Medical dominance in Australia
Within Australia, medicine has traditionally dominated every facet of health care delivery (Germov, 2002;
Willis, 1989). The professional status that medicine holds in Australia has been gained by means of its historical and political advantages (Germov, 2002;
Willis, 1989). Willis’s (1989) seminal work on medical dominance provides an extensive review of medical relationships and the power that medicine yields.
Historically, in Australia, medicine gained its position of political and economic power through its relationship
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1064 A. Kenny, S. Duckett / Social Science & Medicine 58 (2004) 1059–1073 with the state (Willis, 1989). The state was dependent on medicine for
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97). The constraints being imposed by McDonaldization is not only apparent in private medical clinics but also is evident in the rise of managerialismin the public health care system( Clarke,
Gerwitz, & McLaughlin, 2000; Clarke & Newman, 1997;
Exworthy & Halford, 1999; Germov, 2002; Rhodes,
1991). Deprofessionalization refers to public skepticism to medical authority prompted by such things as medical fraud and negligence (Daniel, 1998; Gabe et al., 1994;
Rosenthal, Mulcahy, & LLoyd-Bostock, 1999). It is claimed that medicine is also being deprofessionalized by the public’s increased knowledge and demand for participatory health care (Gabe et al., 1994; Germov,
2002) and by increasing public interest in alternative and complementary therapies (Easthope, 2002; Eisenberg et al., 1998; Ernst & White, 2000; MacLennan, Wilson,
& Taylor, 1996; Zolman & Vickers, 1999). Proleterianization refers to ‘a process (rather than an end state) whereby medicine loses control over the context and content of medical care because of the bureaucratisation and corporatisation of health care’ (Coburn, Rappolt, &
Bourgeault, 1997, p. 2). Barnett et al. (1998, p. 194) claim that the professional dominance of medicine was
‘institutionalised and politically accepted given that the organization and outputs of health care
The Australian healthcare system has been evolving since the beginning of the colonisation of Australia. Today, Australia has an extremely efficient healthcare system although it still has several issues. The influencing factors, structure, and current issues of the Australian healthcare system will be throughly discussed and explained in this essay.
The readings this week solidified many long standing questions that I’ve had about the healthcare system, and further proved to me just how flawed it is. The introduction and chapter four from The Social Transformation of American Medicine by Paul Starr established a framework and common language surrounding how the current healthcare system came to be. The introduction specifically heavily focused on the concept of authority and how cultural and societal authority differ and work to strengthen an individual's power. Following this intro, the fourth chapter serves to provide the reader with baseline historical context on how hospitals and physicians have evolved from voluntary institutions into for-profit corporations. Using these chapters as foundational knowledge Gambles chapter gains new nuances to the need for Black hospitals to be established, and the competing forces that were at work to ensure their failure.
"In the past two decades or so, health care has been commercialized as never before, and professionalism in medicine seems to be giving way to entrepreneurialism," commented Arnold S. Relman, professor of medicine and social medicine at Harvard Medical School (Wekesser 66). This statement may have a great deal of bearing on reality. The tangled knot of insurers, physicians, drug companies, and hospitals that we call our health system are not as unselfish and focused on the patients' needs as people would like to think. Pharmaceutical companies are particularly ruthless, many of them spending millions of dollars per year to convince doctors to prescribe their drugs and to convince consumers that their specific brand of drug is needed in
al., 2011). Health service accessibility by individuals in rural and remote areas is a problem central to both countries. Reports indicate that compared with metropolitan populations, non-metropolitan populations, in both Australia and the UK, experience poor access to health services (Watt, Franks, Sheldon, 1994, p. 16). As in the primary care sector of the UK, majority of the doctors in Australia are self-employed and reimbursed on a fee-for-service approach (Gillies, 2003, p. 77). GP’s are the initial point of contact for patients in both Australia and the UK. Additional specialist medical services such as physiotherapy and optometry are only available when patients are provided with a formal referral from their GPs (Piterman, Koritsas, 2005). Although the NHS is similar to the Australian health system in certain ways, both systems also possess some differences.
The Australian health care system is a highly functioning and accessible system based on universal principles of access and equity. In this essay I will discuss the historical evolution and current structure of our health system, identifying current health service models of delivery and look at its strengths, weaknesses, policies and health priorities currently in Australia. I will discuss the roles of government and non-government health services in service provision and funding sources of Australian health. We will get a better insight of the role of standards for residential aged care and look into a broad range of professions that consumers may engage with in health service delivery, their roles and functions of each profession.
This essay will discuss the structure of Australia’s healthcare system, known as Medicare. It will also discuss the role of the Government and Non-Government agencies, and Medicare’s strengths and weaknesses. It will also address the health and illness issues that aboriginal and people from overseas face, and also the significance of implementing best practice and quality management
McGregor (2001) explains that within the context of globalization, health care reform is occurring around the world. This paper explores the neoliberal mind set shaping health care reform in the UK, Canada, United States, Australia and New Zealand. Neoliberalism is comprised of three principles: individualism, free market via privatization and deregulation, and decentralization. After describing the nature of a health care system that is shaped by those embracing this mind set, an alternative approach is introduced that could bring dignity and a human face to health care. The basic premise of the paper is that we must broaden our analysis of health care by understanding and challenging the neoliberal mind set. (McGregor ,2001)
The health care system varies from country to country although a factor they all have in common is that great measures of research are taken in order to find results and achieve a good health care system for the economy. Between Australia and japan, there are great initiatives taken to help in association to this, including economic, social and political circumstances, all influencing the way in which the countries health care system is shaped and run.
This essay discusses the history and inception of the Australian Healthcare system, how it is funded through the Government and the public income. How and where healthcare is delivered and its effectiveness, including issues and priorities according to current healthcare policies and national standards.
At some point in time, we all must have had a chance of sitting in a waiting room of a hospital. I had a chance to visit the doctor last week and it was horrible, I had to wait to meet the doctor for around 4 hours While I was dying of pain. That made me to curse the whole hospital system in Canada and that 's the main reason that lead me to prepare this essay . British Columbia health care system with emphasis on " Providing " patient-centred care". which is defined as "Shifting the culture of health care from being disease-centred and provider-focused to being patient centered". This represents a great polished political language which they use to make people feel content and confident by confusing without them knowing that they are being confused.
The conceptualisation of medicine as an institution of societal control was first theorised by Parsons (1951), and from this stemmed the notion of the deviant termed illness in which the “sick role” was a legitimised condition. The societal reaction and perspective was deemed a pillar of the emerging social construction of disease and conception of the formalised medical model of disease. Concerns surrounding medicalisation fundamentally stem from the fusion of social and medical concerns wherein the lines between the two are gradually blurred and the the social consequences of the proliferation of disease diagnosis that results from such ambiguities of the social medical model.
The Australian government realized that there is something different about rural health that requires special actions. This realization was the reason for the development of rural health policies. The aim of the policies is to insure ‘equivalent’ access to good health and health care for people in rural places. The implementation of this policies was highly challenged by different factors including political and community reactions and therefore the outcome of the policy is affected also (Farmer & Currie, 2009) .
Healthcare systems are microcosms of the larger society in which they exist. Where there is structural violence or cultural violence in the larger society, so will there be evidence of systematic inequities in the institutions of these societies. The healthcare system in Australia is one example—from a plethora of similarly situated healthcare systems—in which the color of a patient’s skin or the race of his parents may determine the quality of medical received. Life expectancy and infant mortality rates are vastly different for non-Aboriginal, Aboriginal, and Torres Strait Islanders residing in Australia. The life expectancy of Aboriginal men is 21 years shorter than for non-Aboriginal men in Australia. For women, the difference is
In the sociology of medicine Parson (1951) regarded medicine as functional in social terms. By tackling the person’s problems in medical terms the tendency towards deviance that was represented by ill health could be safely directed, until they could return to their normal self. (Lawrence 1994: p 64-65: BMJ 2004: Parson cited in Gabe, Bury & Elston 2006, p 127).
According to George Ritzer, bureaucracy completely dehumanized the social institutions in America. He sees the bureaucracy as having four components: efficiency, predictability, control and quantification. He terms this dehumanization of an institution as "McDonaldization". One of the most prevalent examples in modern society is the health care institution. In the past, health care was more simplistic in nature. House calls were not unheard of, and doctors knew all of their patients and their families on a personal level. The doctor who delivered your parents would deliver you as well as your future children. Follow-ups were quite normal; doctors were concerned with your progress for their own peace of mind. It is only recently that the