‘It's all about Time’: Temporal Effects of Cancer Pathway Introduction in Treatment and Care

Kirstine Zinck Pedersen, Anne Roelsgaard Obling

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

In the last decades, increased focus on time optimisation in healthcare services has led to introduction of new standardising technologies that alter the temporal structures of treatment-trajectories and work-practices. This paper presents a qualitative study of the temporal effects of introducing cancer pathways at a university hospital and a cancer rehabilitation centre in Denmark. Building analytically on a combination of Eviatar Zerubavel's and Norbert Elias's sociological studies on time, we show how the introduction of pathways has intensified the separation of cancer treatment and psychosocial support into two decoupled but mutually interdependent temporal orders. We furthermore demonstrate how pathway introduction has increased the focus on time as an overarching quality standard for treatment and care across organisational boundaries. Based on this analysis, we suggest that to understand current standardisation and optimisation processes and their unintended organisational effects, temporality should be treated as a research object of its own. Rather than analytically pre-empting temporal dichotomies or a priori assigning normativity to particular temporal structures, we call for thorough empirical investigation of temporal patterns in and between healthcare organisations.
OriginalsprogEngelsk
Artikelnummer112786
TidsskriftSocial Science & Medicine
Vol/bind246
Antal sider22
ISSN0277-9536
DOI
StatusUdgivet - feb. 2020

Bibliografisk note

Published online: 7 January 2020

Emneord

  • Denmark
  • Time
  • Cancer pathways
  • Acceleration
  • Standardisation
  • Temporal patterns
  • Rehabilitation

Citer dette

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‘It's all about Time’ : Temporal Effects of Cancer Pathway Introduction in Treatment and Care. / Pedersen, Kirstine Zinck; Roelsgaard Obling, Anne.

I: Social Science & Medicine, Bind 246, 112786, 02.2020.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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