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Power and culture in emerging medical technology policymaking: the case of the human papillomavirus (HPV) vaccine in Canada

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This article captures how scientific uncertainty is negotiated and its implications on public health policy. Through the case study of the Human Papillomavirus vaccine in Canada, we investigated how policymakers engage in ‘sensemaking’, the process whereby policymakers mediate shifting informational terrain to come to an understanding of what events and information mean, how they become significant and how they are acted upon. Key informant interviews reveal that policymakers make decisions amidst uncertainty by invoking public health cultural ideologies and by actively managing interactions with the manufacturer. This reflects a non-linear dispositif that is influenced by the co-production of culture and power.
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Keywords: HPV vaccine; co-production of power and culture; emerging medical technologies; neoliberalism; sensemaking

Document Type: Research Article

Affiliations: 1: Email: [email protected] 2: Email: [email protected] 3: Email: [email protected]

Publication date: 31 May 2018

This article was made available online on 16 January 2017 as a Fast Track article with title: "Power and culture in emerging medical technology policymaking: the case of the human papillomavirus (HPV) vaccine in Canada".

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