The (Im)possibilities of clinical democracy

Long, D; Forsyth, R; Iedema, RA; Carroll, KE

The (Im)possibilities of clinical democracy

Long, D Forsyth, R Iedema, RA Carroll, KE

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Publisher:: EContent Management Pty Ltd
Publication Type:: Journal Article
Citation:: Health Sociology Review, 2006, 15 (5), pp. 506 - 519
Issue Date:: 2006-01

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Field	Value	Language
dc.contributor.author	Long, D	en_US
dc.contributor.author	Forsyth, R	en_US
dc.contributor.author	Iedema, RA	en_US
dc.contributor.author	Carroll, KE	en_US
dc.date.issued	2006-01	en_US
dc.identifier.citation	Health Sociology Review, 2006, 15 (5), pp. 506 - 519	en_US
dc.identifier.issn	1446-1242	en_US
dc.identifier.uri	http://hdl.handle.net/10453/10342
dc.description.abstract	In this article, we argue that homogenising discussions of medical dominance on the meta-level of professions do not fully capture the complexity that characterises current clinical care in multidisciplinary health care teams. We illustrate this through an empirical study of a multidisciplinary team attempting to enact their work in a clinically democratic way. The challenges that arose in putting this into practice highlight the depth and complexity of enculturated medical dominance in Australian hospital practice. Our study shows that effective facilitation of clinician reflexivity has the potential to challenge and change deeply embedded structures and behaviours.	en_US
dc.publisher	EContent Management Pty Ltd	en_US
dc.relation.ispartof	Health Sociology Review	en_US
dc.title	The (Im)possibilities of clinical democracy	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	15	en_US
utslib.for	1608 Sociology	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Arts and Social Sciences/School of Education
utslib.copyright.status	closed_access
pubs.consider-herdc	false	en_US
pubs.issue	5	en_US
pubs.volume	15	en_US

Abstract:

In this article, we argue that homogenising discussions of medical dominance on the meta-level of professions do not fully capture the complexity that characterises current clinical care in multidisciplinary health care teams. We illustrate this through an empirical study of a multidisciplinary team attempting to enact their work in a clinically democratic way. The challenges that arose in putting this into practice highlight the depth and complexity of enculturated medical dominance in Australian hospital practice. Our study shows that effective facilitation of clinician reflexivity has the potential to challenge and change deeply embedded structures and behaviours.

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http://hdl.handle.net/10453/10342