Cargando…

Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice

This article examines the articulation and enactment of racialised classifications in clinical practice guidelines and in accounts of clinical practice. It contributes to debates about racialisation in medicine and its consequences. The research centred on the case study of prescribing guidelines fo...

Descripción completa

Detalles Bibliográficos
Autores principales: Smart, Andrew, Weiner, Kate
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033176/
https://www.ncbi.nlm.nih.gov/pubmed/29626344
http://dx.doi.org/10.1111/1467-9566.12727
_version_ 1783337653517680640
author Smart, Andrew
Weiner, Kate
author_facet Smart, Andrew
Weiner, Kate
author_sort Smart, Andrew
collection PubMed
description This article examines the articulation and enactment of racialised classifications in clinical practice guidelines and in accounts of clinical practice. It contributes to debates about racialisation in medicine and its consequences. The research centred on the case study of prescribing guidelines for hypertension in England and Wales, drawing on documentary sources and semi‐structured expert interviews. We found that conceptual and socio‐political uncertainties existed about how to interpret the designation ‘Black patients’ and about the practices for identifying patients’ race/ethnicity. To ‘close’ uncertainties, and thus produce the guidelines and treat patients, respondents drew authority from disparate elements of the ‘topologies of race’. This has implications for understanding processes of racialisation and for the future use of racialised clinical practice guidelines. We argue that clinical practice guidelines play a ‘nodal’ role in racialisation by forming an authoritative material connection that creates a path for translating racialised research into racialised healthcare practice, and that they carry with them implicit conceptual and socio‐political uncertainties that are liable to create inconsistencies in healthcare practice.
format Online
Article
Text
id pubmed-6033176
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-60331762018-07-12 Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice Smart, Andrew Weiner, Kate Sociol Health Illn Original Articles This article examines the articulation and enactment of racialised classifications in clinical practice guidelines and in accounts of clinical practice. It contributes to debates about racialisation in medicine and its consequences. The research centred on the case study of prescribing guidelines for hypertension in England and Wales, drawing on documentary sources and semi‐structured expert interviews. We found that conceptual and socio‐political uncertainties existed about how to interpret the designation ‘Black patients’ and about the practices for identifying patients’ race/ethnicity. To ‘close’ uncertainties, and thus produce the guidelines and treat patients, respondents drew authority from disparate elements of the ‘topologies of race’. This has implications for understanding processes of racialisation and for the future use of racialised clinical practice guidelines. We argue that clinical practice guidelines play a ‘nodal’ role in racialisation by forming an authoritative material connection that creates a path for translating racialised research into racialised healthcare practice, and that they carry with them implicit conceptual and socio‐political uncertainties that are liable to create inconsistencies in healthcare practice. John Wiley and Sons Inc. 2018-04-06 2018-06 /pmc/articles/PMC6033176/ /pubmed/29626344 http://dx.doi.org/10.1111/1467-9566.12727 Text en © 2018 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Smart, Andrew
Weiner, Kate
Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice
title Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice
title_full Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice
title_fullStr Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice
title_full_unstemmed Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice
title_short Racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice
title_sort racialised prescribing: enacting race/ethnicity in clinical practice guidelines and in accounts of clinical practice
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033176/
https://www.ncbi.nlm.nih.gov/pubmed/29626344
http://dx.doi.org/10.1111/1467-9566.12727
work_keys_str_mv AT smartandrew racialisedprescribingenactingraceethnicityinclinicalpracticeguidelinesandinaccountsofclinicalpractice
AT weinerkate racialisedprescribingenactingraceethnicityinclinicalpracticeguidelinesandinaccountsofclinicalpractice