Patients’ Conceptualizations of Responsibility for Healthcare: A Typology for Understanding Differing Attributions in the Context of Patient Safety

Emily Heavey, Justin Waring, Aoife De Brún, Pamela Dawson, Jason Scott

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This study examines how patients conceptualize “responsibility” for their healthcare and make sense of the complex boundaries between patient and professional roles. Focusing on the specific case of patient safety, narrative methods were used to analyze semistructured interviews with 28 people recently discharged from hospital in England. We present a typology of attribution, which demonstrates that patients’ attributions of responsibility to staff and/or to patients are informed by two dimensions of responsibility: basis and contingency. The basis of responsibility is the reason for holding an individual or group responsible. The contingency of responsibility is the extent to which that attribution is contextually situated. The article contributes to knowledge about responsibility in complex organizational environments and offers a set of conceptual tools for exploring patients’ understanding of responsibility in such contexts. There are implications for addressing patient engagement in care, within and beyond the field of patient safety.

LanguageEnglish
Pages188-203
Number of pages16
JournalJournal of Health and Social Behavior
Volume60
Issue number2
Early online date22 May 2019
DOIs
Publication statusPublished - 1 Jun 2019

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Patient Safety
Delivery of Health Care
Patient Participation
Professional Role
England
Interviews

Cite this

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Patients’ Conceptualizations of Responsibility for Healthcare : A Typology for Understanding Differing Attributions in the Context of Patient Safety. / Heavey, Emily; Waring, Justin; De Brún, Aoife; Dawson, Pamela; Scott, Jason.

In: Journal of Health and Social Behavior, Vol. 60, No. 2, 01.06.2019, p. 188-203.

Research output: Contribution to journalArticle

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