THIS DOI METADATA WAS LAST UPDATED: 2024-01-10 23:07
Full Title
SALUTE E SOCIETÀ
Publisher
FrancoAngeli
ISSN
1723-9427 (Printed Journal)
1972-4845 (Online Journal)
Journal Issue Number
1
Journal Issue Designation
1
Journal Issue Date
2022
Full Title
A relational paradigm for the patient-doctor figuration, between engagement and shared doctoring
By (author)
First Page
63
Last Page
79
Language of text
English
Publication Date
2022/02
Copyright
2022 FrancoAngeli srl
Introduction or preface
This paper aims to analyse the patient-doctor relationship as a form of citizen participation at a micro-level. The work presents the main findings of a study conducted in Italy in the field of type 1 diabetes in 2018, which recruited 47 patients and 20 doctors. Findings show that the patient-doctor relationship is properly explained with a relational perspective, as interdepend-ent figurations of transactors characterised by dynamic processes of power balances. This ap-proach helps to explain patients' participation by proposing the use of the relational concept of shared doctoring to buttress that of engagement. Indeed, the latter, despite its popularity, still seems to be erratic and blurred. In the end, the concept of engagement underpinned by shared doctoring could be useful for analysing patients' participation in the healthcare system at a mi-cro-level by inverting healthcare's underlying foundations towards a logic of care, in place of the current leading logic of choice.
Unstructured Citation
ADA – American Diabetes Association (2019). Standards of medical care in diabetes. Diabetes Care, 42, 1, 1–193.
Unstructured Citation
AMD-SID (2018). Standard italiani per la cura del diabete mellito. -- Testo disponibile al sito: http://www.siditalia.it/pdf/Standard%20di%20Cura%20AMD%20-%20SID%202018_protetto2.pdf (11/03/2021).
Unstructured Citation
Asagbra O.E., Burke D., Liang H. (2019). The association between patient engagement HIT functionalities and quality of care:
Does more mean better?. International Journal of Medical Informatics, 130: 103893.
https://doi.org/10.1016/j.ijmedinf.2019.05.029
Unstructured Citation
Barello S., Triberti S., Graffigna G., Libreri C., et al. (2016). eHealth for Patient Engagement: A Systematic Review. Frontiers
in Psychology, 6, 2013.
https://doi.org/10.3389/fpsyg.2015.02013
Unstructured Citation
Bos L., Carroll D., Marsh A. (2008). The impatient patient. Studies in health technology and informatics, 137: 1–13. PMID: 18560062
Unstructured Citation
Cappon G., Acciaroli G., Vettoretti M., Facchinetti A., Sparacino G. (2017). Wearable Continuous Glucose Monitoring Sensors:
A Revolution in Diabetes Treatment. Electronics, 6: 65.
https://doi.org/10.3390/electronics6030065
Unstructured Citation
Carman K.L., Dardess P., Maurer M. et al. (2013). Patient And Family Engagement: A Framework For Understanding The Elements
And Developing Interventions And Policies. Health Affairs, 32(2): 223-231.
https://doi.org/10.1377/hlthaff.2012.1133
Unstructured Citation
Clancy C.M. (2011). Editorial. Patient Engagement in Health Care. Health Services Research, 46(2): 389-393.
https://doi.org/10.1111/j.1475-6773.2011.01254.x
Unstructured Citation
Corbetta P. (2015). La ricerca sociale: metodologia e tecniche. III Le tecniche qualitative. Seconda edizione. Bologna: Il Mulino.
Unstructured Citation
Dunning E., Hughes J. (2013). Norbert Elias and modern sociology. London: Bloomsbury.
https://doi.org/10.5040/9781780933405
Unstructured Citation
Edwards R., Holland J., a cura di (2013). What is qualitative interviewing? Londra: Bloomsbury.
https://doi.org/10.5040/9781472545244
Unstructured Citation
Elias N. (1978). What is sociology?. New York: Columbia University Press.
Unstructured Citation
Fraser S., Fomiattia R., Moorea D., et al. (2020). Is another relationship possible? Connoisseurship and the doctor-patient
relationship for men who consume performance and image-enhancing drugs. Social Science & Medicine, 246: 112720.
https://doi.org/10.1016/j.socscimed.2019.112720
Unstructured Citation
Galindo R.J., Aleppo G. (2020). Continuous glucose monitoring: The achievement of 100 years of innovation in diabetes technology.
Diabetes Research and Clinical Practice, 170: 108502.
https://doi.org/10.1016/j.diabres.2020.108502
Unstructured Citation
Gallivan J., Burns K.K., Bellows M., Eigenseher C. (2012). The Many Faces of Patient Engagement. Journal of Participatory Medicine, 4: e32.
Unstructured Citation
Granados-Santiago M., Valenza M.C., López-López L. et al. (2020). Shared decision-making and patient engagement program during
acute exacerbation of COPD hospitalization: A randomized control trial. Patient Education and Counseling, 103: 702-78.
https://doi.org/10.1016/j.pec.2019.12.004
Unstructured Citation
Grossman Liu L., Ancker J.S., Masterson Creber R.M. (2021). Improving Patient Engagement Through Patient Decision Support.
American Journal of Preventive Medicine, 60(3): 438-441.
https://doi.org/10.1016/j.amepre.2020.08.010
Unstructured Citation
Gruman J., Holmes Rovner M., French M.E. et al. (2010). From patient education to patient engagement: Implications for the
field of patient education. Patient Education and Counseling, 78: 350-356.
https://doi.org/10.1016/j.pec.2010.02.002
Unstructured Citation
Harrington R.L., Hanna M.L., Oehrlein E.M. (2020). Defining Patient Engagement in Research: Results of a Systematic Review
and Analysis: Report of the ISPOR Patient-Centered Special Interest Group. Value Health, 23(6): 677-688.
https://doi.org/10.1016/j.jval.2020.01.019
Unstructured Citation
Horwitz D.L., Klonoff D.C. (2017). New Technologies for Glucose Monitoring and Insulin Administration. In: Holt R.I.G., Cockram
C.S., Flyvbjerg A., Goldstein B.J., editors, Textbook of diabetes. Fifth Edition. Chichester, West Sussex, UK; Hoboken, NJ.:
Wiley-Blackwell.
https://doi.org/10.1002/9781118924853.ch30
Unstructured Citation
King N. (2004). Using interviews in qualitative research. In: Cassell C., Symon G., editors, Essential Guide to Qualitative Methods in Organizational Research. London: Sage.
Unstructured Citation
Lupton D. (2014). Beyond Techno-Utopia: Critical Approaches to Digital Health Technologies. Societies, 4: 706-711.
https://doi.org/10.3390/soc4040706
Unstructured Citation
Mol A. (2008). The logic of care. Health and the problem of patient choice. London: Routledge.
https://doi.org/10.4324/9780203927076
Unstructured Citation
Montenegro R.E., Dori-Hacohen G. (2020). Morality in sugar talk: Presenting blood glucose levels in routine diabetes medical
visits. Social Science & Medicine, 253, 112925.
https://doi.org/10.1016/j.socscimed.2020.112925
Unstructured Citation
Murdoch J., Salter C., Ford J., et al. (2020). The “unknown territory” of goal-setting: Negotiating a novel interactional
activity within primary care doctor-patient consultations for patients with multiple chronic conditions. Social Science &
Medicine, 256, 113040.
https://doi.org/10.1016/j.socscimed.2020.113040
Unstructured Citation
Nettleton S. (2013). The sociology of health and illness. 3rd edition. Cambridge: Polity Press
Unstructured Citation
Parsons T. (1951). The social system. Glencoe, IL: Free press.
Unstructured Citation
Pilnick A., Dingwall R. (2011). On the remarkable persistence of asymmetry in doctor/patient interaction: A critical review.
Social Science & Medicine, 72, 1374–1382.
https://doi.org/10.1016/j.socscimed.2011.02.033
Unstructured Citation
Pols J. (2012). Care at a distance: on the closeness of technology. Amsterdam: Amsterdam University Press.
https://doi.org/10.1515/9789048513017
Unstructured Citation
Powell C., Dépelteau F., a cura di (2013). Conceptualizing Relational Sociology. Ontological and theoretical issues. New York:
Palgrave MacMillan.
https://doi.org/10.1057/9781137342652
Unstructured Citation
Storni C. (2015). Patients’ lay expertise in chronic self-care: a case study in type 1 diabetes. Health Expectation, 18, 1439–1450.
https://doi.org/10.1111/hex.12124
Unstructured Citation
Taleb N., Quintal A., Rakheja R. et al., (2021). Perceptions and expectations of adults with type 1 diabetes for the use of
artificial pancreas systems with and without glucagon addition: Results of an online survey. Nutrition, Metabolism & Cardiovascular
Diseases, 31: 658-665.
https://doi.org/10.1016/j.numecd.2020.10.006
Unstructured Citation
Topol E. (2015). The patient will see you now. New York: Basic Books.
Unstructured Citation
Van Krieken R. (2001). Norbert Elias and Process Sociology. In: Ritzer G., Smart B., editors, Handbook of Social Theory. Londra: Sage.
Unstructured Citation
Woehrle H., Arzt M., Graml A. et al. (2018). Effect of a patient engagement tool on positive airway pressure adherence: analysis
of a German healthcare provider database. Sleep Medicine, 41: 20-26.
https://doi.org/10.1016/j.sleep.2017.07.026
Unstructured Citation
Yegian J.M., Dardess P., Shannon M., Carman K.L. (2013). Engaged Patients Will Need Comparative Physician-Level Quality Data
And Information About Their Out-Of-Pocket Costs. Health Affairs, 32(2): 328-337.
https://doi.org/10.1377/hlthaff.2012.1077