首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Being Heard Exerting Influence or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients
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Being Heard Exerting Influence or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients

机译:听到施加影响力或知道如何玩游戏吗?客户参与社会和医疗保健专业人员和客户的期望

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摘要

Contemporary social and health care services exhibit a significant movement toward increasing client involvement in their own care and in the development of services. This major cultural change represents a marked shift in the client’s role from a passive patient to an active empowered agent. We draw on interaction-oriented focus group research and conversation analysis to study workshop conversations in which social and health care clients and professionals discussed “client involvement”. Our analysis focuses on the participants’ mutually congruent or discrepant views on the topic. The professionals and clients both saw client involvement as an ideal that should be promoted. Although both participant groups considered the clients’ experience of being heard a prerequisite of client involvement, the clients deviated from the professionals in that they also highlighted the need for actual decision-making power. However, when the professionals invoked the clients’ responsibility for their own treatment, the clients were not eager to agree with their view. In addition, in analyzing problems of client involvement during the clients’ and professionals’ meta-talk about client involvement, the paper also shows how the “client involvement” rhetoric itself may, paradoxically, sometimes serve to hinder here-and-now client involvement.
机译:当代的社会和医疗保健服务展示了一项重要的运动,旨在增加客户在自己的照顾和服务发展中。这一主要的文化变革代表了客户从被动患者到积极赋权的代理人的角色转变。我们利用以互动为导向的焦点小组研究和对话分析,以研究社会和医疗保健客户和专业人士讨论“客户参与”的研讨会对话。我们的分析侧重于参与者对该主题的相互全等或差异的观点。专业人士和客户都认为客户受累是应该促进的理想。虽然两个参与者团体都认为客户的经验被录取了客户参与的先决条件,但客户偏离专业人士的客户也强调了对实际决策权的需求。但是,当专业人员援引客户对自己的待遇责任时,客户并不急于同意他们的观点。此外,在分析客户在客户和专业人士的荟萃谈论客户参与期间的问题的情况下,本文还表明了“客户参与”修辞本身如何矛盾,有时会用于在这里妨碍 - 现在的客户参与。

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