- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal - one day). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Wednesday, June 21, 2017

Report: How can we all best use scientific evidence? (Lessons from Medical Sociology)

A strength of Hodges' model is the way that conceptually it automatically encompasses medicine and healthcare whether viewed as scientifically or sociologically.

The obverse and similarly powerful scope of Hodges' model is the relationship and conceptual exchanges to be found between the intra- intrapersonal domain and the political.

One sociological theory of medicine and the doctor-patient relationship by Parsons identifies the sick role. The physician also has a role to play. On my Community Psychiatric Nursing I recall an explanation of the way a health problem can be escalated from initial attempts at self-remedy through to family and friends suggesting "I think you need to go see the Doctor!". Parsons account is described as functionalism. On this account we need permission to be sick and offered respite from our work, family and usual responsibilities.

There is a new report that highlights the ongoing relevance of the sociological domain and medical sociology. Research in the 1950s-1970s is of its time but there are existing lessons to be found.  Below I've embedded a presentation from the Academy of Medical Sciences and a related reference. These are placed to show in Hodges' model how the scientific disciplines that include medicine, research and pharmacology are related to society, the public and sociological concepts and research.

The Academy of Medical Sciences has been undertaking a project to examine how the generation, trustworthiness and communication of scientific evidence can be enhanced to strengthen its role in decisions by patients, carers, healthcare professionals and others about the benefits and harms of medicines. The final report has been prepared by an Oversight Group with a diverse range of expertise, chaired by Professor Sir John Tooke FMedSci, and was underpinned by extensive engagement with citizens, patients and healthcare professionals, as well as with other key stakeholders across the biomedical sector. How can we all best use scientific evidence?
humanistic ----------------------------------------- mechanistic
group - population

"Freidson offers what is perhaps the most telling criticism of Parsons’ model. According to Freidson, Parsons overstates the consensus between the patient and the caregiver. There are often times when the patient disagrees with the physician, conflict ensues, and the patient seeks care elsewhere or does not comply with recommended therapy. In fact, there is a ‘lay referral system’ within the social network of the patient that prefers one caregiver to others for specific social and cultural situations (Freidson 1960)."

How can we all best use scientific evidence?

My source: BBC Radio 4 Today 20 June 2017.

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