The use of narratives in medical work: a field study of physician-patient consultations

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

Standard

The use of narratives in medical work : a field study of physician-patient consultations. / Mønsted, Troels; Reddy, Madhu; Bansler, Jørgen P.

ECSCW 2011: Proceedings of the 12th European Conference on Computer Supported Cooperative Work24-28 September 2011, Aarhus, Denmark. ed. / Susanne Bødker; Niels Olof Bouvin; Volker Wulf; Luigina Ciolfi; Wayne Lutters. Springer, 2011. p. 81-100.

Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review

Harvard

Mønsted, T, Reddy, M & Bansler, JP 2011, The use of narratives in medical work: a field study of physician-patient consultations. in S Bødker, NO Bouvin, V Wulf, L Ciolfi & W Lutters (eds), ECSCW 2011: Proceedings of the 12th European Conference on Computer Supported Cooperative Work24-28 September 2011, Aarhus, Denmark. Springer, pp. 81-100, 12th European Conference on Computer Supported Cooperative Work, Århus, Denmark, 24/09/2011. https://doi.org/10.1007/978-0-85729-913-0_5

APA

Mønsted, T., Reddy, M., & Bansler, J. P. (2011). The use of narratives in medical work: a field study of physician-patient consultations. In S. Bødker, N. O. Bouvin, V. Wulf, L. Ciolfi, & W. Lutters (Eds.), ECSCW 2011: Proceedings of the 12th European Conference on Computer Supported Cooperative Work24-28 September 2011, Aarhus, Denmark (pp. 81-100). Springer. https://doi.org/10.1007/978-0-85729-913-0_5

Vancouver

Mønsted T, Reddy M, Bansler JP. The use of narratives in medical work: a field study of physician-patient consultations. In Bødker S, Bouvin NO, Wulf V, Ciolfi L, Lutters W, editors, ECSCW 2011: Proceedings of the 12th European Conference on Computer Supported Cooperative Work24-28 September 2011, Aarhus, Denmark. Springer. 2011. p. 81-100 https://doi.org/10.1007/978-0-85729-913-0_5

Author

Mønsted, Troels ; Reddy, Madhu ; Bansler, Jørgen P. / The use of narratives in medical work : a field study of physician-patient consultations. ECSCW 2011: Proceedings of the 12th European Conference on Computer Supported Cooperative Work24-28 September 2011, Aarhus, Denmark. editor / Susanne Bødker ; Niels Olof Bouvin ; Volker Wulf ; Luigina Ciolfi ; Wayne Lutters. Springer, 2011. pp. 81-100

Bibtex

@inproceedings{d1fd61e494ca4773b2ed127cfcdf81e8,
title = "The use of narratives in medical work: a field study of physician-patient consultations",
abstract = "Medical reasoning involves more than just summarizing clinical data andguidelines. Illness trajectories of chronic patients are often long, complex and full of uncertain information that requires interpretation. Understanding the complex interrelations is an important aspect of medical reasoning that displays narrative rather than scientific characteristics. While the qualities of the medical record as a repository of information or as a coordinative tool are well known, the role it plays in the unfolding of narratives in medical reasoning is less discussed. This paper examines this issue through a case study of patient consultations that take place as part of a distributed treatment of chronic heart patients. We found that the record, even though fragmented and to some extent incomplete, enables the physician to construct an ad hoc narrative.During the actual consultation, physicians and patients unfold a more detailed narrative, which we refer to as the re-emplotted narrative, that includes additional information and entails a collaborative exploration of uncertainties. While this may point to some inadequacies of the medical record as a supportive tool for the process of unfolding narrative, we suggest that is it in fact a crucial component of the medical reasoning activity that must be considered in design of supportive systems.",
author = "Troels M{\o}nsted and Madhu Reddy and Bansler, {J{\o}rgen P.}",
year = "2011",
doi = "10.1007/978-0-85729-913-0_5",
language = "English",
isbn = "978-0-85729-913-0",
pages = "81--100",
editor = "Susanne B{\o}dker and Bouvin, {Niels Olof} and Volker Wulf and Luigina Ciolfi and Wayne Lutters",
booktitle = "ECSCW 2011",
publisher = "Springer",
address = "Switzerland",
note = "12th European Conference on Computer Supported Cooperative Work, ECSCW 2011 ; Conference date: 24-09-2011 Through 28-09-2011",

}

RIS

TY - GEN

T1 - The use of narratives in medical work

T2 - 12th European Conference on Computer Supported Cooperative Work

AU - Mønsted, Troels

AU - Reddy, Madhu

AU - Bansler, Jørgen P.

N1 - Conference code: 12

PY - 2011

Y1 - 2011

N2 - Medical reasoning involves more than just summarizing clinical data andguidelines. Illness trajectories of chronic patients are often long, complex and full of uncertain information that requires interpretation. Understanding the complex interrelations is an important aspect of medical reasoning that displays narrative rather than scientific characteristics. While the qualities of the medical record as a repository of information or as a coordinative tool are well known, the role it plays in the unfolding of narratives in medical reasoning is less discussed. This paper examines this issue through a case study of patient consultations that take place as part of a distributed treatment of chronic heart patients. We found that the record, even though fragmented and to some extent incomplete, enables the physician to construct an ad hoc narrative.During the actual consultation, physicians and patients unfold a more detailed narrative, which we refer to as the re-emplotted narrative, that includes additional information and entails a collaborative exploration of uncertainties. While this may point to some inadequacies of the medical record as a supportive tool for the process of unfolding narrative, we suggest that is it in fact a crucial component of the medical reasoning activity that must be considered in design of supportive systems.

AB - Medical reasoning involves more than just summarizing clinical data andguidelines. Illness trajectories of chronic patients are often long, complex and full of uncertain information that requires interpretation. Understanding the complex interrelations is an important aspect of medical reasoning that displays narrative rather than scientific characteristics. While the qualities of the medical record as a repository of information or as a coordinative tool are well known, the role it plays in the unfolding of narratives in medical reasoning is less discussed. This paper examines this issue through a case study of patient consultations that take place as part of a distributed treatment of chronic heart patients. We found that the record, even though fragmented and to some extent incomplete, enables the physician to construct an ad hoc narrative.During the actual consultation, physicians and patients unfold a more detailed narrative, which we refer to as the re-emplotted narrative, that includes additional information and entails a collaborative exploration of uncertainties. While this may point to some inadequacies of the medical record as a supportive tool for the process of unfolding narrative, we suggest that is it in fact a crucial component of the medical reasoning activity that must be considered in design of supportive systems.

U2 - 10.1007/978-0-85729-913-0_5

DO - 10.1007/978-0-85729-913-0_5

M3 - Article in proceedings

SN - 978-0-85729-913-0

SP - 81

EP - 100

BT - ECSCW 2011

A2 - Bødker, Susanne

A2 - Bouvin, Niels Olof

A2 - Wulf, Volker

A2 - Ciolfi, Luigina

A2 - Lutters, Wayne

PB - Springer

Y2 - 24 September 2011 through 28 September 2011

ER -

ID: 37443568