Concordance in Medical Consultations (ePub)
A Critical Review
(Sprache: Englisch)
The capacity of professional medicine to resist change - and also concordance - is impressive, but perplexing. It is one of the issues I seek to address in this book. I suggest that a preoccupation with trying to change the relationship between the...
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The capacity of professional medicine to resist change - and also concordance - is impressive, but perplexing. It is one of the issues I seek to address in this book. I suggest that a preoccupation with trying to change the relationship between the professional-patient dyad has deflected attention from the extent to which such relations are embedded in, and constrained by, wider administrative and organisational structures, especially as these relate to the operation of professional hierarchies and interprofessional deference and allegiances. Barriers to change also result from the inertia of a system which has evolved a highly stylised etiquette as an adaptive mechanism to contain the difficulties and tensions intrinsic to the medical consultation. Its therapeutic purpose and potential are often subordinate to the goal of achieving success as a social encounter. The principles of concordance are deeply challenging to traditional professional roles and status. However, medicine has always displayed an ability to block change through tactics of appropriation and incorporation. Professionals have often shown particular difficulty giving up their monopoly of 'expertise' and in acknowledging the legitimacy of the patient perspective. Although the term 'concordance' has become quite widely used, its meaning is usually subverted by its employment as a synonym for 'compliance', albeit 'informed' compliance. A slightly more sophisticated version values professional elicitation of the patient perspective in order to more accurately tailor information as a means of overcoming the unhelpful m/sconceptions that impede compliance. The original emphasis on the consultation as a negotiated exchange, in which the professional has something of value to learn from the patient, has largely been lost. The rhetoric of modernity and change provides an effective mask for inertia and conservatism. Preface.
Autoren-Porträt von Kristian Pollock
Kristian Pollock is a senior research fellow in the School of Nursing at Nottingham University. She studied social anthropology at the Universities of Edinburgh and Cambridge and has carried out qualitative research in a range of health service settings. She has a particular interest in lay and professional constructions of illness and health, the social and personal significance of medicines, 'knowledge' as a resource in coping with illness and professional-patient interaction in medical consultations. Her interest in concordance developed during the course of a five-year Concordance Research Fellowship, funded by the Department of Health, which she held jointly with Janet Grime at the Department of Medicines Management at Keele University.Bibliographische Angaben
- Autor: Kristian Pollock
- 2018, 1. Auflage, 216 Seiten, Englisch
- Verlag: Taylor & Francis
- ISBN-10: 1315357321
- ISBN-13: 9781315357324
- Erscheinungsdatum: 08.10.2018
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- Größe: 1.07 MB
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Englisch
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