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'I'm an expert in me and I know what I can cope with': patient expertise in rheumatoid arthritis
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Sanderson, Tessa and Angouri, Jo (2013) 'I'm an expert in me and I know what I can cope with': patient expertise in rheumatoid arthritis. Communication and Medicine, 10 (3). pp. 249-261. doi:10.1558/cam.v10i3.249 ISSN 1612-1783.
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Official URL: http://dx.doi.org/10.1558/cam.v10i3.249
Abstract
The active involvement of patients in decision-making and the focus on patient expertise in managing chronic illness constitutes a priority in many healthcare systems including the NHS in the UK. With easier access to health information, patients are almost expected to be (or present self) as an 'expert patient' (Ziebland 2004). This paper draws on the meta-analysis of interview data collected for identifying treatment outcomes important to patients with rheumatoid arthritis (RA). Taking a discourse approach to identity, the discussion focuses on the resources used in the negotiation and coconstruction of expert identities, including domain-specific knowledge, access to institutional resources, and ability to self-manage. The analysis shows that expertise is both projected (institutionally sanctioned) and claimed by the patient (self-defined). We close the paper by highlighting the limitations of our pilot study and suggest avenues for further research.
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine | ||||
| Divisions: | Faculty of Social Sciences > Centre for Applied Linguistics | ||||
| Library of Congress Subject Headings (LCSH): | Chronically ill, Rheumatoid arthritis | ||||
| Journal or Publication Title: | Communication and Medicine | ||||
| Publisher: | Equinox Publishing Ltd. | ||||
| ISSN: | 1612-1783 | ||||
| Official Date: | 2013 | ||||
| Dates: |
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| Volume: | 10 | ||||
| Number: | 3 | ||||
| Number of Pages: | 13 | ||||
| Page Range: | pp. 249-261 | ||||
| DOI: | 10.1558/cam.v10i3.249 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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