HSCI 340 Lecture Notes - Lecture 11: Allopathic Medicine, Iatrogenesis, Pharmaceutical Industry
16 May 2018
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WEEK 11: HEALTH FUTU R ES
TOOLBOX ASSIGNMENT
Toolbox assignment: DUE April 10, 2018 11:59pm
The oeptual toolkit is a heuisti deie. Fo this assiget, ke disiplia oepts ae epeseted as tools hih you have
selected because of their ability to do specific jobs. Extending the metaphor, you will place these conceptual tools in an imaginary
toolbox. In this exercise you will describe: i) the tools you will put in your conceptual tool box; ii) when and why you will pik up
each tool; and iii) how you will use each tool for specific tasks. This toolbox is intended for you to carry with you into your future and
use to help you apply the social determinants of health in your work.
FILL OUT CHECK LIST! (5 points for each task done)
- purpose: what you need to get clear about to make it useful to you
- imagine what the toolbox will look like
1. write a personal statement → passions, future topics to work on (ground examples in something; not abstract) 300-500 words
2. protocol statement → desies he ou ill ko its tie to ope ou “DoH toolo to addess a issue.
3. description of the key theoretical approach(es) or elements of different theoretical approaches you will draw upon and how they
will help you work effectively on the SDoH (300-500 words)
4. A special tool you will need in your future work and an explanation of why you need this custom tool
(use imagery, diagrams, etc.)
FINAL EXAM REVIEW
Group 13: week 10 reading 1 (DO FOR NEXT CLASS)
MEDICINE, MEDICAL DOMINANCE, PH
• Emergence of medicine as dominant health care profession
• Biomedicine (allopathic medicine)
1. Determinants of illness are primarily biological
2. Biomedicine uses the engineering model of the body
3. Health care is primarily about curing illness or disability
4. Medicine is scientific
5. Doctor is authority and expert
The body is integrated! Not separate. Integrated beings use all parts together in an interconnected way (no boundaries or borders in
body) → GOAL: bring back integrated sense of what disease and health means
• Includes emotion, mental health; look at relationships (family, culture, society)
Medical Dominance: refers to the fact that medicine was, and to some extent still is, the most powerful profession in the
health sste Hoost & Geo, : 5
• Learn how to have conversation
CHALLENGES TO MEDICAL DOMINANCE
find more resources at oneclass.com
find more resources at oneclass.com
1. Emergence of the welfare state
2. The professionalization of the other occupations
3. The oes health oeet
4. Growing public skeptism of medical authority as scientific and infallible
5. Medical mistakes and iatrogenesis (damaging effects of treatment)
6. Big pharma
Discourses are push and pull between economic bottom lines and our bottom lines of what we hold sacred and how we embody it
Professionalization → proliferation of expertise and specialization in occupations (being legitimized/recognized)
What happens to the big picture? → ex. Did not recognize mid-ies; oes oeet esult i eogitio of id-wives
o Afford training and get certified
o Changed nature of the job → now midwives are more medicalized in what they can do at a birth setting (insurance
issues to deal with)
o Taking notes and filling paperwork instead of being a part (engaged) in the process of childbirth (little hands on
care)
• Professionalization of practices changes in what we imagine certain occupations
• More practices occur and more people beginning to doubt the ability of doctors
o Ex. Flu vaccination → haet poteted agaist stais distust poe of dotos
o Health promotion material can actually be clear about fallibility and limitations of the process
o Create false liability in what power there is (growing skeptism)
• Big pharma try to corporatize health care → industry for profit (not in line with what health care is supposed to be)
• Creates tension for whole society
DRIVING FORCES THAT IMPACT HEALTH CARE
Ex. Infectious disease outbreak → drive PH agency to form at the turn of the millennium (global pandemics)
• Lack of coordinated response
• Medicine, intervention emerge out of needed responses → Ex. West Nile virus (call to do something)
ROLE OF PUBLIC HEALTH AND HEALTH PROMOTION
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
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