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A framework for doing person-centred health research

Stephen Buetow

Abstract


Andrew Miles and Juan Mezzich have called for immediate action in the design, development and implementation of research methodologies to translate the philosophy of person‑centred medicine into routine health practice.   This paper responds to that clarion call by taking the first step of sketching an integrated conceptual framework for evaluating the person‑centredness of different study designs and facilitating the conscious practice of person-centred health research in order to advance knowledge and improve health outcomes.  From the assumption that person-centred research is most comfortably anti-realist, I have schematically mapped the person-centredness of individual study designs against the personhood of the study participants and the personhood of the researcher respectively.  The person-centredness of these designs is assessed through a criteria sieve, including a 5-Cs framework, and deemed to be strengthened by designs that are case-oriented, co-constructed, caring, contextualized and complete.  Strongly person-centred research is suited to clinical settings including family practice, but it can be productively mixed with study designs that are weakly person-centred, for example through approaches that are dialectical or are pragmatic. The next step is to review and refine my framework, before using it to inform and assess the design and practice of health research, policy and personal and public health care.  

 


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References


. Miles, A. and Mezzich, J. (2011). Advancing the global communication of scholarship and research for personalized healthcare. International Journal of Person Centered Medicine 1(1), 1-5.

. Hunt, C. and Sampson, F. (2006). Writing. Self and reflexivity. Houndmills: Palgrave.

. Davis, J. and Klaes, M. (2003). Reflexivity: curse or cure? Journal of Economic Methodology 10(3), 329-352.

. Walters, J. (1997). What is a person? Champaign, Il: University of Illinois Press.

. Burkitt, I. (1998). Bodies of knowledge: Beyond cartesian views of persons, selves and mind. Journal for the Theory of Social Behaviour 28, 63-82.

. Sheiner, L.B. and Rubin, D. B. (1995). Intention to treat analysis and the goals of clinical trials. Clinical Pharmacology and Therapeutics 57, 6-15.

. Barker, P. (2000). Reflections on caring as a virtue ethic within an evidence based culture. International Journal of Nursing Studies 37, 329-336.

. Jones, S. (2005). Autoethnography. In: The Sage Handbook of Qualitative Research (eds. N. Denzin and Y. Guba), pp. 763-791. Sage Publications: Thousand Oaks, CA.

. McWhinney, I. (1997) A Textbook of Family Medicine. New York: Oxford University Press.

. Olesen, F. and Vedsted, P. (2007). Family medicine should redefine its essential attributes: affirmative position. In: Ideological Debates in Family Medicine (eds. S. Buetow and T. Kenealy), pp. 13-23. Nova Biomedical: New York.

. Svab, I. and Van Weel, C. (2007). Family medicine should redefine its essential attributes: Negative position. In: Ideological Debates in Family Medicine (eds. S. Buetow and T. Kenealy), pp. 25-33. Nova Biomedical: New York.

. Howe, K. (1988). Against the quantitative-qualitative incompatibility thesis, or Dogmas die hard. Educational Researcher 17, 10-16.

. Greene, J. (2007). Mixed methods in social inquiry. San Francisco: Wiley.

. Ritzer, G. and Goodman, D. (2004). Modern Sociological Theory. Boston: McGraw Hill.

. Baker, C., Wuest, J. and Stern, P. (1992). Method slurring: the grounded theory/phenomenology example. Journal of Advanced Nursing 17, 1355 1360.




DOI: http://dx.doi.org/10.5750/ijpcm.v1i2.78

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