It's Not Like You Need to Live 10 or 20 Years: Challenges to Patient-Centered Care in Gynecologic Oncologist-Patient Interactions

Elaine Hsieh, Jacqueline Bruscella, Alaina Zanin, Eric M. Kramer

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

The literature suggests that the patient-perspective approach (i.e., eliciting and responding to patients' perspectives, including beliefs, preferences, values, and attitudes) to patient-centered care (PCC) is not a reliable predictor of positive outcomes; however, little is known about why the patient-perspective approach does not necessarily lead to positive outcomes. By using discourse analysis to examine 44 segments of oncologist-patient interactions, we found that providers' use of patient-perspective contextualization can affect the quality of care through (a) constructing the meanings of patient conditions, (b) controlling interpreting frames for patient conditions, and (c) manipulating patient preferences through strategic information sharing. We concluded that providers' use of patient-perspective contextualization is an insufficient indicator of PCC because these discursive strategies can be used to control and manipulate patient preferences and perspectives. At times, providers' patient-perspective contextualization can silence patients' voice and appear discriminatory.

Original languageEnglish (US)
Pages (from-to)1191-1202
Number of pages12
JournalQualitative Health Research
Volume26
Issue number9
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Keywords

  • USA
  • discourse analysis
  • patient perspectives
  • patient-centered care
  • patient-centeredness
  • preferences
  • provider-patient communication
  • qualitative

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint

Dive into the research topics of 'It's Not Like You Need to Live 10 or 20 Years: Challenges to Patient-Centered Care in Gynecologic Oncologist-Patient Interactions'. Together they form a unique fingerprint.

Cite this