How Did Social Medicine Evolve, and Where Is It Heading?

Porter, Dorothy

doi:10.1371/journal.pmed.0030399

Cited by 86 publications

(65 citation statements)

References 19 publications

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“…This interdisciplinary approach is the province of social medicine, the sub-field of medicine that studies and engages with social aspects of health, illness, and care (Henderson et al, 2005;Porter, 2006). As such, social medicine can be defined by four primary characteristics: multidisciplinary methodologies, roots in social theory, critically interpretive stance, and proclivity to engage with social aspects of clinical and scientific problems.…”

Section: Consortium Of Universities For Global Health Noted Inmentioning

confidence: 99%

Locating global health in social medicine

Holmes

Greene

Stonington

2014

Global Public Health

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Section: Consortium Of Universities For Global Health Noted Inmentioning

confidence: 99%

Locating global health in social medicine

Holmes

Greene

Stonington

2014

Global Public Health

View full text Add to dashboard Cite

“…The biomedical model, perhaps more attuned to the focus on individualism in Western societies, to the belief in 'hard' science and to the interests of the medical profession, dominated health policy in the second half of the twentieth century (Porter, 2006). Huge sums were invested in hospital building and biomedical research programs, specialties multiplied, and medical practice became increasingly narrow and technological.…”

Section: Discussionmentioning

confidence: 99%

Accounting and the ‘Insoluble’ Problem of Health-Care Costs

Gebreiter

Ferry

2016

European Accounting Review

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Health service accounting reforms are frequently promoted, explained or justified with reference to aging populations, expensive medical technologies and their purported implications for the cost of health care. Drawing on Foucault's genealogical method, we examine the emergence of concerns regarding health expenditure in the wake of the creation of the British National Health Service in 1948, and their relationship with health service accounting practices. We argue that concerns regarding the cost of health care are historically contingent rather than inescapable consequences of demographic and technological change, and that health service accounting practices are both constitutive and reflective of such concerns. We conclude by relating our analysis to current attempts to control costs and increase efficiency in the health services.

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“…One theory credits medicine's increasing focus early in the twentieth century on treating the biological causes of disease, and public health's contrasting occupation with the social and environmental causes of illness, resulting in efforts geared toward health promotion and prevention (Khoury et al 2007). The vectors of medicine and public health diverged further when schools of medicine and public health in the United States were officially separated in 1916 (Khoury et al 2007), in part due to the conflicting goals of professionals in the fields (Porter 2006). Additional ideas include ''the rise of medical authority with the expansion of hospital-based specialist practices'' (Porter 2006) as well as a corresponding split between individualist and collectivist modes of analysis in the social sciences (Arah 2009).…”

Section: Challenges For Public Health and Genomicsmentioning

confidence: 99%

Biobanking and public health: is a human rights approach the tie that binds?

Meslin

Garba

2011

Hum Genet

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Ethical principles guiding public health and genomic medicine are often at odds: whereas public health practice adopts collectivist principles that emphasize population-based benefits, recent advances in genomic and personalized medicine are grounded in an individualist ethic that privileges informed consent, and the balancing of individual risk and benefit. Indeed, the attraction of personalized medicine is the promise it holds out to help individuals get the "right medicine for the right problem at the right time." Research biobanks are an effective tool in the genomic medicine toolbox. Biobanking in public health presents a unique case study to unpack some of these issues in more detail. For example, there is a long history of using banked tissue obtained under clinical diagnostic conditions for later public health uses. But despite the collectivist approach of public health, the principles applied to the ethical challenges of biobanking (e.g. informed consent, autonomy, privacy) remain individualist. We demonstrate the value of using human rights as a public health ethics framework to address this tension in biobanking by applying it to two illustrative cases.

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How Did Social Medicine Evolve, and Where Is It Heading?

Abstract: A better understanding of how social medicine evolved, says Porter, could help to focus its role in responding to the health needs of a post-industrial, globalizing world.

Cited by 86 publications

References 19 publications

Locating global health in social medicine

Locating global health in social medicine

Accounting and the ‘Insoluble’ Problem of Health-Care Costs

Biobanking and public health: is a human rights approach the tie that binds?

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