Patient-Centered Care

Bell, Linda

doi:10.4037/ajcc2014383

Cited by 4 publications

(2 citation statements)

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“…Despite extensive usage of qualitative methods in health care studies, phenomenography has not been adequately promoted or considered, despite the fact that delivering appropriate care to patients according to their differences has been emphasized by the profession as a high priority goal (32,33). Therefore, phenomenography, because of its inherent properties, may be a means to reach that goal.…”

Section: Discussionmentioning

confidence: 99%

Phenomenography: A Missed Method in Medical Research

Assarroudi¹,

Heydari²

2016

Acta Facultatis Medicae Naissensis

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Research is an approach with which human beings can attempt to answer questions and discover the unknowns. Research methodology is something that is determined by the researcher's attitude toward the universe as well as by the question he is trying to answer. Some essential questions regarding the research process are: "What is the nature of reality?", "What is the nature of the relationship between the scholar and the subject of interest?", and "How can one understand the subject, and what are the methods?". Research approaches can be categorized as quantitative and qualitative. In the former, measurement, prediction, and control are the bases, while in the latter, exploring, describing, and explaining the phenomena are fundamental. Among qualitative research methods, phenomenography is one of the newest methods. However, in spite of proving to be useful in various disciplines, it has yet to become popular, and many scholars mistake it for phenomenology. The focus of phenomenography is on what is known as the second-order perspective and the different ways that people can experience the same phenomenon, while phenomenology primarily emphasizes the first-order perspective and the similar essences that are derived from various experiences. This article aims to provide a better understanding of phenomenography through explaining it and comparing it with phenomenology in order to facilitate its proper and timely application in medical studies. I NT ROD U CT I ONResearch and its diverse methodologies have a long history in human-related sciences and have contributed to the understanding of behaviors and ideas of human beings in complex and ever-changing situations (1). Many studies are done using experimental or quantitative methods, and they focus on observable aspects in order to measure, predict, and control the phenomenon of interest. But, many human behaviors are not measurable and predictable by the use of this approach. On the other hand, there are qualitative methods which emphasize exploring, describing, and explaining human behavior (2, 3), and these can be employed to study human behaviors with an approach that goes beyond quantification. These methods help scholars to understand thoughts, emotions, and behaviors of people in various situations and contexts (4, 5). One less known qualitative method is phenomenography which was first introduced by Ference Marton and his colleagues in 1970 (1, 6). This research method originated from studies that were done on educational psychology in Sweden's Gutenberg University. At that institute, the scholars were interested in qualitative evaluating of learning and thinking experiences (6) which eventually led to the development of the phenomenographic method (7).The term phenomenography consists of two Greek words: phainomenon which means becoming visible and luminous, and graphia which means describing something (8). This term was first introduced by Sonnemann in 1954, but the real momentum to develop phenomenography as a research approach did not begin until the 19...

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Section: Discussionmentioning

confidence: 99%

Phenomenography: A Missed Method in Medical Research

Assarroudi¹,

Heydari²

2016

Acta Facultatis Medicae Naissensis

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“…As the value of patient-centered care becomes more widely recognised around the world, particularly in multicultural migrant-receiving countries, research studies such as ours will improve understanding of cross-cultural similarities and differences in approaches to patient engagement and shared decisionmaking [153][154][155][156][157]. Recognizing differences in cultural perspectives among racialized immigrant patients, as well as their preferences for how they want to be involved in their own care and the factors that in uence provider-patient interactions, can provide healthcare providers with valuable insights [158,159].…”

Section: Implications For Practice and Policy Considerationsmentioning

confidence: 99%

“And who would question God?”: Patient engagement and healthcare decision-making of South-Asian older adults in the Canadian healthcare system

Chowdhury,

Tong,

Neiterman

et al. 2024

Preprint

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With the increase in ethnocultural diversity in the Canadian demographic landscape, it is imperative for healthcare providers and policy makers to understand the needs and preferences of racialized immigrant older adults. Previous research has shown that to increase patient satisfaction with care and lower treatment costs it is important to effectively involve patients in their care. However, we currently lack the understanding of how racialized immigrant older adults want to engage as patients, the factors that influence their involvement in their own care, and who they want involved in the decisions surrounding their care. To address this gap in the literature specifically for the South Asian community, one of Canada’s largest and fastest growing populations, our study aimed to understand South Asian older adults’ experiences with and approaches to patient engagement and shared decision-making. We conducted in-depth individual and dyadic interviews (n=28) in six languages, utilizing a multilingual cross-cultural qualitative approach. Our findings highlight the nuances of language and how miscommunication can arise even when patients and providers are conversing in the same language. Our study also found that patient engagement and shared decision-making, including the desire for family involvement, is heavily influenced by both culture and gender. Additionally, perceptions of patients regarding the status of physicians can have a notable influence on patient engagement, leading to an increased tendency for patients to agree with the physicians’ approach to care. These findings suggest that effective engagement between providers and patients require a tailored approach that extends beyond white-centric approaches to decision-making and communication.

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