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Clinical guidelines and the pursuit of reducing epistemic uncertainty. An ethnographic study of guideline development panels in three countries

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  • Wieringa, Sietse
  • Engebretsen, Eivind
  • Heggen, Kristin
  • Greenhalgh, Trish

Abstract

To explore, from a philosophy of knowledge perspective, the contribution of the guideline development process to reducing epistemic uncertainty in clinical decision-making – defined as the challenge of applying evidence to patients, dealing with conflicting information and determining the level of confidence in a medical conclusion.

Suggested Citation

  • Wieringa, Sietse & Engebretsen, Eivind & Heggen, Kristin & Greenhalgh, Trish, 2021. "Clinical guidelines and the pursuit of reducing epistemic uncertainty. An ethnographic study of guideline development panels in three countries," Social Science & Medicine, Elsevier, vol. 272(C).
    • Handle: RePEc:eee:socmed:v:272:y:2021:i:c:s0277953621000344
    DOI: 10.1016/j.socscimed.2021.113702
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    References listed on IDEAS

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    1. Knaapen, Loes & Cazeneuve, Hervé & Cambrosio, Alberto & Castel, Patrick & Fervers, Beatrice, 2010. "Pragmatic evidence and textual arrangements: A case study of French clinical cancer guidelines," Social Science & Medicine, Elsevier, vol. 71(4), pages 685-692, August.
    2. Moreira, Tiago, 2005. "Diversity in clinical guidelines: the role of repertoires of evaluation," Social Science & Medicine, Elsevier, vol. 60(9), pages 1975-1985, May.
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    2. Costa, Nathalia & Mescouto, Karime & Dillon, Miriam & Olson, Rebecca & Butler, Prudence & Forbes, Roma & Setchell, Jenny, 2022. "The ubiquity of uncertainty in low back pain care," Social Science & Medicine, Elsevier, vol. 313(C).
    3. Kok, Niek & Hoedemaekers, Cornelia & Fuchs, Malaika & van der Hoeven, Hans & Zegers, Marieke & van Gurp, Jelle, 2024. "Evaluating the use of casuistry during moral case deliberation in the ICU: A multiple qualitative case study," Social Science & Medicine, Elsevier, vol. 345(C).

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