000			01416naa a2200181uu 4500
001			1102716020841
003			OSt
005			20190211180009.0
008			111027s2004 xx ||||gr |0|| 0 eng d
100	1		_aMcDONALD, Ruth _945733
245	1	0	_aThe micropolitics of clinical guidelines : _ban empirical study
260			_aUK : _bPolicy Press, _capr. 2004
520	3		_aThis 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		_aHARRISON, Stephen _939508
773	0	8	_tPolicy & Politics _g32, 2, p. 223-239 _dUK : Policy Press, apr. 2004 _xISSN 03055736 _w
942			_cS
998			_a20111027 _b1602^b _cGeisneer
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c40813 _d40813
041			_aeng