Medical professionals' agency and pharmaceuticalization: Physician-industry relations in Russia

被引:1
|
作者
Borozdina, Ekaterina [1 ,2 ]
Zvonareva, Olga [2 ,3 ]
机构
[1] European Univ St Petersburg, Dept Sociol, St Petersburg, Russia
[2] Siberian State Med Univ, Tomsk, Russia
[3] Maastricht Univ, MBB 4-6, NL-6211 LK Maastricht, Netherlands
来源
HEALTH | 2024年 / 28卷 / 01期
基金
俄罗斯科学基金会;
关键词
agency; industry; knowledge; medical professionalism; pharmaceuticalization; VACCINE HESITANCY; PERSUASION KNOWLEDGE; INFORMATION; HEALTH; COMMUNICATION;
D O I
10.1177/13634593221116508
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
In the contemporary world pharmaceuticals have become a go-to answer to a growing number of questions. This process of pharmaceuticalization gives rise to a concern with the increasing influence of the pharmaceutical industry on physicians' decision-making. Critics suggest that companies' for-profit-interests might compromise the integrity of medical practice. This article employs qualitative research methodology to explore how Russian physicians deal with the industry's efforts to expand and shape the use of pharmaceuticals. By bridging perspectives of social studies of science and sociology of professions, we offer a contextualized account of physicians' daily practices and interpretations related to pharmaceuticalization. The findings question conventional assumptions of physician-industry relations and allow to delineate a new form of medical professionalism that emerges in the context of pharmaceuticalization and cannot be reduced to either "resisting" industry marketing activities or "giving in" to them and thus corrupting biomedical expertise. Instead, the ways in which physicians navigate abundant sources of knowledge and use industry resources to overcome constraints of their organizational environment attest to mundane forms of agency exercised by physicians in their relations with industry.
引用
收藏
页码:108 / 125
页数:18
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