Health & Ilness

Cards (34)

  • health
    - physical, social, and mental well-being
    - absence of a disease and weakness
    - good health vs. not healthy
  • illnes
    - feeling that one is not well
    - health and illness is based on a social construction
  • social construction
    - perceptions of health and illness is based on social construction:
    - it becomes a social reality
    EX: for some, they go to the doctor when they have a cold while others take medicine and drink plenty of water and get sleep
  • medicalization of society
    - medical responses applied to everyday social problems
    - deviance viewed as physical/social disorder rather than criminality
    - it's expected that there is a medical response to everyday social problems
  • medicalization of deviance
    - deviance as a medical problem (use medicine to be healthy); sick/ill (treated) rather than bad (punished)
    - medical approach is humanitarian and scientific
  • three major functions of medicine (functional theory):
    - maintenance of health
    - medical research
    - social control
  • maintenance of health
    - medical professionals with the most basic task is to keep people healthy; do not harm
    - restore health to the sick
    - promote healthy activities (diet, exercise, stress levels, etc.)
  • medical research
    - knowledge gained
    - through universities or hospitals
  • social control
    - public health policies carried out by medical professionals
    EX: what kind of vaccines the public should get
  • conflict theory
    - disagree that functional theory is helping people in such an organized way
    - health care is expensive
    - profit motive of medicine
  • health care is expensive:
    - partial coverage only through jobs; different jobs have different health privileges or coverage
    - unequal access to health care; privilege rather than right
  • profit motive of medicine:
    - businesses interested in making profits rather than treatment
    - treatment is expensive
    - more tests doctors do, the higher the cost
  • feminist theory
    - focus on gender (girls and women)
    - healthcare and medicine has been mainly focused on men
    EX: when a medicine bottles say adults should take 2 tables, this is based on a 5'9 male
  • differences between developed and developing countries
    - developing countries have young girls dying from issues related to regular things like pregnancy
  • social class differences
    - girls and women from upper and middle classes often have more control over their health and more of a voice than those from lower classes
  • doctor-patient relationship
    - sick role
    - physician's role
  • sick role
    - when one is sick, they are allowed to deviate from the norm
    - one receives privileges like being absent from daily activities
    - expected to get healthy
    - playing the sick role (excuse)
    EX: purposely saying they're ill so they don't have to turn in a paper
  • physician's role
    - assist patients; authority over patients
    - treatment-oriented rather than prevention-oriented
    - make profit by providing treatment and helping with health
    - well-respected; most prestigious occupation and status (hospital status)
  • socialized medicine
    - government support health services
    - when government is involved in healthcare; everyone is involved and accounted for
    - health care is a right
    - universal health care (access for all)
    - gov also decides how much or little they will cover
  • fee-for-service
    - charged per service (business model and profit motive)
    - health care is a privilege; everything has a charge
    - doctors are no different than business people trying to make a profit
    - supported by the American Medical Association (AMA)
  • deprofessionalization
    - doctors feel that there's a loss of autonomy by physicians
    - used to be viewed as more prestigious compared to now because of insurance companies that dictate what will and will not be covered
  • urban-rural differences
    - more medical facilities in urban than rural areas
    - more specialists in major citie
  • U.S.
    - only developed country without a national health care program
    - government participation challenges individualism
    - dictate what kinds of medicines we have or what kind of procedures to get
  • age
    - life expectancy increasing and death rate decreasing
    - fewer infants dying and people are living longer due to medical technology
    - elderly are the group that needs care and resources
  • infant mortality rate
    - number of babies who die before age of one per 1,000 births
    - U.S. does not do well compared to other countries
    - poverty factor: high percentages of certain racial & ethic groups brings this rate up
  • gender
    - women healthier than men
    - from birth to death at every age level, girls and women are always healthier
    - a son is more likely to be ill, have mental disabilities and colorblindness
    - men usually have the heart attacks and strokes
  • social class
    - higher class healthier than lower class
    - higher classes have healthier lifestyles
    - people who are poor or working class/poor take more sick days
    - life expectancy shorter for those in lower class
    - more stress and worry contributes to health
  • race and ethnicity
    - differences in access to health care and views about health
    EX: Italian Americans very concerned about pain and want it relieved immediately
    Jewish Americans view pain as something that could be a long term complication and interested in hearing what doctors have to say about treatment
  • demographic transition theory
    - way to understand population and health
    - 3 major stages in terms of countries and what they go through
    - can not have low birth rate and high death rate (end of society)
  • high birth rate and high death rate
    - many infants and people die
    - developing countries
    - families have many children even if they cannot support them
  • high birth rate and low death rate
    - rapid population growth with surviving infants and less people dying
    - good thing, but rapid growth puts pressure on economy
  • low birth rate and low death rate
    - developed countries
    - very few children being had in families; less people dying means there is no need for infants to replace them
    - can't sustain society this way
  • cultural norm
    - norm of what's best for every society: low birth rate and low death rate
  • large families in developing countries
    - traditional, rural, and agricultural societies
    - rural communities have more children than urban
    - lower classes have more children (farming communities)
    - focus on quantity
    (developed countries focus on quality of life)
    EX: China having one child policy