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Book cover: Research in the Sociology of Health Care

Research in the Sociology of Health Care

ISSN: 0275-4959
Series editor(s): Professor Jennie Jacobs Kronenfeld

Subject Area: Health Care Management/Healthcare

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THE INFLUENCE OF CLINIC ORGANIZATIONAL FEATURES ON PROVIDERS’ ASSESSMENTS OF PATIENT ADHERENCE TO TREATMENT REGIMENS


Document Information:
Title:THE INFLUENCE OF CLINIC ORGANIZATIONAL FEATURES ON PROVIDERS’ ASSESSMENTS OF PATIENT ADHERENCE TO TREATMENT REGIMENS
Author(s):Karen Lutfey
Volume:21 Editor(s): Jennie Jacobs Kronenfeld ISBN: 978-0-76231-069-2 eISBN: 978-1-84950-247-4
Citation:Karen Lutfey (2003), THE INFLUENCE OF CLINIC ORGANIZATIONAL FEATURES ON PROVIDERS’ ASSESSMENTS OF PATIENT ADHERENCE TO TREATMENT REGIMENS, in Jennie Jacobs Kronenfeld (ed.) Reorganizing Health Care Delivery Systems: Problems of Managed (Research in the Sociology of Health Care, Volume 21), Emerald Group Publishing Limited, pp.63-83
DOI:10.1016/S0275-4959(03)21004-8 (Permanent URL)
Publisher:Emerald Group Publishing Limited
Article type:Chapter Item
Abstract:This study uses ethnographic data from two diabetes clinics to examine how some organizational features of medical settings are connected to the daily cognitive and interactional work of medical providers – specifically, the process of assessing patient adherence and using such assessments to make treatment decisions. I address continuity of care, scheduling and time constraints, team management, provider interaction, and medical recordkeeping as organizational-level issues that impact individual-level providers’ work. More than a top-down model of how “macro” influences “micro,” this study highlights how organizational influences are accounted for in terms of variation in patients’ behavior.

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