Patients’ conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety

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Patients’ conceptualizations of responsibility for healthcare : a typology for understanding differing attributions in the context of patient safety. / Heavey, Emily; Waring, Justin; De Brún, Aoife; Dawson, Pamela; Scott, Jason.

In: Journal of Health and Social Behavior, Vol. 60, No. 2, 01.06.2019, p. 188-203.

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@article{3e642baa89ed48bc92dc24f5b04d1809,
title = "Patients{\textquoteright} conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety",
abstract = "This study examines how patients conceptualize “responsibility” for their healthcare and make sense of the complex boundaries between patient and professional roles. Focusing on the specific case of patient safety, narrative methods were used to analyze semistructured interviews with 28 people recently discharged from hospital in England. We present a typology of attribution, which demonstrates that patients{\textquoteright} attributions of responsibility to staff and/or to patients are informed by two dimensions of responsibility: basis and contingency. The basis of responsibility is the reason for holding an individual or group responsible. The contingency of responsibility is the extent to which that attribution is contextually situated. The article contributes to knowledge about responsibility in complex organizational environments and offers a set of conceptual tools for exploring patients{\textquoteright} understanding of responsibility in such contexts. There are implications for addressing patient engagement in care, within and beyond the field of patient safety.",
keywords = "narrative, patient experience, patient safety, qualitative research, responsibility",
author = "Emily Heavey and Justin Waring and {De Br{\'u}n}, Aoife and Pamela Dawson and Jason Scott",
year = "2019",
month = jun,
day = "1",
doi = "10.1177/0022146519849027",
language = "English",
volume = "60",
pages = "188--203",
journal = "Journal of Health and Social Behavior",
issn = "0022-1465",
publisher = "American Sociological Association",
number = "2",

}

RIS

TY - JOUR

T1 - Patients’ conceptualizations of responsibility for healthcare

T2 - a typology for understanding differing attributions in the context of patient safety

AU - Heavey, Emily

AU - Waring, Justin

AU - De Brún, Aoife

AU - Dawson, Pamela

AU - Scott, Jason

PY - 2019/6/1

Y1 - 2019/6/1

N2 - This study examines how patients conceptualize “responsibility” for their healthcare and make sense of the complex boundaries between patient and professional roles. Focusing on the specific case of patient safety, narrative methods were used to analyze semistructured interviews with 28 people recently discharged from hospital in England. We present a typology of attribution, which demonstrates that patients’ attributions of responsibility to staff and/or to patients are informed by two dimensions of responsibility: basis and contingency. The basis of responsibility is the reason for holding an individual or group responsible. The contingency of responsibility is the extent to which that attribution is contextually situated. The article contributes to knowledge about responsibility in complex organizational environments and offers a set of conceptual tools for exploring patients’ understanding of responsibility in such contexts. There are implications for addressing patient engagement in care, within and beyond the field of patient safety.

AB - This study examines how patients conceptualize “responsibility” for their healthcare and make sense of the complex boundaries between patient and professional roles. Focusing on the specific case of patient safety, narrative methods were used to analyze semistructured interviews with 28 people recently discharged from hospital in England. We present a typology of attribution, which demonstrates that patients’ attributions of responsibility to staff and/or to patients are informed by two dimensions of responsibility: basis and contingency. The basis of responsibility is the reason for holding an individual or group responsible. The contingency of responsibility is the extent to which that attribution is contextually situated. The article contributes to knowledge about responsibility in complex organizational environments and offers a set of conceptual tools for exploring patients’ understanding of responsibility in such contexts. There are implications for addressing patient engagement in care, within and beyond the field of patient safety.

KW - narrative

KW - patient experience

KW - patient safety

KW - qualitative research

KW - responsibility

UR - http://www.scopus.com/inward/record.url?scp=85067338257&partnerID=8YFLogxK

UR - https://europepmc.org/article/MED/31113253

U2 - 10.1177/0022146519849027

DO - 10.1177/0022146519849027

M3 - Article

C2 - 31113253

AN - SCOPUS:85067338257

VL - 60

SP - 188

EP - 203

JO - Journal of Health and Social Behavior

JF - Journal of Health and Social Behavior

SN - 0022-1465

IS - 2

ER -