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Medical Dominance and Institutional Change in the Delivery of Health Care Services

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  • Robert Kemp

Abstract

This paper puts the theory of medical dominance, as it understood as a sociological theory of historical change, into a broader theory of institutional change of the delivery of medical care. The application of medical dominance theory to three institutional contexts (Australia, USA, and Canada) is reviewed. The possibility of progressive institutional change in the delivery of medical care is addressed, as well as the type of technological innovation that might accompany such institutional change. The concept of medical dominance is useful to explain the dominant characteristics supporting the institution of medical practice. However, an explanatory theory of the evolution of health care delivery should be linked to the instrumentally warranted standards for medical care. These standards are then discussed.

Suggested Citation

  • Robert Kemp, 2007. "Medical Dominance and Institutional Change in the Delivery of Health Care Services," Forum for Social Economics, Taylor & Francis Journals, vol. 36(1), pages 43-51, January.
    • Handle: RePEc:taf:fosoec:v:36:y:2007:i:1:p:43-51
    DOI: 10.1007/s12143-007-0004-0
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    References listed on IDEAS

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    1. Victor R. Fuchs, 1972. "The Growing Demand for Medical Care," NBER Chapters, in: Essays in the Economics of Health and Medical Care, pages 61-68, National Bureau of Economic Research, Inc.
    2. James A. Swaney, 1989. "Our Obsolete Technology Mentality," Journal of Economic Issues, Taylor & Francis Journals, vol. 23(2), pages 569-578, June.
    3. De Voe, Jennifer E. & Short, Stephanie D., 2003. "A shift in the historical trajectory of medical dominance: the case of Medibank and the Australian doctors' lobby," Social Science & Medicine, Elsevier, vol. 57(2), pages 343-353, July.
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