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.

About the Author
Ariane Hanemaayer is an assistant professor of sociology at Brandon University in Manitoba. With Christopher J. Schneider, she is the co-editor of The Public Sociology Debate: Ethics and Engagement (2014).

Reviews
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 *



Book Information
ISBN 9780774862080
Author Ariane Hanemaayer
Format Paperback
Page Count 256
Imprint University of British Columbia Press
Publisher University of British Columbia Press