THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1954 ◽  
Vol 13 (2) ◽  
pp. 186-187
Author(s):  
JOHN P. HUBBARD
Keyword(s):  
Child Health ◽  
Health Services ◽  
Community Organization ◽  
Medical Profession ◽  
Social Medicine ◽  
Social Implications ◽  
The Public ◽  
The Social ◽  
Social Interests ◽  
In Memoriam

My attention, rather belatedly, has been called to a rather startling evidence of confusion oven the terms social medicine and socialized medicine in the tribute paid to our beloved and highly esteemed friend, Dr. Joseph Wall. I refer to the "In Memoriam" at the bottom of page 232 of the August 1953 issue of Pediatrics. Here one notes the following: "It would be impossible to evaluate his service to the Academy, and the medical profession generally. To him `social medicine' was as the setting sun to medical freedom. He fought `socialized medicine' in no unmistakable terms. The encroachment of Government in medicine, and pediatrics in particular, found a worthy opponent. He was never dismayed by the might of social interests, nor faltered in aggressive attacks on their activities." Certainly no one could question Dr. Wall's vigorous attacks upon the encroachment of "socialized medicine." At the same time he would be the last one to wish to have "socialized medicine" confused with social medicine. He was, in fact, a leader among us in broadening the Academy's izonhorizon in the social implications of health services for children and the whole structure of community organization in behalf of improving child health.

The New Genetics: Professionals' Discursive Boundaries

1997 ◽  
Vol 45 (2) ◽  
pp. 279-303 ◽  
Author(s):  
Anne Kerr ◽  
Sarah Cunningham-Burley ◽  
Amanda Amos
Keyword(s):  
Social Context ◽  
Government Policy ◽  
Social Implications ◽  
The Public ◽  
Elite Group ◽  
The Social ◽  
Cognitive Authority ◽  
Ultimate Responsibility ◽  
Use Of Knowledge ◽  
The Way

In this paper we examine new genetics professionals' accounts of the social context of their work. We analyse accounts given in interview by an ‘elite’ group of scientists and clinicians. Drawing on the work of Gilbert and Mulkay (1984), we consider interviewees' discourse about knowledge, exploring the way in which they separate science from society through the use of what we have called the ‘micro/macro split’. We then go on to consider the reasons for such a discursive boundary, exploring the interviewees' wider discourse about expertise and responsibility for the social implications of the new genetics. We argue that interviewees' discursive boundaries allow them to appeal variously to their objectivity, to dismiss bad science and to characterize the public as ignorant. However, these discursive boundaries are permeable and flexible, and are employed to support the new genetics professionals' role in guiding education and government policy, whilst at the same time deflecting ultimate responsibility for the use of knowledge on to an abstract and amorphous society. Responsibility is flexibly embraced and abrogated. These flexible discursive boundaries thus promote rather than challenge the cognitive authority of new genetics professionals as they engage in debates about the social implications of their work. We end by challenging the replication of these discursive boundaries, noting some of the implications of such a critique for evaluation of the new genetics.

scholarly journals Racismo institucional: percepção sobre a discriminação racial nos serviços de saúde / Institutional racism: perception about racial discrimination in health services

2021 ◽  
Vol 66 (1u) ◽  
pp. 1
Author(s):  
Grazielle de Oliveira Loduvico ◽  
Maria Marjorie Lima Martins ◽  
Thaís Izabel Ugeda Rocha ◽  
Maria Fernanda Terra ◽  
Pamela Lamarca Pigozi
Keyword(s):  
Health Care ◽  
Health Services ◽  
Racial Discrimination ◽  
Institutional Racism ◽  
Access To Health Services ◽  
Public Health Services ◽  
The Public ◽  
Black Person ◽  
The Social ◽  
Doctor's Office

Introdução: O racismo institucional se caracteriza por qualquer ação de discriminação racial praticada dentro de instituições, como a omissão de informação ou atendimento, fortalecimento de estereótipos racistas, comportamentos de desconfiança, de desrespeito e desvalorização da pessoa negra. Objetivo: Analisar a prática de racismo institucional no serviço de saúde público e/ou privado a partir da percepção dos usuários negros acerca do atendimento recebido. Material e Método: Estudo de abordagem quantitativa,realizado a partir de questionário fechado, construído via google forms, e veiculado na rede social Facebook. A coleta de dados ocorreu entre setembro e novembro de 2019, sob os critérios: ser negro, idade superior a18 anos e vivência de racismo nos serviços de saúde público e/ou privado. Participaram33 pessoas neste estudo: 28 pessoas se autodeclararam pretas e 5 pardas. Resultados: Dentre os principais achados, estão que 63,6% referiram ter sofrido racismo em serviços públicos de saúde; 51,5% relataram que a discriminação ocorreu no consultório médico, e 21,9% durante a triagemou na sala de medicação. Do total, 93,9% acreditam que a discriminação foi ocasionada por serem negros. Conclusão: Os usuários identificam o racismo durante a assistência em saúde recebida, e que a violência pode distanciá-los dos cuidados, principalmente de promoção e prevenção. Faz-se necessário efetivar a assistência em saúde à luz da Política Nacional de Saúde da População Negra. Palavras chave: Percepção, Discriminação, Iniquidade em saúde, Racismo, Acesso aos serviços de saúde ABSTRACTIntroduction: Institutional racism is characterized by any action of racial discrimination practiced within institutions, such as information or care omission, strengthening of racist stereotypes, behaviors of distrust, disrespect and devaluation of the black person. Objective: To analyze the practice ofinstitutional racism in the public and/or private health service from the perception of black users about the care received. Material and Method: Quantitative approach study, conducted from a closed questionnaire, built via google forms, and carried on the social network Facebook. Data collectionoccurred between September and November 2019, under the criteria: being black, aged over 18 years and experiencing racism in public and/or private health services. Thirty-three people participated in this study: 28 people declared themselves black and 5 brown. Results: Among the main findingsare that 63.6% reported having suffered racism in public health services; 51.5% reported that discrimination occurred in the doctor’s office, and 21.9% during screening or in the medication room. Of the total, 93.9% believe that discrimination was started because they were black. Conclusion:Users identify racism when receiving health care, and that violence can distance them from care, especially promotion and prevention. It is necessary to affect health care in the light of the National Health Policy of the Black Population.Keywords: Perception, Discrimination, Health inequities,Racism, Access to health services

TRENDS

PEDIATRICS ◽  
1950 ◽  
Vol 6 (5) ◽  
pp. 783-784
Keyword(s):  
Child Welfare ◽  
Child Health ◽  
Health Services ◽  
Social Security ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Child Welfare Services ◽  
The Social ◽  
Social Security Act ◽  
And Child Health

WITH the war situation and the mobilization of medical manpower taking a prominent position in legislation directly affecting the medical profession, very few of the unprecedented number of health bills introduced into the 81st Congress have been enacted into law. But one piece of legislation which has been passed is of particular interest to the pediatric group since it provides for a large expansion in the grant-in-aid program of the Children's Bureau. The 1950 amendment to the Social Security Act (H.R. 6000) has nearly doubled the federal funds available for maternal and child health services, crippled children's services, and child welfare services. The remarkable growth in this program is brought into clear focus by the increases which have been made in the allocations to the Children's Bureau since the enactment of the Social Security Act in 1935. Under the provisions of the original act an annual budget of $8.17 million was allocated for grants-in-aid; $3.8 million for maternal and child health services, $2.87 million for crippled children's services, and $1.5 million for child welfare services. Each of these categories was increased in 1939 to a total of $11 million, increased again in 1946 to a total of $22 million and now to $41.5 million.

scholarly journals Odgovornost Zdravniške zbornice Slovenije do zdravnikov, zdravstvenega sistema in družbe

2021 ◽  
pp. 21-27
Author(s):  
Zdenka Čebašek Travnik ◽  
Keyword(s):  
Health Care ◽  
Crisis Management ◽  
Professional Competence ◽  
Medical Profession ◽  
Public Authority ◽  
Safe Treatment ◽  
The Public ◽  
Social Interests ◽  
The Face ◽  
Medical Chamber

The responsibility of the Medical Chamber of Slovenia (Chamber) is reflected in the attitude towards the membership that goes through the mission, which is to represent and promote the professional, economic and social interests of doctors, care for the high professional competence and ethics of the conduct of doctors, the reputation and honor of the medical profession, ensuring the fulfillment of medical duties, promoting the rights of doctors, and the professional and safe treatment of patients. The Chamber's responsibility to the health care system lies primarily in proposals for its improvement and elimination of errors, which are recognized by the Chamber in monitoring its operations as well as through controls within the public authority. Responsibility to the company is manifested by the fact that the general public also informs and directs them to find better conditions for the functioning of the system and to help in crisis management. An example of the Chamber's work in the face of the SARS-CoV 2 pandemic causing COVID-19 is given.

scholarly journals Exposed Pedagogy: Architecture as (a) Medium (of communication)

2021 ◽  
Author(s):  
◽  
Michael Smith
Keyword(s):  
Public Discourse ◽  
The Other ◽  
Social Implications ◽  
The Public ◽  
The Social ◽  
The One ◽  
Stimulation Of ◽  
Three Components

<p>Architecture schools are often isolated from the profession and the public they serve both pedagogically and physically, and often this is justified. Schools are not typically very public. However, schools could play a much greater role in the stimulation of a public discourse around architecture. The intent of this thesis is to examine how architecture can stimulate that discussion and ultimately how architecture could frame that discourse. The thesis proposes that an architecture school can and should be a vehicle for public discourse by way of framing that discourse on the one hand and overtly stimulating it on the other. Specifically, an architecture school has the capacity to contribute to public discourse through the visual affects of form making and the social implications of that same form. The research is divided into three components that chronicle an argument from contextualisation, through investigation to application.</p>

scholarly journals Exposed Pedagogy: Architecture as (a) Medium (of communication)

2021 ◽  
Author(s):  
◽  
Michael Smith
Keyword(s):  
Public Discourse ◽  
The Other ◽  
Social Implications ◽  
The Public ◽  
The Social ◽  
The One ◽  
Stimulation Of ◽  
Three Components

<p>Architecture schools are often isolated from the profession and the public they serve both pedagogically and physically, and often this is justified. Schools are not typically very public. However, schools could play a much greater role in the stimulation of a public discourse around architecture. The intent of this thesis is to examine how architecture can stimulate that discussion and ultimately how architecture could frame that discourse. The thesis proposes that an architecture school can and should be a vehicle for public discourse by way of framing that discourse on the one hand and overtly stimulating it on the other. Specifically, an architecture school has the capacity to contribute to public discourse through the visual affects of form making and the social implications of that same form. The research is divided into three components that chronicle an argument from contextualisation, through investigation to application.</p>

The Purposes of Unionization in the Medical Profession: The Unionized Profession's Perspective in the United States

1975 ◽  
Vol 5 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Sanford A. Marcus
Keyword(s):  
United States ◽  
Health Services ◽  
Medical Profession ◽  
Insurance Industry ◽  
The United States ◽  
Best Interests ◽  
The Public ◽  
The Common ◽  
Government Involvement ◽  
Consumer Advocate

In the age of the common man, and ever bigger government, inexorable forces have been interposed between the traditionally independent physician in the Golden Age of Medicine in the United States and his patients. These forces, and associated pressures, come from the insurance industry, the hospital industry, and government involvement in the financing of health services. With these forces arrayed against the physician, the author contends that only medical unionism can protect his best interests and can at the same time serve as an effective consumer advocate for the public.

Misunderstood misunderstanding: social identities and public uptake of science

1992 ◽  
Vol 1 (3) ◽  
pp. 281-304 ◽  
Author(s):  
Brian Wynne
Keyword(s):  
Social Relationships ◽  
Scientific Knowledge ◽  
Radioactive Fallout ◽  
Social Identities ◽  
The Public ◽  
Scientific Experts ◽  
Scientific Institutions ◽  
The Social ◽  
Social Interests

This paper draws general insights into the public reception of scientific knowledge from a case study of Cumbrian sheep farmers' responses to scientific advice about the restrictions introduced after the Chernobyl radioactive fallout. The analysis identifies several substantive factors which influence the credibility of scientific communication. Starting from the now-accepted point that public uptake of science depends primarily upon the trust and credibility public groups are prepared to invest in scientific institutions and representatives, the paper observes that these are contingent upon the social relationships and identities which people feel to be affected by scientific knowledge, which never comes free of social interests or implications. The case study shows laypeople capable of extensive informal reflection upon their social relationships towards scientific experts, and on the epistemological status of their own `local' knowledge in relation to `outside' knowledge. Public uptake of science might be improved if scientific institutions expressed an equivalent reflexive discourse in the public domain.

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