Advanced Search
MyIDEAS: Login to save this article or follow this journal

The threatened self: general practitioners' self-perception in relation to prescribing medicine

Contents:

Author Info

  • Henriksen, Kristin
  • Hansen, Ebba Holme
Registered author(s):

    Abstract

    Insufficient understanding of the variation in GP's medicine prescribing behaviour and ineffective interventions call for an investigation of the GPs' own perspective. This article describes the GP's self-perception as it emerged in 20 semi-structured interviews that explored the GP's perspective on their own prescribing. Data collection and analysis was largely inspired by grounded theory. The GPs described a constantly active process in which they prescribed, experienced an emotional reaction to their prescribing, evaluated themselves, redefined themselves for the better or worse, defined the new prescribing situation, prescribed and so forth. The GPs felt disappointed with themselves when their prescribing conflicted with their human or scientific ideals, and when they did not live up to their image of themselves, as GPs and as persons. They experienced discomfort when they were exposed to pressure as well as when they gave in to it. These negative emotions demanded a redefinition of the GPs' selves. The GPs applied both preventive and coping strategies to protect themselves from redefining themselves negatively. They strived to live up to their ideals, lowered their ideals, convinced themselves of the appropriateness of their prescribing and sought inspiration and self-development. This study demonstrates that self-perception is fundamental to how GPs prescribe medicines. Future interventions in quality development that aim to improve GPs' prescribing practices should therefore include considerations of the GPs' self-perception and facilitate autonomous self-development.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://www.sciencedirect.com/science/article/B6VBF-4B4PTBD-3/2/5c9eb5c2512460d17cfd3ca0392537f7
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 59 (2004)
    Issue (Month): 1 (July)
    Pages: 47-55

    as in new window
    Handle: RePEc:eee:socmed:v:59:y:2004:i:1:p:47-55

    Contact details of provider:
    Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description

    Order Information:
    Postal: http://www.elsevier.com/wps/find/supportfaq.cws_home/regional
    Web: http://www.elsevier.com/orderme/journalorderform.cws_home/315/journalorderform1/orderooc/id=654&ref=654_01_ooc_1&version=01

    Related research

    Keywords: Self-concept Primary care Prescribing practices Denmark;

    References

    No references listed on IDEAS
    You can help add them by filling out this form.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as in new window

    Cited by:
    1. Broom, Alex & Broom, Jennifer & Kirby, Emma, 2014. "Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing," Social Science & Medicine, Elsevier, vol. 110(C), pages 81-88.

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:59:y:2004:i:1:p:47-55. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).

    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 references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.

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