Scandinavian Journal of Primary Health Care
Volume 13, Issue 1, 1995, Pages 59-64

Patients' stories: Science, clinical facts or fairy tales? (Article) (Open Access)

Naess M.H.* , Malterud K.
  • a Department of General Practice, University of Oslo. Markveien legesenter, Oslo, Norway
  • b Division for General Practice, Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway

Abstract

Objective - To explore potentials and attributes of the qualitative research interview as a tool for acquiring knowledge about illness. Design - A qualitative approach, comparing knowledge about consultations originating from 1) data from interviews with immigrant female patients, and 2) evaluative data from registration forms from the doctors. Setting and Subjects - 24 Pakistani female patients, recruited from the appointment list at a primary health care centre in central Oslo were interviewed in their homes. Evaluation forms were filled in by the ten physicians consulted. Main outcome measures - Illness knowledge derived from different communicative contexts. Contextual prerequisites suggest potential roads to the inquiry of illness applicable in the clinical context. Case stories - Patients' illness perspectives and resources were probably encouraged in the interview by means of discourse underlining the women's resources. This position may have emerged because the women were actually consulted by the interviewer. Dialogues actively seeking out the other person's illness perspective, as recommended in the qualitative interview, seem to encourage adequate exchange of medical information. Conclusion/Implications - Pursuing and modifying strategies from the qualitative interview for exploration of illness may contribute to clinical facts as well as scientific knowledge concerning illness. © 1995 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.

Author Keywords

Illness Qualitative research interview Communicative context Explanatory models Positioned subject

Index Keywords

doctor patient relation Pakistan perception Communication Barriers Norway human Ethnic Groups controlled study case report female Referral and Consultation clinical article Article adult case study Interviews Emigration and Immigration Medical History Taking Middle Age

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028948074&doi=10.3109%2f02813439508996736&partnerID=40&md5=2a80c24cf52f329b2f9d70a15e383fef

DOI: 10.3109/02813439508996736
ISSN: 02813432
Cited by: 2
Original Language: English