When the visible body is no longer the seer': The phenomenology of perception and the clinical gaze in video consultations

被引:4
作者
Moore, Lucy [1 ,3 ]
Hughes, Gemma [1 ,2 ]
Wherton, Joseph [1 ]
Shaw, Sara [1 ]
机构
[1] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Oxford, England
[2] Univ Leicester, Sch Business, Leicester, England
[3] Univ Oxford, Nuffield Dept Primary Care Hlth Sci, Woodstock Rd, Oxford OX2 6GG, England
关键词
clinical gaze; embodiment; knowledge; phenomenology of perception; qualitative research; video-consultations; HEALTH-CARE; MERLEAU-PONTY; TECHNOLOGIES; MATERIALITY; PEOPLE; PLACE; WORK; LIFE;
D O I
10.1111/1467-9566.13714
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Video technology enabled professionals and patients to conduct consultations during the COVID-19 pandemic when in-person health care was minimised to reduce the spread of the virus. We present findings of a study of video-consulting through in-depth qualitative remote interviews with 40 health professionals, managers, support staff and 10 patients in health-care services across the UK from 2020 to 2021. Drawing on Foucault's concept of the clinical gaze, Merleau-Ponty's work on the phenomenology of perception and Ihde's postphenomenology we interpreted the ways in which remote consultations shaped patient-professional interactions, mediating and framing what was seen, revealed and known. We found that participating in video consultations not only involved creative adaption and adjustment to a virtual clinic but also changed how professionals and patients saw and were seen. We argue that this mode of consulting can transform boundaries and perceptions, alter aspects of clinical presence, knowledge and embodiment and thus both change and incorporate the clinical gaze.
引用
收藏
页码:418 / 436
页数:19
相关论文
共 72 条
  • [1] Adams S, 2017, LAW GOV TECHNOL SER, V35, P165, DOI 10.1007/978-3-319-48342-9_9
  • [2] [Anonymous], 2018, NVivo (Version12)
  • [3] Arendt H., 1998, HUMAN CONDITION
  • [4] THE PATIENTS VIEW
    ARMSTRONG, D
    [J]. SOCIAL SCIENCE & MEDICINE, 1984, 18 (09) : 737 - 744
  • [5] Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients' homes
    Beattie, Michelle
    Morrison, Clare
    MacGilleEathain, Rebecah
    Gray, Nicola
    Anderson, Julie
    [J]. BMJ OPEN QUALITY, 2020, 9 (03)
  • [6] Covid-19 and the 'new normal': are remote video consultations here to stay?
    Bidmead, Elaine
    Marshall, Alison
    [J]. BRITISH MEDICAL BULLETIN, 2020, 135 (01) : 16 - 22
  • [7] Video consultations in primary and specialist care during the covid-19 pandemic and beyond
    Car, Josip
    Koh, Gerald Choon-Huat
    Foong, Pin Sym
    Wang, C. Jason
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2020, 371
  • [8] Cetina KK, 2014, HANDB COMMUN SCI, V21, P39
  • [9] Charmaz K., 2014, Constructing grounded theory: A practical guide through qualitative analysis, V2nd
  • [10] Crossley Nick., 1995, BODY SOC, V1, P43, DOI [10.1177/1357034x95001001004, 10.1177/1357034X95001001004, DOI 10.1177/1357034X95001001004]