The New Old (and Old New) Medical Model: Four Decades Navigating the Biomedical and Psychosocial Understandings of Health and Illness

Farré, Albert; Rapley, Tim

doi:10.3390/healthcare5040088

Cited by 176 publications

(136 citation statements)

References 52 publications

Supporting

Mentioning

128

Contrasting

Unclassified

Order By: Relevance

“…Current guidelines suggest broadening the traditional biomedical approach of health care by encompassing patients’ needs and values . Our study has highlighted that the use of narratives can help to further understand the impact of severe asthma on patients' experiences of personal control, choice and decision making.…”

Section: Discussionmentioning

confidence: 91%

The impact of severe asthma on patients’ autonomy: A qualitative study

Eassey

Reddel

Ryan

et al. 2019

Health Expectations

View full text Add to dashboard Cite

Background People living with severe asthma may have ongoing debilitating symptoms despite high‐dose treatment. Clinical guidelines for severe asthma recommend concepts such as patient centeredness, shared decision making and self‐management, at the heart of which lies autonomy. Objective This study aimed to explore the role of autonomy in patients’ narratives about their experiences of living with and managing severe asthma. Methods In‐depth semi‐structured interviews were video‐ and/or audio‐recorded and transcribed. Data were categorized using a hybrid approach to analysis incorporating both inductive and deductive methods, informed by the self‐determination construct of autonomy. Analysis and comparison across and within categories were conducted to develop final themes. Results Twenty‐nine face‐to‐face interviews, lasting 1.5‐4 hours, were conducted across Australia. Patients’ autonomy was enacted or challenged in a range of situations, such as interacting with health‐care providers, maintaining employment, managing symptoms, and dealing with threats to self‐identity. Two main themes were discerned from the analysis: (a) the desire to live an “unconstrained” life; and (b) preservation of self‐identity. Conclusion Our findings suggest that autonomy is broader than conventional medical concepts such as decision making and information seeking. Future research should consider these findings when developing and implementing patient‐driven self‐management interventions for those living with severe asthma.

show abstract

Section: Discussionmentioning

confidence: 91%

The impact of severe asthma on patients’ autonomy: A qualitative study

Eassey

Reddel

Ryan

et al. 2019

Health Expectations

View full text Add to dashboard Cite

show abstract

“…The ‘medical model’ of clinical practice is powerful in the context of predictable, low uncertainty pathways for causation, intervention and related outcome. In the complexity of modern health care, this model is being questioned .…”

Section: Discussionmentioning

confidence: 99%

Child with multiple problems: Clinical complexity and uncertainty

McDowell

2018

J Paediatrics Child Health

View full text Add to dashboard Cite

When practising neurodevelopmental–behavioural paediatrics, responsibility rests with the individual clinician to interpret research evidence in their daily work. This is not necessarily an easy task. Children do not usually present with single, easily definable problems. Complexity and uncertainty are present from the outset due to heterogeneity inherent in the diagnoses available, patterns of comorbid problems and the unique challenges of each child's social context. This article examines the resulting clinical challenge and offers potential responses. Rather than striving to eliminate uncertainty with strategies such as extensive assessment, the goal is to work effectively and efficiently within the limits of what can be readily known. Suggested strategies address complexity by considering the components of what is going on (biological, developmental, transactional) as hypotheses shared within each child's system of care. These hypotheses can then be tested and revised systematically as further information arises along the journey of treatment and longitudinal care.

show abstract

“…The numbers of health models are developed by sociologist, psychologist and health professionals to expose the cause and consequences of health and illness. These theorist and researchers intended to explain social (Hughes & Paterson, 2006;Shakespeare & Watson, 1997), cultural (Jegede, 2002;Wong & King, 2007), psychological and ecological (Coreil, 2010;Murray & Chamberlain, 1999;Willig, 2000), as well as biomedical explanations of health and illness (Farre & Rapley, 2017).…”

Section: Models Of Health and Illnessmentioning

confidence: 99%

Theorizing Beta Thalassemia Major: an Overview of Health Sociology

Rashid

Abbasi

2020

RIMCIS

View full text Add to dashboard Cite

This research focuses on specific models of health and illness, explored by many researchers across the world. The sequential variations and critic of each model is summed up by researcher and the relevant theoretical orientations of beta thalassemia major have been tried to integrate. Beta thalassemia major is a common genetic disorder, due to abnormalities in human globin (alpha or beta). The highest prevalence rate of disease has been seen in Saudi Arabia, Jordon, India, Bangladesh and Pakistan, due to repeated cousin marriages, strong beliefs of cultural and traditional practices and lack of knowledge for the prevention and management of beta thalassemia major. The focus of epidemiologists remained on genetic causes and ignored the social, cultural, religious and psychological factors which preponderate over biological aspects of health. The academician and health experts lacked to focus the theoretical orientations of beta thalassemia major, this paper elucidates the models of health and illness and provides and logical theoretical itinerary for beta thalassemia major.

show abstract

The New Old (and Old New) Medical Model: Four Decades Navigating the Biomedical and Psychosocial Understandings of Health and Illness

Cited by 176 publications

References 52 publications

The impact of severe asthma on patients’ autonomy: A qualitative study

The impact of severe asthma on patients’ autonomy: A qualitative study

Child with multiple problems: Clinical complexity and uncertainty

Theorizing Beta Thalassemia Major: an Overview of Health Sociology

Contact Info

Product

Resources

About