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Is our work dangerous? Should it be?

H Waitzkin1

  • 1Division of Community Medicine, University of New Mexico, USA.

Journal of Health and Social Behavior
|May 12, 1998
PubMed
Summary
This summary is machine-generated.

Investigating social determinants of health can be dangerous, even life-threatening. This work highlights critical scholarship in social medicine and critiques managerial ideology in the US, urging greater attention to these vital fields.

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Area of Science:

  • Medical Social Sciences
  • Public Health
  • Sociology of Health

Background:

  • The study of social structures' impact on health is crucial but often overlooked.
  • Social medicine in Latin America has a rich history, linking social conditions to illness, yet remains underrecognized globally.
  • Managerial ideology in the US has influenced health policy with ambiguous evidence, impacting healthcare delivery.

Purpose of the Study:

  • To underscore the occupational risks and importance of critical scholarship in the medical social sciences.
  • To draw attention to the underappreciated field of social medicine in Latin America.
  • To critique the influence of managerial ideology on US health policy and practice.

Main Methods:

  • Case history analysis of dangerous work in medical social sciences.

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  • Historical review of social medicine in Latin America and its contrast with the US.
  • Critical examination of managerial ideology and its impact on US healthcare policy.

    • Main Results:

    • Work revealing health problems' social origins can pose significant risks to practitioners.
    • Social medicine has achieved substantial progress in Latin America despite facing severe dangers, including political persecution.
    • Managerial ideology in the US has driven the expansion of managed care and evidence-based medicine with questionable empirical support.

    Conclusions:

    • Critical scholarship in medical social sciences is essential but dangerous, necessitating greater recognition and support.
    • The achievements and challenges of social medicine in Latin America offer valuable lessons.
    • Critiquing managerial ideology is vital to safeguard the sociological imagination in healthcare decision-making.