Jump to ContentJump to Main Navigation
Show Summary Details
In This Section

Communication and Medicine

Online
ISSN
1613-3625
See all formats and pricing
In This Section

The deep play of medicine: Discursive and collaborative processing of evidence in medical problem solving

Per Måseide
  • Corresponding author
  • Bodø Regional University.
  • Email:
Published Online: 2006-06-19 | DOI: https://doi.org/10.1515/CAM.2006.005

Abstract

Ethnographic research was conducted in the thoracic ward of a Norwegian university hospital in order to study collaborative medical problem solving. As a general principle, evidence-based medicine is supposed to lead the process of medical problem solving. However, medical problem solving also requires evidence of a different kind. This is the more concrete form of evidence, such as X rays and other representations, that guides medical practice and makes sure that decisions are grounded in sound empirical facts and knowledge. In medicine, ‘evidence’ is on the one hand an abstract category; on the other hand, it is a tool that is practically enacted during the problem-solving work. Medical evidence does not ‘show itself’. As such it has an emergent quality. Medical evidence has to be established and made practically useful in the collaborative settings by the participants in order to make conclusions about diagnoses and treatment. Hence, evidence is an interactional product; it is discursively generated and its applicability requires discourse. In addition, the production of medical evidence requires more than medical discourse and professional considerations. This paper looks at the production processes and use of medical evidence and the ambiguous meaning of this term in practical medicine.

Keywords: medical evidence; collaborative work; medical problem solving; hybridity; situated practice

About the article

Per Måseide

Per Måseide is Professor of Sociology at the School of Social Sciences, Bodø Regional University, Norway. He is also Director of the Center of Disability Research, Bodø Regional University. He teaches sociology of health and illness, social interaction, social theory, and qualitative methodology. He has extensive experience from fieldwork in diverse healthcare institutions. His research interests lie in doctor–patient interaction, multiprofessional collaboration, the social organization of medical work, distributed cognition, and pragmatics.


1Address for correspondence: School of Social Sciences, Bodø Regional University, N-8049 Bodø, Norway.


Published Online: 2006-06-19

Published in Print: 2006-05-01



Citation Information: Communication & Medicine, ISSN (Online) 1613-3625, ISSN (Print) 1612-1783, DOI: https://doi.org/10.1515/CAM.2006.005. Export Citation

Citing Articles

Here you can find all Crossref-listed publications in which this article is cited. If you would like to receive automatic email messages as soon as this article is cited in other publications, simply activate the “Citation Alert” on the top of this page.

[1]
Alison Ferguson, Linda Worrall, and Sue Sherratt
Disability and Rehabilitation, 2009, Volume 31, Number 22, Page 1795
[2]
Eirik H. Ofstad, Jan C. Frich, Edvin Schei, Richard M. Frankel, and Pål Gulbrandsen
Patient Education and Counseling, 2014, Volume 97, Number 2, Page 216
[3]
Maritha Jacobsson, Maria Hargestam, Magnus Hultin, and Christine Brulin
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2012, Volume 20, Number 1, Page 44
[4]
Gøril Thomassen and Srikant Sarangi
Health, Risk & Society, 2012, Volume 14, Number 7-8, Page 607
[5]
Line Lundvoll Nilsen
Journal of Workplace Learning, 2011, Volume 23, Number 8, Page 501
[6]
Line Lundvoll Nilsen
Behaviour & Information Technology, 2011, Volume 30, Number 4, Page 507
[7]
Line Lundvoll Nilsen and Sten R. Ludvigsen
Communication & Medicine, 2011, Volume 7, Number 2
[8]
Per Måseide
Text & Talk - An Interdisciplinary Journal of Language, Discourse Communication Studies, 2007, Volume 27, Number 5-6, Page 611
[9]
Sturle Nes and Anne Moen
Journal of Workplace Learning, 2010, Volume 22, Number 6, Page 376

Comments (0)

Please log in or register to comment.
Log in