UNSPECIFIED (1998) Achieving clinical behaviour change: A case of becoming indeterminate. SOCIAL SCIENCE & MEDICINE, 47 (11). pp. 1729-1738. ISSN 0277-9536

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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. (C) 1998 Elsevier Science Ltd. Bill rights reserved.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences
Journal or Publication Title:	SOCIAL SCIENCE & MEDICINE
Publisher:	PERGAMON-ELSEVIER SCIENCE LTD
ISSN:	0277-9536
Date:	December 1998
Volume:	47
Number:	11
Number of Pages:	10
Page Range:	pp. 1729-1738
Publication Status:	Published
URI:	http://wrap.warwick.ac.uk/id/eprint/15112

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