Reconsidering Patient Centred Care: Between Autonomy and Abandonment Pilnick Alison
In a major contribution to the sociology of medicine, Alison Pilnick shifts the terms of the debate around patient centred care (PCC). PCC is typically framed as a moral imperative, necessary to…
Specifikacia Reconsidering Patient Centred Care: Between Autonomy and Abandonment Pilnick Alison
In a major contribution to the sociology of medicine, Alison Pilnick shifts the terms of the debate around patient centred care (PCC). PCC is typically framed as a moral imperative, necessary to prevent a return to the outmoded medical paternalism of the past. However, empirical research repeatedly fails to show a clear link between the adoption of PCC and improvement in health outcomes. These results are largely considered as professional failings, to be remediated through 'better' training in PCC; as a result empirical research is largely focused on the extent to which practice does not live up to checklists of PCC criteria.Through the detailed examination of a large corpus of healthcare interactions collected from a range of settings over a 25 year period, Pilnick illustrates the ways in which there are good organisational and interactional reasons for what may look from a