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The reasonable patient - A Swedish discursive construction.

Åse Boman1, Elisabeth Dahlborg1, Henrik Eriksson1,2,3

  • 1Department of Health Sciences, University West, Trollhattan, Sweden.

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This study analyzed Swedish cancer patient information, revealing a "reasonable patient" norm shaped by informed consent. This norm, while seemingly empowering, may actually facilitate patient control and management.

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Area of Science:

  • Medical Sociology
  • Health Communication
  • Discourse Analysis

Background:

  • Patient information is crucial for healthcare.
  • Understanding the social construction of patients is vital.
  • Digital health technologies are changing patient roles.

Purpose of the Study:

  • To analyze how patients are constructed and positioned in Swedish online cancer information.
  • To identify the dominant patient norm within this information.
  • To explore the implications of this construction for power dynamics.

Main Methods:

  • Corpus-assisted critical discourse analysis.
  • Analysis of 56 Swedish online patient information texts about cancer.
  • Examination of a corpus of 126,711 words.

Main Results:

  • An overarching discourse of informed consent constructs a "reasonable patient" norm.
  • The "reasonable patient" is characterized as receptive, emotionally restrained, and information-driven.
  • This norm, while aiming to balance power, may serve to manage patients more effectively.

Conclusions:

  • The concept of the patient role requires reconsideration due to digital health integration.
  • Nursing research should investigate the power dynamics embedded in health-related language.
  • The study highlights methodological and empirical avenues for analyzing patient construction in healthcare communication.