Medicalisation in the UK: changing dynamics, but still ongoing

Gray, Denis Pereira; White, Eleanor; Russell, Ginny

doi:10.1177/0141076815600908

Cited by 11 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Medicalization refers to “the process by which moral, social or legal problems become medical issues” (p.8). The concept of medicalization centres on the “medical model” in which disease is assumed to have identifiable biological cause and action is orientated toward the intentions of curative medicine .…”

Section: Medicalization Of Frailtymentioning

confidence: 99%

“…The narrative surrounding the “balance of power” between health care professionals and patients has shifted since original applications of the term “medicalization,” acknowledging the implicit hierarchy of health professionals' status and social positioning . A more recent and increasing rhetoric centres around involvement, choice, shared decision making, and enhancement of roles for recipients of services, families, and other supporters . However, older people may be particularly predisposed to a “paternalistic” approach that is characterized by professional authority and a one‐way communication style, where professionals inform patients about decisions they have made in an asymmetric power balance …”

Section: Medicalization Of Frailtymentioning

confidence: 99%

See 1 more Smart Citation

“She doesn't want to go to hospital. That's one thing she hates”: Collective performativity in avoidable nursing home to hospital transfers

Mäkelä

2018

Evaluation Clinical Practice

View full text Add to dashboard Cite

Older people who live with a combination of conditions experience fluctuations over time, which others may interpret as a need for medical attention. For some nursing home residents, this results in transitions in and out of hospital. Such transfers may be arranged without expectation of improved quality of life, can be associated with significant morbidity and mortality, and may preclude end-of-life preferences. Factors affecting avoidable hospitalization for nursing home residents are not well understood. I aim to explore potential drivers, moving beyond deficit explanations relating to funding, training, and resources. I use a framework of analysis that firstly considers medicalization of frailty, as a state of vulnerability that provides focus for others' action. I then draw on Judith Butler's theory of performativity, to explore nursing homes as sites of identity work for staff, residents and families. I consider ways subjectivities can be effected through reiterative practice that is compelled by normative conventions. Trouble may arise when citational practice of health care staff, and performative acquiescence of residents and families, culminates in an inevitability of hospitalization when navigating grey areas of assumed clinical risk. Principles of coproduction could present a disruptive opening, to rework power asymmetries, and move toward aspirations for residents and their relatives to be at the centre of decisions about care.

show abstract

Section: Medicalization Of Frailtymentioning

confidence: 99%

Section: Medicalization Of Frailtymentioning

confidence: 99%

“She doesn't want to go to hospital. That's one thing she hates”: Collective performativity in avoidable nursing home to hospital transfers

Mäkelä

2018

Evaluation Clinical Practice

View full text Add to dashboard Cite

show abstract

“…A wide range of (new) stakeholders, such as patient organisations, pharmaceutical companies, and news media, are increasingly involved in the healthcare field (Clarke et al, 2003;Pereira Gray et al, 2016). Indeed, the healthcare field is structured around these struggles.…”

Section: Field Relationality and Boundary-workmentioning

confidence: 99%

“…Over the past decades, the variety of stakeholders involved in the healthcare field has significantly increased (Conrad, 2005;Pereira Gray, White, & Russell, 2016). Besides an increase in the number of stakeholders involved in the healthcare field, there is also a more general rise in societal and journalistic interest in health (Clarke, Shim, Mamo, Fosket, & Fishman, 2003;Weitkamp, 2003).…”

Section: Introductionmentioning

confidence: 99%

(Dis)entangling medicine and media: a qualitative analysis of the relationship between the fields of healthcare and journalism

Bogaert

Stroobant

Bracke

2018

Health Sociology Review

View full text Add to dashboard Cite

Previous research has illustrated that journalists play an active role in the production of health news. The current study explores the relationship between the fields of healthcare and journalism from a healthcare perspective. Drawing on Bourdieu's theory of fields and Gieryn's concept of boundary-work, this study employed elite interviewing to analyse how the relations between these two fields were reflected and negotiated in the discourses of Belgian health-policy stakeholders. Our analysis illustrated that health-policy stakeholders perceived medicine and the news media as two different cultures and, therefore, discursively positioned news media actors as outsiders. Additionally, we showed that the nature of the relationship between health-policy stakeholders and the news media was linked to health-policy stakeholders' position within the healthcare field. Through this analysis, we illustrate the value of using the concept of boundary-work as an analytical instrument to study the relationships between fields.

show abstract

“…We are grateful to Dr Vincenti 1 for his interest in our article on medicalisation. 2 He is right that amitriptyline is used for pain control and not only for depression.…”

mentioning

confidence: 99%