Enacting evidence‐based medicine in fertility care: Tensions between commercialisation and knowledge standardisation

Abstract

In this article we explore the recent enactment of evidence‐based medicine (EBM) in the field of fertility care. We aim to contribute to the medical sociology literature through an analysis of how evidence is produced, interpreted and institutionalised in a relatively new medical field such as in vitro fertilisation (IVF), characterised by high uncertainty due to limited knowledge and high levels of commercialisation. Drawing on extensive ethnographic research conducted in England, this article explores the challenges IVF professionals encounter in producing credible data on the effectiveness of additional treatments, offering novel insights on the tensions between commercialisation and standardisation in the enactment of EBM. Extant medical sociology and Science and Technology Studies literature has shown the hidden professional work required to enact randomised control trials in practice. Our analysis shows that this hidden work is not enough when there is a broader lack of standardisation in both clinical and research practices, as producing ‘good quality’ evidence requires high levels of standardisation of knowledge production.

Publication DOI: https://doi.org/10.1111/1467-9566.13381
Divisions: College of Business and Social Sciences > School of Social Sciences & Humanities
College of Business and Social Sciences > School of Social Sciences & Humanities > Sociology and Policy
Additional Information: © 2021 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL (SHIL) This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. Funding: Wellcome Trust. Grant Number: 108577/Z/15/Z
Uncontrolled Keywords: Health(social science),Health Policy,Public Health, Environmental and Occupational Health
Publication ISSN: 1467-9566
Full Text Link:
Related URLs: https://onlinel ... 1467-9566.13381 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2021-11
Published Online Date: 2021-09-26
Accepted Date: 2021-08-31
Submitted Date: 2021-02-18
Authors: Perrotta, Manuela
Geampana, Alina (ORCID Profile 0000-0001-7388-7181)

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