Co-production as a resolution to authoritarian attitudes in healthcare

Healthcare services should be provided according to contemporary ethical norms that require patients’ active engagement in all the relevant processes. However, authoritarian attitudes and behaviors in healthcare, one of which is paternalism, put patients in a passive role. But, as Avedis Donabedian...

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Bibliographic Details
Main Author: Avci, Ercan (Author)
Format: Electronic Article
Language:English
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Published: Sage 2023
In: Nursing ethics
Year: 2023, Volume: 30, Issue: 7/8, Pages: 1003-1010
Further subjects:B patients as co-producers
B equal partnership
B authoritarian attitudes
B Therapeutic Relationship
B Co-production
Online Access: Volltext (lizenzpflichtig)
Description
Summary:Healthcare services should be provided according to contemporary ethical norms that require patients’ active engagement in all the relevant processes. However, authoritarian attitudes and behaviors in healthcare, one of which is paternalism, put patients in a passive role. But, as Avedis Donabedian emphasizes, patients are co-producers of care, reformers of healthcare, informants, and definers and evaluators of quality. Overlooking these significant functions and merely focusing on physicians’ benevolence due to their medical knowledge and skills in the production of healthcare services would leave the fate of patients in the hands of clinicians and impose physicians’ hegemony on patients and their choices. Nevertheless, the concept of co-production is a practical and effective mechanism to redefine the language used in healthcare by recognizing patients as co-producers and equal partners. The application of co-production in healthcare would improve the therapeutic relationship, decrease ethical violations, and promote the patient’s dignity.
ISSN:1477-0989
Contains:Enthalten in: Nursing ethics
Persistent identifiers:DOI: 10.1177/09697330231169931