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'Between the demands of truth and government': Health practitioners, trust and immunisation work

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  • Brownlie, Julie
  • Howson, Alexandra

Abstract

Applied and theoretical work on health governance and governmentality has often not engaged with the perspectives of practitioners and, in particular, with their understandings about trust. In this paper, we address these absences through looking at a critical technology of governmentality--child immunisation. We do this, first, by examining theoretical links between risk, trust and knowledge in relation to the governance of health. We then draw on findings from our secondary analysis of qualitative data based on interviews with key actors in primary care in Scotland charged with the delivery of a particular immunisation--the MMR vaccine. While many practitioners, like parents, have typically perceived immunisation--along with other public health initiatives--as obligatory and as part of 'good citizenship', we argue that in relation to MMR and in the context of clinical governance, practitioners are having to engage in complex negotiations about knowledge and trust--negotiations that are at the heart of governing health at a distance.

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  • Brownlie, Julie & Howson, Alexandra, 2006. "'Between the demands of truth and government': Health practitioners, trust and immunisation work," Social Science & Medicine, Elsevier, vol. 62(2), pages 433-443, January.
    • Handle: RePEc:eee:socmed:v:62:y:2006:i:2:p:433-443
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    2. Deml, Michael J. & Buhl, Andrea & Notter, Julia & Kliem, Paulina & Huber, Benedikt M. & Pfeiffer, Constanze & Burton-Jeangros, Claudine & Tarr, Philip E., 2020. "‘Problem patients and physicians’ failures': What it means for doctors to counsel vaccine hesitant patients in Switzerland," Social Science & Medicine, Elsevier, vol. 255(C).
    3. Nurmi, Johanna & Jaakola, Joni, 2023. "Losing trust: Processes of vaccine hesitancy in parents’ narratives," Social Science & Medicine, Elsevier, vol. 331(C).
    4. Casiday, Rachel Elizabeth, 2007. "Children's health and the social theory of risk: Insights from the British measles, mumps and rubella (MMR) controversy," Social Science & Medicine, Elsevier, vol. 65(5), pages 1059-1070, September.
    5. Stijn Vissers & Sigrid Dierickx & Lenzo Robijn & Joachim Cohen & Luc Deliens & Freddy Mortier & Kenneth Chambaere, 2022. "Physicians’ Experiences and Perceptions of Environmental Factors Affecting Their Practices of Continuous Deep Sedation until Death: A Secondary Qualitative Analysis of an Interview Study," IJERPH, MDPI, vol. 19(9), pages 1-16, April.

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