"时间工作":分析全科 "良好 "医患关系中的时间体验和代理实践。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Pub Date : 2024-01-01 Epub Date: 2022-07-29 DOI:10.1177/13634593221116504
Elisabeth Assing Hvidt
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引用次数: 0

摘要

本文分析了患者和全科医生(GPs)对 "良好 "医患关系的时间维度的感知和理解,为社会健康研究做出了贡献。实证数据来自人种学实地调查,包括对丹麦四家全科诊所的参与观察,以及对 27 名患者和 8 名全科医生的半结构化访谈。分析借鉴了迈克尔-弗莱厄蒂(Michael Flaherty)的时间社会学:时间代理和 "时间工作 "的概念被用作分析工具,以证明 "良好的 "医患关系是在外部时间结构和内部时间体验之间的紧张关系中构建的,而内部时间体验是全科医生和患者 "做时间 "的代理实践的结果。因此,研究结果表明,当全科医生和患者在医患关系中谈论、制定和寻求有意义的时间体验,同时抵制和避免其他破坏医患关系的时间体验时,时间决定论和自我决定论是如何交织在一起的。研究结果对以下两方面提出了质疑:1.当今医疗保健系统对时间需求的决定论观念,据说这种观念控制着医疗保健提供者的行为;2.对连续性本身作为一种资源的想当然的理解。
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"Time work": An analysis of temporal experiences and agentic practices in the "good" doctor-patient relationship in general practice.

This article contributes to social health research by presenting an analysis of the temporal dimensions of the "good" doctor-patient relationship as perceived and enacted by patients and general practitioners (GPs). The empirical data derive from ethnographic fieldwork comprising participant observation in four general practice clinics in Denmark, and semi-structured interviews with 27 patients and eight GPs. The analysis draws from Michael Flaherty's sociology of time: notions of temporal agency and "time work" are used as analytical tools to demonstrate that the "good" doctor-patient relationship is constructed in a tension between external temporal structures and internal temporal experiences that are the result of GPs' and patients' agentic practices of "doing time." Thus, the findings illustrate how temporal determinism and self-determinism are equally interwoven when GPs and patients talk about, enact and seek meaningful temporal experiences within the doctor-patient relationship, while resisting and avoiding others that undermine the relationship. The results challenge 1. deterministic conceptions of time demands in today's healthcare systems that are said to control healthcare providers' behavior and 2. the taken-for-granted understanding of continuity as a resource in itself.

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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
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0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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