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

诊断是医学实践的核心。这对任何去过他们的全科医生、在诊所看过内科专家或住进医院的人来说都是常见的经历。诊断既是一个医学问题，也是一个社会问题。我们的意思是，诊断的实践和技术、成本和后果影响从业者、患者和护理人员的生活和经历，也对卫生保健机构、政策制定者、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重点，除了少数开创性的例外，很少被直接作为一个重要的主题本身来讨论。这一系列研讨会的目标是加强和支持新兴诊断社会学的进一步发展。研讨会将提供一个平台，让来自一系列领域(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、生物伦理学和关于新社会运动的政治辩论)的具有适当专业知识的学者聚集在一起，讨论关键诊断社会学必须解决的关键问题。最终，这一分支学科应该卓有成效地突出诊断实践的社会经济成本和后果，并使健康结果得以改善。为了使这一新领域蓬勃发展，并改善与这些社会过程相关的健康结果，诊断社会学的知识必须传播到社会科学和学术界之外。拟议的研讨会将汇集来自医疗保健专业人员、患者组织和政策范围的学术专家和代表，讨论既有社会学知识，又有医疗专业人员和服务使用者的经验和专业知识。为了安排这些讨论的结构并确保讨论最相关的主题，该系列将举办五个研讨会，每个研讨会都将围绕一个关键问题举行。这些问题是：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，这些因素形成了诊断类别，引入了新的诊断，并改变了诊断过程的性质。诊断技术。我们将专注于技术如何创建、重新构建和突出特定的诊断，以及是什么推动了新技术的发展。我们将探索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。诊断和集体健康运动。本次研讨会将讨论诊断如何被质疑、挑战和政治化。它将探索诊断可以影响不同社会和文化群体的不同方式，以了解其对阶级、年龄、性别、种族和性的影响。我们将探索诊断社会学可以从病人和病人群体中学到什么。从业者和病人的诊断经验。诊断过程由外行和专业人员共同经历。我们将探讨诊断实践如何在非专业人员和专业人员之间以及专业人员之间创造或挑战领土边界。我们将考虑如何在互补和替代的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形式的诊断的出现？

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?