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Understanding and managing uncertainty in healthcare: revisiting and advancing sociological contributions

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Version 2 2021-01-19, 09:17
Version 1 2020-07-10, 15:34
journal contribution
posted on 2021-01-19, 09:17 authored by Nicola Mackintosh, Natalie Armstrong
In this collection we revisit the enduring phenomenon of uncertainty in healthcare, and demonstrate how it still offers coherence and significance as an analytic concept. Through empirical studies of contemporary examples of healthcare related uncertainties and their management, our collection explores the different ways in which uncertainty may be articulated, enacted and experienced. The papers address a diverse range of healthcare contexts - Alzheimer’s disease, neonatal surgery, cardiovascular disease prevention, cancer, addiction (use of alcohol and other drugs during pregnancy), mental health/disorders and medical education – and many tackle issues of contemporary relevance, such as an ageing population, and novel medical interventions and their sequelae. These empirical papers are complemented by a further theoretical contribution, whichconsiders the role of ‘implicit normativity’ in masking and containing potential ethical uncertainty. By mapping themes across the collection, in this introduction we present a number of core analytical strands: (1) conceptualising uncertainty; (2) intersections of uncertainty with aspects of care; (3) managing uncertainty; and (4) structural constraints, economic austerity and uncertainty work. We reflect on the methodological and theoretical stances used to think sociologically about uncertainty in healthcare, and the strengths, silences, and gaps we observe in the collection. We conclude by considering the implications of the insights gained for ‘synthesising certainty’ in practice and for future research in this area.

History

Citation

Sociology of Health & Illness, Vol. 42, No. S1, 2020, ISSN 0141-9889, pp. 1–20, doi: 10.1111/1467-9566.13160

Author affiliation

Department of Health Sciences, University of Leicester

Version

  • VoR (Version of Record)

Published in

Sociology of Health and Illness: a journal of medical sociology

Volume

42

Issue

S1

Pagination

1-20

Publisher

Wiley

issn

0141-9889

Acceptance date

2020-06-30

Copyright date

2020

Available date

2020-08-05

Language

en

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