Morten Knudsen - Systems Theory and the Sociology of Health and Illness

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Systems Theory and the Sociology
of Health and Illness

Modern societies and organisations are characterised by multiple kinds of observations, systems, or rationalities, rather than singular identities and clear hierarchies. This holds true for health care 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 health-care 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 organisations observe their own polycontexturality.

Providing an analysis of health-care structures that is up to speed with the complexity of health care today, this book shows how society and its organisations 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, organisations and systems theory from a range of backgrounds including sociology, health studies, political science and management.

Morten Knudsen has been working with systems theory and health-care organisations for more than fifteen years. He has studied decision-making, the organisation of patient participation, standardisation and leadership development programmes within health-care organisations. He currently holds the position of Associate Professor in Organisational Analysis, Department of Organisation, Copenhagen Business School.

Werner Vogd is Professor and Chair of Sociology at Witten/Herdecke University, Germany. He has done work on medical decision-making processes in hospitals in the area of conflict between systems rationality and purposive rationality, as well as published a series of contributions to the fields of the sociology of organizations, medical sociology, sociological theory, systems theory, the sociology of religion, and the sociology of knowledge. He is currently managing a large empirical research-project on decision-making in contemporary German hospital management.

Routledge Studies in the Sociology of Health and Illness

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Systems Theory and the Sociology of Health and Illness
Observing healthcare
Edited by Morten Knudsen and Werner Vogd

Systems Theory and
the Sociology of Health
and Illness

Observing healthcare

Edited by Morten Knudsen and
Werner Vogd

First published 2015

by Routledge

2 Park Square, Milton Park, Abingdon OX14 4RN

and

711 Third Avenue, New York, NY 10017

Routledge is an imprint of the Taylor & Francis Group, an informa business

2015 M. Knudsen and W. Vogd

The right of the editors to be identified as the authors of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.

British Library Cataloguing-in-Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloguing in Publication data

Systems theory and the sociology of health and illness: observing

healthcare / edited by Morten Knudsen and Werner Vogd.

p.; cm. (Routledge studies in the sociology of health and illness)

Includes bibliographical references and index.

I. Knudsen, Morten, editor. II. Vogd, Werner, editor. III. Series: Routledge

studies in the sociology of health and illness.

[DNLM: 1. Delivery of Health Care. 2. Health Policy. 3. Social

Medicine. 4. Systems Theory. W 84.1]

RA418

362.1-dc23

2014019983

ISBN: 978-1-13879491-7 (hbk)

ISBN: 978-1-31575891-6 (ebk)

Typeset in Sabon

by Out of House Publishing

Contents

MORTEN KNUDSEN AND WERNER VOGD

PART I
Polycontextural constructions

ANNA HENKEL

HOLGER HJLUND AND ANDERS LA COUR

PART II
Societal arrangements

WERNER SCHIRMER AND DIMITRIS MICHAILAKIS

NIELS KERSTRM ANDERSEN AND HANNE KNUDSEN

PART III
Organisational arrangements

WERNER VOGD

TILL JANSEN AND SARAH PORANZKE

DANIEL LDECKE

PART IV
Reflections

ARMIN NASSEHI, IRMHILD SAAKE AND KATHARINA MAYR

BARRY GIBSON AND JENNIFER BURR

MORTEN KNUDSEN

Figures

Tables

Niels kerstrm Andersen is Professor and Reseach Manager at the Department of Management, Politics and Philosophy, Copenhagen Business School, Denmark.

Jennifer Burr, Ph.D., is a senior lecturer in medical sociology at the School of Health and Related Research, University of Sheffield.

Barry J. Gibson, Ph.D., is a reader in medical sociology, Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield.

Anna Henkel, Ph.D., is an associate professor for social theory, Institute of Social Sciences, Carl von Ossietzky Universitt Oldenburg.

Holger Hjlund, Ph.D., is an associate professor at the Department of Management, Politics and Philosophy, at the Copenhagen Business School, Denmark.

Till Jansen, Ph.D., is a research assistant at the Chair for Leadership and Dynamics in Family Businesses at the University of Witten/Herdecke.

Hanne Knudsen, Ph.D., is an associate professor of educational management in the Department of Education, Aarhus University, Denmark.

Morten Knudsen, Ph.D., is an associate professor in organisational analysis in the Department of Organisation at the Copenhagen Business School.

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