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The Social Dynamics Of Antibiotic Use In A Large American Medical Complex, Katharina Rynkiewich

Arts & Sciences Electronic Theses and Dissertations

Based on 18 months of anthropological fieldwork, 35 in-depth interviews, and over 360 hours of participant observation with two specialty physician groups, my dissertation is an analysis of the social dynamics involved in antibiotic decision making, prescription, and use at a large North American medical complex in a Midwestern city. Due to the global problem of antimicrobial resistance, hospitals have been particularly interested in reducing antibiotic overuse and misuse. Though the use of antibiotics has long had an impact at the population level, physicians often advocate for additional antibiotic coverage in the individual patient. I examine a policy aimed at …