Uitgebreide samenvatting SOTA gezondheid en welzijn - 6 studiepunten
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Course
Sociologie van gezondheid en welzijn (1300PSWSZW)
Institution
Universiteit Antwerpen (UA)
Dit is een zeer uitgebreide samenvatting van het vak SOTA gezondheid en welzijn. Het bevat al de slides en bijkomende notities. Het bevat ook alle lessen, dus geschikt voor diegene die het als cluster of als apart vak hebben opgenomen.
SOTA: Sociologie van welzijn en gezondheid Laura Van Beylen
INHOUDSTAFEL
Introductie..................................................................................................................................................... 8
Ziekte modellen............................................................................................................................................. 9
biomedische model...............................................................................................................................................9
Algemeen...........................................................................................................................................................9
Assumpties........................................................................................................................................................9
Kritiek..............................................................................................................................................................10
Sociologische model............................................................................................................................................11
Centrale concepten.........................................................................................................................................11
Sociology of/in Medicine.............................................................................................................................11
Parsons sick role..............................................................................................................................................12
Fundamental Cause Theory.............................................................................................................................13
SES beïnvloedt meerdere ziektepatronen..................................................................................................13
Breed algemeen effect............................................................................................................................13
Sociale gradiënt.......................................................................................................................................15
Ceiling effect............................................................................................................................................15
SES is gerelateerd aan meerdere risicofactoren.........................................................................................16
De relatie tussen SES en gezondheid is te verklaren doordat hoge SES groepen over meer flexibele
middelen beschikken en deze kunnen inzetten om hun gezondheid te verbeteren of risico’s te vermijden
.....................................................................................................................................................................16
De relatie tussen SES en gezondheid wordt over de tijd heen gereproduceerd........................................17
Sociologie van de chronische ziekten............................................................................................................ 19
Inleiding...............................................................................................................................................................19
Chronische ziekten..........................................................................................................................................19
Sociologie........................................................................................................................................................19
Biografische verstoring........................................................................................................................................20
Van ziekte-rol naar “biographical disruption”................................................................................................20
“Biographical disruption”................................................................................................................................21
Kritiek..............................................................................................................................................................22
“Biographical disrruption” in de late monderniteit........................................................................................22
Samenvatting...................................................................................................................................................23
Narrative reconstruction.....................................................................................................................................23
Het chronische aspect.....................................................................................................................................23
Narrative reconstruction.................................................................................................................................23
Illness accounts...............................................................................................................................................24
Samenvatting...................................................................................................................................................24
Kritiek..............................................................................................................................................................25
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,SOTA: Sociologie van welzijn en gezondheid Laura Van Beylen
Illness as adjustment...........................................................................................................................................25
Twee perspectieven samenvoegen.................................................................................................................25
Adjustment......................................................................................................................................................25
samenvatting...................................................................................................................................................25
Belangrijke thema’s.............................................................................................................................................26
Onzekerheid....................................................................................................................................................26
Adherence.......................................................................................................................................................26
Stigma en schaamte........................................................................................................................................26
Functionele beperkingen en kwaliteit van het leven......................................................................................27
Voorbeelden uit eigen onderzoek.......................................................................................................................27
Epidemiologische studie over HIV/AIDS.........................................................................................................27
De ervaring van de HIV/AIDS-patiënt op behandeling....................................................................................27
Gezonde levensstijlen.................................................................................................................................. 28
Achtergrond........................................................................................................................................................28
Microbenadering: Health belief model...............................................................................................................28
Multilevel benadering.........................................................................................................................................30
Sociaal-ecologisch model................................................................................................................................30
Health Lifestyles Model (Cockerham).............................................................................................................31
Inspiratiebronnen........................................................................................................................................32
Weber......................................................................................................................................................32
Toepassing Weber op HLM.....................................................................................................................34
Bourdieu..................................................................................................................................................35
Welzijn en welzijnszorg................................................................................................................................ 37
Het begrip welzijn................................................................................................................................................37
Hedonistische welzijnsbenadering..................................................................................................................37
Eudaimonische welzijnsbenadering................................................................................................................37
Sen’s capaciteitsbenadering............................................................................................................................38
“Objectieve” welzijnsmaten............................................................................................................................39
Multidimensionele welzijnsdefinitie...............................................................................................................39
Welzijnszorg........................................................................................................................................................40
Welvaat als catalysator van welzijn?...............................................................................................................40
Doelen van de welzijnszorg.............................................................................................................................40
Vormen van zorg.............................................................................................................................................41
Ongelijkheid in de zorg....................................................................................................................................42
Afstemming van het zorgaanbod op de vraag................................................................................................42
De welzijnszorg in België en Vlaanderen............................................................................................................43
Inleiding...........................................................................................................................................................43
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,SOTA: Sociologie van welzijn en gezondheid Laura Van Beylen
Tekst Welzijnszorg in België en Vlaanderen (zelfstudie)................................................................................44
Gebruik gezondheidszorg............................................................................................................................. 44
Patronen van gezondheidszorggebruik...............................................................................................................44
Gender.............................................................................................................................................................45
SES...................................................................................................................................................................45
Etniciteit..........................................................................................................................................................45
Asielzoekers & vluchtelingen..........................................................................................................................46
Relevante theoretische kaders uit vorige lessen................................................................................................46
Health Belief Model.........................................................................................................................................46
Health Lifestyle Theory....................................................................................................................................46
Cultural Health Capital....................................................................................................................................46
Parsons’ Sick Role (1951)................................................................................................................................46
Behavioural model of health service use............................................................................................................47
Toegang tot medische innovaties.......................................................................................................................49
Ready-Willing-Able framework.......................................................................................................................49
Diffusion of innovation theory........................................................................................................................50
Principes......................................................................................................................................................50
Diffusie volgt 5 stappen...........................................................................................................................50
Diffusie gebeurt zowel op individueel als groepsniveau.........................................................................51
Er zijn 5 soorten van “adopters”.............................................................................................................51
Stigma..................................................................................................................................................................53
Biomedicalisering........................................................................................................................................ 54
Definiëren en de geschiedenis van medicalisering.............................................................................................54
De eerste generatie.........................................................................................................................................55
Origine (de opkomst van medicijnen en het medisch model)....................................................................55
Medisch imperialisme.................................................................................................................................56
Iatrogenesis.................................................................................................................................................56
Samenvattend.............................................................................................................................................56
De tweede generatie.......................................................................................................................................57
Veranderende sociale condities..................................................................................................................57
Optimalisatie...............................................................................................................................................57
Deprofessionalisatie en deinstitutionalisering............................................................................................57
De drijvende krachten van de verschuiving....................................................................................................58
Shifting engines (Conrad)............................................................................................................................58
BIOTECHNOLOGIE...................................................................................................................................58
CONSUMENTEN.......................................................................................................................................59
MANAGED CARE......................................................................................................................................59
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, SOTA: Sociologie van welzijn en gezondheid Laura Van Beylen
Biomedicalisering (Clarke)...........................................................................................................................60
POLITIEK-ECONOMISCHE SHIFTEN..........................................................................................................60
FOCUS OP GEZONDHEID, RISICO EN BEWAKING....................................................................................60
Technowetenschap van de biogeneeskunde..........................................................................................61
transformatie van informatie..................................................................................................................61
Transformatie van lichamen en identiteiten...........................................................................................61
Medicalisering: positief of negatief.....................................................................................................................62
Migratie en gezondheid............................................................................................................................... 63
Definitie en afbakening.......................................................................................................................................63
Empirische studies...........................................................................................................................................63
Bijzondere epidemiologische paradox: “Healthy (im) migrant effect........................................................64
Voorbeelden....................................................................................................................................................65
Depressie.....................................................................................................................................................65
SchizophrenieSpectrum en Andere Psychotische Aandoeningen..............................................................65
PTSD (post-traumatische stress syndroom)................................................................................................66
Case: susto cultuurgebonden ziekte?.....................................................................................................67
Modellen.............................................................................................................................................................68
Bhugra model..................................................................................................................................................68
Migratie als metafoor (Métraux)....................................................................................................................70
Wegen naar zorg.................................................................................................................................................71
Bias en mentale gezondheid...........................................................................................................................71
Toegang tot (geestelijke gezondheids)zorg....................................................................................................71
Stigma en dokter-patiënt relatie.................................................................................................................. 73
Stigma..................................................................................................................................................................73
Original labelling theory..................................................................................................................................74
Modified labelling theory................................................................................................................................74
Vormen van stigma.........................................................................................................................................74
Structurele stigma.......................................................................................................................................74
Courtesy stigma...........................................................................................................................................75
Perceived public stigma...............................................................................................................................75
Personal stigma...........................................................................................................................................75
Self-stigma...................................................................................................................................................75
Enactment stigma........................................................................................................................................75
Dokter-patiënt interactie....................................................................................................................................76
Achtergrond....................................................................................................................................................76
Golden age of medicine..............................................................................................................................76
Arts als medische professie.........................................................................................................................76
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