Systems Theory and the Sociology of Health and Illness

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 Luhmann's 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.

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.

1. Health Care Systems Theory and Polycontexturality: An Introduction Part 1: Polycontextural Constructions 2. Drugs in Modern Society: Analysing Polycontextural Things under Condition of Functional Differentiation 3. Polycontexturality and the Body Part 2: Societal Arrangements 4. Two Ways of Dealing with Polycontexturality in Priority Setting in Swedish Healthcare Politics 5. Heterophony and Hyper-Responsibility Part 3: Organizational Arrangements 6. Arranging Medical and Economical Logics: Investigating the Influence of Economic Controlling in Internal Medicine Department 7. Hospital Management in Between Medical Professionalism and Management 8. Sustainability in Integrated Care Partnerships: A Systems and Network Theoretical Approach for the Analysis of Co-Operation Networks Part 4: Reflections 9. The Multiplication and Realization of Speakers as Polyphony 10. The Polycontextural Realities of Research Ethics in Medicine 11. Personal Leadership in Polyphonic Organizations