Medical Power Flashcards

1
Q

According to French and Raven, what are the 5 bases of power within organisations?

A

1 - Legitimate (formal authority within the organisation).

2 - Referent (ability to persuade and influence).

3 - Expert (possessing needed skills and experience).

4 - Reward (ability to give valued benefits).

5 - Coercive (ability to punish / withhold reward).

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2
Q

Define medical power.

A

The real or perceived ability to bring about significant change in people’s lives through one’s actions, i.e. the power to cure.

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3
Q

Define medical dominance.

A

The authority that the medical profession can exercise over others.

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4
Q

Define medical autonomy.

A

The legitimated (i.e. publicly accepted) control that the medical profession exercises over the organisation and terms of its work.

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5
Q

According to Parsons, what are the 4 conditions of a patient taking the ‘sick role’?

A

1 - Must want to get well as quickly as possible.

2 - Should seek professional advice / co-operate with the doctor.

3 - Allowed to shed some normal activities and responsibilities.

4 - Regarded as being in need of care and unable to get better by his or her own will.

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6
Q

List 6 advantages of having patient status.

A

1 - Sympathy.

2 - Sick pay.

3 - Free prescriptions.

4 - Insurance payments.

5 - May aid coping behaviour.

6 - Offers a socially acceptable explanation for an individual’s behaviour.

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7
Q

List 4 disadvantages of having patient status.

A

1 - Must accept the asymmetry of relationship with doctor.

2 - May be denied all of the advantages.

3 - May not be able to get insurance.

4 - May be subject to automatic medical intervention.

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8
Q

What are the 4 main expectations of doctors whilst exercising their professional role?

A

1 - Apply a high degree of skill & knowledge.

2 - Act for the welfare of the patient and community rather than for own self-interest.

3 - Be objective.

4 - Be guided by the rules of professional practice.

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9
Q

What are the 3 main rights doctors have whilst exercising their professional role?

A

1 - Granted right to physically examine patients and enquire into intimate areas of the patient’s life.

2 - Granted considerable autonomy in professional practice.

3 - Occupies position of authority in relation to the patient.

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10
Q

What is socialisation?

A

The mechanisms by which people learn the rules, regulations and acceptable ways of behaving in the society / group they belong to.

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11
Q

Where and when does primary socialisation occur?

A

In the family and young (e.g. gender roles, boys dressed in blue, girls in pink).

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12
Q

Where does secondary socialisation occur?

A

Throughout life (e.g. in school, peer groups and occupational groups).

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13
Q

What is anticipatory socialisation?

A

Where someone rehearses for a future position (e.g. applying to medical school).

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14
Q

What is patient socialisation?

A

Learning ‘correct’ behaviour as a patient and how to interact with healthcare systems.

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15
Q

List 5 examples of agents of socialisation for patients.

A

1 - Media.

2 - Self-help groups.

3 - Handbooks and hospital leaflets.

4 - Experience of the healthcare system.

5 - Other patients.

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16
Q

Define medicalisation.

A

The process by which non-medical problems become defined and treated as medical problems, usually in terms of illnesses or disorder.

17
Q

Describe ‘batch living’.

A

Where daily life is carried out in a group with others and with scheduled activities.

18
Q

List 3 mechanisms used in institutions to facilitate management of inmates.

A

1 - Physical and psychological reminders of a person’s identity are stripped by removing personal possessions and restricting privacy and individual responsibility.

2 - Information about the individual and the institution is controlled.

3 - Mobility is restricted.

19
Q

List 4 effects of total institutions.

A

1 - Stress.

2 - Anxiety.

3 - Depersonalisation.

4 - Apathy with an inability to undertake simple tasks or make decisions.

20
Q

List 5 modes of adaptation to life in total institutions.(Goffman)

A

1 - Situational withdrawal (no contact with others).

2 - Intransigent line (patient refuses co-operation).

3 - Colonisation (the person develops a preference for life on the inside).

4 - Conversion (becoming a model patient).

5 - Playing it cool (using a variety of strategies, including the above, depending on the situation.

21
Q

List an advantage and disadvantage of permeability in institutions.

A

Advantage: Contact with the outside world is maintained.

Disadvantage: Increased risk to staff and patients.

22
Q

List 3 management techniques for permeability in institutions.

A

1 - Limiting unwanted movement.

2 - Using discretion.

3 - Patient input (negotiation).

23
Q

List 5 examples of threats to medical power.

A

1 - Complementary and alternative healthcare.

2 - Technological developments.

3 - Availability and accessibility of information.

4 - Patient empowerment.

5 - Erosion of autonomy.