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Gestational Diabetes Testing, Narrative, and Medical Distrust.

Jennifer Edwell1, Jordynn Jack2

  • 1Department of English and Comparative Literature, University of North Carolina at Chapel Hill, 310 Greenlaw Hall CB#3520, Chapel Hill, NC, 27599, USA. jedwell@unc.edu.

Journal of Bioethical Inquiry
|December 23, 2016
PubMed
Summary

Scientific and patient narratives shape views on gestational diabetes (GDM) testing. Patients distrust medical authority when consensus is deferred, becoming protagonists in their health journey.

Keywords:
Medical narrativesPatient narrativesRhetoric of health and medicineTrust

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Area of Science:

  • Medical Sociology
  • Health Communication
  • Reproductive Health

Background:

  • The medical debate surrounding gestational diabetes (GDM) testing is influenced by differing narratives.
  • Understanding these narratives is crucial for effective patient-provider communication and trust.

Purpose of the Study:

  • To investigate how scientific and patient narratives impact perceptions of the GDM testing debate.
  • To analyze the construction of character and trust within these narratives.

Main Methods:

  • Qualitative analysis of scientific discourse and patient experiences related to GDM testing.
  • Examination of narrative trajectories, including the "deferred quest" and "Frankian quest."

Main Results:

  • Medical scientists frame GDM testing research as a "deferred quest" for future consensus.
  • Patients experiencing diagnostic uncertainty develop distrust and adopt a "Frankian quest" narrative, taking personal control.
  • Character construction is key in negotiating trust within both scientific and patient narratives.

Conclusions:

  • Healthcare providers should identify patients' narrative trajectories post-diagnosis.
  • Acknowledging the lack of medical consensus on GDM testing can build patient trust and encourage active participation in health decisions.