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the eassy of inequality in health care
the eassy of inequality in health care
inequality in the healthcare system
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In this essay I would analyse the concept of health and illness, I would critically examines the contribution of Parsons Theory to health and illness and the criticisms of Parsons model of sick role. In addition, the paper will discuss inequality in health and the findings of black report. I would also discuss sickle cell disease and coronary heart disease.
Talcott Parsons has revolutionised the way to deal with the disease and he structured his ideas in to practice and interlink with core issues that the utilitarian society must have. In that sense Parsons noticed that when a person is sick, they are unable to carry out their social responsibility normally. Therefore, Parsons implies that the only way to understand the illness and its effect to society are to look at illness in a different angle as the form of deviance, which undermines the, role of society thus; it should be a way to control the situation same as crime and other form of deviance. This led Parsons to assess the relationship between illness and social control.
Haralambos (2000 pg294)
Since Parsons emphasised new advances in dealing with illness; thus, he put forward the historical method in the sociology of health known as sick role, he has then shifted illness from biological concept to social theory.
Haralambos (2000 pg294)
Parsons derived model of sick from studies of Freud, Max Weber and The functionalist. He emphasize the concept of transference and counter-transference of parent–child relationship, the idea taken from Freud with patient-doctor relationship then again he undertake the structure of personality from Freud to compare with conflicting drive that sick person has, that he recover from illness and enjoy the secondary gains of care and r...
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...ween lower and higher social classes was widening. A person’s social class is based on a mixture of factors such as income level, education, housing and occupation. The report’s other findings were there were some cases of lower social classes experiencing worst health than in the 1950’s.
The two important reports were presented Acheson(1998) and Black reports(1980) were able to investigate health and inequality in the UK. Black report’s findings were:
Institutional racism seems to be other factors that ethnic minority has to bear within health service.
Parsons remain a symbolic figure to further new ideas in the sociology of health; his contribution has paved the way to new understandings. Parsons still remain the guideline to the research and methods in a political as well as health arena.
http://www.nhscareers.nhs.uk/feature-july-2009.shtml
People living in areas such as Playford, has shown to have a lower socioeconomic position, which made them at highest risk of poor health (WHO, 2017). Then, the social determinants of health support the understanding the difference between populations health levels, but also the reasons behind why some groups are healthier than others (Marmot, 2005) and the issue becomes a little bit deeper as people living in different areas related to others differently, so then the social stratification of health is affected by differences in gender, marital status, residential areas and ethnicity (Elstad,
The video “In Sickness and In Wealth” is about how healthy your body is connected to your means of health. In this video it views the life of four individuals with different lifestyles and different levels of income. In this video it displays the life of a CEO, lab supervisor, janitor and unemployed mother, all from Louisville, Kentucky. It explained how their social class affect their standard of living as well as their health. In this video demonstrate how social class shapes access to control, resources and opportunity, resulting in a health-wealth incline.
Introduction: For this essay I am going to critically discuss the biomedical model as well as the social model of health and how they both relate to the lay perspectives on health and illness.
...y. The doctors could also prescribe varied treatment to different groups of patients who have distinct symptoms. Third, since patients in the same group tended to have similar interests, they could build friendship after communicating with each other every day. Therefore, they would ease stress and achieve happiness, creating a better condition for their convalescence. All of the above reasons manifest the importance of classification in the moral treatment.
Townsend, P., Whitehead, M. and Davidson, N. (eds) (1992) Inequalities in Health: the Black Report and the health divide, Harmondsworth, Penguin.
I chose not to use any of the prompts provided, but instead connect the article to what I learned in my sociology class lass quarter. In class we watched part one of film series of Unnatural causes, titled Unnatural Causes: Is Inequality Making us Sick "In Sickness and in Wealth". While reading the article this reminded me about the cases studied in the film to see whether wealth inequality contributes to making people sick. In the film they focused on the social determinants of health, wealth and education. In both the article and part one of the film Unnatural Causes they focused on three different individuals and how their health are affected by they choices they make and the access they have to care.
First of all, it is important to consider the whole aspect of ethnicity as it has other elements such as race and culture which goes along side this concept. Barry and Yuill (2008, p128) both state that ethnicity is “a common cultural heritage that is sociology learned and constructed”. This is what partly defines an individual socially. In terms of race, this is a biological differentiation between people which is determined by their genetic make-up, this differentiation can be based on skin colour or physical differences (Culley and Dyson, 2005). Whereas, according to Kelly and Nazroo (2008, p 161) they state that culture is tied to ethnicity, “it consist of shared experiences, beliefs and values”. This could involve also some sort of guidelines or norms which have been passed on generations. Looking at these three concepts may seem to be straightforward; however, todays healthcare profession seems to be struggling to take on these concepts in order provide “cultural competent care for their patients” (Kelly and Nazroo 2008, p. 159)
Conrad, Peter. The Medicalization of Society: On the Transformation of Human Conditions into Treatable Disorders. Baltimore: Johns Hopkins University Press, 2007.
During 1951 Parson was the first to debate about the sick role. According to Parson, there are the few expectations which need to be met before considering individual sick. Firstly, individual should not cause their own health problem an example could be by eating a high-fat food which leads to overweight and linked to type 2 diabetes. An individual receives a less sympathy. Secondly, individual who is sick must adamant to get well otherwise will see as faking the illness. Thirdly, an individual illness should be confirmed by a physician so they can follow the instruction. The relationship between the physician and the patient is hierarchical where the instruction is provided by the physician and followed by the
Kevin White pp: 5-8k introduction to sociology of health and illness second edition books.goole.co.uk accessed 11-04-2014
Parson’s sick role generalizes today’s modern-day view of the sick role. It is the role given to those who experience illness beyond the physical condition of a sick state- it constitutes a social role because behaviors are shaped by institutional expectations and reinforced by the norms of society. It's based on the assumption that being sick is not deliberate or a choice of that person. According to Parsons, the sick role requires an ill person to fulfil a series of obligations to gain many rights. They are obliged to: Seek medical advice, cooperate with medical experts and therapists throughout their illness, want to get well as quickly as possible (Cockerham, 2016). In return for fulfilling these obligations they are exempt from social responsibilities and self-care, which are taken upon by family and friends. These rights, however, are granted only when a recognized medical authority, such as a doctor, acknowledges the person’s illness. Some illnesses do not justify people claiming all the rights of the sick role. For example, minor ailments may be self-treated and should not require time off work. In such circumstances, an inappropriate adoption of the sick role puts a strain on this social contract and may be met with a lack of sympathy from family and careers. This reaction can also occur when people who are genuinely sick fail to follow prescribed medical advice (Parsons,
...0). This should be considered when measuring the impact of the evidence illustrated in table 1. While investigation is still in its infancy, researchers are examining the influence of different dimensions of social class and its various associations with health, thus allowing more accurate connections to be made. For example, improvements have been made to the classification process with the introduction of the NS-SEC. Widely regarded as a more precise measure than the Registrar General’s Social Class classification, and now widely used in ONS, the NS-SEC addressed many of the discrepancies associated with the old classification (Donkin et al., 2002b). This classification is present in the evidence illustrated in table 2 and figure 1. Both sets of evidence clearly demonstrate that health inequalities, in relation to social class, have increased in the 21st century.
Woolf, S. & Braveman, P., 2011. ANALYSIS & COMMENTARY: Where Health Disparities Begin: The Role Of Social And Economic Determinants—And Why Current Policies May Make Matters Worse. Health Aff, 30(10).
This model, along with its “key therapist technique” is one of the only institutionally applied ways that discusses this topic, as most of society is weary, uncomfortable, or uneducated of how to approach it. While one of its weaknesses is that its research support is merely moderate, this is simply because testing this model is more difficult than testing the success of other models. This is because this model does not believe in turning humans into test subjects, and thus ridding them of their humanity, which is enlightening and can justify this low research support. The fact that the “consumer designation” is client based is also a strength of the model because referring to those seeking advice or guidance as “patients,” medicalizes these individuals, and thus may impose them with a permanent, stigmatized, and inaccurate label because of this term. This is also true with certain models like the biological model that searches for perhaps natural or inherent and inescapable internal causes to abnormality, which negatively accredits certain individuals as biologically abnormal and dysfunctional. This trend was a prominent approach in historical dynamics as well. For example, this occurred when certain
When people think of the term health most of the time people think of it in terms of the physical aspect. But, really the term health is made up from several different terms such as class, race, gender, education, and income which can all affect a person 's health in many different ways. A person 's health can be affected positively and negatively because of different social determinants.