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Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices

In this article, we draw on an institutional ethnographic (IE) study of cardiovascular disease prevention in general practice, exploring the work of healthcare professionals who introduce a discussion of risk and preventative medications into consultations with patients. Our aim is to explicate, usi...

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Detalles Bibliográficos
Autores principales: Cupit, Caroline, Rankin, Janet, Armstrong, Natalie, Martin, Graham P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496519/
https://www.ncbi.nlm.nih.gov/pubmed/31749268
http://dx.doi.org/10.1111/1467-9566.12998
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author Cupit, Caroline
Rankin, Janet
Armstrong, Natalie
Martin, Graham P.
author_facet Cupit, Caroline
Rankin, Janet
Armstrong, Natalie
Martin, Graham P.
author_sort Cupit, Caroline
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description In this article, we draw on an institutional ethnographic (IE) study of cardiovascular disease prevention in general practice, exploring the work of healthcare professionals who introduce a discussion of risk and preventative medications into consultations with patients. Our aim is to explicate, using IE's theoretical ontology and analytical tools, how troubling patient experiences in this clinical context are coordinated institutionally. We focus our attention on the social organisation of healthcare professionals’ knowledge and front‐line practices, highlighting the textual processes through which they overrule patients’ concerns and uncertainties about taking preventative medication, such that some patients feel unable to openly discuss their health needs in preventative consultations. We show how healthcare professionals activate knowledge of ‘evidence‐based risk reduction’ to frame patients’ queries as ‘barriers’ to be overcome. Our analysis points not to deficiencies of healthcare professionals who lack the expertise or inclination to adequately ‘share decisions’ with patients, but to the ways in which their work is institutionally orientated towards performance measures which will demonstrate to local and national policymakers that they are tackling the ‘burden of (cardiovascular) disease’.
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spelling pubmed-74965192020-09-25 Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices Cupit, Caroline Rankin, Janet Armstrong, Natalie Martin, Graham P. Sociol Health Illn Chapter 8 In this article, we draw on an institutional ethnographic (IE) study of cardiovascular disease prevention in general practice, exploring the work of healthcare professionals who introduce a discussion of risk and preventative medications into consultations with patients. Our aim is to explicate, using IE's theoretical ontology and analytical tools, how troubling patient experiences in this clinical context are coordinated institutionally. We focus our attention on the social organisation of healthcare professionals’ knowledge and front‐line practices, highlighting the textual processes through which they overrule patients’ concerns and uncertainties about taking preventative medication, such that some patients feel unable to openly discuss their health needs in preventative consultations. We show how healthcare professionals activate knowledge of ‘evidence‐based risk reduction’ to frame patients’ queries as ‘barriers’ to be overcome. Our analysis points not to deficiencies of healthcare professionals who lack the expertise or inclination to adequately ‘share decisions’ with patients, but to the ways in which their work is institutionally orientated towards performance measures which will demonstrate to local and national policymakers that they are tackling the ‘burden of (cardiovascular) disease’. John Wiley and Sons Inc. 2019-11-21 2020-08 /pmc/articles/PMC7496519/ /pubmed/31749268 http://dx.doi.org/10.1111/1467-9566.12998 Text en © 2019 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-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Chapter 8
Cupit, Caroline
Rankin, Janet
Armstrong, Natalie
Martin, Graham P.
Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
title Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
title_full Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
title_fullStr Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
title_full_unstemmed Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
title_short Overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
title_sort overruling uncertainty about preventative medications: the social organisation of healthcare professionals’ knowledge and practices
topic Chapter 8
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496519/
https://www.ncbi.nlm.nih.gov/pubmed/31749268
http://dx.doi.org/10.1111/1467-9566.12998
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