Medical sociology vs. social epidemiology
Rudolf Virchow - public health, 1st social causes of illness from biological perspective, very
pragmatic, reformist, early public health
early sociology = theoretical, not focused on outcome
> 100 years later focus on society
- Talcott Parsons - focus medicine as institution of social control (functionalist perspective)
- illness is a threat to social order
-interested in illness, work backwards, inductive reasoning
-ie. John Snow (1850s, London) - charted all sickness resulting in clustering (something in area
-SOLUTION: replaced well handles + people move to different region, as result, sees cluster
-has to have theory (reductive reasoning)
-Agent -distribution, mutation 3 factors- how are these factors related to each other
-Environment- how distributed?
-see relationship between A, H, and E Sociology IN medicine
-ie. studies of "patient compliance"
-ignore patient compliance in medicine
Sociology OF medicine
-focus medicine subjective, historical trend, role of technology, takes "critical perspective",
challenge dominant views look at bureaucrat who decide what the problems are?
Western Perspective (European)
-1600s -1700s receding disease