Juggling efficiency. An ethnographic study exploring healthcare seeking practices and institutional logics in Danish primary care settings

Social Science and Medicine

Volumn 128, Issue , 2015, Pages 239-245

  Andersen, Rikke Sand ^a,b   Vedsted, Peter ^a  

^a AARHUS UNIVERSITY   (Denmark)

^b AARHUS UNIVERSITY   (Denmark)

Author keywords

Cancer; Denmark; General practice; Healthcare seeking; Help seeking; Patient delay; Primary care

Indexed keywords

CANCER; DISEASE TREATMENT; HEALTH SERVICES; HEALTH WORKER; MEDICAL GEOGRAPHY; PRIMARY HEALTH CARE;

ADULT; AGED; ARTICLE; BIOMEDICINE; CANCER DIAGNOSIS; CLINICAL PRACTICE; DANISH CITIZEN; ETHNOGRAPHY; EXPLORATORY RESEARCH; FEMALE; GENERAL PRACTICE; HEALTH BEHAVIOR; HEALTH CARE NEED; HEALTH CARE ORGANIZATION; HEALTH CARE PERSONNEL; HELP SEEKING BEHAVIOR; HUMAN; KNOWLEDGE; MALE; PATIENT CARE; POLITICAL SYSTEM; PREDICTION; PRIMARY MEDICAL CARE; SOCIAL ASPECT; CLINICAL TRIAL; CULTURAL ANTHROPOLOGY; DENMARK; HEALTH CARE QUALITY; INTERVIEW; MIDDLE AGED; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; PATIENT ATTITUDE; PRIMARY HEALTH CARE; VERY ELDERLY;

DENMARK;

ADULT; AGED; AGED, 80 AND OVER; ANTHROPOLOGY, CULTURAL; DENMARK; EFFICIENCY, ORGANIZATIONAL; FEMALE; HUMANS; INTERVIEWS AS TOPIC; MALE; MIDDLE AGED; PATIENT ACCEPTANCE OF HEALTH CARE; PRIMARY HEALTH CARE; PROCESS ASSESSMENT (HEALTH CARE);

EID: 84921488135     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2015.01.037     Document Type: Article

References (37)

1. Andersen R.S., Paarup B., Vedsted P., Bro F., Soendergaard J. 'Containment' as an analytical framework for understanding patient delay: a qualitative study of cancer patients' symptom interpretation processes. Soc. Sci. Med. 2010, 71(2):378-385.
2. Andersen R.S., Torring M.L., Vedsted P. Global healthcare seeking discourses facing local clinical realities: the case of cancer. Med. Anthropol. Q. 2014, 21(3).
3. Baba M., Blomberg J., LaBond C., Adams I. Institutional approaches to formal organisations. ACompanion to Organisational Anthropology 2012, 74-97. Blackwell Publishing Company. C. Caulkins, A.T. Jordan (Eds.).
4. Balint M. The Doctor, His Patient and the Illness 1957, Pitman Medical, London.
5. Barsky A.J. The paradox of health. N.Engl. J. Med. 1988, 318(7):14-418.
6. Bourdieu P. The Logic of Practice 1990, Stanford University Press, Standford, CA.
7. Boyer C.A., Lutfey K.E. Examining critical health policy issues within and beyond the clinical encounter: patient-provider relationships and help-seeking behaviors. J.Health Soc. Behav. 2010, 51(Suppl.l):S80-S93.
8. Brindle L., Pope C., Corner J., Leydon G., Banerjee A. Eliciting symptoms interpreted as normal by patients with early-stage lung cancer: could doctor elicitation of normalised symptoms reduce delay in diagnosis? Cross-sectional interview study. BMJ Open 2012, 2(6).
9. Douglas M. How Institutions Think 1986, Syracuse University Press, Syracuse, New York.
10. Friedland A., Alford R.R. Bringing society back in: symbols, practices, and institutional contradictions. The New Institutionalism in Organisational Analysis 1992, 232-266. The University of Chicago Press, Chicago and London. W.W. Powel, J.P. DiMaggio. (Eds.).
11. Garro L. On the rationality of decision-making studies: part 1: decision models of treatment choice. Med. Anthropol. Q. 1998, 12(3):319-340.
12. Good B. Medicine, Rationality and Experience: an Anthropological Perspective 1996, Cambridge University Presse, Cambridge.
13. Good M.D. American Medicine: the Quest for Competence 1995, University of California Press, Berkeley and Los Angeles, California.
14. Good M.D. The inner life of medicine: a commentary on anthropologies of clinical training in the twenty-first century. Cult. Med. Psychiatry 2011, 35(2):321-327.
15. Hamilton W. The CAPER studies: five case-control studies aimed at identifying and quantifying the risk of cancer in symptomatic primary care patients. Br. J. Cancer 2009, 101(Suppl.2):S80-S86.
16. Hjertholm P., Moth G., Ingeman M.L. Predictive values of doctors' suspicion of serious disease: a population-based follow-up study. Br. J. Gen. Pract. 2014, 64(623). s. e346-e353.
17. Kleinman A. Patients and Healers in the Context of Culture 1980, University of California Press, Berkeley, CA.
18. Levealahti H., Tishelman C., Ohlen J. Framing the onset of lung cancer biographically: narratives of continuity and disruption. Psychooncology 2007, 16(5):466-473.
19. Macleod U., Mitchell E.D., Burgess C., Macdonald S., Ramirez A.J. Risk factors for delayed presentation and referral of symptomatic cancer: evidence for common cancers. Br. J. Cancer. 2009, 101(Suppl.2):S92-S101.
20. McDonald R., Cheraghi-Sohi S., Bayes S., Morriss R., Kai J. Competing and coexisting logic in the changing field of English general medical practice. Soc. Sci. Med 2013, 93:47-54.
21. Mishler E.G. The Discourse of Medicine. Dialectics of Medical Interviews 1984, Ablex Publishing Corporation, Norwood.
22. Mol A., Moser I., Pols J. Care: putting practice into theory. Care in Practice. On Tinkering in Clinics, Homes and Farms 2010, 7-27. Transaction Publishers, New Brunswick and London. A. Mol, I. Moser, J. Pols (Eds.).
23. Mol A. The Logic of Care. Health and the Problem of Patient Choice 2008, Routledtge.
24. Moller Petersen J., Sondergaard J., Sahl Andersen J. Primary care and primary health care in Denmark. J.Am. Board Fam. Med. 2012, 25(1):34-38.
25. Moth G., Olesen F., Vedsted P. Reasons for encounter and disease patterns in Danish primary care - changes over 16 years. Scand. J. Prim. Health Care 2012, 30(2):70-75.
26. Nettleton S., Burrows R., Watt I. Regulating medical bodies? The consequences of the 'modernisation' of the NHS and the disembodiment of clinical knowledge. Sociol. Health Illn. 2008, 30(3):333-348.
27. Nielsen T.N., Hansen R.P., Vedsted P. Præsentation af symptomer i almen praksis hos patienter med cancer [Symptom presentation in cancer patients in primary care]. Ugeskr. Laeger 2010, 172(41):2827-2831.
28. Olesen F., Hansen R.P., Vedsted P. Delay in diagnosis: the experience in Denmark. Br. J. Cancer 2009, 101(Suppl.2):S5-S8.
29. Risør M. The process of symptomization. Clinical encounters with functional disorders. Of Bodies and Symptoms. Anthropological Perspectives on Their Social and Medical Treatment 2011, 21-39. Tarragona University Press. S. Fainzang, C. Haxaire (Eds.).
30. Rose N. The Politics of Life Itself. Biomedicine, Power and Subjectivity in the Twenty-First Century 2007, Princeton University Press, Princeton and Oxford.
31. Scott S.E., Grunfeld E.A., Auyeung V., McGurk M. Barriers and triggers to seeking help for potentially malignant oral symptoms: implications for interventions. J.Public Health Dent. 2009, 69(1):34-40.
32. Shorter E. Doctor's and Their Patients: a Social History 1985, Simon and Schuster, New Brunswick New Jersey.
33. Thornton P., Ocasio W. Institutional logic. The Sage Handbook of Organisational Institutionalism 2008, Sage Publications Ltd, London. G. Royston, C.G. Greenough, R. Suddaby, K. Sahlin-Andersen (Eds.).
34. Thornton P.H., Ocasio W., Lounsbury M. The Institutional Logic PerspectiveA New Approach to Culture, Structure and Process 2012, Oxford University Press, Oxford.
35. Torring M.L., Frydenberg M., Hansen R.P., Olesen F., Vedsted P. Evidence of increasing mortality with longer diagnostic intervals for five common cancers: a cohort study in primary care. Eur. J. Cancer 2013, 13:10.
36. Waitzkin H., Britt T. Processing narratives of self-destructive behavior in routine medical encounters: health promotion, disease prevention, and the discourse of health care. Soc. Sci. Med. 1993, 36:1121-1136.
37. Waldorff S.B. Emerging Organisations: In Between Local Translation. Institutional Logic and Discourse 2010, Doctoral School of Organisation and Management Studies, Copenhagen.