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Constructing histories and negotiati...

Boyd, Elizabeth Anne.

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Constructing histories and negotiating care: Professional discourse during medical peer review.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Constructing histories and negotiating care: Professional discourse during medical peer review./
Author:	Boyd, Elizabeth Anne.
Description:	346 p.
Notes:	Co-Chairs: John Heritage; Emanuel Schegloff.
Contained By:	Dissertation Abstracts International58-08A.
Subject:	Health Sciences, Health Care Management. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9804602
ISBN:	9780591544442

Constructing histories and negotiating care: Professional discourse during medical peer review.
Boyd, Elizabeth Anne.

Constructing histories and negotiating care: Professional discourse during medical peer review. - 346 p.

Co-Chairs: John Heritage; Emanuel Schegloff.

Thesis (Ph.D.)--University of California, Los Angeles, 1997.

This study examines the interactional practices through which physicians engaged in medical peer review manage the conflicting pressures of bureaucratic control and professional autonomy. Using the methods of conversation analysis, this study describes the organization of the review as a socially constituted form of institutional interaction; it also examines the structure, organization, and consequentiality of particular activities within the review, such as the initiation of case discussion and the announcement of decisions. The study demonstrates that, contrary to traditional sociological understandings of the nature of bureaucratic and collegial control, the threat of the bureaucracy to the collegial relationship is frequently managed through practices that maximize the bureaucratic nature of the review and minimize its collegial aspects. Thus, disagreement over the treatment of patients may be mitigated by assuming a bureaucratic stance toward the review.

ISBN: 9780591544442Subjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

Constructing histories and negotiating care: Professional discourse during medical peer review.
LDR:01992nam 2200313 a 45 001 946964
005 20110523
008 110523s1997 ||||||||||||||||| ||eng d
020 $a 9780591544442
035 $a (UMI)AAI9804602
035 $a AAI9804602
040 $a UMI $c UMI
100 1 $a Boyd, Elizabeth Anne. $3 1270382
245 1 0 $a Constructing histories and negotiating care: Professional discourse during medical peer review.
300 $a 346 p.
500 $a Co-Chairs: John Heritage; Emanuel Schegloff.
500 $a Source: Dissertation Abstracts International, Volume: 58-08, Section: A, page: 3310.
502 $a Thesis (Ph.D.)--University of California, Los Angeles, 1997.
520 $a This study examines the interactional practices through which physicians engaged in medical peer review manage the conflicting pressures of bureaucratic control and professional autonomy. Using the methods of conversation analysis, this study describes the organization of the review as a socially constituted form of institutional interaction; it also examines the structure, organization, and consequentiality of particular activities within the review, such as the initiation of case discussion and the announcement of decisions. The study demonstrates that, contrary to traditional sociological understandings of the nature of bureaucratic and collegial control, the threat of the bureaucracy to the collegial relationship is frequently managed through practices that maximize the bureaucratic nature of the review and minimize its collegial aspects. Thus, disagreement over the treatment of patients may be mitigated by assuming a bureaucratic stance toward the review.
590 $a School code: 0031.
650 4 $a Health Sciences, Health Care Management. $3 1017922
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Sociology, General. $3 1017541
650 4 $a Speech Communication. $3 1017408
690 $a 0459
690 $a 0564
690 $a 0626
690 $a 0769
710 2 $a University of California, Los Angeles. $3 626622
773 0 $t Dissertation Abstracts International $g 58-08A.
790 $a 0031
790 1 0 $a Heritage, John, $e advisor
790 1 0 $a Schegloff, Emanuel, $e advisor
791 $a Ph.D.
792 $a 1997
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9804602