Reason and rationality in health and human services delivery PDF
Preview Reason and rationality in health and human services delivery
R eason R ation ality H ealth InIu mand a n S erv ices D elrvery John T. Pardeck, PhD Charles F. Longino, Jr., PhD John W. Murphy, PhD Editors Reason and Rationality in Health and Human Services Delivery Reason and Rationality in Health and Human Services Delivery has been co-published simultaneously as Journal of Health & Social Policy, Volume 9, Number 4 1998. This page intentionally left blank Reason and Rationality in Health and Human Services Delivery John T. Pardeck, PhD Charles F. Longino, Jr., PhD John W. Murphy, PhD Editors Reason and Rationality in Health and Human Services Delivery has been co-published simultaneously as Journal of Health & Social Policy, Volume 9, Number 4 1998. i J Routledge Taylor & Francis Croup New York London Reason and Rationality in Health and Human Services Delivery has been co-published simultaneously as Journal of Health & So cial Policy, Volume 9, Number 4 1998. © 1998 by The Haworth Press, Inc. All rights reserved. No part of this work may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, microfilm and recording, or by any information storage and retrieval system, without permission in writing from the publisher. The development, preparation, and publication of this work has been undertaken with great care. However, the publisher, employees, editors, and agents of The Haworth Press and all imprints of The Haworth Press, Inc., including The Haworth Medical Press and The Pharmaceutical Products Press, are not responsible for any errors contained herein or for consequences that may ensue from use of materials or information contained in this work. Opinions expressed by the authors) arc not necessarily those of The Haworth Press, Inc. First published 1998 by The Haworth Press, Inc., 10 Alice Street, Binghamton, NY 13904-1580 This edition published 2013 by Routledge 711 Third Avenue, New York, NY 10017 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN Routledge is an imprint of the Taylor & Francis Group, an infonm business Cover design by Thomas J. Mayshock Jr. Library of Congress Cataloging-ln-Publication Data Reason and rationality in health and human services delivery / John T. Pardeck, Charles F. Longino, John W. Muiphy, editors, p. cm. "Co-published simultaneously as Journal of health & social policy, v. 9, no. 4, 1998.” Includes bibliographical references and index. ISBN 0-7890-0509-3 (alk. paper) I. Medical care-Philosophy. 2. Medical ethics. I. Pardeck, JohnT. II. Longino, Charles R., 1938-. III. Muiphy, John W. IV. Journal of health and social policy. RA427.25.R43 1998 362.1'01-dc2l 98-10498 CIP Reason and Rationality in Health and Human Services Delivery CONTENTS Reason and Rationality in Health and Human Services Delivery: An Introduction John T. Pardeck, PhD, ACSW Charles F. Longino, Jr., PhD John W. Murphy, PhD Reason, the Life-World, and Health Care Delivery Jung Min Choi, PhD John W. Murphy, PhD Rationalizing Decision-Making Through Computer Technology: A Critical Appraisal John T. Pardeck, PhD, ACSW Sociomedical Models and the Epistemology of Risk: The Shortcomings of Medical Decision-Making Research Dee Vernberg, PhD, MPH Community-Based Epidemiology: Community Involvement in Defining Social Risk MarkH. Smith, PhD A World View Model of Health Care Utilization: The Impact of Social and Provider Context on Health Care Decision-Making James G. Daley, PhD Deborah J. Bostock, MD Health Care Policy in Theory and Practice: A Review of the Process as a Product of Rational Decision-Making Marvin Prosono, PhD The Limits of Scientific Medicine: Paradigm Strain and Social Policy 101 Charles F. Longino, Jr., PhD Index 117 ABOUT THE EDITORS John T. Pardeck is Professor of Social Work in the School of Social Work at Southwest Missouri State University. He received his MSW and PhD in social work from St. Louis University. Pardeck has pub lished over 100 articles in academic and professional journals. His most recent books include Computers in Human Services: An Over viewfor Clinical and Welfare Services (with John W. Murphy) (1990, Harwood Academic Publishers), The Computerization of Human Services Agencies: A Critical Appraisal (with John W. Murphy) (1991, Auburn House), Issues in Social Work: A Critical Analysis (with Roland G. Meinert and William P. Sullivan) (1994, Auburn House), and Social Work Practice: An Ecological Approach (1996, Auburn House). Charles F. Longino, Jr., received his PhD from the University of North Carolina. Currently he is Professor of Sociology and Director of the Reynolda Gerontology Program at Wake Forest University. Dr. Longino’s research interests include gerontology and medical sociol ogy. He has published 117 articles, chapters, or encyclopedia entries, 14 books, monographs, and compendia. His most recent books in clude Retirement Migration in America and, with John W. Murphy, The Old Age Challenge to the Biomedical Model. John W. Murphy received his PhD from Ohio State University. Cur rently he is Professor of Sociology at the University of Miami, Coral Gables, FL. Dr. Murphy’s most recent books are The Politics of Cul ture and Postmodernism, Unraveling Racism, and Democratic Insti tutions. This page intentionally left blank Reason and Rationality in Health and Human Services Delivery: An Introduction John T. Pardeck, PhD, ACSW Charles F. Longino, Jr., PhD John W. Murphy, PhD The reader may ask, why devote a volume to what might appear to be esoteric topics, reason and rationality? A simple answer is that these top ics, for some time, have been at the center of the Western intellectual tradition. Furthermore, appeals are made regularly to increased rationality to enhance the delivery of health care and social services. The claim is that service delivery will be improved appreciably if planning and imple mentation of services is made more rigorous. Reason has been the centerpiece of most of Western philosophy. At one time or another, reason has been understood to either ground knowledge, substantiate morals, or guarantee the proper deployment of history. Truth, fact, and order, moreover, have all been linked to reason. And in more modern times, science and advanced technology, such as computers, have been identified as having privileged access to reason. For example, the use of computer technology in modem medicine is thought to epitomize ratio- John T. Pardeck is Professor of Social Work, School of Social Work at South west Missouri State University, Springfield, MO 65804. Charles F. Longino, Jr., is Director of the Reynolda Gerontology Program and Professor of Sociology at Wake Forest University, Winston-Salem, NC 27109. John W. Murphy is Professor of Sociology at the University of Miami, Coral Gables, FL 33124. [Haworth co-indexing entry notej: “Reason and Rationality in Health and Human Services Delivery: An Introduction." Pardeck, John T„ Charles F. Longino, Jr., and John W. Murphy. Co-published simulta neously in Journal of Health & Social Policy (The Haworth Press, Inc.) Vol. 9, No. 4,1998, pp. I -8; and: Reason and Rationality in Health and Human Services Deliveiy (ed: John T. Pardeck, Charies K Longi no, Jr., and John W. Murphy) The Haworth Press, Inc., 1998, pp. 1-8. Single or multiple copies of this article are available for a fee from The Haworth Document Delivery Service (I -800-342-9678,9:00 am • 5:00 p.m. (EST). E-mail address: [email protected]], © 1998 by The Haworth Press, Inc. All rights reserved. I
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