Limited pharmaceuticalisation
A qualitative case study of physiotherapist prescribing practices in an NHS Trust in England following the expansion of non-medical prescribing in the UK
Bibliographic Data
| ID | 2249682 |
|---|---|
| Authors | Nicky Wilson (0000-0001-7404-7360, School of Health Sciences University of Southampton Southampton UK, corresponding author), Catherine Pope (0000-0002-8935-6702, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK), Lisa Roberts (0000-0002-7570-7524, School of Health Sciences University of Southampton Southampton UK), R Crouch (0000-0003-3901-084X, University of Southampton) |
| Year | 2020 |
| Volume | 42 |
| Issue | 3 |
| Pages | 643-659 |
| Publication date | 2020-03-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13050 |
| PMID | 31845366 |
| OpenAlex | W2993147744 |
| Language | EN |
| References cited | 38 |
Over the last quarter century, non-medical prescribing in the UK has grown significantly; eight non-medical professional groups now have authority to prescribe a wide range of medicines, suggesting it could be a potent driver of pharmaceuticalisation. In this article, we present data from a case study of physiotherapists' prescribing practices. UK physiotherapists have had legal rights to prescribe medicines since 2005, but relatively little is known about the contribution they make to expanding patient access to medicines. We approached our study through a lens of governmentality to capture the mentalities and micro-practices governing physiotherapist non-medical prescribing. Ethnographic methods were used to gather data from an outpatient orthopaedic service in an NHS Trust in England employing physiotherapist prescribers. From the data, we identified a grid of intelligibility - an organising framework formulated by powerful discourses and technologies of government through which physiotherapist prescribing was acted into being. A primary effect of this grid was the constitution of new physiotherapist subjectivities, mostly as non-prescribers of medicines contrary to policy intentions, underpinned by a familiar and enduring template of medical professionalism
Government (linguistics) · Governmentality · Medical prescription · Political science · Politics · Public relations · Ethics in medical practice · Historical and Scientific Studies · Law · Medicine · Mental Health and Patient Involvement · Nursing
Risk and Blame
The System of Professions
The Argumentative Turn in Policy Analysis and Planning
An Introduction to Qualitative Research
Discipline and Punish
Michel Foucault
The Interpretive Approach in Political Science
Conducting Interpretive Policy Analysis
The Iron Cage Revisited
A pill for every ill
Negotiating jurisdiction in the workplace
Les approches discursives des politiques publiques
Governing drug use otherwise
Pharmaceuticalization of Society in Context
The pharmaceuticalisation of society? A framework for analysis
Boundary at work
Sometimes, it's easier to write the prescription
Constructing notions of healthcare productivity
How 'we' are different from 'them
Technologies of the Self and Ethnographic Praxis
| Citation velocity | historical |
|---|---|
| Highly cited | No |