Medical Dominance (9)

• Medical Dominance


  Autonomy

  Authority

  Sovereighty
• Autonomy


  The right or condition of self governed. e,g doctor control over own work
• Authority


  The power or right to give orders, make decisions. e.g doctor control over other workers
• Sovereignty


  Supreme power or authority e.g doctor over the context or health care
• Medical Domination


  Doctors dominates over healthcare delivery e.g nurses & allied health workers

  Only doctors can diagnose & treat illnes
• Types of Autonomy


  Economic

  Political

  Clinical
• Economic Autonomy 


  Right of doctors to determine their pay
• Political Autonomy


  The right to make policy decisions as legitimate experts on health
• Clinical Autonomy


  The right to seek professional standards about treatment - dictates hospital expenditure
• Problems with Medical Dominance

  Self-serving

  Deprofessionalism
• Self-serving


  placing own interest above patients or public interest. financial concerns determine appropriate treatment
• Deprofessionalism


  Process which medicine monopoly over knowledge and authority over the patient