The role of etiquette and experimentation in explaining how doctors change behaviour

Despite increasing interest over the last 30 years in individual variations in clinical practice, various research studies have thrown only limited light on either understanding or changing doctors' behaviour. This qualitative study explored a sample of British general practitioners' accounts of the influences on their prescribing, and identified the locus of the problem in their defence of professional identity through clinical autonomy, a tactic that precluded use of more customary change agents such as line management and economic incentives. The study identified two mechanisms, clinical etiquette and clinical experimentation, however, that enabled change to occur within the constraints imposed by the commitment to clinical autonomy

Autonomy · Clinical Practice · Economics · Etiquette · Identity (music) · Incentive · Political science · Public relations · Qualitative research · Sample (material) · Social science · Sociology · Innovations in Medical Education · Law · Medicine · Nursing · Pharmaceutical industry and healthcare · Primary Care and Health Outcomes · Psychology · Social Psychology

• Prescribing Antibiotics

  Open Access•Inge Kryger Pedersen, Kim Sune Karrasch Jepsen et al.•Professions and Professionalism•2018

  Incluir item

• Special Issue

  Open Access•Jens-Christian Smeby•Professions and Professionalism•2018

  Incluir item

• Professionalism, Indeterminacy and the EBM Project

  Open Access•David Armstrong•BioSocieties•2007

  Incluir item

• A World of Standards but not a Standard World

  Stefan Timmerman, Steven Epstein•Annual Review of Sociology•2010

  Incluir item

• Alignment Work

  Open Access•Hedvig Gröndal, Tora Holmberg•Science as Culture•2020

  Incluir item

• Beyond the Auditable

  K Gibson•Social Service Review•2023

  Incluir item

• Rationalising prescribing

  Open Access•Sarah Wadmann, Lia E Bang•Social Science & Medicine•2015

  Incluir item

• Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing

  Open Access•Alex Broom, Nicole Cort et al.•Social Science & Medicine•2014

  Incluir item

• As a clinician, you are not managing lab results, you are managing the patient

  Open Access•Clare Chandler, Clare I R Chandler et al.•Social Science & Medicine•2012

  Incluir item

• Seven warrants for qualitative health sociology

  Open Access•Stefan Timmerman•Social Science & Medicine•2013

  Incluir item

• The Continued Social Transformation of the Medical Profession

  Open Access•Stefan Timmerman, Hyeyoung Oh•Journal of Health and Social…•2010

  Incluir item

• Behaviour change and social blinkers? The role of sociology in trials of self-management behaviour in chronic conditions

  Open Access•Bie Nio Ong, Anne Rogers et al.•Sociology of Health & Illness•2014

  Incluir item

• Psychiatric Gaslighting

  Open Access•Charlotte Abel, Stefan Timmerman•Social Problems•2025

  Incluir item

• Effect of clinical guidelines on medical practice

  Open Access•J M Grimshaw, I T Russell•The Lancet•1993

  Incluir item

• Closing the gap between research and practice

  Open Access•Lisa A Bero, Lisa Bero et al.•BMJ•1998

  Incluir item

• Professions and Power

  Louis H Orzack, Terence J Johnson•Contemporary Sociology A Journal…•1975

  Incluir item

• The Diffusion of an Innovation Among Physicians in a Large City

  Charles Winick•Sociometry•1961

  Incluir item

• The adoption of new drugs by doctors practising in group and solo practice

  Open Access•P M Williamson, PA Williamson•Social Science & Medicine (1967•1975

  Incluir item

• Physician's orientation toward the legitimacy of drug use and their preferred source of new drug information

  Open Access•Lawrence S Linn, Milton S Davis•Social Science & Medicine (1967•1972

  Incluir item

• The Division in British Medicine

  Open Access•Una Maclean•The Political Quarterly•1980

  Incluir item

• Medical Innovation

  David Mechanic, James S Coleman et al.•American Sociological Review•1967

  Incluir item

• Hierarchies and cliques in the social networks of health care professionals

  Open Access•Elizabeth J West, Elizabeth West et al.•Social Science & Medicine•1999

  Incluir item

• Deprofessionalization

  Open Access•Marie R Haug•The Sociological Review•1972

  Incluir item

• The critical incident technique

  John C Flanagan•Psychological Bulletin•1954

  Incluir item

• Professional reimbursement and professional behavior

  Open Access•Benson Rosen, Bruce Rosen•Social Science & Medicine•1989

  Incluir item

• The role of commercial sources in the adoption of a new drug

  Open Access•Marilyn Y Peay, Edmund R Peay•Social Science & Medicine•1988

  Incluir item

• How physicians choose drugs

  Open Access•P Denig, Flora M Haaijer‐ruskamp et al.•Social Science & Medicine•1988

  Incluir item

• Patient assertiveness and physician decision-making among older breast cancer patients

  Open Access•Edward Krupat, Julie T Irish et al.•Social Science & Medicine•1999

  Incluir item

• Improving drug use

  Open Access•Elizabeth E Roughead, Andrew L Gilbert et al.•Social Science & Medicine•1999

  Incluir item

• Incentives and health policy

  Open Access•Dan Hausman, Julian Le Grand•Social Science & Medicine•1999

  Incluir item

• Challenges to Medicine

  Open Access•Marjorie Wei, Marjorie Weiss et al.•Sociology of Health & Illness•1997

  Incluir item