The Role of Diagnosis in Health & Wellbeing: A social science perspective on the social, economic and political costs and consequences of diagnosis

诊断在健康中的作用

• 批准号: ES/J022497/1
• 负责人: Charlotte Salter
• 金额: $ 2.3万
• 依托单位: University of East Anglia
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2012
• 资助国家: 英国
• 起止时间: 2012 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FJ022497%2F1
• 关键词: Role; Diagnosis; Health; Wellbeing; social

Diagnosis is central to the practice of medicine. It is common to the experience of anyone who has ever visited their GP, seen a medical specialist in a clinic, or been admitted to hospital. Diagnosis is a social, as much as it is a medical affair. By this we mean that the practices and techniques, costs and consequences of diagnosis affect the lives and experiences of practitioners, patients and carers, and also have implications for health care institutions, policy makers, managers and others. Despite this, diagnosis as a focus of social sciences has remained something that, with a few pioneering exceptions, has rarely been directly addressed as an important topic in its own right. The goal of this seminar series is to strengthen and support the further development of the emerging sociology of diagnosis. The seminars will provide a platform to bring together academics with appropriate expertise from a range of fields (including but not limited to medical sociology, science and technology studies, medical anthropology, organisational sociology, health policy, economics, bio-ethics and political debates on new social movements) to discuss the key issues that a critical sociology of diagnosis must address. Ultimately this sub-discipline should productively highlight the socio-economic costs and consequences of diagnostic practices and enable the improvement of health outcomes.In order for this new field to thrive and for health outcomes related to these social processes to improve, knowledge about the sociology of diagnosis must be disseminated beyond the social sciences and the academy. The proposed seminars will bring together academic experts and representatives from health care professions, patient organizations, and policy areas for discussions informed both by sociological knowledge and the experiences and expertise of medical professionals and service users. In order to structure these discussions and ensure the most pertinent topics are addressed, there will be five seminars in the series and each seminar will be structured around a key issue. These are:What is diagnosis? This seminar will highlight the social, economic, psychological, ethical and political factors which shape diagnostic categories, introduce new diagnoses, and change the nature of the diagnostic process.Diagnostic technologies. We will focus on how technologies create, reframe and highlight particular diagnoses and what drives the development of new technologies. We will explore how both lay and professional use of technology changes the understanding, and assessment of diagnosis and disease.Diagnosis and collective health movements. This seminar will discuss how diagnoses are contested, challenged and politicised. It will explore the different ways in which diagnoses can affect different social and cultural groups in order to understand the implications for class, age, gender, ethnicity and sexuality. We will explore what a sociology of diagnosis can learn from patients and patient groups.Practitioner and patient experiences of diagnosis. The diagnostic process is experienced by lay and professional. We will explore how diagnostic practices create or challenge territorial boundaries within and between lay and professional as well as between professions. We will consider how diagnosis is undertaken within complementary and alternative health settings.Policy and practice. What are the primary policy domains relevant to the sociology of diagnosis? In what ways do they constrain or facilitate the emergence of different forms of diagnosis?

诊断是医学实践的核心。这是常见的经验，任何人都曾看过他们的全科医生，在诊所见过医学专家，或被送往医院。诊断既是一种医疗事务，也是一种社会事务。我们的意思是，诊断的做法和技术、费用和后果影响从业者、患者和护理人员的生活和经验，也对卫生保健机构、决策者、管理人员和其他人产生影响。尽管如此，诊断作为社会科学的一个焦点，除了一些开创性的例外，很少被直接作为一个重要的主题来处理。本系列研讨会的目的是加强和支持新兴的诊断社会学的进一步发展。研讨会将提供一个平台，汇集来自一系列领域（包括但不限于医学社会学、科学和技术研究、医学人类学、组织社会学、卫生政策、经济学、生物伦理学和新社会运动的政治辩论）的具有适当专业知识的学者，讨论批判性诊断社会学必须解决的关键问题。最终，这一分支学科应富有成效地突出诊断做法的社会经济成本和后果，并能够改善健康结果。为了使这个新领域蓬勃发展，为了改善与这些社会进程有关的健康结果，关于诊断社会学的知识必须传播到社会科学和学院之外。拟议的研讨会将汇集来自保健专业人员、患者组织和政策领域的学术专家和代表，在社会学知识以及医疗专业人员和服务使用者的经验和专门知识的指导下进行讨论。为了组织这些讨论并确保最相关的主题得到解决，该系列中将有五个研讨会，每个研讨会将围绕一个关键问题进行组织。这些是：什么是诊断？本次研讨会将突出社会、经济、心理、伦理和政治因素，这些因素决定了诊断类别，引入了新的诊断方法，并改变了诊断过程的性质。诊断技术。我们将重点关注技术如何创造、重构和突出特定的诊断，以及是什么推动了新技术的发展。我们将探讨外行和专业技术的使用如何改变对诊断和疾病的理解和评估。诊断和集体卫生运动。本次研讨会将讨论诊断如何受到质疑、挑战和政治化。它将探索不同的方式，诊断可以影响不同的社会和文化群体，以了解阶级，年龄，性别，种族和性取向的含义。我们将探讨诊断社会学可以从患者和患者群体中学到什么。医生和病人的诊断经验。诊断过程是外行人和专业人士共同经历的。我们将探讨诊断实践如何创造或挑战外行和专业之间以及专业之间的领土边界。我们将考虑如何在补充和替代卫生环境中进行诊断。政策和实践。与诊断社会学相关的主要政策领域是什么？它们在哪些方面限制或促进了不同诊断形式的出现？

项目成果

Barriers to sexually transmitted infection testing in New Zealand: a qualitative study.

新西兰性传播感染检测的障碍：一项定性研究。

• DOI: 10.1111/1753-6405.12680
• 发表时间: 2017-08
• 期刊: Australian and New Zealand journal of public health
• 影响因子: 3.5
• 作者: Denison HJ;Bromhead C;Grainger R;Dennison EM;Jutel A
• 通讯作者: Jutel A

Sociology of Diagnosis: An Introductionfor Studnets and Clinicians.

诊断社会学：学生网和临床医生简介。

• 发表时间: 2014
• 作者: Jutel A

Editor's Introduction: The Diagnosis Issue.

编者简介：诊断问题。

• DOI: 10.1353/pbm.2015.0012
• 发表时间: 2015
• 期刊: Perspectives in biology and medicine
• 影响因子: 1
• 作者: Jutel A

What influences university students to seek sexually transmitted infection testing?: A qualitative study in New Zealand.

• DOI: 10.1016/j.srhc.2018.01.004
• 发表时间: 2018-06
• 期刊: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives
• 作者: Denison HJ;Bromhead C;Grainger R;Dennison EM;Jutel A
• 通讯作者: Jutel A

Healthcare-seeking behaviour of people with sexually transmitted infection symptoms attending a Sexual Health Clinic in New Zealand.

新西兰性健康诊所有性传播感染症状的人就诊的行为。

• 发表时间: 2018
• 期刊: The New Zealand medical journal
• 作者: Denison HJ