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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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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 |
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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 |
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