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Evidence-Based Medicine: Ambivalent Reading And The Clinical Recontextualization Of Science
Oleh:
Mykhalovskiy, Eric
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine vol. 7 no. 3 (Jul. 2003)
,
page 331–352.
Topik:
clinical practice
;
evidence-based medicine
;
governmentality
;
institutional ethnography
;
physicians
;
reading
;
texts
Fulltext:
331H73.pdf
(145.4KB)
Isi artikel
This article contributes to the investigation of evidence-based medicine (EBM) as text-mediated relations of governance. Social critiques of EBM typically rely on a negative conception of power, such that EBM is considered to contain or limit the scope of medical practice. This article, by contrast, explores EBM as a productive relation, one that governs through medicine’s ‘freedom’ and opens up spaces of intervention. The article draws on an institutional ethnographic study of a research transfer initiative called informed – an evidence-based newsletter for family physicians. My investigation of the work practices of making informed underscores how texts are fundamental to the social organization of EBM. Through the example of informed, I locate reading as a central object of governance within EBM. I emphasize how the problematization of physicians as indifferent readers is linked with an effort to intervene in medical work through a new kind of text that clinically recontextualizes biomedical science
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