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  • 标题:Taking Responsibility
  • 本地全文:下载
  • 作者:Susanne Brandner ; Wiebke Stritter ; Jacqueline Müller-Nordhorn
  • 期刊名称:Anthropology in Action
  • 印刷版ISSN:0967-201X
  • 电子版ISSN:1752-2285
  • 出版年度:2017
  • 卷号:24
  • 期号:1
  • 页码:41-48
  • DOI:10.3167/aia.2017.240107
  • 摘要:A bstract Patient-related diagnostic delay has been established as an analytical category in cancer research. This category has come under critique because it postulates linear cause-and-effect explanations of delayed care-seeking. These explanations are based on a one-dimensional idea of causality that neglects the processual character and the contextual situatedness of bodily experiences and care-seeking decisions. Using a notion of causality that is both process-oriented and context-sensitive, this article aims to understand ovarian cancer patients’ stories on delayed healthcare seeking. It uses data from a qualitative interview study that investigated ovarian cancer patients’ illness and healthcare-seeking experiences. We suggest that the interviewees’ retrospective perspective generated a multilayered notion of diagnostic delay that differs from the definition of patient-related delay commonly used in the literature. Our analysis shows how interviewees negotiate current social discourses on health and (social) responsibility, and thereby situate themselves and their healthcare seeking within a broader socio-economic and political context.
  • 关键词:causality;diagnostic delay;healthcare seeking;ovarian cancer;sensations;symptoms
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