文章基本信息

标题：Gamble on the Uncertain. Negotiating Medical Decision-Making
本地全文：下载
作者：Helena Serra
期刊名称：Qualitative Sociology Review
印刷版ISSN：1733-8077
电子版ISSN：1733-8077
出版年度：2016
卷号：XII
期号：4
出版社：Lodz University
摘要：The aim of this paper is to analyze the medical de cision-making process in the admission of patients into a Live r Transplant Program in a hospital in Lisbon, Portugal. The relationships and main strat- egies established among the medical specializations involved in this process will be inve stigated. The theoretical basis was drawn from medical sociology, in particular, from the social constructivist approaches, which hig hlight the relation betwe en medical power and knowledge in the construction of medical decision-mak ing. I attempt to elucidate the processes of negotiation through which a med- ical decision is constructed. The re search me thodology included non-participant observation and semi-structure d interviews with par ticipants from the two medical specializations of interest: liver surgeons and hepatologists. The management of risk and uncertainty in relation to patients' access to liver transplantation is discussed and the strategic alliances that are formed dur ing medical deci- sion-making in search of consensus are investigated. The research findings show that medical prac- tices and knowledge do not converge linearly to produce a coherent network of actions with a view to decision-making. Instead, medical decision-making is constructed through complex processes of negotiation. The differe nt natures and levels of uncertainty and indeter mination that are inhe rent in the social world of medicine have a fundamental influence on medical decision-mak ing.
关键词：Medical Decision-Mak ing Process; Risk and Uncertainty; Negotiation; Qualitative Study; Portugal