Not intervening as a form of care: Negotiating medical practices at the end‐of‐life.

Biomedicine is organized around interventions. Despite growing concern about overtreatment in healthcare systems, not intervening can still raise questions about potential negligence and the quality of care. Based on ethnographic fieldwork with palliative care teams in England, we explore the work p...

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Publicado en:Medical Anthropology Quarterly Vol. 39; no. 1; pp. 1 - 14
Autores principales: Cohn, Simon, Borgstrom, Erica, Driessen, Annelieke
Formato: Artículo
Publicado: Wiley-Blackwell Mar2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Not intervening as a form of care: Negotiating medical practices at the end‐of‐life.
      aug:
        au:
          Cohn, Simon
          Borgstrom, Erica
          Driessen, Annelieke
        affil:
          Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK
          School of Health, Wellbeing and Social Care, The Open University, Milton Keynes, UK
          Department of Anthropology, University of Amsterdam, Amsterdam, Netherlands
      su:
        Terminal care
        Medical practice
        Palliative treatment
        Therapeutics
        Ethnology research
        Medical care
        Overtreatment
        Hospital care quality
      sug:
        subj:
          Terminal care
          Medical practice
          Palliative treatment
          Therapeutics
          Ethnology research
          Medical care
          Overtreatment
          Hospital care quality
      keyword:
        end‐of‐life
        intervention
        palliative care
        treatment
        end‐of‐life
        intervention
        palliative care
        treatment
      ab: Biomedicine is organized around interventions. Despite growing concern about overtreatment in healthcare systems, not intervening can still raise questions about potential negligence and the quality of care. Based on ethnographic fieldwork with palliative care teams in England, we explore the work palliative care specialists do to reduce and sometimes halt interventions for patients at the end‐of‐life, in a general medical environment that is largely interventionist. We describe how judgments about what is an action or not aren't based on obvious or agreed criteria, but ultimately according to what different actors feel constitutes the best form of care. In other words, the underlying values that shape ideas of care determine how action and inaction are nominated, and not the other way around.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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