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Medicalization and its discontents.

M J Goodman¹, L E Goodman

¹University of Hawaii, Honolulu 96822.

Social Science & Medicine (1982)

|January 1, 1987

Summary

Balancing high-tech healthcare with community-based care is crucial. Policy should prioritize human needs over solely advanced medical technology for effective global health strategies.

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Area of Science:

Health Policy
Medical Sociology
Global Health

Background:

The current healthcare landscape presents a dichotomy between advanced medical-clinical models and traditional, community-based approaches.
Imbalances in healthcare policy often stem from political, economic, or prestige-driven factors rather than patient needs.

Purpose of the Study:

To explore the ethically proper balance between high-technology healthcare and grassroots/traditional care models.
To identify the root causes of paradoxical imbalances in healthcare policy and resource allocation.

Main Methods:

Analysis of case studies illustrating the tension between different healthcare models.
Examination of specific examples such as leprosy patient hospitalization, community cancer centers, and infant diarrhea treatment.

Main Results:

Healthcare systems often exhibit imbalances favoring high-technology over community-based care due to non-clinical factors.
Successful interventions like oral rehydration therapy are sometimes overlooked in favor of more complex, hospital-based treatments.

Conclusions:

A balanced approach to global health requires mobilizing resources around human needs, not solely relying on advanced technology.
Ethical healthcare policy necessitates integrating community-based solutions with high-technology services for equitable and effective outcomes.

Keywords:

Health Care and Public Health

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