Di chi è l’ospedale? Le potenzialità dell’approccio etnografico nello studio della medicina centrata sul paziente

Translated title of the contribution: [Autom. eng. transl.] Whose hospital is it? The potential of the ethnographic approach in the study of patient-centered medicine

Mara Gorli, Giuseppe Scaratti, Elisa Giulia Liberati

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] The study focuses on the potential of organizational ethnography in the analysis of a crucial dimension for healthcare organizations: patient-centered care. As recognized as an essential lever for increasing the quality of services, patient-centered medicine (MCP) is today a widespread model in healthcare organizations. Many studies have focused on the characteristics of the doctor-patient relationship and the sick patient's experience; the systemic and cultural aspects of patient-centered hospitals were less investigated. The study explores the latent and widespread dimensions (systems of rules and values) that guide interactions between professionals and patients in the hospital; such interactions are examined as events characterized by a more or less patient-centered culture. The data was collected in a Rehabilitation Department through non-participating observations, shadowing and interviews. Results A cultural dimension that seems to direct interactions between patients and healthcare professionals is the negotiation of the right to property. The right to property includes the implicit rules that define who the hospital is, who makes the decisions, who establishes the spatial boundaries and scans the day. The process of negotiating property becomes explicit in the recurring uses that doctors, nurses and physiotherapists make of the ward spaces, and in the language they use to talk to patients. The ethnographic approach to health organizations contributes to the study of the MCP through a direct exploration of work practices; it exceeds the limits of reporting alone and recalls the need to analyze other dimensions (artifacts, layouts, spaces, times, routines) and interactions (in addition to the doctor-patient one) crucial in the patient's hospitalization experience.
Translated title of the contribution[Autom. eng. transl.] Whose hospital is it? The potential of the ethnographic approach in the study of patient-centered medicine
Original languageItalian
Title of host publicationAtti del Congresso della Sezione AIP Psicologia sociale (Padova 26-28 settembre 2013) ABITARE ZONE DI CONFINE: INCONTRI POSSIBILI TRA LA PSICOLOGIA SOCIALE, PSICOLOGIA DEL LAVORO E DELLE ORGANIZZAZIONI, TRA ACCADEMIA E REALTÀ SOCIALE
Pages6
Number of pages1
Publication statusPublished - 2013
EventCongresso delle sezioni di Psicologia per le organizzazioni e Psicologia sociale ABITARE ZONE DI CONFINE: INCONTRI POSSIBILI TRA LA PSICOLOGIA SOCIALE, PSICOLOGIA DEL LAVORO E DELLE ORGANIZZAZIONI, TRA ACCADEMIA E REALTÀ SOCIALE - Padova
Duration: 26 Sep 201328 Sep 2013

Conference

ConferenceCongresso delle sezioni di Psicologia per le organizzazioni e Psicologia sociale ABITARE ZONE DI CONFINE: INCONTRI POSSIBILI TRA LA PSICOLOGIA SOCIALE, PSICOLOGIA DEL LAVORO E DELLE ORGANIZZAZIONI, TRA ACCADEMIA E REALTÀ SOCIALE
CityPadova
Period26/9/1328/9/13

Keywords

  • etnografia
  • medicina centrata sul paziente

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