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New drug prescribing by hospital doctors: the nature and meaning of knowledge

Prosser, H and Walley, T 2006, 'New drug prescribing by hospital doctors: the nature and meaning of knowledge ' , Social Science and Medicine, 62 (7) , pp. 1565-1578.

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    Abstract

    In the UK the high cost of new drugs is partly accountable for the growth in spending on prescription drugs. Most prescribing takes place in general practice and the influence of secondary care prescribing on primary care prescribing is well recognized; yet the factors that influence hospital prescribing have been little researched. Drawing on accounts of actual prescribing events from hospital doctors from a range of specialties, we investigated the processes by which new drugs come into practice, from hospital doctors' awareness of new drugs to the assimilation and interpretation of evidential sources. The determinants of new drug prescribing were interconnected within four forms of knowledge: scientific knowledge, social knowledge, patient knowledge and experiential knowledge. Furthermore, the nature of knowledge could only be understood within its situated context. The revelation of multiple and contingent forms of knowledge highlights the problematic nature of knowledge construction within the approaches of evidence-based medicine.

    Item Type: Article
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Social Justice Research
    Journal or Publication Title: Social Science and Medicine
    Publisher: Elsevier
    Refereed: Yes
    ISSN: 0277-9536
    Depositing User: H Prosser
    Date Deposited: 05 Sep 2011 13:12
    Last Modified: 20 Aug 2013 18:08
    URI: http://usir.salford.ac.uk/id/eprint/17483

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