Body objectified? Phenomenological perspective on patient objectification in teleconsultation.

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2023-09-01 DOI:10.1007/s11019-023-10148-w
Māra Grīnfelde
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Abstract

The global crisis of COVID-19 pandemic has considerably accelerated the use of teleconsultation (consultation between the patient and the doctor via video platforms). While it has some obvious benefits and drawbacks for both the patient and the doctor, it is important to consider-how teleconsultation impacts the quality of the patient-doctor relationship? I will approach this question through the lens of phenomenology of the body, focusing on the question-what happens to the patient objectification in teleconsultation? To answer this question I will adopt a phenomenological approach combining both insights drawn from the phenomenological tradition, i.e., the concepts of the lived body and the object body, and the results from the phenomenologically informed qualitative research study on the patient experience of teleconsultation. The theoretical background against which I have developed this study comprises discussions within the field of phenomenology of medicine regarding the different sources of patient objectification within clinical encounter and the arguments concerning the negative impact that objectification has on the quality of care. I will argue that a factor that has frequently been identified within phenomenology of medicine as the main source of patient objectification in clinical encounters, namely, the internalized gaze of the clinician, is diminished during teleconsultation, increasing patient's sense of agency, decreasing her sense of alienation and opening up the possibility for a closer relationship between the patient and the health care provider, all of which lead to the transformation of the hierarchical patient-health care professional relationship.

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身体客观化?远程会诊中患者客观化的现象学视角。
COVID-19大流行的全球危机大大加速了远程会诊(通过视频平台进行患者和医生之间的会诊)的使用。虽然远程会诊对病人和医生都有一些明显的好处和缺点,但重要的是要考虑远程会诊如何影响医患关系的质量?我将通过身体现象学的视角来探讨这个问题,关注这个问题——远程会诊中的病人物化发生了什么?为了回答这个问题,我将采用现象学的方法,结合现象学传统的见解,即生命体和客体体的概念,以及对远程会诊患者经验的现象学定性研究的结果。我开展这项研究的理论背景包括医学现象学领域内关于临床接触中患者客观化的不同来源的讨论,以及关于客观化对护理质量的负面影响的争论。我认为,在医学现象学中,一个经常被认为是临床接触中患者客观化的主要来源的因素,即临床医生的内化凝视,在远程会诊期间减少了,增加了患者的代理感,减少了她的疏离感,并为患者和医疗保健提供者之间建立更密切的关系开辟了可能性,所有这些都导致了等级的患者-医疗保健专业关系的转变。
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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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