Difference between revisions of "Jenkings-Barber2006"

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Jenkings-Barber2006
BibType ARTICLE
Key Jenkings-Barber2006
Author(s) K. Neil Jenkings, Nick Barber
Title Same evidence, different meanings: Transformation of textual evidence in hospital new drugs committees
Editor(s)
Tag(s) EMCA, texts, ethnomethodology, documents, evidence-based medicine, drug and therapeutic committees, drug decision-making.
Publisher
Year 2006
Language
City
Month
Journal Text & Talk
Volume 26
Number 2
Pages 169–189
URL
DOI
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

This paper investigates members’ practices at Drug and Therapeutic Committee (DTC) meetings. It describes situated practices involving textual and other forms of ‘evidence’ considered by committee members at two DTC sites dealing with the managed entry of a single pharmaceutical product (clopidogrel). It investigates the locally situated textual activities of committees and members; issues that evidence-based medicine (EBM) programs ignore in their assumption that decision-making can, and should, be a straightforward logical process involving the reading, understanding, and evaluation of scientific data unambiguously from a text. It describes the actual usage of written textual information by committees and individuals within them, as sophisticated reflexive workplace activities. Taking an ethnomethodological orientation, this paper shows how the same clinical study can result in different activities and discussions. This is not only because of different ‘readings’ by personnel in different places, at different times, and with different local concerns, but also due to the representational formats in which the study exists as a text document and object, i.e., that ‘evidence’ does not remain uniform across various sites.

Notes