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The Ethos of Medicine in Postmodern America - Philosophical, Cultural, and Social Considerations (Hardcover)
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The Ethos of Medicine in Postmodern America - Philosophical, Cultural, and Social Considerations (Hardcover)
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Has postmodern American culture so altered the terrain of medical
care that moral confusion and deflated morale multiply faster than
both technological advancements and ethical resolutions? The Ethos
of Medicine in Postmodern America is an attempt to examine this
question with reference to the cultural touchstones of our
postmodern era: consumerism, computerization, destruction of
meta-narratives, and stakeholder late capitalism . The cultural
insights of the postmodern thinkers help elucidate the changes in
healthcare delivery that are occurring early in the 21st century.
Although only Foucault among postmodern thinkers actually focused
his critique on medical care itself, their combined analysis
provides a valuable perspective for gaining understanding of
contemporary changes in healthcare deliver. It is often difficult
to envision what is happening in the psychosocial, cultural dynamic
of an epoch as you experience it. Therefore it is useful to have a
technique for refracting those observations through the lens of
another system of thought. The prism of postmodern thought offers
such a device with which to view the eclipse of changing medical
practice. Any professional practice is always thoroughly embedded
in the social and cultural matrix of its society, and the medical
profession in America is no exception. Corporatization,
consumerism, and computerization of medical practice and the
clinical encounter constitute the three C s of Postmodern American
healthcare. In drawing upon of the insights of key Continental
thinkers such as Foucault, Deleuze and Guattari, Lyotard,
Baudrillard, Bauman, and Levinas as well as American scholars, I do
not necessarily endorse the views of postmodernism but believe much
can be learned from their insight. Furthermore my comments are also
informed by empirical information from health services research and
the sociology of medicine. I attempt to develop a new understanding
of healthcare delivery in the 21st century and suggest positive
developments that might be nurtured to avoid the barren Silicon
Cage of corporate, bureaucratized medical practice. Bringing to
this analysis are current healthcare issues such as the patient
centered medical home, clinical practice guidelines, and electronic
health records, the insights of an interdisciplinary examination
that include postmodern thought, medical sociology, bioethics, and
health services research.
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