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Medical professionals' agency and pharmaceuticalization: Physician-industry relations in Russia.
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- Author(s): Borozdina, Ekaterina; Zvonareva, Olga
- Source:
Health: An Interdisciplinary Journal for the Social Study of Health, Illness & Medicine; Jan2024, Vol. 28 Issue 1, p108-125, 18p- Subject Terms:
HEALTH care industry; ORGANIZATIONAL ethics; SOCIOLOGY; RESEARCH methodology; INDUSTRIES; INTERVIEWING; HOSPITAL pharmacies; QUALITATIVE research; SOCIAL sciences; MARKETING; HEALTH care reform; RESEARCH funding; DECISION making; INTELLECT; PROFESSIONAL identity; PROFESSIONAL autonomy; PHYSICIANS; MEDICAL practice; PHARMACEUTICAL industry; PROFIT; INTEGRATED health care delivery; PROFESSIONALISM; HEALTH systems agencies; CORPORATE culture; MEDICAL societies; ECONOMICS - Source:
- Additional Information
- Subject Terms:
- Abstract: In the contemporary world pharmaceuticals have become a go-to answer to a growing number of questions. This process of pharmaceuticalization gives rise to a concern with the increasing influence of the pharmaceutical industry on physicians' decision-making. Critics suggest that companies' for-profit-interests might compromise the integrity of medical practice. This article employs qualitative research methodology to explore how Russian physicians deal with the industry's efforts to expand and shape the use of pharmaceuticals. By bridging perspectives of social studies of science and sociology of professions, we offer a contextualized account of physicians' daily practices and interpretations related to pharmaceuticalization. The findings question conventional assumptions of physician-industry relations and allow to delineate a new form of medical professionalism that emerges in the context of pharmaceuticalization and cannot be reduced to either "resisting" industry marketing activities or "giving in" to them and thus corrupting biomedical expertise. Instead, the ways in which physicians navigate abundant sources of knowledge and use industry resources to overcome constraints of their organizational environment attest to mundane forms of agency exercised by physicians in their relations with industry. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Health: An Interdisciplinary Journal for the Social Study of Health, Illness & Medicine is the property of Sage Publications, Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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