Consucrats and Pathocrats: The Prequel, Quel, and Sequel; A Response to the Recent Commentaries

Document Type : Correspondence

Author

1 Centre for Health Equity Training, Research and Evaluation (CHETRE), University of New South Wales, Sydney, NSW, Australia

2 South Western Sydney Local Health District Population Health, Liverpool, NSW, Australia

3 Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia

Keywords


To recapitulate: I wrote a piece critical of ‘consumer’ involvement and representation mechanisms in the medical-industrial complex. In that piece, I coined the term ‘consucrat.’ Consucrats, I suggested, are “a volunteer channel of the voice of the receiving ends of healthcare procedures and policies; embedded in the system they have grown to become co-opted apparatchiks who may rhetorically claim to speak truth to power, but may no longer be the representative voice of ‘the consumer.’”1. ... (Read more...)

  1. de Leeuw E. The rise of the consucrat. Int J Health Policy Manag. 2021;10(4):176-180. doi:34172/ijhpm.2020.36
  2. O'Donovan Ó. The pandemic, patient advocacy, and the importance of thinking comment on "the rise of the consucrat". Int J Health Policy Manag. 2021;10(8):500-502. doi:34172/ijhpm.2020.114
  3. DeCamp M, Brewer SE, Dukhanin V. Patient, public, consumer, and community engagement: from consucrat to representative comment on "the rise of the consucrat". Int J Health Policy Manag. 2021;10(8):503-506. doi:34172/ijhpm.2020.148
  4. Keeling DI. Consucrats have agency: what next for the profecrat? comment on "the rise of the consucrat". Int J Health Policy Manag. 2021;10(8):507-510. doi:34172/ijhpm.2021.41
  5. Ulrich W. Critical heuristics of social systems design. Eur J Oper Res. 1987;31(3):276-283. doi:1016/0377-2217(87)90036-1
  6. de Leeuw E. Policy, theory, and evaluation: stop mixing the fruit salad comment on "developing a framework for a program theory-based approach to evaluating policy processes and outcomes: Health in All Policies in South Australia". Int J Health Policy Manag. 2018;7(8):763-765. doi:15171/ijhpm.2018.35
  7. Harris P, Baum F, Friel S, Mackean T, Schram A, Townsend B. A glossary of theories for understanding power and policy for health equity. J Epidemiol Community Health. 2020;74(6):548-552. doi:1136/jech-2019-213692
  8. Muller J, Raphael D. Does unionionization and working under collective agreements promote health? Health Promot Int. 2021; In Press.
  9. Raphael D, Muller J, Mohamed F, et al. A bibliometric analysis of health promotion international content regarding unions, unionization and collective agreements. Health Promot Int. 2021; (In Press.
  10. Johnston H, Land-Kazlauskas C. Organizing on-demand: Representation, voice, and collective bargaining in the gig economy. Conditions of Work and Employment Series No. 94. Geneva: International Labour Organization; 2018.
  11. Haraway D. Anthropocene, capitalocene, plantationocene, chthulucene: making kin. Environ Humanit. 2015;6(1):159-65. doi:1215/22011919-3615934
  12. Dupéré S, Ridde V, Carroll S, O’Neill M, Rootman I, Pederson A. Conclusion: the rhizome and the tree. In: O'Neill M, Pederson A, Dupéré S, Rootman I, eds. Health Promotion in Canada: Critical Perspectives. 2nd ed. Toronto: Canadian Scholars Press Inc; 2007:371-388.
  13. Löfgren H, Leahy M, de Leeuw E. Democratizing Health: Consumer Groups in the Policy Process. Cheltenham: Edward Elgar Publishing Limited; 2011.
  14. Illich I. Limits to medicine. In: Medical Nemesis: The Expropriation of Health. Random House; 1976.
  15. Stewart M, Brown JB, Donner A, et al. The impact of patient-centered care on outcomes. J Fam Pract. 2000;49(9):796-804.
  16. Mahler H. Towards a new public health. Health Promot Int. 1986;1(1):1. doi:1093/heapro/1.1.1

Articles in Press, Corrected Proof
Available Online from 06 September 2021
  • Receive Date: 24 August 2021
  • Accept Date: 04 September 2021
  • First Publish Date: 06 September 2021