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dc.contributor.authorHester-Moore, Jennifer
dc.identifier.citationJennifer Hester-Moore "Handling Uncertainty: Standard and Local Practices in the Case of Libido and Contraception in Evidence-Based Decision Making" (2005) 14(2) Health Sociology Review 174.en_NZ
dc.description.abstractThis paper draws from a qualitative study of interviews with 14 health practitioners to explore the use of reproductive health guidelines in contraception consultations. An aim of standardised guidelines is to encourage health practitioners to use scientific evidence in clinical decision-making. The paper uses health practitioners’ management of decreased libido as a case study to highlight the paradox of evidence-based medicine when the evidence and guidelines do not match clinical presentations and practice. This case study also illustrates how the tension between guidelines and clients’ needs are managed in the clinical encounter. The paper suggests that an interactionist approach, which emphasises the interrelationship between guidelines and health practitioners’ clinical work, is an alternative to standardisation for handling uncertainties in clinical practice.en_NZ
dc.publisherTaylor and Francisen_NZ
dc.relation.ispartofHealth Sociology Reviewen_NZ
dc.subjectoral contraceptive pillen_NZ
dc.subjectevidence based medicineen_NZ
dc.subjectdecision makingen_NZ
dc.subjecthealth professionalsen_NZ
dc.subjectclinical guidelinesen_NZ
dc.titleHandling Uncertainty: Standard and Local Practices in the Case of Libido and Contraception in Evidence-Based Decision Makingen_NZ
dc.typeJournal Articleen_NZ
otago.schoolDepartment of Preventive and Social Medicineen_NZ
otago.openaccessAbstract Only
dc.rights.statementTo assure the integrity, dissemination, and protection against copyright infringement of published articles, you will be asked to assign to The Australia Sociological Association (TASA), via a Publishing Agreement, the copyright in your article. Your Article is defined as the final, definitive, and citable Version of Record, and includes: (a) the accepted manuscript in its final form, including the abstract, text, bibliography, and all accompanying tables, illustrations, data; and (b) any supplemental material hosted by Taylor & Francis. Our Publishing Agreement with you will constitute the entire agreement and the sole understanding between The Australia Sociological Association (TASA) and you; no amendment, addendum, or other communication will be taken into account when interpreting your and The Australia Sociological Association (TASA) rights and obligations under this Agreement.en_NZ
dc.description.refereedPeer Revieweden_NZ
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