s12913-014-0536-y
Building a measurement framework of burden of treatment in complex patients with chronic conditions: a qualitative study. Patient Related Outcome Measures 2012:3 39–49 http://dx.doi.org/10.2147/PROM.S34681
I'm seeking any texts that have looked at goal framing theory in the context of healthcare use, ideally screening compliance behaviours.
I work in a rural town in Kenya and my heart bleeds each time there's a delay to patient care, either due to patient delays or because the hospital is not well equipped.
I am interested in conducting a sexual network mapping exercise with men living in a rural community as a means of bringing about/contributing to sexual behaviour change (reduction in multiple concurrent partnerships or at least consistent condom use).
Is it possible to apply the model considering the particular characteristics of the Mexican population?
Do we need to learn more from looking into the minutia of everyday interactions between people and their social and physical environments? What are the implications?
Recent years has seen an escalation and variation in the application and scope of social ecological frameworks with the common intent of wishing to effectively interpret factors that influence human behaviour (Holt, Spence, Sehn, & Cutumisu, 2008; O’Connor, Alfrey, & Payne, 2011; Sallis, Owen, & Fisher, 2008; Stokols, Misra, Runnerstrom, & Hipp, 2009). To date the dominant discourse for social ecological research in the scholarly community has been heavily located in conducting large scale studies, the employment of gross markers and distant analysis with a key outcome of finding the big macro levers that aim to achieve a population shift in human behaviour.
Holt, N., Spence, J., Sehn, Z., & Cutumisu, N. (2008). Neighborhood and developmental differences in children’s perceptions of opportunities for play and physical activity. Health & Place, 14, 2-14.
Krieger, N. (1994). Epidemiology and the web of causation: Has anyone seen the spider? Social Science & Medicine, 39(7), 887-903.
O’Connor, J., Alfrey, L., & Payne, P. (2011). Beyond games and sports: A socio-ecological approach to physical education. Sport Education and Society, 17(3), 365-380.
Sallis, J., Owen, N., & Fisher, E. (2008). Ecological models of health behavior. In K. Glanz, B. Rimer & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (pp. 465-482). San Francisco, California: Jossey-Bass.
Stokols, D., Misra, S., Runnerstrom, M., & Hipp, A. (2009). Psychology in an age of ecological crisis: From personal angst to collective action. American Psychologist, 64(3), 181-193.
I'm looking some strategies for expand the coverage and quality of dental services in marginalized communities.
I've read theToni Schofield's paper on Health sociology review journal about health inequities and its social determinants. In the paper, the author did mention that health inequities and health inequalities or differences are not the same. I do not get this point. What is the difference b/w health inequities and health inequalities? Could you give me an example to understand the difference, please? Thank you so much
What the impact of current work-life balance policy may be having on dementia care, as care homes are mainly being staffed by part time care staff.
We see that the health of the black/african american population have the worst health as a whole in comparison to the white population, in the United States of America. I am hearing more and more that the circumstances that blacks faced during slavery have had a toll in the health of the population today. Examples being that black babies less than 1 years of age have a higher death rate than white babies and this is being linked to the stress black women endured during life and it effecting the child before birth. Stress that have been inheritated from generations and generations and a lifetime of discrimination, rooted from slavery. I am simply curious if there are any more articles or research being done on this topic and the thoughts of others.
I am looking for studies that take on a discourse analysis approach that focus on the use of traditional medicine. Suggestions for studies that conducted discourse analysis on medicine using tout court are also welcomed.
Is it possible to explain the persistence of high maternal mortality in developing countries sociologically?
Social capital improvement takes a long time and some times it might be like learning from history and changing the future, but can we really improve social capital in a short duration (e.g. months)?