A Sociological Analysis Of Australia's Health Care System

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Australia’s health care system is hierarchical, instilled with the relations of power, and characterized by a fundamentally unequal relationship between the intellectual ‘core’ and its periphery. That is, the dominance of medicine over other health professions and patients. This social paradigm has been loosely termed ‘the medicalisation critique’ and has been a central issue concerning sociologist. Hence, the essay will examine the notions of medicalisation, utilizing the Marxist and Foucauldian perspective which provides social and political insights into hegemonic tendencies inherent in Australian health care and how this impacts nursing. The essay will commence by outlining key concepts relevant to a sociological analysis of health and …show more content…

Health sociology explores the social constructions of health and illness, utilizing the sociological imagination to understand the “intimate realities of ourselves in connection with larger social realities” (Mills 1959, p. 15). Allowing us to conceptualises the social organisation of the physical environment, and understand disease as a process of interaction between humans and the environments. This is vital for health practitioner as health inventions that are effective and preventative need to go beyond medical treatment and address the social factors of health (Germov, 2013). The different approaches of analysing health are the sociological perspective, they share the core assumptions and principles on the social context of health. Van Krieken suggests the range of perspectives reflect the subjective nature of our experience of the social world (2000). Thus, attempts at understanding and explaining the complex, diverse social world must in turn be multi-faceted (Clarke, …show more content…

Social hierarchy is defined as a rank order of individuals or groups with respect to a valued social dimension, acquired by virtue of membership in a socially constructed group such as culture, social class, organization, department, or profession (Sidanius & Pratto, 1999). These social arrangements establish power and status inequalities, and expectations of domination or subjugation (Rosenblatt, 2012). In general, power is regarded as a form of repression or oppression, which is in alignment to a Marxist perspective. Foucault rejects this, beleiveing instead “power is coextensive with resistance; productive, producing positive effects: ubiquitous, being found in every kind of relation” (1972-1977, pg. 98). Therefore, the individuals become not the objects of power, but a “locus where the power and the resistance to it are exerted” (as cited in Goudarzi & Ramin, 2014, pg. 2036). He argues us not to assume “a binary structure with 'dominators' on one side and 'dominated' on the other, but rather a multiform production of relations of domination” (Foucault, 1972-1977, pg. 142). The concept of power and hierarchy, has been employed by medical sociologists as a means of understanding the relationships between the biomedical perspective and dominant stakeholders within Western healthcare

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