Social Organization of Best Practice

  • Fiona Webster
€ 69,99
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  • Verwacht 9 juli 2020
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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.
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
Uitgavejaar 2020
ISBN 9783030431648
Verschijningsdatum 9 jul. 2020
Omvang 127
Editie 1st ed. 2020
Auteur(s) Fiona Webster
Bindwijze Gebonden
Taal Engels
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