title: Traditional and new forms of patient expertise: Together with doctors or versus them?
metadata.name: dc.contributor.author
metadata.value: Ivanova, Anastasia A.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2024-06-06T19:21:43Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2024-06-06T19:21:43Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2023-12
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Ivanova A. A. Traditional and new forms of patient expertise: Together with doctors or versus them? Vestnik of Saint Petersburg University. Sociology, 2023, vol. 16, issue 4, pp. 458–474. https://doi.org/10.21638/spbu12.2023.407 (In Russian)
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: https://doi.org/10.21638/spbu12.2023.407
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/45548
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: The article outlines and discusses two opposite perspectives of medical practitioners in relation
  to patients’ attempts to form lay medical expertise. The author conceptualizes these two
  approaches as thought styles and the corresponding communities of doctors as “thought collectives”
  (L. Fleck). The two thought styles are distinguished based on four characteristics: attitudes
  towards interaction with patients, particular ways of making sense of alternative forms
  of expertise, strategies for resolving conflicts with patients, and outlooks on professional
  knowledge and its place outside the medical community. One of the thought collectives —
  monopolization collective — is committed to a paternalistic model of medical care, and the
  corresponding style of thought does not allow noticing and acknowledging patient expertise.
  Patients’ attempts at joining the professional medical rationale are resisted by these medical
  professionals, and in situations of disagreement or conflicts doctors use a closed strategy for their resolution. Physicians from monopolization collective are skeptical about translating
  medical knowledge outside of practitioners. In contrast, doctors who adopt a co-construction
  thought style follow the logic of partnership when interacting with patients. Such a style allows
  medical practitioners to recognize the value in patient expertise and include it in a dialogue
  and disease management. When conflicts and differences of opinions arise, doctors follow
  open and intermediate strategies for their resolution, which implies additional efforts to build
  communication with patients. At the same time, there is a clear demand from this collective
  for the creation of high-quality popular science and educational materials for patients. High
  quality translation of medical knowledge is seen as a necessary means of including patients in
  productive co-production of expertise.
metadata.lang: en_GB
metadata.name: dc.description.sponsorship
metadata.value: The study was supported by Russian Foundation for Basic Research (RFBR) and the Ministry of
  Science and Technology (Taiwan), project no. 21-511-52002.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: ru
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Sociology;Volume 16; Issue 4
metadata.lang: -
metadata.name: dc.subject
metadata.value: sociology of medicine
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: sociology of expertise
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: lay expertise
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: doctor — patient interaction
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: style of thought
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: online sources
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: Traditional and new forms of patient expertise: Together with doctors or versus them?
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 07.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/45548/1/07.pdf
resources.format: Adobe PDF
resources.size: 853,05 kB