LOGIN TO YOUR ACCOUNT

Username
Password
Remember Me
Or use your Academic/Social account:

CREATE AN ACCOUNT

Or use your Academic/Social account:

Congratulations!

You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.

Important!

Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message

CREATE AN ACCOUNT

Name:
Username:
Password:
Verify Password:
E-mail:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Publisher: Elsevier
Languages: English
Types: Article
Subjects: R1
Health professionals face a tension between focusing on the individual and attending to health issues for the population as a whole. This tension is intrinsic to medicine and gives rise to medical uncertainty, which here is explored through accounts of three medical interventions focused on women at midlife: breast screening, hormone replacement therapy and bone densitometry. The accounts come from interviews with UK health professionals using these medical interventions in their daily work. Drawing on the analysis of Fox [(2002). Health and Healing: The public/private divide (pp. 236–253). London: Routledge] we distinguish three aspects of medical uncertainty and explore each one of them in relation to one of the interventions. First is uncertainty about the balance between the individual and distributive ethic of medicine, explored in relation to breast screening. Second is the dilemma faced by health professionals when using medicial evidence generated through studies of populations and applying this to individuals. We explore this dilemma for hormone replacement therapy. Thirdly there is uncertainty because of the lack of a conceptual framework for understanding how new micro knowledge, such as human genetic information, can be combined with knowledge of other biological and social dimensions of health. The accounts from the bone denistometry clinic indicate the beginnings of an understanding of the need for such a framework, which would acknowledge complexity, recognising that factors from many different levels of analysis, from heredity through to social factors, interact with each other and influence the individual and their health. However, our analysis suggests biomedicine continues to be dominated by an individualised, context free, concept of health and health risk with individuals alone responsible for their own health and for the health of the population. This may continue to dominate how we perceive responsibilities for health until we establish a conceptual framework that recognises the complex interaction of many factors at macro and micro level affecting health.\ud \ud
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • Armstrong, D. (1995). The Rise of Surveillance Medicine. Sociology of Health and Illness, 17, 393-404.
    • Ballard, K. (2002a). Understanding risk: women's perceived risk of menopause-related disease and the value they place on preventive hormone replacement therapy. Family Practice, 19:6, 591-595.
    • Ballard, K. (2002b). Women's use of hormone replacement therapy for disease prevention; results of a community survey. British Journal of General Practice, 52, 835-837.
    • Birke, L. (2003). Feminism and the idea of 'the biological'. In S. Williams,L. Birke, & G. Bendelow (Eds.), Debating Biology: Sociological reflections on health, medicine and society. (pp. 39-52). London: Routledge.
    • Blaxter, M. (2003). Health Buckingham: OUP
    • Boukes, F.S., Groeneveld, F.P.M.J., & Assendelft, W.J.J. (2003). 'Dutch College of General Practitioners' Position on Hormone Replacement Therapy (HRT). http://ntg.artsennet.nl/sitemap, 2005(22 February).
    • Byrne, D. (1998). Complexity theory and the social sciences London: Routledge
    • Byrne, D. (2002). Interpreting Quantitative Data London: Sage
    • Cancer Research UK (2004). Breast Cancer and Breast Screening CancerStats Report. London: Cancer Research UK.
    • Committee on Safety of Medicines and Medicines and Healthcare Products Regulatory Agency (2003). HRT: Update on the risk of breast cancer and long-term safety, Current problems in Pharmacovigilance pp. 1-3). London: Committee on Safety of Medicines and Medicines and Healthcare products Regulatory Agency.
    • Martin, E. (1987). The woman in the body Milton Keynes: Oxford Univeristy Press
    • McWhinney, I.R. (1989). An Acquaintance with Particulars... Family Medicine, 21(4), 296- 298.
    • Million Women Study Collaborators (2003). Breast Cancer and hormone-replacement therapy in the Million Women Study. Lancet, 362, 419-427.
    • Moss, N. (2002). Gender equity and socioeconomic inequality: a framework for the patterning of women's health. Social Science & Medicine, 54(5), 649-661.
    • Nettleton, S. (1996). Women and the new paradigm of health and medicine. Critical Social Policy, 16, 33-53.
    • Nettleton, S. (1997). Governing the Risky Self: how to become healthy, wealthy and wise. In A. Peterson, & R. Bunton (Eds.), Foucault, Health and Medicine. London: Routledge.
    • NIH (2004). Research Grants Database. http://crisp.cit.nih.gov/crisp.
    • Oakley, A. (1984). The Captured Womb: a history of the medical care of pregnant women Oxford: Basil Blackwell
    • Quinn, M. (2004). Trends and patterns in breast cancer incidence, survival and mortality in England and Wales, West Midlands Breast Screening Programme Quality Assurance Conference. Birmingham.
    • Roberts, C. (2002). 'Successful Aging' with Hormone Replacement Therapy: It May Be Sexist, But What If It Works? Science as Culture, 11(1), 39-59.
    • Rosenburg, C. (1998). Holism in Twentieth-Century Medicine, Greater than the parts Holism in Biomedicine 1920-1950 (pp. 335-355). New York: Oxford University Press.
    • Royal College of Physicians and Bone and Teeth Society of Great Britain (2001). Osteoporosis: Clinical guidelines for prevention and treatment. London: Royal College of Physicians.
    • School of Public Health, U.o.L., Centre for Health Economics, University of York, Research Unit, Royal College of Physicians. In association with the Department of Health, (1992). Effective Health Care: Screening for Osteoporosis to Prevent Fractures. Leeds: University of Leeds.
    • Sullivan, F., & MacNaughton, R.J. (1996). Evidence in consultations: interpreted and individualised. Lancet, 648, 941-943.
    • Summerskill, William, S.M., & Pope, C. (2002). 'I saw the panic rise in her eyes and evidence-based medicine went out of the door.' An exploratory qualitative study of the barriers to secondary prevention in the management of coronary heart disease. Family Practice, 19:6, 605-608.
    • Sweeney, K., & Griffiths, F. (2003). Complexity and Health Care: An Introduction Abingdon: Radcliffe Medical Press
    • Tanenbaum, S.J. (1994). Knowing and Acting in Medical Practice: The Epistemological Politics of Outcomes Research. Journal of Health Politics, Policy and Law, 19, 27-44.
    • Tannenbaum, C.B., Nasmith, L., & Mayo, N. (2003). Understanding older women's health care concerns: a qualitative study. Journal of Women and Aging, 15(1).
    • Wadsworth, G., & Green, E. (2003). Changing women: an analysis of difference and diversity in women's accounts of their experiences of menopause. In S. Earle, & G. Letherby (Eds.), gender, identity and reproduction, social perspectives (pp. 205-221). London: Palgrave.
    • Webster, A. (2004). Innovative Health Technologies ESRC Resaerch Programme.
    • Wilkin, T., Devendra, D., Dequeker, J., & Luyten, F.P. (2001). Education and Debate: Bone densitometry is not a good predictor of hip fracture. BMJ, 323, 795-799.
    • Williams, S., & Calnan, M. (1996). Modern medicine: lay perspectives and experiences London: UCL Press
  • No related research data.
  • No similar publications.

Share - Bookmark

Cite this article