Making sense of patient expertise

被引:0
作者
Frode Heldal
Aksel Tjora
机构
[1] Norwegian University of Science and Technology,Department of Industrial Economics and Technology Management
[2] Norwegian University of Science and Technology,Department of Sociology and Political Science
[3] Norwegian Centre for Telemedicine,undefined
来源
Social Theory & Health | 2009年 / 7卷
关键词
health care; informed patients; social identity; sensemaking;
D O I
暂无
中图分类号
学科分类号
摘要
Although health personnel today have to relate to numerous different patients and patient roles, patients have tended to be viewed as either active or passive. In this paper, we investigate how one unique patient was able to defy advice from his doctors and nurses yet maintain viable relationships with them. We argue that this patient's ability to draw on heterogeneous resources may have made his unusual trajectory possible. On the basis of interviews with relevant health personnel and the concept of sensemaking, we elaborate on how relationships between health personnel and patients emerge from a complex network of ICT, power and third-party actors. We conclude that the active patient is an emergent relationship rather than a singular entity of knowledge and power.
引用
收藏
页码:1 / 19
页数:18
相关论文
共 35 条
  • [1] Broom A(2005)Medical specialists’ accounts of the impact of the Internet on the doctor/patient relationship Health (London) 9 319-338
  • [2] Broom A(2005)Virtually healthy: The impact of Internet use on disease experience and the doctor–patient relationship Qualitative Health Research 15 325-345
  • [3] Donaldson L(2003)Expert patients usher in a new era of opportunity for the NHS British Medical Journal 326 1279-1280
  • [4] Fox NJ(2005)The ‘expert patient’: Empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet Social Science & Medicine 60 1299-1309
  • [5] Ward KJ(1999)Doctor in the house: The Internet as a source of lay health knowledge and the challenge to expertise Sociology of Health and Illness 21 820-835
  • [6] O’Rourke AJ(2002)‘The story of my illness’: Personal accounts of illness on the Internet Health (London) 6 31-46
  • [7] Hardey M(2003)‘Ignorance is bliss sometimes’: Constraints on the emergence of the ‘informed patient’ in the changing landscapes of health information Sociology of Health & Illness 25 589-607
  • [8] Hardey M(2002)Improving patient involvement in chronic disease management: The views of patients, GPs and specialists on a guidebook for ulcerative colitis Patient Education and Counseling 47 257-263
  • [9] Henwood F(1997)Consumerism, reflexivity, and the medical encounter Social Science & Medicine 45 373-381
  • [10] Wyatt S(2003)Making sense of bad news: The media, sensemaking, and organizational crisis Canadian Journal of Communication 28 323-339