Patient Participation in Health Care Consultations Qualitative Perspectives

by Collins, Sarah; Britten, Nicky; Ruusuvuori, Johanna; Thompson, Andrew

• ISBN13: 9780335219643
• ISBN10: 0335219640
• Edition: 1st
• Format: Paperback
• Copyright: 2007-04-01
• Publisher: Open University Press

Summary

This comprehensive new book provides answers to these questions by exploring interconnections between theory, research and practice. It draws on different disciplinary perspectives in the health and social sciences and invites comparisons between different health care settings.

Table of Contents

List of contributors	p. ix
List of illustrations	p. xi
Foreword: Communicating with and involving patients	p. xiii
Preface	p. xv
Acknowledgements	p. xvii
Setting the Scene: Debates on Patient Participation and Methods for Studying it	p. 1
Understanding the process of patient participation	p. 3
Commentary	p. 3
Introduction	p. 4
Previous research on patient participation in health care consultations	p. 7
Building a more comprehensive view of patient participation	p. 15
The contributions of this book	p. 16
How to use this book	p. 20
Recommendations: summary	p. 21
Methods for studying patient participation	p. 22
Commentary	p. 22
Introduction	p. 23
Overview of methods represented in this book	p. 23
Mixing methods in the study of patient participation	p. 24
Applications of methods	p. 24
Discussion	p. 34
Conclusion	p. 39
Acknowledgement	p. 39
Recommendations: summary	p. 40
Patient Participation in Practice	p. 41
The meaning of patient involvement and participation in health care consultations: A taxonomy	p. 43
Commentary	p. 43
Introduction	p. 44
Models of involvement and participation in consultations	p. 46
Methods	p. 47
Results	p. 50
Discussion	p. 61
Notes	p. 63
Acknowledgements	p. 63
Recommendations: summary	p. 64
What is a good consultation and what is a bad one? The patient perspective	p. 65
Commentary	p. 65
Introduction	p. 66
Methods	p. 67
Patients' judgements of 'good' and 'bad' consultations	p. 68
Summary of findings	p. 78
Discussion	p. 79
Conclusion	p. 81
Acknowledgements	p. 81
Recommendations: summary	p. 82
A feeling of equality: Some interactional features that build rapport and mutuality in a therapeutic encounter	p. 83
Commentary	p. 83
Introduction	p. 84
Where encounters take place	p. 86
A therapeutic encounter in a hospital setting	p. 90
Talk about the video	p. 93
The naming sequence	p. 95
Developing rapport	p. 98
Deeper socialization	p. 101
Conclusion	p. 102
Acknowledgement	p. 103
Recommendations: summary	p. 103
Patient participation in formulating and opening sequences	p. 104
Commentary	p. 104
Introduction	p. 105
Patient participation and professional stocks of interactional knowledge	p. 106
An interactional activities perspective on patient participation	p. 110
Improving patients' participation	p. 117
Conclusion	p. 118
Recommendations: summary	p. 119
What is patient participation?: Reflections arising from the study of general practice, homoepathy and psychoanalysis	p. 121
Commentary	p. 121
Patient participation in the delivery and reception of diagnosis in general practice	p. 122
Patient participation in the delivery of treatment decisions in homoeopathy	p. 126
Patient participation in the reception of interpretations in psychoanalysis	p. 132
Conclusion	p. 139
Notes	p. 142
Recommendations: summary	p. 142
Nursing assessments and other tasks: Influences on participation in interactions between patients and nurses	p. 143
Commentary	p. 143
Introduction	p. 144
Description of the data	p. 145
Types of nurse encounter and their different tasks	p. 146
The importance of nurses' consultations with patients	p. 148
Forms of participation in nurse-patient encounters	p. 150
Discussion: influences on participation in nurse-patient encounters	p. 160
Conclusion	p. 163
Note	p. 163
Recommendations: summary	p. 163
A Conceptual Overview of Patient Participation and its Components	p. 165
Components of participation in health care consultations: A conceptual model for research	p. 167
Commentary	p. 167
Introduction	p. 167
Five key components of patient participation	p. 168
Discussion	p. 173
Recommendations: summary	p. 175
An integrative approach to patient participation in consultations	p. 176
Commentary	p. 176
Introduction	p. 177
What is patient participation?	p. 177
Would we recommend patient participation as a policy?	p. 185
How could patient participation be measured?	p. 188
What else do we need to know about patient participation?	p. 191
Conclusion	p. 192
Recommendations: summary	p. 192
Afterword: Encounters with health care: a personal viewpoint	p. 194
Educational Supplements	p. 197
Transcript notation for conversation analysis	p. 213
References	p. 215
Index	p. 233
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