Decision-making and accountability
Differences of Distribution
Bibliographic Data
| ID | 2248767 |
|---|---|
| Authors | Dawn Goodwin (0000-0002-9435-9107, Lancaster Medical School Lancaster University, corresponding author) |
| Year | 2014 |
| Volume | 36 |
| Issue | 1 |
| Pages | 44-59 |
| Publication date | 2014-01-01 |
| 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 | 10.1111/1467-9566.12042 |
| PMID | 24112126 |
| OpenAlex | W2059733485 |
| Language | EN |
| Citations received | 15 |
| References cited | 31 |
The cognitive and individual framing of clinical decision-making has been undermined in the social sciences by attempts to reframe decision-making as being distributed. In various ways, shifts in understanding in social science research and theorising have wrested clinical decision-making away from the exclusive domain of medical practice and shared it throughout the healthcare disciplines. The temporality of decision-making has been stretched from discrete moments of cognition to being incrementally built over many instances of time and place, and the contributors towards decision-making have been expanded to include non-humans such as policies, guidelines and technologies. However, frameworks of accountability fail to recognise this distributedness and instead emphasise independence of thought and autonomy of action. In this article I illustrate this disparity by contrasting my ethnographic accounts of clinical practice with the professional codes of practice produced by the General Medical Council and the Nursing and Midwifery Council. I argue that a 'thicker' concept of accountability is needed; one that can accommodate the diffuseness of decision-making and the dependencies incurred in collaborative work
Accountability · Business · Distribution (mathematics · Political science · Clinical Reasoning and Diagnostic Skills · Healthcare Quality and Management · Law · Mathematics · Primary Care and Health Outcomes · Psychology
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| Unique citing works | 15 |
|---|---|
| Citations per year | 1,5 |
| Citation span | 2016 - 2025 (10) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 14 |