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Negotiating Health Care
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Negotiating Health Care
The Social Context of Chronic Illness

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Public Health
March 1993 | 280 pages | SAGE Publications, Inc
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The findings of a large qualitative research project which studied the experiences of the chronically ill within the health care system are presented here. Thorne demonstrates the vast difference between chronic and acute illness in terms of their social and health care consequences.

The book is divided into three sections: the first examines how patients handle the onset of diseases and acute episodes; the second explores the relationship with health care providers; and the final part focuses on the 'system' with its sociocultural and organizational agenda. The concluding chapter proposes future directions for health care organization, biomedical technology and social policy.

 
Background to the Chronic Illness Experience
 
PART ONE: THE INDIVIDUAL EXPERIENCE
 
Onset and Diagnosis
 
Acuity and Chronicity
 
Normalcy and Visibility
 
PART TWO: THE INTERPERSONAL EXPERIENCE
 
Relationships With Health Care Providers
 
Trust and Confidence
 
PART THREE: THE INSTITUTIONAL EXPERIENCE
 
Confrontations With the Health Care System
 
Politics and Ideology
 
Response and Resolution
 
The Course Ahead

Sally E. Thorne, PhD, RN, FCAHS

Sally Thorne, RN, PhD, FAAN, FCAHS, is a Professor and former Director of the School of Nursing at the University of British Columbia, where she currently also holds the position of Associate Dean of Applied Science. She has a longstanding research program in the field of patient experience and relational practice in chronic illness and cancer care in addition to a body of scholarly work in the philosophy of science, the nature of evidence, and applied qualitative methodology. She is author of four books, including a popular qualitative research text on Interpretive Description. She has an extensive record of peer reviewed journal... More About Author

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ISBN: 9780803949188
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