Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.31447/AS00032573.2018228.07 |
Resumo: | Under a new regulatory, the development of a variety of formal instruments to strengthen the objectivity of medical decisions is favored (namely, Clinical Guidelines). In order to explore the scope of standardization in clinical practice, I develop a comprehensive analysis grounded on the mobilization of the empirical results derived from the Focus Group sessions that took place in two organizational contexts related to the professional reality of GPS. It is concluded that Clinical Guidelines tend to be conceived and mobilized only as one of the components of the medical judgment and decision processes, which is consistent not only with the idea of the practical and reflexive nature of medical knowledge, but also with the concept of the clinician as an autonomous professional who seeks to preserve her/his professional jurisdiction as a safe haven for individual decisions. |
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Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine.A padronização em contexto: uma análise qualitativa sobre a incorporação das Normas de Orientação Clínica em Medicina Geral e FamiliarpadronizaçãodiscricionariedadeNormas de Orientação ClínicaMedicina Geral e FamiliarstandardizationdiscretionaryClinical GuidelinesGeneral Practice.Under a new regulatory, the development of a variety of formal instruments to strengthen the objectivity of medical decisions is favored (namely, Clinical Guidelines). In order to explore the scope of standardization in clinical practice, I develop a comprehensive analysis grounded on the mobilization of the empirical results derived from the Focus Group sessions that took place in two organizational contexts related to the professional reality of GPS. It is concluded that Clinical Guidelines tend to be conceived and mobilized only as one of the components of the medical judgment and decision processes, which is consistent not only with the idea of the practical and reflexive nature of medical knowledge, but also with the concept of the clinician as an autonomous professional who seeks to preserve her/his professional jurisdiction as a safe haven for individual decisions..No quadro de um novo ambiente regulatório, o desenvolvimento de várias ferramentas formais para o reforço da objetividade das decisões médicas, como as Normas de Orientação Clínica (NOC), constitui-se com uma das orientações institucionais privilegiadas. Neste artigo empreendo uma análise compreensiva a partir da mobilização dos resultados empíricos decorrentes das sessões de Grupos Focais desenvolvidas em dois contextos organizacionais ligados à realidade profissional dos médicos de Medicina Geral e Familiar. Verificou-se que as noc tendem a ser concebidas e mobilizadas apenas como uma das componentes dos processos de julgamento e decisão médica, o que é consistente com a ideia da natureza prática e reflexiva do conhecimento médico, mas também com a conceção do clínico como profissional autónomo que procura preservar a sua jurisdição profissional enquanto reduto das decisões individuais.Instituto de Ciências Sociais da Universidade de Lisboa2018-09-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.31447/AS00032573.2018228.07https://doi.org/10.31447/AS00032573.2018228.07Análise Social; Vol. 53 N.º 228 (2018); 702-7312182-29990003-2573reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistas.rcaap.pt/analisesocial/article/view/22275https://revistas.rcaap.pt/analisesocial/article/view/22275/16410Direitos de Autor (c) 2018 Análise Socialinfo:eu-repo/semantics/openAccessRaposo, Hélder2024-03-09T06:14:29Zoai:ojs.revistas.rcaap.pt:article/22275Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:00:09.200318Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine . A padronização em contexto: uma análise qualitativa sobre a incorporação das Normas de Orientação Clínica em Medicina Geral e Familiar |
title |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine |
spellingShingle |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine Raposo, Hélder padronização discricionariedade Normas de Orientação Clínica Medicina Geral e Familiar standardization discretionary Clinical Guidelines General Practice . |
title_short |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine |
title_full |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine |
title_fullStr |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine |
title_full_unstemmed |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine |
title_sort |
Contextual standardization: a qualitative analysis of the incorporation of Clinical Guideline Norms into General and Family Medicine |
author |
Raposo, Hélder |
author_facet |
Raposo, Hélder |
author_role |
author |
dc.contributor.author.fl_str_mv |
Raposo, Hélder |
dc.subject.por.fl_str_mv |
padronização discricionariedade Normas de Orientação Clínica Medicina Geral e Familiar standardization discretionary Clinical Guidelines General Practice . |
topic |
padronização discricionariedade Normas de Orientação Clínica Medicina Geral e Familiar standardization discretionary Clinical Guidelines General Practice . |
description |
Under a new regulatory, the development of a variety of formal instruments to strengthen the objectivity of medical decisions is favored (namely, Clinical Guidelines). In order to explore the scope of standardization in clinical practice, I develop a comprehensive analysis grounded on the mobilization of the empirical results derived from the Focus Group sessions that took place in two organizational contexts related to the professional reality of GPS. It is concluded that Clinical Guidelines tend to be conceived and mobilized only as one of the components of the medical judgment and decision processes, which is consistent not only with the idea of the practical and reflexive nature of medical knowledge, but also with the concept of the clinician as an autonomous professional who seeks to preserve her/his professional jurisdiction as a safe haven for individual decisions. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.31447/AS00032573.2018228.07 https://doi.org/10.31447/AS00032573.2018228.07 |
url |
https://doi.org/10.31447/AS00032573.2018228.07 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revistas.rcaap.pt/analisesocial/article/view/22275 https://revistas.rcaap.pt/analisesocial/article/view/22275/16410 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2018 Análise Social info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2018 Análise Social |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto de Ciências Sociais da Universidade de Lisboa |
publisher.none.fl_str_mv |
Instituto de Ciências Sociais da Universidade de Lisboa |
dc.source.none.fl_str_mv |
Análise Social; Vol. 53 N.º 228 (2018); 702-731 2182-2999 0003-2573 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799129873286955008 |