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The Impossible Clinic
Ariane Hanemaayer
其他書名
A Critical Sociology of Evidence-Based Medicine
出版UBC Press, 2019-11-01
主題Medical / Evidence-Based MedicineMedical / HistorySocial Science / Sociology / General
ISBN07748621069780774862103
URLhttp://books.google.com.hk/books?id=25ixDwAAQBAJ&hl=&source=gbs_api
EBookSAMPLE
註釋Once considered revolutionary, evidence-based medicine (EBM) has failed. The Impossible Clinic explores the conundrum of EBM’s attempt to translate evidence from medical research into recommendations for practice. Ironically, when medical institutions combine disciplinary regulations with EBM to produce clinical practice guidelines, the outcomes are antithetical to the aim. Such guidelines fail to increase individual physicians’ decision-making capacities – as EBM promises – because they externalize judgment through disciplinary control. Ariane Hanemaayer uses a critical sociology approach to argue that EBM persists because it has congealed within the dominant liberal political strategy of governance, which seeks to improve health care “at a distance,” at the least cost, and without investment in infrastructure. As such, The Impossible Clinic is the first book to interrogate the history, practice, and pitfalls of EBM and explain how it persists due to intersecting relationships between professional medical regulation and liberal governance strategies.