The Social Organization of Best Practice

An Institutional Ethnography of Physicians' Work
1. Auflage 2020
ISBN: 978-3-030-43164-8
Verlag: Springer International Publishing

Buch, Englisch, 127 Seiten, Format (B × H): 153 mm x 216 mm, Gewicht: 303 g

This book explores how best practice for acute stroke care was developed, translated and taken up in medical practice across various sites in the province of Ontario using institutional ethnographic research. Institutional ethnography, an approach developed by Dorothy E. Smith, builds on Smith’s understanding of the social organization of knowledge, allowing for an examination of the complex social relations organizing people’s experiences of their everyday working lives.

This work thereby makes visible some of the assumptions and hidden priorities underlying the emphasis given to translating scientific knowledge into medical practice. In this study, the discourses of both evidence-based medicine and knowledge translation, purportedly designed to improve patient care, come into view as managerial tools that directed healthcare resources toward academic hospitals rather than community sites where the majority of patients receive care. These models institutionalize inequities in access to care while claiming to resolve them.

Zielgruppe

Research

Autoren/Hrsg.

Webster, Fiona

Fachgebiete

• Sozialwissenschaften Soziologie | Soziale Arbeit Spezielle Soziologie Wirtschaftssoziologie, Arbeitssoziologie, Organisationssoziologie
• Sozialwissenschaften Soziologie | Soziale Arbeit Spezielle Soziologie Gesundheitssoziologie, Medizinsoziologie
• Sozialwissenschaften Ethnologie | Volkskunde Ethnologie Ethnographie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Public Health, Gesundheitsmanagement, Gesundheitsökonomie, Gesundheitspolitik
• Sozialwissenschaften Soziologie | Soziale Arbeit Soziologie Allgemein

Inhaltsverzeichnis

Chapter 1: Introduction.- Chapter 2: Developing the Ethnographic Study.- Chapter 3: Setting the Stage for Implementing Evidence: the OSS.- Chapter 4: The Everyday Practices of RCTs.- Chapter 5: Variations in the Implementation of Evidence.-Chapter 6: Evaluating the OSS.- Chapter 7: Conclusion.

Über Autor(innen)

Fiona Webster is Associate Professor in the Arthur Labatt Family School of Nursing at Western University in London, Ontario, Canada. Webster obtained her PhD in sociology under the supervision of Dorothy E. Smith at the University of Toronto, Canada.