• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Sociology of health & illness >Spatio-temporal elements of articulation work in the achievement of repeat prescribing safety in UK general practice
【24h】

Spatio-temporal elements of articulation work in the achievement of repeat prescribing safety in UK general practice

机译：在英国一般实践中，重复表达安全性方面的衔接工作时空要素

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Prescribing is the most common healthcare intervention, and is both beneficial and risky. An important source of risk in UK general practice is the management of repeat prescriptions', which are typically requested from and issued by non-clinically trained reception staff with only intermittent reauthorisation by a clinical prescriber. This paper ethnographically examines the formal and informal work employed by GPs and receptionists to safely conduct repeat prescribing work in primary care using Strauss's (1985, 1988, 1993) concept of articulation work' across eight UK general practices. The analytical lens of articulation work provided an investigative framing to contextually map the informal, invisible resources of resilience and strength employed by practice team members in the achievement of repeat prescribing safety, where risk and vulnerability were continually relocated across space and time. In particular, the paper makes visible the micro-level competencies and collaborative practices that were routinely employed by both GPs and receptionists across different socio-cultural contexts, with informal, cross-hierarchical communication usually considered more effective than the formal structures of communication that existed (e.g. protocols). While GPs held formal prescribing authority, this paper also examines the key role of receptionists in both the initiation and safe coordination of the repeat prescribing routine.
机译：开处方是最常见的医疗干预措施，既有益又有风险。英国一般实践中一个重要的风险来源是重复处方的管理，重复处方通常是由未经临床训练的接待人员要求并签发的，并且只有临床处方者间歇性地重新授权。本文从人种学的角度考察了全科医生和接待员使用斯特劳斯（1985，1988，1993）在英国八种普通实践中对口头工作概念进行安全的重复处方工作的正式和非正式工作。清晰的分析工作提供了一个调查框架，可以根据上下文映射实践小组成员在实现重复规定的安全性方面所使用的非正式的，无形的韧性和力量资源，其中风险和脆弱性不断地跨时空转移。特别是，本文使全科医生和接待员在不同社会文化背景下通常采用的微观能力和协作实践可见，通常认为非正式，跨层次的沟通比现有的正式沟通结构更有效。 （例如协议）。虽然全科医生拥有正式的开处方权，但本文还研究了接待员在重复开处方程序的发起和安全协调中的关键作用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号