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The paradox of paediatric social admission

Abstract The paradox of paediatric social admission involves the medical hospitalisation of children for non-urgent and/or social reasons. Much of the research in this field has been concerned with medically avoidable admissions that have been identified and condoned on clinical criteria. Such research has tended to mask the significance of social influences and the non-medical reasons why health professionals admit children to hospital. This paper explores social, organisational and subjective influences on medical decision-making and is based on a study of interviews with 26 health professionals directly involved in paediatric social admissions (PSA). The findings highlight some inherent paradoxes as a consequence of responding to social concerns in a medical context.