التفاصيل البيبلوغرافية
| العنوان: |
From the margins to mainstream: How providers of autologous 'stem cell treatments' legitimise their practice in Australia. |
| المؤلفون: |
MacGregor C, Petersen A; Monash University, Australia., Munsie M; The University of Melbourne, Australia. |
| المصدر: |
Health (London, England : 1997) [Health (London)] 2021 Jan; Vol. 25 (1), pp. 51-68. Date of Electronic Publication: 2019 May 13. |
| نوع المنشور: |
Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Sage Publications Country of Publication: England NLM ID: 9800465 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1461-7196 (Electronic) Linking ISSN: 13634593 NLM ISO Abbreviation: Health (London) Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: London : Sage Publications, c1997- |
| مواضيع طبية MeSH: |
Bioethics*, Medical Tourism/*economics , Physicians/*standards , Stem Cell Transplantation/*legislation & jurisprudence , Stem Cell Transplantation/*standards, Australia ; Biomedical Research/standards ; Communication ; Direct-to-Consumer Advertising ; Humans ; Internet ; Physicians/economics ; Stem Cell Transplantation/adverse effects |
| مستخلص: |
This article examines how Australian providers of unproven autologous 'stem cell treatments' legitimise these products and their practices. We focus on the strategies employed by providers in their efforts to create and sustain a market for procedures that have yet to be proven safe and clinically efficacious. Drawing on the work of Thomas Gieryn and Pierre Bourdieu and the findings of research involving an analysis of direct-to-consumer online advertising of clinics that sell purported 'stem cell treatments' and interviews with clinicians who provide them, we examine the mechanisms by which medical legitimacy for these products is established and defended. We argue that Australian providers employ a number of strategies in order to create medical legitimacy for the use and sale of scientifically unproven therapies. A key strategy employed by providers of stem cell treatments is to use markers of social distinction, drawing strongly on the symbols of science, to confirm their legitimacy and differentiate their own practices from those of other providers, who are posited as operating outside the boundary of accepted practice and hence illegitimate. We argue there is a paradox at the heart of the autologous stem cell treatment market. Providers aim to create legitimacy for their work by emphasising the potential benefits of their 'treatments', their expertise and the professionalisation of their practices in an environment where regulators are yet to take a firm stance; they are also required to undertake the challenging task of managing patients' hopes and expectations that both enable and potentially jeopardise their operations and revenue. We conclude by suggesting that providers' creation of symbolic capital to establish medical legitimacy is a crucial means by which they seek to bring unproven 'stem cell treatments' from the margins of medicine into the mainstream and to portray themselves as medical pioneers rather than medical cowboys who exploit vulnerable patients. |
| فهرسة مساهمة: |
Keywords: bioethics; discourse and conversation analysis; patient–physician relationship; profession and professionalisation |
| تواريخ الأحداث: |
Date Created: 20190514 Date Completed: 20211007 Latest Revision: 20211007 |
| رمز التحديث: |
20240513 |
| DOI: |
10.1177/1363459319846927 |
| PMID: |
31081381 |
| قاعدة البيانات: |
MEDLINE |
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