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Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing

Overview of attention for article published in Social Science & Medicine, March 2014
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (95th percentile)
  • High Attention Score compared to outputs of the same age and source (89th percentile)

Mentioned by

news
1 news outlet
blogs
1 blog
policy
2 policy sources
twitter
24 X users
facebook
1 Facebook page

Citations

dimensions_citation
166 Dimensions

Readers on

mendeley
216 Mendeley
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Title
Cultures of resistance? A Bourdieusian analysis of doctors' antibiotic prescribing
Published in
Social Science & Medicine, March 2014
DOI 10.1016/j.socscimed.2014.03.030
Pubmed ID
Authors

Alex Broom, Jennifer Broom, Emma Kirby

Abstract

The prospect of an 'antimicrobial perfect storm' in the coming decades through the emergence and proliferation of multi-resistant organisms has become an urgent public health concern. With limited drug discovery solutions foreseeable in the immediate future, and with evidence that resistance can be ameliorated by optimisation of prescribing, focus currently centres on antibiotic use. In hospitals, this is manifest in the development of stewardship programs that aim to alter doctors' prescribing behaviour. Yet, in many clinical contexts, doctors' antibiotic prescribing continues to elude best practice. In this paper, drawing on qualitative interviews with 30 Australian hospital-based doctors in mid-2013, we draw on Bourdieu's theory of practice to illustrate that 'sub-optimal' antibiotic prescribing is a logical choice within the habitus of the social world of the hospital. That is, the rules of the game within the field are heavily weighted in favour of the management of immediate clinical risks, reputation and concordance with peer practice vis-à-vis longer-term population consequences. Antimicrobial resistance is thus a principal of limited significance in the hospital. We conclude that understanding the habitus of the hospital and the logics underpinning practice is a critical step toward developing governance practices that can respond to clinically 'sub-optimal' antibiotic use.

X Demographics

X Demographics

The data shown below were collected from the profiles of 24 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 216 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 3 1%
Ireland 1 <1%
Switzerland 1 <1%
Sweden 1 <1%
United States 1 <1%
Unknown 209 97%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 39 18%
Student > Master 35 16%
Researcher 31 14%
Student > Doctoral Student 15 7%
Student > Postgraduate 14 6%
Other 43 20%
Unknown 39 18%
Readers by discipline Count As %
Medicine and Dentistry 50 23%
Social Sciences 34 16%
Psychology 15 7%
Veterinary Science and Veterinary Medicine 9 4%
Agricultural and Biological Sciences 8 4%
Other 50 23%
Unknown 50 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 40. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 December 2019.
All research outputs
#1,032,604
of 26,017,215 outputs
Outputs from Social Science & Medicine
#1,016
of 12,098 outputs
Outputs of similar age
#9,827
of 242,409 outputs
Outputs of similar age from Social Science & Medicine
#13
of 122 outputs
Altmetric has tracked 26,017,215 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 12,098 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 19.0. This one has done particularly well, scoring higher than 91% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 242,409 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 122 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 89% of its contemporaries.