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Knowing what the patient wants: a hospital ethnography studying physician culture in shared decision making in the Netherlands.


ABSTRACT:

Objectives

To study physician culture in relation to shared decision making (SDM) practice.

Design

Execution of a hospital ethnography, combined with interviews and a study of clinical guidelines. Ten-week observations by an insider (physician) and an outsider (student medical anthropology) observer. The use of French sociologist Bourdieu's 'Theory of Practice' and its description of habitus, field and capital, as a lens for analysing physician culture.

Setting

The gynaecological oncology department of a university hospital in the Netherlands. Observations were executed at meetings, as well as individual patient contacts.

Participants

Six gynaecological oncologists, three registrars and two specialised nurses. Nine of these professionals were also interviewed.<

SUBMITTER: Spinnewijn L 

PROVIDER: S-EPMC7150589 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature