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Original Articles

The (im)possibilities of clinical democracy

, , &
Pages 506-519 | Received 02 Jun 2006, Accepted 22 Aug 2006, Published online: 17 Dec 2014
 

Abstract

In this article, we argue that homogenising discussions of medical dominance on the meta-level of professions do not fully capture the complexity that characterises current clinical care in multidisciplinary health care teams. We illustrate this through an empirical study of a multidisciplinary team attempting to enact their work in a clinically democratic way. The challenges that arose in putting this into practice highlight the depth and complexity of enculturated medical dominance in Australian hospital practice. Our study shows that effective facilitation of clinician reflexivity has the potential to challenge and change deeply embedded structures and behaviours.

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