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Understanding the socioeconomic influences on Health
Understanding the socioeconomic influences on Health
Reflection on medical ethics
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Social science is defined as “the scientific study of human society and social relationships”. (Oxford Dictionaries 2013a) It is important to understand that different people would interact differently, giving rise to different different culture, social norms, beliefs and religions. By improving our understanding and awareness, we would be able to treat patients more efficiently and effectively whilst respecting their culture and beliefs. There is an increasing number of diseases and societal problems such as addiction, obesity, violence and end-of-life care that cannot be addressed without taking into account the behavioural or social factors. (Mann 2012)
Ethics can be defined as “moral principles that govern a person’s behaviour or the conducting of an activity”. (Oxford Dictionaries 2013b) Doctors have a code of ethics that they should abide by when in medical practice. The aim of medical ethics is to protect and defend patients’ rights and dignity. (Elsayed et al. 2009) When these codes of ethics are taken in isolation, the principles are morally sound. However, they may conflict with each other. (Limentani, 1999)
Social science and ethics are important modules in medical education because they go beyond the technical knowledge required to be a doctor. They give medicine a more humane aspect by letting doctors understand patients as people. This would in turn improve relationships between patients and doctors, allowing medicine to become more integrated into the community, thus making it more affective.
The purpose of this essay is to demonstrate the importance of social science and ethics in medical education and medical practice. This will be achieved by addressing four main headings: social construction of medical and ...
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...med.2010.06.026.
Ritzer, G. (2007) The Blackwell encyclopedia of sociology. Massachusetts: Wiley-Blackwell
Szczepura, A. (2011) 'Plenary Lecture Nutrition in an ethnically diverse society: what are some of the key challenges?', Proceedings of the Nutrition Society, 70 (2), pp. 252-262. doi: 10.1017/S0029665111000085.
Towle, A., Godolphin, W., Grams, G. and LaMarre, A. (2006) 'Putting informed and shared decision making into practice', Health Expectations, 9 (4), pp. 321-332. doi:
10.1111/j.1369-7625.2006.00404.x.
Waggoner, M. and Stults, C. (2010) ‘Gender and Medicalization.’ Sociologists for Women in Society Fact Sheet. SWS Network News 4 (Spring): pp. 1-4.
World Health Organisation (2013) Social determinants of health: key concepts. Available at: http://www.who.int/social_determinants/thecommission/finalreport/key_concepts/en/index.html (Accessed: 27/11/2013).
According to the World Health Organisation (2017) the social determinants of health are defined as the conditions where people are born, grown, work and live, which also includes the health system. The social determinants of health determined populations health’s outcomes and therefore linked with health inequalities (WHO, 2017)
Social determinants of health (SDOH) are increasingly becoming a major problem of Public Health around the World. The impact of resources and material deprivation among people and populations has resulted in an increase in mortality rate on a planetary scale. Social determinants of health are defined as the personal, social, economic and the environmental conditions which determines the health status of an individual or population (Gardner, 2013). Today’s society is characterized by inequalities in health, education, income and many other factors which as a result is becoming a burden for Public Health around the world. Research studies have shown that the conditions in which people live and work strongly influenced their health. Individuals with high levels of education and fall within the high income bracket turn to have stable jobs, live in the best neighborhood and have access to quality health care system than individuals who have low education and fall with the low income bracket. This paper is to explain different social determinants of health and how they play ...
Wilkinson, R. M. (2003). Social determinants of health - the solid facts. [S.l.]: World Health Organization.
...e gap in attitudes between pre-medicalized and modern time periods. The trends of technological advancement and human understanding project a completely medicalized future in which medical authorities cement their place above an intently obedient society.
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
Jecker, N. (1990). Integrating medical ethics with normative theory: Patient advocacy and social responsibility. 11(2), 125-139.
In the documentary of “Being Mortal”, surgeon Atul Gawande speaks about how being a doctor is one of the hardest things. For this reason, it is based off of what he mentioned “that in doctoring school they only teach you a small percent of what you actually need to know”. By this he was saying that the schools teach students on what to do with the concept of medical procedures and how to do them, but they do not teach you about the “being moral” side of dealing with a patient’s health issues. Later in the documentary, one of the doctors mentions that he “wishes he could do better, that he also feels like it is a failure for doctors and the mental mentality they use now was not trained to deal with surreal issues that they face now with patients
Social Determinants of health is the “conditions in which people are born, live, work and age that affect their health” Healthypeople.gov. (2017). Social Determinants of Health | Healthy People 2020. [online] Available at: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health [Accessed 22 Sep. 2017]. The determinants of health are important because it helps create policies to make changes, as well as improving public health conditions by addressing the different health outcomes an individual can face and improving the need for healthier conditions. Healthy People 2020 organizes the determinants of health in both a social and physical determinant which has an impact on health.
Social construction refers to the statistics like the morbidity and mortality rate of our society. Our gender, class, ethnicity, religion and even education construct society, these all determine our experience of reality. An example of how sociologists have tried to deconstruct health in society is looking at the theories of sociologists like Leslie (1980). She developed the '3 Fold model of Health'.
With the expansion of the sociology of medicine, it has become increasingly important to consider its theories in terms of their effectiveness in application. While there is a range of concepts to evaluate, the focus here is specifically on the strengths and limitations of dualism and medicalization, as they represent significant aspects of both the medical model and its spread in contemporary society.
People are faced with difficult decisions that affect their lives on a daily basis. Thinking these decisions through and taking full consideration off all aspects should be taken at all times. In the case study, a certain Ms. A, has been diagnosed with carcinoma of the cervix. She has been told that the disease is treatable by performing a hysterectomy, however, the thought of this makes her apprehensive. Consequently, her doctor is now faced with a dilemma, if he tells her the risks having her push back the surgery. So, he wonders if he should tell her husband about all the risks and just tell ms. A that things will go well. He has to weigh out all the consequences before coming to a concrete decision. Thus, if he informs her of the risks and she postpones it she risks the disease getting worse and if he tells only the husband she will be treated immediately
Ethics are moral principles or values that govern the conduct of an individual or a group.It is not a burden to bear, but a prudent and effective guide which furthers life and success. Ethics are important not only in business but in academics and society as well because it is an essential part of the foundation on which a civilized society is built.
[1] Ethics is defined as “the code of moral principles and values that governs the behaviour of a person or a group with respect to what is right or wrong” (Samson and Daft, 2005, p.158)
Medical ethics refers to the relationship between health professionals and patients. The trust of patients in physicians has been vanishing. Today a lot of health care providers primary concerns seem to be in profit rather than in providing the proper healthcare to the public. Medical ethics consist of several different principles. Nonmaleficence, beneficence, justice, and autonomy are just a few of the many principals. Nonmaleficence enacts that a health care providers, can never use treatment to injure or wrong their patients. Beneficence claims that health care providers are obligated to help others further their interest. Justice requires health providers treat every patient as equal and provide equal treatment for everyone with the same
These sociologists are able to study health care reform while it is happening and determine if the overhauls in aspects like cost can allow for improvements in health care for everyone. Medical sociologists are also responsible for reporting their knowledge to policy makers, who will then decide if processes such as building “medical homes” are worth their money. Without the knowledge of the medical sociologists, lawmakers would put all of the focus on the bottom dollar and forget to take into account what it is society needs most and can receive the greatest benefit from. The same goes for new, expensive medical technology. Technology is an ongoing area of study for medical sociologists, since it is constantly changing. Cost-benefit ratios are well known by medical sociologists, so technology is a good thing to consult with sociologists before implementing it into a health care system. Knowledge of these types is obtained by observing everyone involved, from the providers to the