How do we understand health in relation to society? What role does culture play in shaping our experiences of, and orientation to, health and illness? How do we understand medicine and medical treatment within a sociological framework?
Chapter : Social Class
[Page 199]Over the last three decades many countries have recognized that they need to contain health care costs, improve performance and outcomes, and make their services more user-sensitive, and have turned to management as the solution (Numerato et al., 2012). In place of an administrative approach where managers ‘oiled the wheels’ in consultation with other health care workers, an industrial model of management has been introduced, regardless of its relevance or appropriateness for public services like health care. The emphasis now is on managers taking control, setting performance targets, and imposing budgetary and workload ceilings. This approach has arguably set managers on ...