Question

Doctors have always played a dominate role in the Australian healthcare system.

describe the historical reasons that have lead to doctors assuming this dominant role in our healthcare system

Answer 1

Medical dominance is the traditional Organizing principle in the healthcare system all over the world. The medical power is Completed through the professional autonomy of doctors through their unmatching role in the economics of health system and other occupationtional groups.Its happen mainly by their Control over
1. Administration
2. A Collective influence of medical associations.
3. Control over the allied health professions.
Feminist and Marxian theory of classes of labour shows the historic reasons for this phenomenon.
Friedson in his professional dominance (1970) introduced the term medical dominance.His four dimensions regarding this is

1.Work and knowledge of
health professional is approved by physicians and it is planted directly from medicalresearch and knowledge.

2. Doctors assisting in diagnosis and treatment

3. The other health care professionals is usually request and supervised by doctors.

4. Health profession do not have equal Status with dominant profession.

as long as doctors have some control over other healthcare professionals then they are not truly autonomous and as a consequence of this they will be always Subordinate to doctors.

Subordination,limitation and exclusion of other healthcare system also fueling the situation. All these mechanisms are to be understood by the class and gender relations of modern capitalistic society of Australia.
Four factor definition of medical domine was employed to assessing the nurses workplace disatisfaction and doctor dominance over the system.
A combination of economical,Political, social and technological factors contributed to the Current Status of medical practitioners.