Epistemic tensions between people living with asthma and healthcare professionals in clinical encounters

Social Science & Medicine
Jennie HawKieran C O'Doherty

Abstract

Asthma is a common respiratory condition with high prevalence rates globally. While there are effective treatments, asthma remains an important health concern as people continue to die from severe attacks. Improving the experiences of, and health outcomes for, people with asthma depends heavily on their interactions with healthcare professionals. Understanding negative clinical encounters will benefit people with asthma and healthcare providers. To examine epistemic tensions in negative clinical encounters from a patient perspective, with an aim to better understand how patients respond to these tensions. Much of the scholarship on patient interactions with healthcare providers examines interpersonal or structural factors. Thus, focusing our analysis on tensions between lay and expert knowledge in negative clinical encounters provides a novel contribution to this body of scholarship. As part of a larger qualitative study (n = 70) examining the lived experiences of people who have asthma or a child with asthma, semi-structured interviews with 17 participants who described having negative clinical encounters were analyzed for themes. Participants responded to epistemic tensions in two main ways: (1) by incorporating expert knowle...Continue Reading

Citations

Dec 13, 2019·Medical Humanities·Melissa Mei Yin CheungLorraine Smith
Feb 25, 2021·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·M B de GraaffH M van de Bovenkamp

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