The Impossible Clinic
A Critical Sociology of Evidence-Based Medicine

Ariane Hanemaayer (Author)

9780774862073

Hardback, published 1 November 2019

256 pages
22.9 x 15.2 x 1.5 cm, 0.5 kg

This important book provides a thoughtful analysis of shortcomings, but parts of the text are so rich in medical humanities jargon that they are sometimes hard to follow. - M. Gochfeld (CHOICE Connect)

Once considered revolutionary, evidence-based medicine (EBM) has failed. The Impossible Clinic explores the conundrum of EBM's attempt to translate evidence from medical research into recommendations for practice. Ironically, when medical institutions combine disciplinary regulations with EBM to produce clinical practice guidelines, the outcomes are antithetical to the aim. Such guidelines fail to increase individual physicians' decision-making capacities – as EBM promises – because they externalize judgment through disciplinary control. Ariane Hanemaayer uses a critical sociology approach to argue that EBM persists because it has congealed within the dominant liberal political strategy of governance, which seeks to improve health care "at a distance," at the least cost, and without investment in infrastructure. As such, The Impossible Clinic is the first book to interrogate the history, practice, and pitfalls of EBM and explain how it persists due to intersecting relationships between professional medical regulation and liberal governance strategies.

Introduction