Please use this identifier to cite or link to this item: https://hdl.handle.net/1889/4066
Full metadata record
DC FieldValueLanguage
dc.contributor.advisorSarli, Leopoldo-
dc.contributor.advisorArtioli, Giovanna-
dc.contributor.authorDíaz Crescitelli, Matías Eduardo-
dc.date.accessioned2020-04-18T10:44:20Z-
dc.date.available2020-04-18T10:44:20Z-
dc.date.issued2020-03-
dc.identifier.urihttp://hdl.handle.net/1889/4066-
dc.description.abstractRationale: For patients, therapy has a stronger meaning than prescriptions. Context background: 50% of patients do not use their medications as recommended. This entails a significant increase in costs for health services, premature deaths, and hospitalizations. Research question: The research question explored “What factors contribute to the construction of therapeutic discordance between physician and patient in relation to the loss of meaning of a pharmacological treatment?”. Method: We adopted Charmaz's constructivist Grounded Theory, involving 42 participants (16 patients, 5 relatives, and 21 health care professionals). Results: The core category emerged is called "neglecting the relationship", and allows to understand and focus the main categories (non-negotiating contract; substituting the other; avoiding the conflict and being emotionally involved) in a conceptual framework. Conclusions: Therapeutic discordance theory is part of the concordance debate, highlighting the implicated factors that bring to light a negative result of the relational process between doctor and patient. Recommendations: The emerged knowledge of the factors involved in the therapeutic discordance can be useful to spread in training courses for physicians and medical students, a category that sees in training programs a strongly biomedical, centred imprint on illness, and often not centred on the person, family, and society.it
dc.language.isoIngleseit
dc.publisherUniversità degli studi di Parma. Dipartimento di Medicina e chirurgiait
dc.relation.ispartofseriesDottorato di ricerca in Scienze chirurgiche e microbiologia applicatait
dc.rights© Matías Eduardo Díaz Crescitelli, 2020it
dc.subjectTherapeutic Discordanceit
dc.subjectGrounded Theoryit
dc.subjectQualitative Health Researchit
dc.subjectPhysician - patient relationshipit
dc.subjectTherapeutic Relationshipit
dc.titleFactors involved in therapeutic discordance in physician and patient relationship: a grounded theory studyit
dc.typeDoctoral thesisit
dc.subject.miurMED/18it
Appears in Collections:Scienze chirurgiche, Tesi di dottorato

Files in This Item:
File Description SizeFormat 
RELAZIONE FINALE DOTTORATO - DIAZ CRESCITELLI MATIAS EDUARDO.pdf
  Until 2100-01-01
RELAZIONE FINALE DOTTORATO - DIAZ CRESCITELLI MATIAS EDUARDO539.17 kBAdobe PDFView/Open Request a copy
Díaz Crescitelli Matías Eduardo - Factors involved in therapeutic discordance in physician and patient relationship a Grounded Theory study - PhD Thesis.pdfDíaz Crescitelli Matías Eduardo - Factors involved in therapeutic discordance in physician and patient relationship a Grounded Theory study - PhD Thesis1.45 MBAdobe PDFView/Open


This item is licensed under a Creative Commons License Creative Commons