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Understanding and managing uncertainty in health care

Revisiting and Advancing Sociological Contributions

Dados Bibliográficos

ID2249779
AutoresNicola Mackintosh (0000-0003-0137-6432, Social Science Applied to Healthcare Improvement Research (SAPPHIRE) Group Department of Health Sciences University of Leicester Leicester UK, autor correspondente), N Armstrong (0000-0003-4046-0119, University of Leicester, autor correspondente)
Ano2020
Volume42
FascículoS1
Páginas1-20
Data de publicação2020-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoSociology of Health & Illness (JOURNAL)
Identificadores do periódicoISSN: 0141-9889 • E-ISSN: 1467-9566
EditoraWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13160
PMID32757281
OpenAlexW3047255967
IdiomaEN
Citações recebidas38
Referências citadas103

In this collection we revisit the enduring phenomenon of uncertainty in health care, and demonstrate how it still offers coherence and significance as an analytic concept. Through empirical studies of contemporary examples of health care related uncertainties and their management, our collection explores the different ways in which uncertainty may be articulated, enacted and experienced. The papers address a diverse range of healthcare contexts - Alzheimer's disease, neonatal surgery, cardiovascular disease prevention, cancer, addiction (use of alcohol and other drugs during pregnancy), mental health/disorders and medical education - and many tackle issues of contemporary relevance, such as an ageing population, and novel medical interventions and their sequelae. These empirical papers are complemented by a further theoretical contribution, which considers the role of 'implicit normativity' in masking and containing potential ethical uncertainty. By mapping themes across the collection, in this introduction we present a number of core analytical strands: (1) conceptualising uncertainty; (2) intersections of uncertainty with aspects of care; (3) managing uncertainty; and (4) structural constraints, economic austerity and uncertainty work. We reflect on the methodological and theoretical stances used to think sociologically about uncertainty in health care, and the strengths, silences and gaps we observe in the collection. We conclude by considering the implications of the insights gained for 'synthesising certainty' in practice and for future research in this area

Austerity · Certainty · Economics · Empirical research · Epistemology · Health care · Political science · Psychiatry · Psychological intervention · Relevance (law · Sociology · Healthcare cost, quality, practices · Healthcare Systems and Challenges · Mental Health and Psychiatry · Psychology

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  • Avian flu

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  • Learning to manage uncertainty

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  • Uncertainty and certain death

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  • Constructing classification boundaries in the memory clinic

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  • Managing ethical uncertainty

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  • Diagnosing uncertainty, producing neonatal abstinence syndrome

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  • Overruling uncertainty about preventative medications

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  • Advice, authority and autonomy in shared decision-making in antenatal screening

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  • The social practice of rescue

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  • Introduction

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Obras citantes distintas38
Citações por ano6,33
Intervalo de citações2020 - 2026 (7)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 36
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