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Standard tools for non-standard care: The values and scripts of a person-centred assessment protocol.

Journal article
Authors Doris Lydahl
Published in Health (London, England : 1997)
Pages 1363459319851541
ISSN 1461-7196
Publication year 2019
Published at Department of Sociology and Work Science
Pages 1363459319851541
Language en
Links dx.doi.org/10.1177/1363459319851541
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Technology and social change, Sociology (excluding Social Work, Social Psychology and Social Anthropology)

Abstract

This article uses a material semiotic perspective to study a highly influential model of healthcare policy and practice today: person-centred care. While person-centred care is often regarded as implying a turn away from technology and standardization towards more humanistic values in care, this article shows that mundane standardization technologies, such as an assessment protocol, are integral components of person-centred care. Building on interviews and observational studies at a Swedish hospital introducing person-centred care, the article analyses the person-centred protocol in situ. The article teases out three core concerns inscribed in the protocol: a concern for the patient experience and perspective, a valuing of evidence-based knowledge and a managerial imperative. The article illustrates how these contrasting values were rendered compatible through the continuous tinkering of healthcare professionals. Finally, it shows how users modified the script of the protocol under analysis and how relations between the three core concerns were adjusted in the process. The article concludes that tinkering and user-technology relations are of significance for the fate of person-centred care at large.

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