Boyd1998

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Boyd1998
BibType ARTICLE
Key Boyd1998
Author(s) Elizabeth Boyd
Title Bureaucratic authority in the “company of equals”: the interactional management of medical peer review
Editor(s)
Tag(s) EMCA, Medical EMCA, Medical peer review, Professional relationships
Publisher
Year 1998
Language
City
Month
Journal American Sociological Review
Volume 63
Number 2
Pages 200-224
URL Link
DOI
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

I examine the negotiation of treatment decisions and the management of professional relationships during medical peer review. Using audio recordings of reviews conducted by telephone, I examine three recurrent interactional junctures in the review: (1) the reviewer's formulation of an initial request for information about the patient; (2) the doctor's immediately subsequent description of the patient; and (3) the reviewer's announcement of a decision about the appropriateness of the proposed procedure. Through the practices that accomplish these actions, doctors and reviewers orient to tensions between collegial and bureaucratic pressures, and manage these tensions through a set of interactional and institutional resources that may minimize the potential challenge to the collegial relationship. In doing so, the participants work to preserve the ideal of professional autonomy, even while it may be compromised by the review process itself.

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