Medical Power Flashcards
According to French and Raven, what are the 5 bases of power within organisations?
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).
Define medical power.
The real or perceived ability to bring about significant change in people’s lives through one’s actions, i.e. the power to cure.
Define medical dominance.
The authority that the medical profession can exercise over others.
Define medical autonomy.
The legitimated (i.e. publicly accepted) control that the medical profession exercises over the organisation and terms of its work.
According to Parsons, what are the 4 conditions of a patient taking the ‘sick role’?
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.
List 6 advantages of having patient status.
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.
List 4 disadvantages of having patient status.
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.
What are the 4 main expectations of doctors whilst exercising their professional role?
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.
What are the 3 main rights doctors have whilst exercising their professional role?
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.
What is socialisation?
The mechanisms by which people learn the rules, regulations and acceptable ways of behaving in the society / group they belong to.
Where and when does primary socialisation occur?
In the family and young (e.g. gender roles, boys dressed in blue, girls in pink).
Where does secondary socialisation occur?
Throughout life (e.g. in school, peer groups and occupational groups).
What is anticipatory socialisation?
Where someone rehearses for a future position (e.g. applying to medical school).
What is patient socialisation?
Learning ‘correct’ behaviour as a patient and how to interact with healthcare systems.
List 5 examples of agents of socialisation for patients.
1 - Media.
2 - Self-help groups.
3 - Handbooks and hospital leaflets.
4 - Experience of the healthcare system.
5 - Other patients.
