The Impossible Clinic: A Critical Sociology of Evidence-Based Medicine

Author:   Ariane Hanemaayer
Publisher:   University of British Columbia Press
ISBN:  

9780774862080


Pages:   256
Publication Date:   01 April 2020
Format:   Paperback
Availability:   In Print   Availability explained
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The Impossible Clinic: A Critical Sociology of Evidence-Based Medicine


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Overview

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.

Full Product Details

Author:   Ariane Hanemaayer
Publisher:   University of British Columbia Press
Imprint:   University of British Columbia Press
Weight:   0.380kg
ISBN:  

9780774862080


ISBN 10:   0774862084
Pages:   256
Publication Date:   01 April 2020
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   In Print   Availability explained
This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us.

Table of Contents

Introduction 1 Conversations in Medicine: Problematizing Clinical Practice 2 Institutional Sites: McMaster University and Canada's Contribution to Medical Training 3 Responsibilizing a New Kind of Clinician: Problem-Based Learning 4 Technologies of Regulation: Clinical Practice Guidelines and the Effects of Normalization 5 The Impossible Clinic: Biopolitics, Governmentality, Liberalism Conclusion Notes; References; Index

Reviews

This important book provides a thoughtful analysis of shortcomings, but parts of the text are so rich in medical humanities jargon that they are sometimes hard to follow. -- M. Gochfeld * CHOICE Connect *


Author Information

Ariane Hanemaayer is an assistant professor of sociology at Brandon University in Manitoba. With Christopher J. Schneider, she is the co-editor of The Public Sociology Debate: Ethics and Engagement (2014).

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