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Do diseases have a prestige hierarchy? A survey among physicians and medical students

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  • Album, Dag
  • Westin, Steinar

Abstract

Surveys have shown that the prestige of medical specialities is ordered hierarchically. We investigate whether similar tacit agreement in the medical community also applies to diseases, since such rankings can affect priority settings in medical practice. A cross-sectional survey was performed in three samples of physicians and medical students in Norway in 2002. A questionnaire was sent to 305 senior doctors (response rate, 79%), 500 general practitioners (response rate, 65%) and 490 final-year medical students (response rate, 64%). Outcome measures were ratings on a 1-9 scale of the prestige these respondents believed most health personnel would accord to a sample set of 38 different diseases as well as 23 medical specialities. Both diseases and specialities were clearly and consistently ranked according to prestige. Myocardial infarction, leukaemia and brain tumour were among the highest ranked, and fibromyalgia and anxiety neurosis were among the lowest. Among specialities, neurosurgery and thoracic surgery were accorded the highest rank, and geriatrics and dermatovenerology the lowest. Our interpretation of the data is that diseases and specialities associated with technologically sophisticated, immediate and invasive procedures in vital organs located in the upper parts of the body are given high prestige scores, especially where the typical patient is young or middle-aged. At the other end, low prestige scores are given to diseases and specialities associated with chronic conditions located in the lower parts of the body or having no specific bodily location, with less visible treatment procedures, and with elderly patients.

Suggested Citation

  • Album, Dag & Westin, Steinar, 2008. "Do diseases have a prestige hierarchy? A survey among physicians and medical students," Social Science & Medicine, Elsevier, vol. 66(1), pages 182-188, January.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:1:p:182-188
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    References listed on IDEAS

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    1. Rosoff, Stephen M. & Leone, Matthew C., 1991. "The public prestige of medical specialties: Overviews and undercurrents," Social Science & Medicine, Elsevier, vol. 32(3), pages 321-326, January.
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    Cited by:

    1. Rodriguez, Jenny K. & Procter, Stephen & Perez Arrau, Gregorio, 2023. "Reconfigured professional purpose in times of crisis: Experiences of frontline healthcare professionals during the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 329(C).
    2. Creed, Peter A. & Searle, Judy & Rogers, Mary E., 2010. "Medical specialty prestige and lifestyle preferences for medical students," Social Science & Medicine, Elsevier, vol. 71(6), pages 1084-1088, September.
    3. Grue, Jan & Johannessen, Lars E.F. & Rasmussen, Erik Fossan, 2015. "Prestige rankings of chronic diseases and disabilities. A survey among professionals in the disability field," Social Science & Medicine, Elsevier, vol. 124(C), pages 180-186.
    4. Hofmann, Bjørn, 2020. "Biases distorting priority setting," Health Policy, Elsevier, vol. 124(1), pages 52-60.
    5. Album, Dag & Johannessen, Lars E.F. & Rasmussen, Erik B., 2017. "Stability and change in disease prestige: A comparative analysis of three surveys spanning a quarter of a century," Social Science & Medicine, Elsevier, vol. 180(C), pages 45-51.
    6. Malik, Tariq H., 2019. "Society-nature-technology (SNT) nexus: Institutional causes and cures of national morbidities," Technological Forecasting and Social Change, Elsevier, vol. 146(C), pages 491-503.
    7. Johannessen, Lars E.F., 2014. "The narrative (re)production of prestige: How neurosurgeons teach medical students to valorise diseases," Social Science & Medicine, Elsevier, vol. 120(C), pages 85-91.
    8. Brendan McCormack & Astrid Skatvedt, 2017. "Older people and their care partners’ experiences of living with mental health needs: a focus on collaboration and cooperation," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 103-114, January.

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