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'In the hospital all is taken care of': A practice-theoretical approach to understand patients' medication use
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-8782-0751
Linköping University, Department of Thematic Studies, Department of Child Studies. Linköping University, Faculty of Arts and Sciences.ORCID iD: 0000-0003-0587-3399
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0001-5066-8728
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Primary Health Care in Central County.ORCID iD: 0000-0001-9116-8156
2019 (English)In: Sociology of Health and Illness, ISSN 0141-9889, p. 1-15Article in journal (Refereed) Epub ahead of print
Abstract [en]

Drawing from case examples of medication review implementation in three hospital settings in Sweden, this article examines patients’ medication use. Based on a practice theory approach and utilising data from interviews with patients and participant observation, we reconstruct three practices of everyday medication use centring on accepting, challenging or appropriating medication orders. This article argues that patients’ medication practices are embedded in wider practice arrangements that afford different modes of agency. Reconceptualising patients’ medication use from a practice‐based perspective revealed the meaning‐making, order‐producing and identity‐forming features of these practices. Also, we illustrated how different modes of agency were achieved in patients’ medication practices, suggesting a fluidity of both the meanings attached to and the identities related to medication use. Our findings have practical implications as these practices of medication use can be transformed when altering the arrangements they are embedded in, thus going beyond the clinical encounter.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2019. p. 1-15
Keywords [en]
practice theory, medication use, qualitative methods, hospital ethnography, agency
National Category
Sociology
Identifiers
URN: urn:nbn:se:liu:diva-161290DOI: 10.1111/1467-9566.12985PubMedID: 31423622Scopus ID: 2-s2.0-85070810146OAI: oai:DiVA.org:liu-161290DiVA, id: diva2:1366498
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-4657Medical Research Council of Southeast Sweden (FORSS), 476971, 568651Region Östergötland, 533151, 626451Available from: 2019-10-29 Created: 2019-10-29 Last updated: 2019-11-05Bibliographically approved

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Reichenpfader, UrsulaWickström, AnetteAbrandt Dahlgren, MadeleineCarlfjord, Siw

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Reichenpfader, UrsulaWickström, AnetteAbrandt Dahlgren, MadeleineCarlfjord, Siw
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Division of Community MedicineFaculty of Medicine and Health SciencesDepartment of Child StudiesFaculty of Arts and SciencesPrimary Health Care in Central County
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