Tinkering with symptoms, causes and solutions
Tracing the enactments of multiple chronic illnesses in specialised outpatient check-ups
Bibliographic Data
| ID | 2250322 |
|---|---|
| Authors | Anna Louise Skovgaard (0000-0003-2684-858X, Interacting Minds Centre Department of Clinical Medicine Aarhus University Aarhus Denmark, corresponding author), Marianne Johansson Jørgensen (0000-0003-3932-4822, Department of Research Horsens Regional Hospital Horsens Denmark), Tine Tjørnhøj‐thomsen (0000-0003-3621-6682, National Institute of Public Health University of Southern Denmark Copenhagen K Denmark), Mette Terp Høybye (0000-0001-6914-2697, Interacting Minds Centre Department of Clinical Medicine Aarhus University Aarhus Denmark) |
| Year | 2024 |
| Volume | 46 |
| Issue | 4 |
| Pages | 627-643 |
| Publication date | 2024-05-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13738 |
| PMID | 38078784 |
| OpenAlex | W4389546468 |
| Language | EN |
| Citations received | 7 |
| References cited | 59 |
People living with multiple chronic illnesses and an increasing need for acute care is a global health challenge, which questions the conventional ways of managing illness. A central issue is how medical practices can become more patient-centred and aligned with the everyday life of patients. Communicative strategies for eliciting the patient's goals and preferences are often proposed. In this article, we draw on ethnographic data from fieldwork conducted during 2019-2020 in health-care settings and among people living with multiple chronic illness(es) and repeated acute admissions in Denmark. Inspired by science and technology studies of chronic illness and care, we trace the enactments of illness and illness work in a patient trajectory marked by persistent symptoms and medical complexity. We analyse three medical encounters, and we show how 'tinkering' with clinical signs and utterances in each encounter constantly enacts new versions, shaping how the patient could and should live with his illness. We argue that specialised outpatient check-ups for these patients must provide space for continuous tinkering with the concrete effects of illness in everyday life
Outpatient clinic · Tracing · Computer Science · Health Promotion and Cardiovascular Prevention · Healthcare cost, quality, practices · Internal Medicine · Medicine · Mental Health and Psychiatry
Social organization of medical work
The Logic of Care
Syndemics and the biosocial conception of health
Towards an empirical ethics in care
Cumulative complexity
Multimorbidity, Polyiatrogenesis, and Covid‐19
Care in Practice
Depression, Deprivation, and Dysbiosis
The emergence of multimorbidity as a matter of concern
Clinic for Multimorbidity
Enacting Appreciations
You say treatment, I say hard work’
Writing Ethnographic Fieldnotes, Second Edition
Dealing with In/dependence
Decision-making in the physician-patient encounter
Discharge readiness as an infrastructure
Keeping in balance on the multimorbidity tightrope
Care pathways as boundary objects between primary and secondary care
Clinical encounter and the logic of relationality
The Ethnography of Infrastructure
Managing an Uncertain Illness Trajectory in Old Age
Street Phenomenology
Getting it right
Five Misunderstandings About Case-Study Research
Theory Construction in Qualitative Research
The Clinical Encounter and the Problem of Context
The Engaged Patient
Lost in translation? 'Evidence' and the articulation of institutional logics in integrated care pathways
Chronic care infrastructures and the home
| Unique citing works | 7 |
|---|---|
| Citations per year | 3,5 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 6 |