ArticleMedicine, health care, and philosophy2016
Differences that matter: developing critical insights into discourses of patient-centeredness.
Article in Medicine, health care, and philosophy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Implementing and evaluating care and support planning: a qualitative study of health professionals' experiences in public polyclinics in Singapore.BMC primary care · 2023Trial
- Evaluating the need to revise chiropractic education standards in the United Kingdom: Adapting to progress.The Journal of chiropractic education · 2026Article
- Practicings of Person-Centred Care in Physiotherapy.Sociology of health & illness · 2025Article
- Participatory Action Research to Enhance Patient-Centred Goal Setting in Geriatric Rehabilitation: A Nursing Team's Quest.Journal of advanced nursing · 2025Article
- Article
- Person-Centredness and Paternalism: The Dance With Power.Musculoskeletal care · 2025Article
- The perspectives of patients, relatives, and healthcare providers on end-of-life communication in an Italian Oncological Institute.Palliative care and social practice · 2025Article
- Article
- Provincial policies affecting resident quality of life in Canadian residential long-term care.BMC geriatrics · 2023Article
- Reciprocity in Low Back Pain Care and Its Role in Power Dynamics: A Give-and-Take Approach.Physical therapy · 2022Article
- Emotions and lung cancer screening: Prioritising a humanistic approach to care.Health & social care in the community · 2022Article
- Sexual history taking by doctors in primary care in North West province, South Africa: Patients at risk of sexual dysfunction overlooked.African journal of primary health care & family medicine · 2022Article
- Who is at the centre of what? A scoping review of the conceptualisation of 'centredness' in healthcare.BMJ open · 2022Article
- Optimising planned medical education strategies to develop learners' person-centredness: A realist review.Medical education · 2022Review
- Measuring with quality: the example of person-centred care.Journal of health services research & policy · 2022Article
- Patients' experiences of the decision-making process for clinical trial participation.Nursing & health sciences · 2022Article
- The ruling relations of patient involvement in cardiac rehabilitation programs.Qualitative research in medicine & healthcare · 2021Article
- Mental Health Care Professionals' Appraisal of Patients' Use of Web-Based Access to Their Electronic Health Record: Qualitative Study.Journal of medical Internet research · 2021Article
- Practical challenges in oral immunotherapy resolved through patient-centered care.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2021Review
- Web-Based Consumer Health Education About Back Pain: Findings of Potential Tensions From a Photo-Elicitation and Observational Study.JMIR rehabilitation and assistive technologies · 2020Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patient-centeredness can be considered a popular, and at the same time "fuzzy", concept. Scientists have proposed different definitions and models. The present article studies scientific publications that discuss the meaning of patient-centeredness to identify different "discourses" of patient-centeredness. Three discourses are presented; the first is labelled as "caring for patients", the second as "empowering patients" and the third as "being responsive". Each of these discourses has different things to say about (a) the why of patient-centeredness; (b) the patient's identity; (c) the role of the healthcare professional; (d) responsibilities for medical decision-making, and (e) the role of health information. This article compares and contrasts the discourses in ways that allow us to see differences that matter for practitioners in healthcare. On the basis of a relational constructionist philosophy, it is argued that discursive diversity is both an inevitable and a potentially valuable aspect of conversations in healthcare. We are therefore invited to center the challenge of dealing with diversity in productive ways. This article ends with a discussion of the practical implications of the discourse analysis for projects that aim to make healthcare more patient-centered. Debates on patient-centered "Health Information Exchange" are used to explain the need for a recognition of different discourses of patient-centeredness and a reflexive stance towards them.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.