Lecture 20
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This document discusses hospitals and related topics from a sociological perspective. It covers the high-tech and basic functions of hospitals, as well as their complex administration and community relationships. The document also examines different types of hospitals, who uses hospitals and why, hospice as an alternative to hospital care, and the role and experience of patients within hospitals.
Lecture 20
- 1. Stephen Hansell, Ph.D. Department of Sociology Institute for Health Research http://sakai.rutgers.edu shansell@rci.rutgers.edu 609-203-2830
- 2. Class 20 – Hospitals
- 3. VI. The hospital A. High technology B. Primitive subsistence functions C. Multiple tasks and lines of authority D. Complicated community relationships
- 4. E. Changing social roles F. Professional group rivalries G. Does not fit Max Weber’s bureaucratic model H. Much waste I. Many hospitals losing money
- 5. I. Types of hospitals A. General hospital (private non-profit) B. Municipal hospital (public non-profit) C. Proprietary hospital (private for-profit) 1. Dumping of patients from private hospital to public hospital
- 6. D. University hospital (can be any type of ownership) E. Veterans hospital (public non-profit) F. Military hospital (public non-profit)
- 7. II. Which patients use hospitals? A. Need factors B. Predisposing factors C. Enabling factors
- 8. D. Hansell study of which young people get hospitalized 1. Need factors - no effect 2. Predisposing factor of prior hospitalization - big effect 3. Enabling factor of insurance - biggest effect E. Lack of patient insurance contributes to patient dumping
- 9. III. Hospice as alternative to hospital A. Hospital care for dying patients expensive, painful B. Hospice care 1. For patients who live 6 months or less
- 10. 2. Extensive nursing care for comfort of patients 3. Emphasis on pain control with drugs 4. Emphasis on spending time with family and friends 5. Low tech medical care 6. Much cheaper than hospitalization
- 11. IV. Patient Role in Hospital A. Hospital rules benefit hospital personnel, not patients B. Depersonalization of patient
- 12. 1. Stripping 2. Restriction of mobility 3. Control of resources 4. Control of communication and information
- 13. C. Patient conformity to hospital rules 1. Doctors’ views of patients
- 14. D. Long stay patients may become "institutionalized“ 1. Progressive apathy 2. Loss of coping skills 3. Fear of being discharged
- 15. Stephen Hansell, Ph.D. Department of Sociology Institute for Health Research http://sakai.rutgers.edu shansell@rci.rutgers.edu 609-203-2830