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Professional pastoral work in a Kenyan clinical network : transposing transnational evidence-based governmentality
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McGivern, Gerry, Nzinga, Jacinta, Boussebaa, J. and English, M. (2020) Professional pastoral work in a Kenyan clinical network : transposing transnational evidence-based governmentality. In: Bevir, Mark and Waring, Justin, (eds.) Decentring Health and Care Networks : Reshaping the Organization and Delivery of Healthcare. Organizational Behaviour in Healthcare . Cham, Switzerland: Palgrave Macmillan, pp. 239-266. ISBN 9783030408893
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Official URL: https://www.palgrave.com/gp/book/9783030408886
Abstract
The Foucauldian concepts of governmentality and pastoral power have been used to explain the way health professionals internalise evidence-based practices in health care generally and clinical networks more specifically. However, we know little about the work, practices and process involved in developing and implementing an ‘evidence-based governmentality’ outside the West, particularly in Low and Middle Income Counties (LMICs), where governmentality often has a different transnational character. We explain the development and implementation of a Western transnational evidence-based governmentality in a clinical network in Kenya, using a decentred analytical approach. We highlight the essential work of medical professional ‘pastors’, with experience of both health care in Kenya and evidence-based medicine in Western High-Income Countries, in transposing this governmentality into health care in a LMIC in a way improving clinical care.
| Item Type: | Book Item | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine | ||||
| Divisions: | Faculty of Social Sciences > Warwick Business School > Innovation, Knowledge & Organisational Networks Research Unit Faculty of Social Sciences > Warwick Business School |
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| Library of Congress Subject Headings (LCSH): | Health services administration -- Kenya, Pastoral medicine, Political planning -- Kenya, Public administration -- Kenya | ||||
| Series Name: | Organizational Behaviour in Healthcare | ||||
| Publisher: | Palgrave Macmillan | ||||
| Place of Publication: | Cham, Switzerland | ||||
| ISBN: | 9783030408893 | ||||
| Book Title: | Decentring Health and Care Networks : Reshaping the Organization and Delivery of Healthcare | ||||
| Editor: | Bevir, Mark and Waring, Justin | ||||
| Official Date: | 8 July 2020 | ||||
| Dates: |
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| Number of Pages: | 272 | ||||
| Page Range: | pp. 239-266 | ||||
| DOI: | 10.1007/978-3-030-40889-3 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Copyright Holders: | © 2020 | ||||
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