Logo: to the web site of Uppsala University

uu.sePublikasjoner fra Uppsala universitet
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Iscensättanden av halsfluss: Relationella göranden av en sjukdom i medicinska praktiker
Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Sociologiska institutionen.
2016 (svensk)Inngår i: Sociologisk forskning, ISSN 0038-0342, E-ISSN 2002-066X, Vol. 53, nr 3, s. 247-270Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

In this paper the diagnostic process of bacterial tonsillitis at two Swedish health centres is described and analysed as to how this disease comes into being, or how it is enacted. The concept of enactment implies that disease is constituted in, and through, relational practises involving human and non-human elements. The study is based on interviews with nurses and doctors as well as field observations from the health centres. In the analysis it becomes apparent that different and sometimes conflicting enactments of tonsillitis appear in medical practices, depending on the organization of relations between different elements. It is concluded that diagnostic agency is created in relations between both humans and non-humans, and who and what is given diagnostic agency is changeable depending on the relations at hand. The diagnostic process of tonsillitis shows how the most mundane medical diagnoses involves a number of complex relations, that stretches beyond categories such as social and medical.

sted, utgiver, år, opplag, sider
2016. Vol. 53, nr 3, s. 247-270
Emneord [en]
enactment, the clinical gaze, medical sociology, medical technologies, science and technology studies (STS)
HSV kategori
Identifikatorer
URN: urn:nbn:se:uu:diva-308067ISI: 000385336700003OAI: oai:DiVA.org:uu-308067DiVA, id: diva2:1050881
Tilgjengelig fra: 2016-11-30 Laget: 2016-11-23 Sist oppdatert: 2022-05-10
Inngår i avhandling
1. Unpacking Rational Use of Antibiotics: Policy in Medical Practice and the Medical Debate
Åpne denne publikasjonen i ny fane eller vindu >>Unpacking Rational Use of Antibiotics: Policy in Medical Practice and the Medical Debate
2018 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

Rational use of antibiotics–using antibiotics only when needed and in the right way–is a prioritized goal in policy aimed at preventing antimicrobial resistance. A vast body of research is devoted to understanding why unnecessary antibiotics are prescribed. However, this research tends to treat the definition of rational prescribing as an unproblematic fact, which is given by evidence.

The thesis aims to sociologically unpack rational use of antibiotics as medical knowledge and a policy goal. One study examines how rational use of antibiotics in health care was established as a crucial part of AMR prevention in Sweden, and three studies, drawing on different materials, look at how rational antibiotic use for everyday infections is negotiated and performed in medical practice and the medical debate in Sweden. The thesis makes theoretic use of material semiotics and critical policy studies, which enables examination of how medical knowledge, medical objects and policy are performed in webs of relations between human and non-human actors.

The studies show that rational use of antibiotics for everyday infections is characterized by uncertainties and tensions. These cannot be reduced to medical professionals’ ignorance, or to how non-medical factors influence medical practice. This implies that social factors are not enough to explain why medical professionals dismiss specific policy definitions of medically appropriate prescribing. Instead, the uncertainties and tensions characterizing rational antibiotic prescribing can be traced to the complex and contingent nature of medical knowledge and medical objects, as well as to the potentially conflicting risks that antibiotic prescribing involves. As a consequence, deviance from, or critique of, a specific definition of rational use of antibiotics may constitute a performance of rational use of antibiotics as a policy goal. In medical practice and the medical debate, rational use of antibiotics as a policy goal can draw on and work with mutable medical knowledge and objects, as well as conflicting medical risks. It is concluded that sociologists need to continue entering the seemingly pure medical sphere to critically investigate policy and policy goals that draw on medical knowledge and that, as such, appear to be neutral and undisputable.

sted, utgiver, år, opplag, sider
Uppsala: Acta Universitatis Upsaliensis, 2018. s. 72
Serie
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 158
Emneord
Antibiotics, Policy, Medical Sociology, Actor-Network Theory, Human-microbial relations, Antimicrobial Resistance, Everyday Infections, Material semiotics, Medical sociology, Medical objects, Medical technologies, Medical knowledge
HSV kategori
Forskningsprogram
Sociologi
Identifikatorer
urn:nbn:se:uu:diva-358022 (URN)978-91-513-0421-2 (ISBN)
Disputas
2018-10-12, Sal IX, Universitetshuset, Biskopsgatan 3, Uppsala, 10:00 (svensk)
Opponent
Veileder
Tilgjengelig fra: 2018-09-20 Laget: 2018-08-23 Sist oppdatert: 2018-10-02

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

http://www.diva-portal.org/smash/get/diva2:972164/FULLTEXT01.pdf

Søk i DiVA

Av forfatter/redaktør
Gröndal, Hedvig
Av organisasjonen
I samme tidsskrift
Sociologisk forskning

Søk utenfor DiVA

GoogleGoogle Scholar

urn-nbn

Altmetric

urn-nbn
Totalt: 474 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf