Introduction: taking stock of medical dominance

Willis, Evan

doi:10.5172/hesr.2006.15.5.421

Cited by 103 publications

(86 citation statements)

References 7 publications

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“…The literature on professions around issues of monopoly, power and boundaries has been preoccupied with the potential loss of doctors' hegemony due to tasks that are now being performed by lower level of health professionals such as nurses, pharmacists and other 'allied health workers' (Willis 2006;Boyce 2006;Cooper 2012) as is the case in most developed countries. However, it paid little (if any) consideration to such issues in the context of 'laymanisation' and its potential impact on nurses.…”

Section: Discussionmentioning

confidence: 99%

‘Re-Engineering the Workforce to Meet Service Needs’: Exploring ‘Task-Shifting’ in South Africa in the Context of Hiv/Aids and Antiretroviral Therapy

Gilbert

2013

South African Review of Sociology

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This article explores the major trends in the South African health workforce in the context of HIV/ AIDS and analyses their potential impact on the professional work and status of nurses and doctors. The Human Resources for Health Strategy for the Health Sector 2012/13-2016/17 document, in addition to a wide range of secondary material, is used to depict the shifts that have taken place in the SA health workforce as a response to the unmet health needs and demands emanating from HIV/AIDS. Such a response is particularly challenging in the context of limited-resource settings and inadequate public healthcare services. Therefore, there has been a need to come up with inventive ideas to mobilise all available resources to curtail the spread of the epidemic as well as to cope with the provision of ART to large numbers of people as quickly as possible. Adopting a critical-analytical approach, this article draws attention to three such ideas: task-shifting, the training of new midlevel workers, and the use of members from the community in a variety of roles as 'community health workers'. Although these ideas are not new, they acquire acute poignancy in the context of HIV/AIDS in South Africa today. They also provide an interesting case study through which to interrogate arguments advanced in the sociology of the professions about 'medical dominance', 'occupational monopoly', 'laymanisation' and the potential challenge to medical authority and power that may have occurred alongside shifts in professional boundaries.

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Section: Discussionmentioning

confidence: 99%

‘Re-Engineering the Workforce to Meet Service Needs’: Exploring ‘Task-Shifting’ in South Africa in the Context of Hiv/Aids and Antiretroviral Therapy

Gilbert

2013

South African Review of Sociology

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“…specialized knowledge (social closure), the co-option of elements from other professional domains, and the marketing to and acceptance of professional authority by the layperson that is often backed by government legislation and funding. 10,[12][13][14][15] There is continuing debate about whether the neoliberal economic reforms of the past few decades have significantly weakened biomedical dominance. 10,13,14 Certainly, the freer capitalistic market has coincided with a rise in patient demand for TCAM, legislative changes legitimizing TCAM, insurance funding for TCAM, and changes in consumer expectations and behavior.…”

Section: Biomedical Dominancementioning

confidence: 99%

The Integrative Medicine Team—Is Biomedical Dominance Inevitable?

Hunter

Corcoran²,

Phelps³

et al. 2012

The Journal of Alternative and Complementary Medicine

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“…Used coercively it may lead to unfair treatment, discrimination and 'oppressive consequences' (ibid p16), which is where dismissing Jim as a 'troublemaker' might have led. Perhaps remembering the medical dominance prevalent in his youth (Willis 2006), which sees the disease rather than the person, Jim felt a need to exert his power and assertiveness in pursuit of his own goals.…”

Section: Jim's Challenges: Power Vulnerability and Controlmentioning

confidence: 99%

Real world challenges in delivering person-centred care: A community-based case study

Riding

Glendening

Heaslip

2017

Br J Community Nurs

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Community nurses face many challenges when trying to practice evidence based, person-centred care. Ongoing concerns regarding the impact of the 2013 Francis Report (Ford and Lintern 2017) suggest that individualised and holistic care is an impossible dream; one made harder when the client appears uncooperative. This paper presents a case study which sets out how some of these challenges were met in a potentially difficult situation experienced by a student nurse and her mentor in practice, in which the student was supported to further examine and explore issues that may have influenced the situation. In this instance the solution came with the recognition that the client had expertise and knowledge that needed to be taken into account alongside that of the nurses looking after him. His care became a partnership, not an imposition of expertise; a principle which is transferrable to many other situations. Underpinning it was the recognition of our shared humanity; where lies the essence of truly holistic care. Student nurses learning this, through the guidance and support of their mentor.

show abstract

Introduction: taking stock of medical dominance

Cited by 103 publications

References 7 publications

‘Re-Engineering the Workforce to Meet Service Needs’: Exploring ‘Task-Shifting’ in South Africa in the Context of Hiv/Aids and Antiretroviral Therapy

‘Re-Engineering the Workforce to Meet Service Needs’: Exploring ‘Task-Shifting’ in South Africa in the Context of Hiv/Aids and Antiretroviral Therapy

The Integrative Medicine Team—Is Biomedical Dominance Inevitable?

Real world challenges in delivering person-centred care: A community-based case study

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