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The micropolitics of clinical guidelines : (Record no. 40813)

000 -LEADER
fixed length control field 01416naa a2200181uu 4500
001 - CONTROL NUMBER
control field 1102716020841
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20190211180009.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 111027s2004 xx ||||gr |0|| 0 eng d
999 ## - SYSTEM CONTROL NUMBERS (KOHA)
Koha Dewey Subclass [OBSOLETE] PHL2MARC21 1.1
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title eng
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name McDONALD, Ruth
9 (RLIN) 45733
245 10 - TITLE STATEMENT
Title The micropolitics of clinical guidelines :
Remainder of title an empirical study
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. UK :
Name of publisher, distributor, etc. Policy Press,
Date of publication, distribution, etc. apr. 2004
520 3# - SUMMARY, ETC.
Summary, etc. This article analyses data from a participant observation study of decision making in local National Health Service institutions, focusing on the construction of local clinical guidelines. We found that guideline construction departed significantly from the 'bureaucratic-scientific' model. Although clinical guidelines are often seen as constraining the practice of medicine, our study suggests that there is nothing intrinsically corrosive of professional autonomy about guidelines.It is not likely to be guidelines per se which diminish physician autonomy but rather the manner in which they are implemented. Participation in the guidelines process functioned primarily as a device by which actors hoped to pursue their existing opinions, either through imposing them on others, or by creating a framework of legitimation for themselves
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name HARRISON, Stephen
9 (RLIN) 39508
773 08 - HOST ITEM ENTRY
Title Policy & Politics
Related parts 32, 2, p. 223-239
Place, publisher, and date of publication UK : Policy Press, apr. 2004
International Standard Serial Number ISSN 03055736
Record control number
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Periódico
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20111027
Operator's initials, OID (RLIN) 1602^b
Cataloger's initials, CIN (RLIN) Geisneer

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