In contemporary societies healthcare is a key social institute that addresses the issues of maintenance and improvement of citizens’ health. While population health is largely produced outside of healthcare settings themselves, the functioning of healthcare, including diagnosis, treatment, and prevention of illness, injury, and other impairments, is essential for people’s wellbeing. Yet, healthcare can be and often is insufficiently accessible, responsive, and efficient for different members of society. How can healthcare provision and society be bridged? Through the exploration of a combination of theoretical and practical perspectives, this online course highlights the necessity of a dialogue and collaboration between healthcare professionals, patients, and the public at large. Course participants will critically explore challenges posed by disjunctures between healthcare and society, analyze both benefits and unintended consequences of bridging the two, and propose ways to accomplish the bridging in practice of healthcare provision. After completion of this course you will be able to: 1. Recognize disjunctures between healthcare provision and society 2. Be aware of consequences of disjunctures between healthcare provision and society 3. Identify opportunities for bridging healthcare provision and society, using a biosocial approach to health 4. Analyze cases of disjunctures between healthcare provision and society, and propose opportunities for bridging 5. Recognize the historical trends of scientification, professionalization, and medicalization, in the relations between medicine, health care, and society. This course was developed by a consortium of five universities: Maastricht University, National Research Tomsk State University, National University of "Kyiv-Mohyla Academy", National Pirogov Memorial Medical University, Vinnytsya, and Siberian State Medical University within the framework of BIHSENA project. BIHSENA stands for “Bridging Innovations, Health and Societies: Educational capacity building in the Eastern European Neighbouring Areas”. BIHSENA project has been funded with support from the European Commission. This course reflects the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.
1.1. Brief history of modern medicine from 18th century. Professionalization of medicine
À partir de la leçon
Module 1. Why bridging?
During the last two centuries modern medicine has gained the role of being a key social institution. Advances in science have enriched medical practice with evidence of the causes and consequences of different diseases and have provided algorithms for effective forms of treatment. Health care has evolved and made impressive gains in protecting the wellbeing of individuals and society. However, there is a number of problems that contemporary healthcare faces. Divergent priorities, understandings, and preferences between patients and healthcare practitioners can result in ineffective treatment, or worse, in health impairments. Lack of responsiveness by healthcare systems to everyday life and the needs of individuals they serve can result in an unequal access to health services by some population groups. These problems are the results of disjunctions between healthcare and patients, and in a broader scope, between medicine and society. This module highlights the importance of understanding such disjunctions and analyzing their roots and consequences. Learners will take a journey through the history of modern medicine and healthcare to explore how they have acquired their prominent characteristics of scientification and professionalization, expressed in a tendency of reducing a disease to a biological phenomenon while often not recognizing the personalities of patients and their cultures, beliefs and environments. During this module, we will focus on the reasons why these characteristics of patients and population groups are important for health provision and public health practices.
Enseigné par
Olga Zvonareva
Assistant Professor Health, Ethics and Society
Olena Ignaschuk
Associate Professor
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