Understanding Change in Medical Practice
The Role of Shared Meaning in Preventive Treatment
Bibliographic Data
| ID | 4709160 |
|---|---|
| Authors | Loni Ledderer (0000-0002-2685-4579, University of Southern Denmark, Odense, Denmark,, corresponding author) |
| Year | 2011 |
| Volume | 21 |
| Issue | 1 |
| Pages | 27-40 |
| Publication date | 2011-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732310377451 |
| PMID | 20663942 |
| OpenAlex | W2140443156 |
| Language | EN |
| Citations received | 5 |
| References cited | 41 |
Health care organizations are experiencing a rising demand for change in the organization of preventive health services. Many initiatives designed to cater for change fail to achieve their aim. To understand how organizational dynamics in health care organizations influence the adoption of new initiatives, I explored the implementation of motivational interviewing, a health behavior concept that was introduced into ten general practice clinics in Denmark. Within an institutional framework I explored how modern ideas of prevention related to this concept were translated into medical practices. Using a qualitative multiple-case study design, I examined the institutionalization process in different clinical settings. I found that clinics constructed various types of preventive routines and thereby imposed new meaning on the health behavior concept. In adopting the concept, clinics developed a new routine against the background of existing practice, (re)producing an alternative, self-contained routine that diverged from their usual medical practice
Health care · Institutionalisation · Interview · Motivational interviewing · Organizational change · Political science · Preventive care · Psychological intervention · Psychotherapist · Public relations · Qualitative research · Sociology · Community Health and Development · Health Policy Implementation Science · Medicine · Nursing · Psychology · Public Health Policies and Education
Methodology or method? A critical review of qualitative case study reports
Prescribing as affective clinical practice
Israeli Dietitians' Professional Stigma Attached to Obese Patients
When the Hospital Is No Longer an Option
Primary Care Physicians' Prevention Counseling With Patients With Multiple Morbidity
Handbook of qualitative research
The New Institutionalism in Organizational Analysis
Translating Organizational Change
Using Documents in Social Research
Imitating by Editing Success
From best evidence to best practice
What is Motivational Interviewing?
Handbook of Constructionist Research
Governing people's lives
Prenatal Care Use Among Women of Low Income
The Comparative Method
Sorting Things Out
Variations in Lay Health Theories
Motivational Interviewing to Affect Behavioral Change in Older Adults
In search of how people change
Biomedicine, holism and general medical practice
How institutions think
The Sage Handbook of Organizational Institutionalism
Healthism
Considering Culture in Physician- Patient Communication During Colorectal Cancer Screening
Creating a Quality-Improvement Dialogue
When there is no doctor
Technogovernance
Practice nurses and the effects of the new general practitioner contract in the English National Health Service
Do diseases have a prestige hierarchy? A survey among physicians and medical students
Qualitative Research Design
Measuring Meaning Structures
Transforming general practice
| Citations per year | 0.36 |
|---|---|
| Citation span | 2012 - 2022 (11) |
| Highly cited | No |