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E-grāmata: Systems Theory and the Sociology of Health and Illness: Observing Healthcare

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Modern societies and organizations are characterized by multiple kinds of observations, systems, or rationalities, rather than singular identities and clear hierarchies. This holds true for healthcare where we find a range of different perspectives from medicine to education, from science to law, from religion to politics brought together in different types of arrangements. This innovative volume explores how this polycontexturality plays out in the healthcare arena.

Drawing on systems theory, and Luhmanns theory of social systems as communicative systems in particular, the contributors investigate how things drugs, for example and bodies are observed and constructed in different ways under polycontextural conditions. They explore how the different types of communication and observation are brought into workable arrangements without becoming identical or reconciled and discuss how health care organizations observe their own polycontexturality.

Providing an analysis of healthcare structures that is up to speed with the complexity of healthcare today, this book shows how society and its organizations simultaneously manage contexts that do not fit together. It is an important work for those with an interest in health and illness, social theory, Niklas Luhmann, organizations and systems theory from a range of backgrounds including sociology, health studies, political science and management.
List of illustrations
vii
Notes on contributors viii
Acknowledgements x
Introduction: health care, systems theory and polycontexturality 1(22)
Morten Knudsen
Werner Vogd
PART I Polycontextural constructions
23(38)
1 Drugs in modern society: analysing polycontextural things under the condition of functional differentiation
25(18)
Anna Henkel
2 Polycontexturality and the body
43(18)
Holger Hojlund
Anders La Cour
PART II Societal arrangements
61(40)
3 Two ways of dealing with polycontexturality in priority-setting in Swedish health-care politics
63(18)
Werner Schirmer
Dimitris Michailakis
4 Heterophony and hyper-responsibility
81(20)
Niels Akerstrom Andersen
Hanne Knudsen
PART III Organisational arrangements
101(70)
5 Arranging medical and economic logics: investigating the influence of economic controlling in an internal medicine department
103(25)
Werner Vogd
6 Hospital management: between medical professionalism and financial pressure
128(21)
Till Jansen
Sarah Poranzke
7 Sustainability in integrated-care partnerships: a systems and network theoretical approach for the analysis of cooperation networks
149(22)
Daniel Ludecke
PART IV Reflections
171(64)
8 The multiplication and realisation of speakers as polyphony
173(22)
Armin Nassehi
Irmhild Saake
Katharina Mayr
9 Polycontexturality in medical research ethics
195(20)
Barry Gibson
Jennifer Burr
10 Personal leadership in polyphonic organisations
215(20)
Morten Knudsen
Index 235
Morten Knudsen has been working with systems theory and healthcare organizations for more than 15 years. He has studied decision-making, the organization of patient participation, standardization and leadership development programmes within healthcare organizations. He currently holds the position of associate professor in organizational analysis, Department of Organization, Copenhagen Business School.



Werner Vogd is a professor in sociology. His research fields are sociological theory, sociology of organizations, medical sociology, sociology of religion and sociology of knowledge at the Fakultät für Kulturreflexion, University Witten/Herdecke.