Differences in meanings of health: an exploratory study of general practitioners and their patients

Claire, L St; Watkins, Chris; Billinghurst, Brenda

doi:10.1093/fampra/13.6.511

Cited by 31 publications

(15 citation statements)

References 9 publications

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“…These mothers describe the condition observed far more broadly than health care workers, who tend to limit questions to cough, wheeze and shortness of breath. These findings are similar to those of a study about what health means, where patients considered 'health' more broadly than do general practitioners [13]. …”

Section: Discussionsupporting

confidence: 85%

Understanding childhood asthma in focus groups: perspectives from mothers of different ethnic backgrounds

2001

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Background: Diagnosing childhood asthma is dependent upon parental symptom reporting but there are problems in the use of words and terms. The purpose of this study was to describe and compare understandings of childhood 'asthma' by mothers from three different ethnic backgrounds who have no personal experience of diagnosing asthma. A better understanding of parents' perceptions of an illness by clinicians should improve communication and management of the illness.

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Section: Discussionsupporting

confidence: 85%

Understanding childhood asthma in focus groups: perspectives from mothers of different ethnic backgrounds

2001

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“…Although it is useful to gain physiotherapists' perspectives on adherence, St Claire et al 12 state that patients and practitioners have been found to have different views on health issues and therefore monitor rehabilitation in different ways. This therefore reinforces the importance of examining these issues from both the physiotherapist and the patient perspective.…”

mentioning

confidence: 99%

An Exploration of Athletes’ Views on Their Adherence to Physiotherapy Rehabilitation After Sport Injury

Marshall

Donovan‐Hall²,

Ryall³

2012

Journal of Sport Rehabilitation

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“…Underpinning this interest in understanding different conceptions of the rationality of a choice not to attend (whether individuals make the choice acting alone or in social interaction) is my acceptance of two widely held assumptions: individuals deserve respect for their personhood and consequent moral agency, and tend to act rationally. Given these notions, I feel troubled that social norms regard choices not to attend for net health benefit as less rational than choices for attendance (Brock and Wartman, 1990; St Claire et al ., 1996), and as problematic because of the health, social and economic costs that commonly result from non‐attendance. From the perspective of non‐attendees, the non‐attendance can signify a ‘positive choice,’ meaning a cognitive and rational choice made freely with potentially positive consequences.…”

mentioning

confidence: 99%

Non-Attendance for Health Care: When Rational Beliefs Collide

Buetow¹

2007

The Sociological Review

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Some patients choose not to attend for health care despite health concerns or an opportunity for improved health. Social norms that privilege professional expertise, and good health, deem this choice irrational. However, this paper explores how a particular version of rational choice theory suggests 'positive choices' for such non-attendance. These are cognitive and subjectively rational decisions, which are made freely with potentially positive consequences and are not social problems if respect for personal autonomy trumps obligations to others. Specifically, Boudon's 'cognitivist theory of action' is used to conceptualise nonattendance as both a rational and irrational choice, from different perspectives. Because the perspective of non-attendees has been marginalised, the paper also suggests a typology of instrumental and non-instrumental 'strong reasons' for rational non-attendance. This may help groups such as professionals to understand and accept that non-attendance can be subjectively rational, without relinquishing their own perspective that it is irrational. Acceptance of the defensibility, if not the rightness, of the perspective of non-attendees is needed to show respect for non-attendees' moral agency and to begin to repair relationships with these individuals, who may seek help from health professionals in the future. This paper explores the potential of rational choice theory to cast light on the issue of non-attendance for health care. Some patients want to attend but are denied access by real or perceived external barriers to system entry (Beck, 1997;Lewis, 1977). In the absence of such barriers, other, competent patients (potential attendees or their surrogates) 'freely' choose not to attend in at least some circumstances. This is despite their awareness or suspicion of having a health need that may benefit from attendance, or their recognition of a possible opportunity to gain improved health. This paper challenges the dominant view of the irrationality of this choice by discussing a particular version of rational choice theory that elucidates the conditions under which individuals' purposive decisions for non-attendance can be subjectively rational. This focus on individual action complements attempts to conceptualise the process of decision making through the process of decision making through social The Sociological Review, 55:3 (2007)

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Differences in meanings of health: an exploratory study of general practitioners and their patients

Cited by 31 publications

References 9 publications

Understanding childhood asthma in focus groups: perspectives from mothers of different ethnic backgrounds

Understanding childhood asthma in focus groups: perspectives from mothers of different ethnic backgrounds

An Exploration of Athletes’ Views on Their Adherence to Physiotherapy Rehabilitation After Sport Injury

Non-Attendance for Health Care: When Rational Beliefs Collide

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