Towards a Sociology of Disclosure: The Case of Surgical Performance
Towards a Sociology of Disclosure: The Case of Surgical Performance
复制标题
迈向披露社会学：手术表现案例
DOI：
10.1111/j.1751-9020.2012.00490.x
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发表时间：
2012
影响因子：
2.7
通讯作者：
Gabe J
中科院分区：
文献类型：
--
作者：
Gabe J
尽管人们越来越普遍地强调卫生保健和其他领域需要透明度，但关于披露医疗绩效数据的后果的证据有限。证据各不相同，没有以连贯的方式综合起来。本文的重点是外科手术表现，其测量通常被认为是直截了当的。本文首先概述了理解此类数据发布的背景，然后提出了一个分析框架，作为概念化外科和医疗保健中披露的本质的工具。该框架涉及一个外科专业（心脏外科）及其在英语语境中与一系列利益相关者的关系的关键维度。特别是，我们研究了外科医生之间以及外科医生、患者、管理者和决策者之间的互动。这些关系是根据选择和计算、战略和战术以及信任来构建的，需要在微观、中观和宏观层面上加以理解。最后，我们将考虑这个框架如何为披露社会学提供一个研究议程。
Despite the increasingly widespread emphasis on the need for transparency in health‐care and elsewhere, there is limited evidence regarding the consequences of disclosing medical performance data. The evidence is disparate and has not been synthesised in a coherent way. This paper focuses on surgical performance, whose measurement is generally often seen as straight forward. It begins by outlining the context for understanding the publication of such data and then presents an analytical framework as a vehicle for conceptualising the nature of disclosure in surgery and health‐care more generally. The framework addresses key dimensions concerning one surgical specialty (cardiac surgery) and its relationship with a range of stakeholders in an English context. In particular, we examine the interaction between surgeons and between surgeons, patients, managers and policy‐makers. These relationships are framed in terms of choice and calculativeness, strategies and tactics, and trust, and need to be understood at micro, meso and macro levels. We conclude by considering how this framework provides a research agenda for a sociology of disclosure.
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影响因子：
5.4
作者：
Doolin, B
通讯作者：
Doolin, B
通过重新分层减少医疗权力与保留医疗权力：对安大略省案例的审查
影响因子：
2.9
作者：
D. Coburn;S. Rappolt;I. Bourgeault
通讯作者：
I. Bourgeault
影响因子：
2.1
作者：
Pope, C
通讯作者：
Pope, C
DOI：
10.1136/qhc.10.2.96
发表时间：
2001-06-01
期刊：
QUALITY IN HEALTH CARE
影响因子：
--
作者：
Schneider, EC;Lieberman, T
通讯作者：
Lieberman, T
影响因子：
4.4
作者：
Espeland, Wendy Nelson;Sauder, Michael
通讯作者：
Sauder, Michael