Bridging the discursive gap between lay and medical discourse in care coordination
dc.contributor.author | Sheaff, Rod | |
dc.contributor.author | Halliday, J | |
dc.contributor.author | Byng, Richard | |
dc.contributor.author | Øvretveit, J | |
dc.contributor.author | Exworthy, M | |
dc.contributor.author | Peckham, S | |
dc.contributor.author | Asthana, Sheena | |
dc.date.accessioned | 2017-05-15T10:25:55Z | |
dc.date.available | 2017-05-15T10:25:55Z | |
dc.date.issued | 2017-07-31 | |
dc.identifier.issn | 0141-9889 | |
dc.identifier.issn | 1467-9566 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/9244 | |
dc.description.abstract |
<jats:title>Abstract</jats:title><jats:p>For older people with multiple chronic co‐morbidities, strategies to coordinate care depend heavily on information exchange. We analyse the information‐sharing difficulties arising from differences between patients’ oral narratives and medical sense‐making; and whether a modified form of ‘narrative medicine’ might mitigate them. We systematically compared 66 general practice patients’ own narratives of their health problems and care with the contents of their clinical records. Data were collected in England during 2012–13. Patients’ narratives differed from the accounts in their medical record, especially the summary, regarding mobility, falls, mental health, physical frailty and its consequences for accessing care. Parts of patients’ viewpoints were never formally encoded, parts were lost when clinicians de‐coded it, parts supplemented, and sometimes the whole narrative was re‐framed. These discrepancies appeared to restrict the patient record's utility even for <jats:styled-content style="fixed-case">GP</jats:styled-content>s for the purposes of risk stratification, case management, knowing what other care‐givers were doing, and coordinating care. The findings suggest combining the encoding/decoding theory of communication with inter‐subjectivity and intentionality theories as sequential, complementary elements of an explanation of how patients communicate with clinicians. A revised form of narrative medicine might mitigate the discursive gap and its consequences for care coordination.</jats:p> | |
dc.format.extent | 1019-1034 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | Wiley | |
dc.subject | care coordination | |
dc.subject | informational continuity of care | |
dc.subject | general practice | |
dc.subject | England | |
dc.subject | electronic patient record | |
dc.subject | patient discourse | |
dc.subject | narrative medicine | |
dc.title | Bridging the discursive gap between lay and medical discourse in care coordination | |
dc.type | journal-article | |
dc.type | Journal Article | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000410766100003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.issue | 7 | |
plymouth.volume | 39 | |
plymouth.publication-status | Accepted | |
plymouth.journal | Sociology of Health and Illness | |
dc.identifier.doi | 10.1111/1467-9566.12553 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA20 Social Work and Social Policy | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/FoH - Community and Primary Care | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED) | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS | |
plymouth.organisational-group | /Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
plymouth.organisational-group | /Plymouth/Users by role/Researchers in ResearchFish submission | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2016-12-07 | |
dc.identifier.eissn | 1467-9566 | |
dc.rights.embargoperiod | No embargo | |
rioxxterms.versionofrecord | 10.1111/1467-9566.12553 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2017-07-31 | |
rioxxterms.type | Journal Article/Review | |
plymouth.oa-location | http://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12553/full |