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https://hdl.handle.net/1889/4066
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DC Field | Value | Language |
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dc.contributor.advisor | Sarli, Leopoldo | - |
dc.contributor.advisor | Artioli, Giovanna | - |
dc.contributor.author | Díaz Crescitelli, Matías Eduardo | - |
dc.date.accessioned | 2020-04-18T10:44:20Z | - |
dc.date.available | 2020-04-18T10:44:20Z | - |
dc.date.issued | 2020-03 | - |
dc.identifier.uri | http://hdl.handle.net/1889/4066 | - |
dc.description.abstract | Rationale: 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.iso | Inglese | it |
dc.publisher | Università degli studi di Parma. Dipartimento di Medicina e chirurgia | it |
dc.relation.ispartofseries | Dottorato di ricerca in Scienze chirurgiche e microbiologia applicata | it |
dc.rights | © Matías Eduardo Díaz Crescitelli, 2020 | it |
dc.subject | Therapeutic Discordance | it |
dc.subject | Grounded Theory | it |
dc.subject | Qualitative Health Research | it |
dc.subject | Physician - patient relationship | it |
dc.subject | Therapeutic Relationship | it |
dc.title | Factors involved in therapeutic discordance in physician and patient relationship: a grounded theory study | it |
dc.type | Doctoral thesis | it |
dc.subject.miur | MED/18 | it |
Appears in Collections: | Scienze chirurgiche. Tesi di dottorato |
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File | Description | Size | Format | |
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RELAZIONE FINALE DOTTORATO - DIAZ CRESCITELLI MATIAS EDUARDO.pdf Until 2100-01-01 | RELAZIONE FINALE DOTTORATO - DIAZ CRESCITELLI MATIAS EDUARDO | 539.17 kB | Adobe PDF | View/Open Request a copy |
Díaz Crescitelli Matías Eduardo - Factors involved in therapeutic discordance in physician and patient relationship a Grounded Theory study - PhD Thesis.pdf | Díaz Crescitelli Matías Eduardo - Factors involved in therapeutic discordance in physician and patient relationship a Grounded Theory study - PhD Thesis | 1.45 MB | Adobe PDF | View/Open |
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