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Modernisation of Roles . The Role of the Patient.

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modernisation of roles
Modernisation of Roles

The Role of the Patient

Following the second world war Parsons (1975) presented the idea of the ‘sick role’ in which the patient is seen as a social deviant and there is a hierarchical inequality between the patient and therapeutic agencies e.g. doctors and nurses. Parson’s theory suggested that patients only had choice in as much as they could choose to accept the fact that they were ill and seek professional help to get better. However, once they had sought the help they needed, the physician took over fiduciary responsibility for their illness. This limitation of patient choice is also demonstrated by the fact that during this period patients could no longer self-refer to hospital as they had done in the past. Instead they had to be referred by a GP. This can be viewed as institutionalisation of the separation of primary and secondary care. It achieved what the government wanted, and what GPs and consultants wanted – efficient and cost effective care/treatment. However, it limited patient choice in where they received their treatment and by whom. If Parson’s theory of the sick role was correct, then the nurse-patient relationship was not an equal one at this time. Instead, the nurse was the figure of authority, and the patient was expected to obediently entrust his care to her.

SICK ROLE

TENDING THE ‘SICK’

RESPONSIBILITY

CHOICE

EXPERT PATIENT

MANAGERS

EDUCATORS / ADVOCATES

SA 211

DH 2001

The Expert Patient

DH 1999

Saving Lives: Our Healthier Nation

DH 2006

Our Health, Our Care, Our Say

1942

The Beveridge Report

DH 2005

Independence, Wellbeing & Choice

DH 2010

Equity & Excellence

DH 2000

The NHS Plan

DH 2001

Tackling Health Inequalities

DH 2006

Modernising Nursing Careers:

Setting the Direction

DH 2004

Choosing Health

DH 2005

Self-care: A Real Choice

DH 2010

Healthy Lives, Healthy People

1946

The NHS Act

DH 1997

The New NHS

The Role of the Nurse

SPECIALISTS

REFERENCES

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