People with multimorbidity: forgotten outsiders or dynamic self-managers?

Journal of Health Organization and Management
Anneli HujalaSari Rissanen

Abstract

The purpose of this paper is to draw attention to the discursive construction of multimorbidity. The study illustrates how the social reality of multimorbidity and the agency of patients are discursively constructed in scientific articles addressing care for people with multiple chronic conditions. The study is based on the postmodern assumptions about the power of talk and language in the construction of reality. Totally 20, scientific articles were analysed by critically oriented discourse analysis. The interpretations of the findings draw on the agency theories and principals of critical management studies. Four discourses were identified: medical, technical, collaborative and individual. The individual discourse challenges patients to become self-managers of their health. It may, however, go too far in the pursuit of patients' active agency. The potential restrictions and consequences of a "business-like" orientation must be paid careful attention when dealing with patients with multimorbidity. The data consisted solely of scientific texts and findings therefore serve as limited illustrations of the discursive construction of multimorbidity. In future, research focusing for example on political documents and practice talk o...Continue Reading

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Citations

Feb 7, 2020·Journal of Health Organization and Management·Agnieszka SobolewskaDavid Heard
May 2, 2019·Journal of Primary Health Care·Eileen McKinlayBen Gray

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