Prescribing as affective clinical practice
Transformations in sexual health consultations through HIV pre-exposure prophylaxis
Datos Bibliográficos
| ID | 2250095 |
|---|---|
| Autores | A K Smith (0000-0002-0005-9542, Centre for Social Research in Health UNSW Sydney New South Wales Australia, autor de correspondencia), Christy E Newman (0000-0002-5482-2822, Centre for Social Research in Health UNSW Sydney New South Wales Australia, autor de correspondencia), Bridget Haire (0000-0002-0657-9610, Kirby Institute, UNSW Sydney New South Wales Australia, autor de correspondencia), Martin Holt (0000-0002-2586-8274, Centre for Social Research in Health UNSW Sydney New South Wales Australia, autor de correspondencia) |
| Año | 2022 |
| Volumen | 44 |
| Número | 7 |
| Páginas | 1182-1200 |
| Fecha de publicación | 2022-07-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Sociology of Health & Illness (JOURNAL) |
| Identificadores de la revista | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Editorial | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13502 |
| PMID | 35635513 |
| OpenAlex | W4281611060 |
| Idioma | EN |
| Citas recibidas | 11 |
| Referencias citadas | 44 |
New medicines can transform routines and priorities in clinical practice, but how do clinicians think and feel about these changes, and how does it affect their work? In Australia, the HIV prevention regimen pre-exposure prophylaxis (PrEP) has been rapidly rolled out, transforming the sexual cultures and practices of users, but less attention has been given to the ways PrEP has reconfigured clinical practice. This paper draws on 28 qualitative semi-structured interviews conducted between 2019 and 2020 with PrEP-providing doctors and nurses in Australia to consider how they have affectively engaged with PrEP and put it into practice. Through a reflexive thematic analysis, we explore how clinicians adapted to PrEP, how the field of HIV prevention has been transformed, and how these developments have changed how clinicians approach patients. While the introduction of PrEP was initially received with uncertainty and shock, clinicians described PrEP as enjoyable to prescribe, and better aligned with the moral duties of sexual health consultations than existing HIV prevention strategies like condoms. Through approaching clinical work as an 'affective practice', we argue for attending not only to how new interventions change expectations and practices, but also how these changes are felt and valued by clinicians
Clinical Practice · Family medicine · Human immunodeficiency virus (HIV · Medical education · Men who have sex with men · Population · Pre-exposure prophylaxis · Psychological intervention · Qualitative research · Reflexivity · Reproductive health · Sociology · Thematic analysis · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Sex work and related issues
Sex, drugs and superbugs
Barriers and Facilitators to Oral HIV Pre-exposure Prophylaxis Use in Australia
Evidencing work
Understanding how PrEP is made successful
Mpox Illness Narratives
The sociology of prescribing
The limits of promoting pleasure
Professional identities and new technologies of hepatitis C point-of-care testing
The 'Informed Matter' of Gay and Bisexual Men's (Potential) Use of HIV Antiretrovirals to Prevent Covid-19
Don't lose it on the bus
Prescribing as affective clinical practice
Medicine as Culture
Governmentality, the iconography of sexual disease and 'duties' of the STI clinic
Frequent observation
Reflecting on reflexive thematic analysis
PrEP (HIV pre-exposure prophylaxis) and its possibilities for clinical practice
Hope, Attitudes, Emotions, and Expectations in Healthcare Providers of Services to Patients Infected with HIV
Clinician imaginaries of HIV PrEP users in and beyond the gay community in Australia
How Has HIV Pre-Exposure Prophylaxis (PrEP) Changed Sex? A Review of Research in a New Era of Bio-behavioral HIV Prevention
Ambivalence and the biopolitics of HIV pre-exposure prophylaxis (PrEP) implementation
HIV Preexposure Prophylaxis as a Gateway to Primary Care
Making sense of professional identities
Fear and anxiety
Affect and Emotion
Rationalising prescribing
Who's coming up next to do this work?' Generational tensions in accounts of providing HIV care in the community
Understanding Change in Medical Practice
New drug prescribing by hospital doctors
Emotionally reflexive labour in end-of-life communication
Troubling the non-specialist prescription of HIV pre-exposure prophylaxis (PrEP)
Evidence-Based Medicine, Clinical Uncertainty, and Learning to Doctor
After the euphoria
Prescribing as affective clinical practice
HIV pre-exposure prophylaxis and the 'problems' of reduced condom use and sexually transmitted infections in Australia
The practice of medical technology
| Obras citantes distintas | 11 |
|---|---|
| Citas por año | 2,75 |
| Intervalo de citas | 2022 - 2026 (5) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 11 |