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The (im)possibilities of clinical democracy.

Health Sociology Review

| December 01, 2006 | Long, Debbie; Forsyth, Rowena; Iedema, Rick; Carroll, Katherine | COPYRIGHT 2006 eContent Management Pty Ltd. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

ABSTRACT

In this article, we argue that homogenising discussions of medical dominance on the meta-level of professions do not fully capture the complexity that characterises current clinical care in multidisciplinary health care teams. We illustrate this through an empirical study of a multidisciplinary team attempting to enact their work in a clinically democratic way. The challenges that arose in putting this into practice highlight the depth and complexity of enculturated medical dominance in Australian hospital practice. Our study shows that effective facilitation of clinician reflexivity has the potential to challenge and change deeply embedded structures and behaviours.

KEY WORDS

Medical dominance, clinical democracy, sociology, hospital ethnography, multidisciplinary clinical team, reflexivity

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