Rhetorics of Self-Disclosure

Novotny, Maria; Hertogh, Lori Beth De

doi:10.4324/9780429201165-8

Cited by 1 publication

(1 citation statement)

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“…More attention has been paid to infertility patients’ experiences (Greil et al, 2009) and patient activism (Gunnarsson Payne and Korolczuk, 2016; Novotny and De Hertogh, 2019). Patient-centred medicine is also important to IVF professionals (Streisfield et al, 2015).…”

Section: Contextualising Fertility Carementioning

confidence: 99%

Accounting for complexity in healthcare innovation debates: Professional views on the use of new IVF treatments

Geampana

Perrotta

2022

Health (London)

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Social scientists have long been interested in the forces and values driving healthcare innovation. The simultaneous rise of 20th century healthcare reforms, increased importance of evidence and upsurge in lay health activism have shaped modern medicine. On this backdrop, fertility care emerged in the 1970s. Recent developments reveal a contentious relationship between new fertility treatments and clinical evidence, with emerging technologies being used without conclusive evidence of effectiveness despite being sold to patients. Initial critiques of this phenomenon emphasise commercial interests as the culprit, suggesting that the problematic use of unproven treatments is mainly driven by the private sector. Here, we challenge this over-simplified view of IVF care. Drawing on a qualitative analysis of key documents and 43 in-depth professional interviews, this article identifies three main stakeholder approaches to new treatment adoption. We argue that viewpoints are anchored within three critical overarching ‘modes of coordination’ or core values in modern healthcare: efficiency, effectiveness and patient-centeredness. This analysis encourages a more contextualised overview of fertility care than previous literatures have afforded. The IVF case shows that an emphasis on private versus public clinic practices obscure similarities between the two along with the values motivating healthcare professionals’ approaches to new treatments.

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