IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v211y2018icp207-215.html
   My bibliography  Save this article

Navigating the evidentiary turn in public health: Sensemaking strategies to integrate genomics into state-level chronic disease prevention programs

Author

Listed:
  • Senier, Laura
  • Smollin, Leandra
  • Lee, Rachael
  • Nicoll, Lauren
  • Shields, Michael
  • Tan, Catherine

Abstract

In the past decade, healthcare delivery has faced two major disruptions: the mapping of the human genome and the rise of evidence-based practice. Sociologists have documented the paradigmatic shift towards evidence-based practice in medicine, but have yet to examine its effect on other health professions or the broader healthcare arena. This article shows how evidence-based practice is transforming public health in the United States. We present an in-depth qualitative analysis of interview, ethnographic, and archival data to show how Michigan's state public health agency has navigated the turn to evidence-based practice, as they have integrated scientific advances in genomics into their chronic disease prevention programming. Drawing on organizational theory, we demonstrate how they managed ambiguity through a combination of sensegiving and sensemaking activities. Specifically, they linked novel developments in genomics to a long-accepted public health planning model, the Core Public Health Functions. This made cutting edge advances in genomics more familiar to their peers in the state health agency. They also marshaled state-specific surveillance data to illustrate the public health burden of hereditary cancers in Michigan, and to make expert panel recommendations for genetic screening more locally relevant. Finally, they mobilized expertise to help their internal colleagues and external partners modernize conventional public health activities in chronic disease prevention. Our findings show that tools and concepts from organizational sociology can help medical sociologists understand how evidence-based practice is shaping institutions and interprofessional relations in the healthcare arena.

Suggested Citation

  • Senier, Laura & Smollin, Leandra & Lee, Rachael & Nicoll, Lauren & Shields, Michael & Tan, Catherine, 2018. "Navigating the evidentiary turn in public health: Sensemaking strategies to integrate genomics into state-level chronic disease prevention programs," Social Science & Medicine, Elsevier, vol. 211(C), pages 207-215.
    • Handle: RePEc:eee:socmed:v:211:y:2018:i:c:p:207-215
    DOI: 10.1016/j.socscimed.2018.06.026
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953618303344
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2018.06.026?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Lanham, Holly Jordan & Leykum, Luci K. & Taylor, Barbara S. & McCannon, C. Joseph & Lindberg, Curt & Lester, Richard T., 2013. "How complexity science can inform scale-up and spread in health care: Understanding the role of self-organization in variation across local contexts," Social Science & Medicine, Elsevier, vol. 93(C), pages 194-202.
    2. Hendy, Jane & Barlow, James, 2012. "The role of the organizational champion in achieving health system change," Social Science & Medicine, Elsevier, vol. 74(3), pages 348-355.
    3. Martin, Graham P. & McKee, Lorna & Dixon-Woods, Mary, 2015. "Beyond metrics? Utilizing ‘soft intelligence’ for healthcare quality and safety," Social Science & Medicine, Elsevier, vol. 142(C), pages 19-26.
    4. Wang, G. & Watts, C., 2007. "The role of genetics in the provision of essential public health services," American Journal of Public Health, American Public Health Association, vol. 97(4), pages 620-625.
    5. Brandt, A.M. & Gardner, M., 2000. "Antagonism and accommodation: Interpreting the relationship between public health and medicine in the United States during the 20th century," American Journal of Public Health, American Public Health Association, vol. 90(5), pages 707-715.
    6. Kirmayer, Laurence J., 2012. "Cultural competence and evidence-based practice in mental health: Epistemic communities and the politics of pluralism," Social Science & Medicine, Elsevier, vol. 75(2), pages 249-256.
    7. Behague, Dominique & Tawiah, Charlotte & Rosato, Mikey & Some, Télésphore & Morrison, Joanna, 2009. "Evidence-based policy-making: The implications of globally-applicable research for context-specific problem-solving in developing countries," Social Science & Medicine, Elsevier, vol. 69(10), pages 1539-1546, November.
    8. Trochim, W.M. & Cabrera, D.A. & Milstein, B. & Gallagher, R.S. & Leischow, S.J., 2006. "Practical challenges of systems thinking and modeling in public health," American Journal of Public Health, American Public Health Association, vol. 96(3), pages 538-546.
    9. Victora, C.G. & Habicht, J.-P. & Bryce, J., 2004. "Evidence-Based Public Health: Moving Beyond Randomized Trials," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 400-405.
    10. Karl E. Weick & Kathleen M. Sutcliffe & David Obstfeld, 2005. "Organizing and the Process of Sensemaking," Organization Science, INFORMS, vol. 16(4), pages 409-421, August.
    11. Dobrow, Mark J. & Goel, Vivek & Upshur, R. E. G., 2004. "Evidence-based health policy: context and utilisation," Social Science & Medicine, Elsevier, vol. 58(1), pages 207-217, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jane Hendy & Theopisti Chrysanthaki & James Barlow, 2014. "Managers’ Identification with and Adoption of Telehealthcare," Societies, MDPI, vol. 4(3), pages 1-18, August.
    2. Mezza, Maurizia & Blume, Stuart, 2021. "Turning suffering into side effects: Responses to HPV vaccination in Colombia," Social Science & Medicine, Elsevier, vol. 282(C).
    3. Blume, Stuart & Tump, Janneke, 2010. "Evidence and policymaking: The introduction of MMR vaccine in the Netherlands," Social Science & Medicine, Elsevier, vol. 71(6), pages 1049-1055, September.
    4. Kathryn Oliver & Warren Pearce, 2017. "Three lessons from evidence-based medicine and policy: increase transparency, balance inputs and understand power," Palgrave Communications, Palgrave Macmillan, vol. 3(1), pages 1-7, December.
    5. Carlos Martin-Rios, 2016. "Innovative management control systems in knowledge work: a middle manager perspective," Journal of Management Control: Zeitschrift für Planung und Unternehmenssteuerung, Springer, vol. 27(2), pages 181-204, May.
    6. Elena Antonacopoulou, 2018. "Energising critique in action and in learning: The GNOSIS 4R Framework," Action Learning: Research and Practice, Taylor & Francis Journals, vol. 15(2), pages 102-125, May.
    7. Guiette, Alain & Vandenbempt, Koen, 2017. "Change managerialism and micro-processes of sensemaking during change implementation," Scandinavian Journal of Management, Elsevier, vol. 33(2), pages 65-81.
    8. Martina Linnenluecke & Andrew Griffiths & Peter Mumby, 2015. "Executives’ engagement with climate science and perceived need for business adaptation to climate change," Climatic Change, Springer, vol. 131(2), pages 321-333, July.
    9. Jeffery S. McMullen & Dimo Dimov, 2013. "Time and the Entrepreneurial Journey: The Problems and Promise of Studying Entrepreneurship as a Process," Journal of Management Studies, Wiley Blackwell, vol. 50(8), pages 1481-1512, December.
    10. Emil Evenhuis, 2017. "Institutional change in cities and regions: a path dependency approach," Cambridge Journal of Regions, Economy and Society, Cambridge Political Economy Society, vol. 10(3), pages 509-526.
    11. Stea, Diego & Foss, Nicolai J. & Christensen, Peter Holdt, 2015. "Physical separation in the workplace: Separation cues, separation awareness, and employee motivation," European Management Journal, Elsevier, vol. 33(6), pages 462-471.
    12. Tiina J. Peltola & Hanna Tiirinki, 2020. "More Than Numbers: Discourses of Health Care Quality in Finland," SAGE Open, , vol. 10(4), pages 21582440209, December.
    13. Rydén, Pernille & Ringberg, Torsten & Wilke, Ricky, 2015. "How Managers' Shared Mental Models of Business–Customer Interactions Create Different Sensemaking of Social Media," Journal of Interactive Marketing, Elsevier, vol. 31(C), pages 1-16.
    14. Amal Aouadi & Sylvain Marsat, 2018. "Do ESG Controversies Matter for Firm Value? Evidence from International Data," Journal of Business Ethics, Springer, vol. 151(4), pages 1027-1047, September.
    15. Sonja Jungreitmayr & Susanne Ring-Dimitriou & Birgit Trukeschitz & Siegfried Eisenberg & Cornelia Schneider, 2021. "Effects of an Information and Communication Technology-Based Fitness Program on Strength and Balance in Female Home Care Service Users," IJERPH, MDPI, vol. 18(15), pages 1-14, July.
    16. Rahi Jain & Prashant Narnaware, 2020. "Application of Systems Thinking to Dent Child Malnutrition: A Palghar District, India Case Study," Millennial Asia, , vol. 11(1), pages 79-98, April.
    17. Joseph McManus, 2021. "Emotions and Ethical Decision Making at Work: Organizational Norms, Emotional Dogs, and the Rational Tales They Tell Themselves and Others," Journal of Business Ethics, Springer, vol. 169(1), pages 153-168, February.
    18. Buttazzoni, Adrian N. & Coen, Stephanie E. & Gilliland, Jason A., 2018. "Supporting active school travel: A qualitative analysis of implementing a regional safe routes to school program," Social Science & Medicine, Elsevier, vol. 212(C), pages 181-190.
    19. Warren Kealy-Bateman & Georgina M. Gorman & Adam P. Carroll, 2021. "Patient/Consumer Codesign and Coproduction of Medical Curricula: A Possible Path Toward Improved Cultural Competence and Reduced Health Disparity," SAGE Open, , vol. 11(2), pages 21582440211, June.
    20. Goldman, Alyssa W. & Kane, Mary, 2014. "Concept mapping and network analysis: An analytic approach to measure ties among constructs," Evaluation and Program Planning, Elsevier, vol. 47(C), pages 9-17.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:211:y:2018:i:c:p:207-215. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.