The Social Organization of Best Practice

An Institutional Ethnography of Physicians' Work
 
 
Palgrave Macmillan (Verlag)
  • erscheint ca. am 10. August 2020
 
  • Buch
  • |
  • Hardcover
978-3-030-43164-8 (ISBN)
 

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 ethnography, this work 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.

Institutional Ethnography is an approach to sociology developed by Dorothy Smith. Based on Smith's understanding of the social organization of knowledge, it allows for an examination of the complex social relations organizing people's experiences of their everyday working lives. This approach has been used widely in health care internationally.

1st ed. 2020
  • Englisch
  • Cham
  • |
  • Schweiz
Springer International Publishing
  • Für Beruf und Forschung
  • 1
  • |
  • 1 farbige Abbildung
  • |
  • 1 Illustrations, color; Approx. 145 p. 1 illus. in color.
  • Höhe: 21 cm
  • |
  • Breite: 14.8 cm
978-3-030-43164-8 (9783030431648)
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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, in 2009. She has won several awards for her research and obtained multiple national grants to apply institutional ethnography to the study of complex issues in health care with a focus on health inequities.

Chapter 1: IntroductionChapter 2: Developing the Ethnographic StudyChapter 3: Setting the Stage for Implementing Evidence: the OSSChapter 4: The Everyday Practices of RCTsChapter 5: Variations in the Implementation of EvidenceChapter 6: Evaluating the OSSChapter 7: Conclusion
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 ethnography, this work 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.
Institutional Ethnography is an approach to sociology developed by Dorothy Smith. Based on Smith's understanding of the social organization of knowledge, it allows for an examination of the complex social relations organizing people's experiences of their everyday working lives. This approach has been used widely in health care internationally.

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