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Patient Involvement in Medical Consultations – The cardiologist's perspective
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology. (Välfärd och Livslopp)ORCID iD: 0000-0002-3870-6426
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
Department of Neurobiology, Care Sciences and Society--Division of Nursing, Karolinska Institutet, Stockholm, Sweden..
(English)Manuscript (preprint) (Other academic)
Abstract [en]

Purposes: The purpose is to systematically analyse and describe how cardiologists describe patient involvement and participation authority in consultations about atrial fibrillation (AF) treatment. The research questions are: (i) how cardiologists practically handle patient involvement in medical consultations, and (ii) how cardiologists orientate to shared decision-making regarding AF treatment as part of the value structure of patient involvement.

Design/methodology/approach: A descriptive study was designed.  Ten   (n=10) interviews with cardiologists at four Swedish hospitals were held and a qualitative content analyses was made from the collected data.

Results: The analysis shows cardiologists´ accounts of (i) persuasive practice, (ii) protective practice, (iii) professional role, and (iv) medical craftsmanship when it comes to patient involvement and participation authority.

Conclusions: The patients’ possibility for involvement and participation authority in consultations is dependent on how the cardiologists define their own situation in the consultation environment. However, the way in which cardiologists contribute to patient involvement is by the talk-interaction, assessing the patients’ abilities to be receptive to information.

Originality/value: According to the ideology of shared decision-making there are two sets of decisions to be made, namely the patient’s and the cardiologist’s. However, these two sets are often labeled as only one set of decisions and might be called a “shared decision”.

Policy and Practical Implications: Cardiologists should problematize patient involvement and participation authority in decision-making regarding AF treatment decisions in consultations when trying to meet patients’ expectations to provide a quality experience.

 

Keywords [en]
Patient Involvement, Participation, Authority, Medical Consultations, Atrial Fibrillation Treatment, Cardiologists, Decision-making.
National Category
Sociology
Research subject
Health Care Research
Identifiers
URN: urn:nbn:se:uu:diva-337626OAI: oai:DiVA.org:uu-337626DiVA, id: diva2:1170370
Projects
Communication in consultations with elder persons and care professionalsAvailable from: 2018-01-03 Created: 2018-01-03 Last updated: 2018-01-03

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Hellström Muhli, Ulla

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