Exploring the practice of patient centered care: The role of ethnography and reflexivity

Liberati, Elisa Giulia; Gorli, Mara; Moja, Lorenzo; Galuppo, Laura; Ripamonti, Silvio Carlo; Scaratti, Giuseppe

doi:10.1016/j.socscimed.2015.03.050

Cited by 84 publications

(75 citation statements)

References 40 publications

(10 reference statements)

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“…In other words, providers are also part of cultural systems of thoughts and norms, although these are often taken for granted and seldom problematized. Recent publications have suggested that more reflexivity among clinicians in health care may help to question the "silent" assumptions underlying clinical understandings of certain matters (Liberati et al, 2015). This could, for example, be done by critically examining the "problems" one encounters in clinical practice.…”

Section: Reflexivity As Part Of Clinical Work: Some Implications For mentioning

confidence: 99%

Unintended Consequences of Gender Equality Promotion in Swedish Multicultural Contraceptive Counseling: A Discourse Analysis

et al. 2017

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In this article, we explore how reproductive health care providers in Sweden, a country often described as one of the most gender-equal countries in the world, incorporate gender equality ideals in multicultural contraceptive counseling. In the tension between gender equality promotion on one hand and respect for cultural diversity and individualized care on the other, we will demonstrate that values of gender equality were often given priority. This is not necessarily undesirable. Nevertheless, our proposal is that the gender equality ideology may inhibit providers' ability to think differently about issues at stake in contraceptive counseling, which may negatively influence women's possibilities to obtain adequate support. At the end of the article, we suggest how health care providers' reflexivity might be used as a working tool for increased awareness about the taken-for-granted cultural norms that exist in their clinical milieu.

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Section: Reflexivity As Part Of Clinical Work: Some Implications For mentioning

confidence: 99%

Unintended Consequences of Gender Equality Promotion in Swedish Multicultural Contraceptive Counseling: A Discourse Analysis

et al. 2017

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“…Sociological studies have emphasised the importance of exploring how ideals of patientcentredness are actually performed in clinical settings (Dubbin et al, 2013;Liberati et al, 2015). Dubbin and colleagues, for example, apply their Bordieuian analytical notion of cultural health capital to examine how human agents' (clinicians and patients) cultural resources, dispositions and interactional styles are implicated in the interactional achievement of patient-centred care.…”

Section: Making Sense Of Patient-centred Carementioning

confidence: 99%

“…Dubbin and colleagues, for example, apply their Bordieuian analytical notion of cultural health capital to examine how human agents' (clinicians and patients) cultural resources, dispositions and interactional styles are implicated in the interactional achievement of patient-centred care. Liberati and colleagues also note the importance of tacit knowledge and dispositions in enabling patient-centred care, but they suggest that it has a material dimension: patient-centred care, they argue, is a negotiated achievement involving social practices and material affordances (Liberati et al, 2015).…”

Section: Making Sense Of Patient-centred Carementioning

confidence: 99%

Patient-centred medicine and the broad clinical gaze: Measuring outcomes in paediatric deep brain stimulation

Gardner

2017

BioSocieties

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Policymakers have argued that patient-centred approaches, which emphasise 'greater patient involvement' and 'comprehensive care', can improve health-care outcomes and lead to a more efficient use of health resources. As a way of anticipating some of the implications of these approaches, this article examines a context that is heavily influenced by the ideals of patient-centred medicine. Drawing on ethnographic research conducted with a multidisciplinary team providing deep brain stimulation to children with movement disorders, this article will illustrate that patientcentred principles can become embedded within particular sociotechnical arrangements involving architectural forms, assessment tools and clinical team structures. These arrangements, it is argued, are implicated in the emergence of a broad clinical gaze: a clinical interest that extends from the shapes and structures of the body, to the subjective thoughts and emotional state of the patient, to elements of the patient's social context and their ability to act within it. The implications of this gaze will be discussed, and this article will suggest that it constitutes a form of disciplinary power that seeks to reaffirm and perpetuate particular ways of being human.

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“…Individualisering, forstått som pasientsentrert medisin, er også et helsepolitisk begrep, og som med standardisering, løftes det frem som noe som skal sikre kvaliteten på helsetjenesten som tilbys (Liberati m.fl., 2015;Faber m.fl., 2014;Wiig m.fl., 2013). Dubbin m.fl.…”

Section: Individualisering Som Helsepolitikkunclassified

Individualisert standardisering?

Håland¹,

Melby

2017

NOST

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FørsteamanuensisInstitutt for pedagogikk og livslang laering, NTNU erna.haland@ntnu.no Line MelbySeniorforsker SINTEF Teknologi og samfunn, avd. helse line.melby@sintef.no SAMMENDRAG Dagens helsevesen er preget av stadig økende krav om standardisering av pasientbehandling på den ene siden og stadig økende krav om individualisering av pasientbehandling på den andre siden. Med utgangspunkt i en analyse av politisk diskurs, undersøker vi i denne artikkelen hvordan god pasientbehandling -uttrykt som individualisering og standardisering -blir til i politiske taler som omhandler innføring av pakkeforløp for kreft. Vi finner at det argumenteres for en form for individualisert standardisering hvor pasienten skal få det beste fra to verdener. Talene henter dermed argumenter fra begge diskurser for å kommunisere en mer overordnet helsepolitisk strategi hvor organisering og ikke mer penger lanseres som løsning på helsepolitiske utfordringer, eksemplifisert gjennom innføringen av pakkeforløp for kreft. Nøkkelord:Helsetjeneste, individualisering, organisering, pakkeforløp for kreft, standardisering This article is downloaded from www.idunn.no.

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Exploring the practice of patient centered care: The role of ethnography and reflexivity

Cited by 84 publications

References 40 publications

Unintended Consequences of Gender Equality Promotion in Swedish Multicultural Contraceptive Counseling: A Discourse Analysis

Unintended Consequences of Gender Equality Promotion in Swedish Multicultural Contraceptive Counseling: A Discourse Analysis

Patient-centred medicine and the broad clinical gaze: Measuring outcomes in paediatric deep brain stimulation

Individualisert standardisering?

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