Discursos sobre la participación activa del paciente en el sistema sanitario

  1. Virginia Díaz Gorriti
  2. Rosa María Añel Rodríguez
  3. Silvia Cristina da Costa Dutra
  4. Larraitz N. Zumeta Sánchez
Journal:
Aposta: Revista de ciencias sociales

ISSN: 1696-7348

Year of publication: 2020

Issue: 87

Pages: 44-56

Type: Article

DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Aposta: Revista de ciencias sociales

Abstract

Both health professionals and the general public are increasingly in favor of a shift towards a communication dynamic orientated towards the patient with a humane approach that situates the patient at the centre of the dialogue.This paper collates and analyses the perceptions of the users of public health and how they communicate about the health risk to which they are exposed and its effects. A short questionnaire of seven open questions has been developed using the WhatsApp technology application. Discourse analysis has been carried out by applying the interpretive repertoire (IR) model of discursive psychology. From the analysis of the replies, it is gathered that the public demand greater participation in the sanitary process in order to stop feeling so exposed and vulnerable. The authors discuss these and other findings and their implications for the incorporation and normalization of the use of WhatsApp in the course of the health life of the users.

Bibliographic References

  • Altisent, R., Delgado, M. T., Jolín, L., Martín, M. N. y Ruiz, R. (2000). “Sobre bioética y medicina de familia IV”. Atención Primaria, 25(6).
  • Baker, S. M., Marshak, H. H., Rice, G. T., & Zimmerman, G. J. (2001). “Patient participation in physical therapy goal setting”. Physical Therapy, 81(5), 1118-1126.
  • Ceitlin, J. y Gomes-Gascón, T. (Eds.) (1997). Medicina de Familia, la clave de un nuevo modelo. Madrid: semFYC y CIMF.
  • Clarkson, P. J., Buckle, P., Coleman, R., Stubbs, D., Ward, J., Jarrett, J., & Bound, J. (2004). “Design for patient safety: a review of the effectiveness of design in the UK health service”. Journal of Engineering Design, 15(2), 123-140.
  • Delgado, M. T. (2003). “La confidencialidad y sus límites: repercusiones en el manejo de la información y documentación clínica”. Revista Clínica Electrónica en Atención Primaria, 13, 1-7.
  • Díaz, G. (2010). “El enfoque cualitativo de investigación en la salud pública”. Revista Cuba Salud Pública, 36(1), 30–37.
  • Dittman, K., & Hughes, S. (2018). “Increased nursing participation in multidisciplinary rounds to enhance communication, patient safety, and parent satisfaction”. Critical Care Nursing Clinics, 30(4), 445-455.
  • Edwards, D. (1997). DiscFocourse and cognition. Sage.
  • Fairclough, N. (1992). “Discourse and text: Linguistic and intertextual analysis within discourse analysis”. Discourse & society, 3(2), 193-217.
  • Foucault, M., Álvarez-Uría, F., & Varela, J. (1992). Microfísica del poder. La Piqueta.
  • Fowler, R., Hodge, B., Kress, G. y Trew, T. (1979). Language and control. Londres: Routledge & Kegan Paul.
  • Franco-Giraldo A. (2015). “El rol de los profesionales de la salud en la atención primaria en salud (APS)”. Revista Facultad Nacional de Salud Pública, 33(3), 414- 424. doi: 10.17533/udea.rfnsp.v33n3a11
  • García del Castillo, J. A. (2012). “Concepto de percepción de riesgo y su repercusión en las adicciones”. Health and Addictions, 12(2), 133- 151.
  • Iñiguez, L. y Antaki, C. (1994). “El análisis del Discurso en Psicología Social”. Boletín de Psicología, 44, 57-75.
  • Jodelet D. (2008). “El movimiento de retorno al sujeto y el enfoque de las representaciones sociales”. Cultura y Representaciones Sociales, 3(5), 32–63.
  • Joffe, H. (1999). Risk and the "other". Cambridge: Cambridge University Press.
  • Johnston, M. J., King, D., Arora, S., Behar, N., Athanasiou, T., Sevdalis, N., y Darzi, A. (2015). “Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams”. The American Journal of Surgery, 209(1), 45-51.
  • Kamel-Boulos, M. N., Brewer, A. C., Karimkhani, C., Buller, D. B. y Dellavalle, R. P. (2014). “Mobile medical and health apps: State of the art, concerns, regulatory control and certification”. Online Journal for Public Health Information. 5, 229.
  • Klein, W. M. P. y Cerully, J. L. (2007). “Health-related risk perception and decisionmaking: Lessons from the study of motives in social psychology”. Social and Personality Psychology Compass, 1, 334-358.
  • Lee, S. E. y Scott, L. D. (2018). “Hospital nurses’ work environment characteristics and patient safety outcomes: A literature review”. Western Journal of Nursing Research, 40(1), 121-145.
  • Loh, A., Leonhart, R., Wills, C. E., Simon, D., & Härter, M. (2007). “The impact of patient participation on adherence and clinical outcome in primary care of depression”. Patient education and counseling, 65(1), 69-78
  • Marková, I. (2003). Dialogicality and Social Representations. Cambridge: Cambridge University Press.
  • Marková, I. (2008). “The epistemological significance of the Theory of Social Representations”. Journal of Theory Social Behaviour, 38, 461-487.
  • Mobasheri M. H., King, D., Johnston, M., Gautama, S., Purkayastha, S. y Darzi, A. (2015). “The ownership and clinical use of smartphones by doctors and nurses in the UK: a multicentre survey study”. BMJ Innovations, 1, 174-181.
  • Nardo, B., Cannistrà, M., Diaco, V., Naso, A., Novello, M., Zullo, A., Ruggiero, M., Grande, R. y Sacco, R. (2016). “Optimizing patient surgical management using WhatsApp application in the italian healthcare system”. Telemedicine JE Health, 22(9), 718-725.
  • Neuhauser, L., y Kreps, G. (2010). “eHealth communication and behaviour change: promise and performance”. Social Semiotics, 20(1), 9-27.
  • Ochoa, P. P., y Ochoa, M. A. P. (2007). “El saber y las TIC: ¿brecha digital o brecha institucional?”. Revista Iberoamericana de Educación (45), 89-106.
  • Oteo LA. (2008). “De la gestión de la calidad a la calidad de la gestión: Transiciones y controversias”. Rev Calidad Asistencial, 23(2):43.
  • Oxelmark, L., Ulin, K., Chaboyer, W., Bucknall, T., & Ringdal, M. (2018). “Registered Nurses’ experiences of patient participation in hospital care: supporting and hindering factors patient participation in care”. Scandinavian journal of caring sciences, 32(2), 612-621.
  • Ozdalga, E., Ozdalga, A. y Ahuja, N. (2012). “The smartphone in medicine: a review of current and potential use among physicians and students”. Journal of medical Internet research, 14(5).
  • Pierret, J. (1993). Constructing discourses about health and their social determinants. En Radley, A. World of illness. London and New York: Routledge.
  • Potter, J. y Edwards, D. (2001). “Sociolinguistics, Cognitivism and Discursive Psychology”, in N. Coupland, S. Sarangi and C. Candlin (eds) Sociolinguistics and Social Theory, 88-103. London: Longman.
  • Potter. J. y Wetherell, M. (1987). Discourse and social psychology: beyond attitudes and behaviour. London: Sage.
  • Redley, B., McTier, L., Botti, M., Hutchinson, A., Newnham, H., Campbell, D., & Bucknall, T. (2019). “Patient participation in inpatient ward rounds on acute inpatient medical wards: a descriptive study”. BMJ quality & safety, 28(1), 15-23.
  • Roter, Debra L. (1997). “Patient participation in the patient-provider interaction: the effects of patient question asking on the quality of interaction, satisfaction and compliance”. Health education monographs, 5(4), 281-315.
  • Sahlsten, Monika JM, et al. (2008). “An analysis of the concept of patient participation”. En Nursing Forum. Malden, USA: Blackwell Publishing Inc. p. 2-11.
  • Sclafani, J., Tirrell, T. F. y Franko, O. I. (2013). “Mobile tablet use among academic physicians and trainees”. Journal of medical systems, 37(1), 99-103.
  • Taylor, S. y Bogdan, R. (1990). Introducción a los métodos cualitativos de investigación. Barcelona: Paidós.
  • Tindell, D. y Bohlander, R. (2012). “The use and abuse of cell phones and text messaging in the classroom: A survey of college students”. College Teaching, 60(1), 1-9.
  • Trandel-Korenchuk, Darlene M. (1982). “Patient participation in decision making”. The Nurse Practitioner, 7(5), 46-52.
  • Valsiner, J. (2013). “Creating Sign Hierarchies: Social Representation In Its Dynamic Context”. Papers on Social Representations, 22(16), 1-32.
  • Wachter, R. M. (2010). “Patient safety at ten: unmistakable progress, troubling gaps”. Health affairs 29(1), 165-173.
  • Whittaker, R. (2012). “Issues in mHealth: findings from key informant interviews”. Journal of medical Internet research, 14(5).
  • Yeates, K., Campbell, N., Maar, M. A., Perkins, N., Liu, P., Sleeth, J., Smith, C., McAllister, C., Hua-Stewart, D., Wells, G., Tobe, S. W. (2017). “The effectiveness of text messaging for detection and management of hypertension in indigenous people in Canada: Protocol for a randomized controlled trial”. JMIR Research Protocols, 6(12).
Data source: Dialnet