MA, MD, FRACGP, MRCGP, Professor and Director, General Practice and Primary Health Care Research Unit, School of Medicine, University of Notre Dame Australia, Fremantle, WA; General Practitioner, Mosman Park Medical Centre, Mosman Park, WA.
Aust J Gen Pract. 2024 Apr;53(4):235-237. doi: 10.31128/AJGP-04-23-6789.
Institutions are established patterns of recurrent social relationships playing a fundamental part in all our lives. The family is the best-known institution, but other 'total' institutions serve as organisations directly affecting the lives of many individuals in the healthcare sector.
This paper examines the sociological theory of institutionalisation as applied to individuals admitted to aged-care facilities, where the complete life-rounds of inmates occur within clearly defined limits. The study provides a framework to enable general practitioners, nurses and healthcare professionals to better appreciate the processes involved as individuals adapt to their new environment.
Sociology provides valuable insights for healthcare providers in understanding how individuals adapt to their loss of independent living and find themselves subjected to intimate regulation in the total institution. The biopsychosocial model of healthcare delivery is better understood when we as health professionals have greater insights to appreciate the competing processes at work.
机构是反复出现的社会关系的既定模式，在我们的生活中起着基本作用。家庭是最知名的机构，但其他“整体”机构作为直接影响医疗保健领域许多个人生活的组织而存在。
本文考察了制度主义的社会学理论在被安置到养老院的个人身上的应用，在养老院中，囚犯的完整生活周期发生在明确界定的范围内。该研究提供了一个框架，使全科医生、护士和医疗保健专业人员能够更好地理解个人适应新环境的过程。
社会学为医疗保健提供者提供了有价值的见解，使他们能够理解个人如何适应独立生活的丧失，并发现自己在整体机构中受到亲密的监管。当我们作为健康专业人员有更多的洞察力来理解工作中的竞争过程时，医疗保健提供的生物心理社会模型就会得到更好的理解。
