Life in the Hospital: A Review
Milbank Quarterly. 1993; 71(1): 167-185.
Conclusion: I have attempted to make explicit a number of observations that I believe are implicit in research on life in hospitals. I have suggested that a research agenda animated by what we might think of as "humanistic" concerns -- in particular, with the felt experience of the hospitalized patient -- may have become irrelevant. Not only are such concerns seemingly less consequential for health outcomes, but also the potential audience for research driven by such concerns (physicians, nurses, and hospital administrators) meets that research with studied and systematic indifference. I have suggested as well that there is an important place for a new type of patient-centered hospital ethnography. Rather than making the patient's felt experience a central focus, this new ethnography reintroduces the patient as a central participant in medical decisions. Moreover, this new focus provides an entree to the process by which attempts at reforms and redirection of the hospital are translated into actual practice.
Administrators; Bioethics; Chronically Ill; Communication; Consent; Decision Making; Diagnosis; Disclosure; Economics; Education; Health; Health Care; Health Services; Health Services Research; Hospitals; Informed Consent; Intensive Care Units; Legal Aspects; Life; Medical Education; Medicine; Nurses; Patient Care; Patient Participation; Patients; Patients' Rights; Physician Patient Relationship; Physician's Role; Physicians; Professional Patient Relationship; Remuneration; Research; Research Design; Review; Rights; Social Sciences; Sociology; Sociology of Medicine;
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