- Title
- Clinical health practice in a remote setting : The impact of local community relationships
- Creator
- Murphy, Angela; McDonald, John
- Date
- 2004
- Type
- Text; Conference paper
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/38139
- Identifier
- vital:1495
- Abstract
- This paper reports on an empirical research about the way in which local community relationships influence clinical health decision-making in a health service in a remote town in Victoria, Australia. Evidence-based practice is now widely promoted as the most effective and efficient basis for making clinical health decisions. However, little is known about its use in rural and remote settings. To date, researchers have assumed that the uptake of evidence-base practice among health care practitioners is primarily a function of the levels of training, resources and support provided to them. Drawing upon qualitative data from individual and group interviews with health care practitioners and managers, this research revealed that strong community relationships profoundly influence clinical decision-making. Community influence was evidenced through the blurring of health practitioner professional and private roles, the extent of community ownership and control of the health services, and the politicisation of health service delivery. The results show how local community relationships can influence clinical practice in a remote town. This advances our understanding of the determinants of the uptake of evidence-based practice. Evidence-based practice may be usefully viewed as a site of political contestation. Introduction; E1
- Publisher
- Beechworth, Australia : The Australian Sociological Association (TASA)
- Relation
- Paper presented at the 2004 Annual Conference of TASA, Beechworth, Australia : 7th - 8th December, 2004
- Rights
- Copyright TASA
- Rights
- This metadata is freely available under a CCO license
- Subject
- Remote Australia; Clinical practice; Communities
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