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Patients as team members: opportunities, challenges and paradoxes of including patients in multi-professional healthcare teams

By Graham P. Martin and Rachael Finn

Abstract

Current healthcare policy emphasises the need for more collaborative, team-based approaches to providing care, and for a greater voice for service users in the management and delivery of care. Increasingly, policy encourages ‘partnerships’ between users and professionals so that users, too, effectively become team members. In examining this phenomenon, this paper draws on insights from the organisational-sociological literature on team work, which highlights the challenges of bringing together diverse professional groups, but which has not, to date, been applied in contexts where users, too, are included in teams. Using data from a qualitative study of five pilot cancer-genetics projects, in which service users were included in teams responsible for managing and developing new services, it highlights the difficulties involved in making teams of such heterogeneous members—and the paradoxes that arise when this task is achieved. It reveals how the tension between integration and specialisation of team members, highlighted in the literature on teams in general, is especially acute for service users, the distinctiveness of whose contribution is more fragile, and open to blurring.Peer-reviewedPost-prin

Topics: team, collaboration, partnership, patient and public participation (PPI), user involvement, trust, National Health Service (NHS), England
Publisher: Blackwell Publishing
Year: 2011
DOI identifier: 10.1111/j.1467-9566.2011.01356.x
OAI identifier: oai:lra.le.ac.uk:2381/10028
Journal:

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Citations

  1. (2004). A sociological perspective on public participation in health care, doi
  2. (1997). Accomplishing team: teamwork and categorisation in two community mental health teams, Sociological Review, doi
  3. (1995). An analysis of the concept of participation within the context of health care planning, doi
  4. and Reedy,P. (2010a) Some unintended effects of teamwork in healthcare, doi
  5. (2003). Breaking down barriers: integrating health and care services for older people in England, Health Policy, doi
  6. (1989). Building theories from case study research, doi
  7. (1999). Community participation and citizenship in British health care planning: narratives of power and involvement in the changing welfare state, Sociology of Health and Illness, doi
  8. (2001). Consumer participation in health policy decisions: empowerment or puffery? doi
  9. (2003). Deliberations about deliberative methods: issues in the design and evaluation of public participation processes, doi
  10. (1994). Developmental processes of cooperative interorganizational relationships, doi
  11. (2009). Girls‘ working together without ‗teams‘: How to avoid the colonization of management language, Human Relations, doi
  12. (2006). Good medical practice. doi
  13. (2008). High quality care for all. London: The Stationery Office.
  14. (2005). Idealistic and pragmatic versions of the discourse of partnership, doi
  15. (1993). Lay participation in health care decision making: a conceptual framework, doi
  16. (2009). Leadership, service reform, and public-service networks: the case of cancer-genetics pilots in the English NHS, doi
  17. (2001). Learning from
  18. (2007). Managing risk: Risk perception, trust and control in a Primary Care Partnership, doi
  19. (2008). Ordinary people only‘: representativeness, knowledge, and the publics of public participation in healthcare, doi
  20. (2004). Patients or partners? Case studies of user involvement in the planning and delivery of adult mental health services in London. doi
  21. (2007). Power, participation and political renewal. doi
  22. (1980). Problems of teamwork in primary care.
  23. (2008). Representativeness, legitimacy and power in public involvement in healthcare management, doi
  24. (2003). Strengthening accountability: policy guidance.
  25. (1998). Structure and meaning in multidisciplinary teamwork, doi
  26. (2009). Taking teams seriously in the co-creation of economic agency: towards an organizational sociology of teams. doi
  27. (2010). Team work in context: institutional mediation in the public-service professional bureaucracy, Organization Studies, doi
  28. (2000). Teamworking in its context(s): Antecedents, nature and dimensions. Human Relations,
  29. (2008). The integration of chiropractors into healthcare teams: a case study from sport medicine, doi
  30. (2008). The language of teamwork: reproducing professional divisions in the operating theatre, Human Relations, doi
  31. (1997). Thinking teams thinking clients: issues of discourse and representation in the work of health care teams, doi
  32. (2000). Trust and inter-organizational networking, Human Relations,
  33. (2001). Trust, control, and risk in strategic alliances: an integrated framework, Organization Studies, doi
  34. (1998). Which champions, which people? Public and user involvement in health care as a technology of legitimation, doi
  35. (2005). Working brief 5.

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