The Social Organization of Best Practice: An Institutional Ethnography of Physicians’ Work 1st ed. Edition Fiona Webster

The Social Organization of Best Practice: An Institutional Ethnography of Physicians’ Work – Ebook Instant Download/Delivery ISBN(s): 9783030431648,9783030431655,3030431649,3030431657

Product details:

• ISBN-10 ‏ : ‎ 3030431649
• ISBN-13 ‏ : ‎ 978-3030431648
• Author(s): Fiona Webster

This book explores how best practice for acute stroke care was developed, translated and taken up in medical practice across various sites in the province of Ontario using institutional ethnographic research. Institutional ethnography, an approach developed by Dorothy E. Smith, builds on Smith’s understanding of the social organization of knowledge, allowing for an examination of the complex social relations organizing people’s experiences of their everyday working lives.

This work thereby makes visible some of the assumptions and hidden priorities underlying the emphasis given to translating scientific knowledge into medical practice. In this study, the discourses of both evidence-based medicine and knowledge translation, purportedly designed to improve patient care, come into view as managerial tools that directed healthcare resources toward academic hospitals rather than community sites where the majority of patients receive care. These models institutionalize inequities in access to care while claiming to resolve them.

Table contents:

1. Introduction
2. Developing the Ethnographic Study
3. Setting the Stage for Implementing Knowledge: The Ontario Stroke Strategy
4. The Everyday Practices of Randomized Controlled Trials
5. Variations in the Implementation of Best Practice: From Academic Hospital to Community Settings
6. A Virtual Success: Evaluation of the Ontario Stroke Strategy
7. Conclusion

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