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The Swenoteca Medical Care Program as a Resource for Patients and Physicians
Department of Nursing Science, Trollhättan-Uddevalla University, Vänersborg.
2002 (English)In: Vård i Norden, ISSN 0107-4083, Vol. 22, no 2, 33-37 p.Article in journal (Refereed) Published
Abstract [en]

The overall aim is to investigate, from a communicative and interactive perspective, how physicians use the medical care program in dialogues with patients, and how patients use the program when they talk about their treatment and the disease, testicular cancer. Data consist of 23 patient-physician consultations and 23 interviews. The analysis was performed in stages. The results show that the physicians use the medical care program as an instrument in the dialogues and a structure for information when a patient is about to embark on a round of continued treatment after his operation. When the physician presents the course of treatment to the patient, he gives SWENOTECA as the reason for the choice. During the follow-up consultations, SWENOTECA is used as a basic framework for what should be checked from a medical point of view and as a structure to ensure that the checkups are performed. The medical care program seems to exert a strong influence on the men’s accounts during the interviews in terms of the medical terminology they use and as a structure for the course of the disease and for giving them a perspective of the future as well as hope.

Place, publisher, year, edition, pages
2002. Vol. 22, no 2, 33-37 p.
Keyword [en]
patient-physician interaction, communication, testicular cancer, medical care program
National Category
Social Sciences Interdisciplinary
URN: urn:nbn:se:liu:diva-79287OAI: diva2:540234
Available from: 2012-07-09 Created: 2012-07-09 Last updated: 2012-08-13Bibliographically approved
In thesis
1. Att drabbas av testikelcancer: En studie av män med behandlad testikelcancer och deras anhöriga
Open this publication in new window or tab >>Att drabbas av testikelcancer: En studie av män med behandlad testikelcancer och deras anhöriga
2000 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Contracting Testicular Cancer : A Study of Men with Medically Treated Testicular Cancer and Their Close Relatives
Abstract [en]

The aim of the thesis is to describe and analyse men's experience of testicular cancer, the interaction with caregivers during the course of the disease and in the subsequent medical care process and the attitude of close relatives during this period and how they describe their life during the medical care process.

The results reported in article I describe, on the basis of audio-taped dialogues between patients and physicians and interviews between patients and physicians, the impact the medical care program SWENOTECA has on the interaction between patient and physician and on how the patients experience their disease and the follow-up of care and treatment. As a result of the medical care program SWENOTECA, oncological care and treatment is framed in a structured care context which gives the patients a perspective of the future and very much influences their sense of safety and security. Article II describes how, in interviews, men reconstructed their discovery of a testicular tumour, how they express their thoughts about and attitudes towards cancer. The men have a functionally oriented approach to their body, which means that the ability to work and carry out their day-to-day duties is a more important sign that they are not ill than are individual physical changes in an organ. In article III, the audio-taped dialogues between patients and physicians have been analysed in order to determine how routinization in the dialogue affects the patient's ability to talk about sensitive subjects and bring up questions and problems on his own initiative. A consequence of the routinised medical care context is that follow-up consultations between patients and physicians focus on restoring trust in the value of the check-ups and the prospects of the disease being cured. In article IV, interviews with close relatives of men treated for testicular cancer are analysed. In these interviews, the parties discussed how cancer affected family life and daily routines as well as how relationships and closeness developed and what the future held. Testicular cancer is something that very much affects the men's close relatives. They do not regard themselves, or are regarded by others, as people with needs of their own and the sorrow and fear they feel results in social isolation during the period of the disease.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2000. 128 p.
Linköping Studies in Arts and Science, ISSN 0282-9800 ; 217
men, close relatives, testicular cancer, medical care program, oncological follow-up consultations, routinization, sensitivity, everyday life, Testikelcancer, Andrologi, Tumörer, Onkologi, Cancer
National Category
Social Sciences Interdisciplinary
urn:nbn:se:liu:diva-35329 (URN)26313 (Local ID)91-7219-835-4 (ISBN)26313 (Archive number)26313 (OAI)
Public defence
2000-10-06, Sal Elysion, Hus-T, Universitetsområdet Valla, Linköping, 13:15 (Swedish)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2014-08-27Bibliographically approved

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Sandén, Inger
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