It's Not Like You Need to Live 10 or 20 Years
Challenges to Patient-Centered Care in Gynecologic Oncologist-Patient Interactions
Bibliographic Data
| ID | 4676002 |
|---|---|
| Authors | E Hsieh (0000-0002-1993-4976, University of Oklahoma, Norman, Oklahoma, USA, corresponding author), Jacqueline Bruscella (University of Oklahoma, Norman, Oklahoma, USA), Jacqueline S Bruscella (University of Oklahoma), Alaina C Zanin (0000-0001-8463-9853, University of Central Missouri), Alaina Zanin (0000-0001-7837-7375, University of Central Missouri, Warrensburg, Missouri, USA), Eric M Kramer (0000-0002-1238-4713, University of Oklahoma, Norman, Oklahoma, USA) |
| Year | 2016 |
| Volume | 26 |
| Issue | 9 |
| Pages | 1191-1202 |
| Publication date | 2016-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1049732315589095 |
| PMID | 26078327 |
| OpenAlex | W2322497233 |
| Language | EN |
| Citations received | 6 |
| References cited | 39 |
The literature suggests that the patient-perspective approach (i.e., eliciting and responding to patients' perspectives, including beliefs, preferences, values, and attitudes) to patient-centered care (PCC) is not a reliable predictor of positive outcomes; however, little is known about why the patient-perspective approach does not necessarily lead to positive outcomes. By using discourse analysis to examine 44 segments of oncologist-patient interactions, we found that providers' use of patient-perspective contextualization can affect the quality of care through (a) constructing the meanings of patient conditions, (b) controlling interpreting frames for patient conditions, and (c) manipulating patient preferences through strategic information sharing. We concluded that providers' use of patient-perspective contextualization is an insufficient indicator of PCC because these discursive strategies can be used to control and manipulate patient preferences and perspectives. At times, providers' patient-perspective contextualization can silence patients' voice and appear discriminatory
Aesthetics · Contextualization · Epistemology · Health care · Patient care · Political science · Silence · Communication · Computer Science · Language, Discourse, Communication Strategies · Medicine · Nursing · Patient Satisfaction in Healthcare · Patient-Provider Communication in Healthcare · Psychology · Social Psychology
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| Unique citing works | 6 |
|---|---|
| Citations per year | 0,75 |
| Citation span | 2018 - 2024 (7) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 6 |