IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v47y1998i11p1729-1738.html
   My bibliography  Save this article

Achieving clinical behaviour change: a case of becoming indeterminate

Author

Listed:
  • Wood, Martin
  • Ferlie, Ewan
  • Fitzgerald, Louise

Abstract

This paper is based on an empirical study of attempts to achieve change in clinical behaviour across a United Kingdom National Health Service (NHS) Health Authority (HA). We suggest that the evidence based medicine (EBM) movement underpinning such attempts is premised upon a highly rationalistic conception of change. Here the generation and implementation of research findings into clinical practice is understood as movement between discrete entities. Drawing upon poststructural philosophy, social studies of science and technology, social anthropology, and gender studies, we challenge such linear perspectives through a more immanent alternative. We conceive of change as movement within indeterminate or ambiguous relationships. We then proceed to discuss the implications of this modality for the management of clinical behaviour change.

Suggested Citation

  • Wood, Martin & Ferlie, Ewan & Fitzgerald, Louise, 1998. "Achieving clinical behaviour change: a case of becoming indeterminate," Social Science & Medicine, Elsevier, vol. 47(11), pages 1729-1738, December.
    • Handle: RePEc:eee:socmed:v:47:y:1998:i:11:p:1729-1738
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(98)00250-0
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rhodes, Tim & Lancaster, Kari, 2019. "Evidence-making interventions in health: A conceptual framing," Social Science & Medicine, Elsevier, vol. 238(C), pages 1-1.
    2. King, Gillian & Currie, Melissa & Smith, Linda & Servais, Michelle & McDougall, Janette, 2008. "A framework of operating models for interdisciplinary research programs in clinical service organizations," Evaluation and Program Planning, Elsevier, vol. 31(2), pages 160-173, May.
    3. Rashidian, Arash & Eccles, Martin P. & Russell, Ian, 2008. "Falling on stony ground A qualitative study of implementation of clinical guidelines' prescribing recommendations in primary care," Health Policy, Elsevier, vol. 85(2), pages 148-161, February.
    4. Mykhalovskiy, Eric & Armstrong, Pat & Armstrong, Hugh & Bourgeault, Ivy & Choiniere, Jackie & Lexchin, Joel & Peters, Suzanne & White, Jerry, 2008. "Qualitative research and the politics of knowledge in an age of evidence: Developing a research-based practice of immanent critique," Social Science & Medicine, Elsevier, vol. 67(1), pages 195-203, July.
    5. Rhodes, Tim, 2018. "The becoming of methadone in Kenya: How an intervention's implementation constitutes recovery potential," Social Science & Medicine, Elsevier, vol. 201(C), pages 71-79.
    6. Lambert, Helen, 2006. "Accounting for EBM: Notions of evidence in medicine," Social Science & Medicine, Elsevier, vol. 62(11), pages 2633-2645, June.
    7. Moreira, Tiago, 2005. "Diversity in clinical guidelines: the role of repertoires of evaluation," Social Science & Medicine, Elsevier, vol. 60(9), pages 1975-1985, May.
    8. John Boswell, 2014. "‘Hoisted with our own petard’: evidence and democratic deliberation on obesity," Policy Sciences, Springer;Society of Policy Sciences, vol. 47(4), pages 345-365, December.
    9. Prosser, Helen & Walley, Tom, 2006. "New drug prescribing by hospital doctors: The nature and meaning of knowledge," Social Science & Medicine, Elsevier, vol. 62(7), pages 1565-1578, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:47:y:1998:i:11:p:1729-1738. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.