Lay knowledge, social movements and the use of medicines: Personal reflections
Lay knowledge, social movements and the use of medicines: Personal reflections
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DOI：
10.1177/1363459315619021
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发表时间：
2016-03-01
期刊：
影响因子：
2.1
通讯作者：
Maguire, Kath
中科院分区：
文献类型：
--
作者：
Britten, Nicky;Maguire, Kath
这篇文章包括两个关于过去20年来外行知识地位变化的个人思考。第一个反思是尼基·布里顿从一个在医学院工作的社会学家的角度提出的，他对这个话题的兴趣是由我个人的医疗保健和教授全科医生的经验激发的。从有问题的无知患者的赤字模型开始，我追溯了以患者为中心，共同决策，外行知识，公众参与研究和社会运动的文献。特别是在药品使用方面，我对在药品的许可、管理、处方和监测方面存在大量有据可查的问题的情况下，遵约概念继续占据主导地位表示遗憾。我认为，外行的知识，现在更认真地对待，而不是因为临床医生和学者的倡导，而是因为社会运动和社会行动。我们可能已经从轶事“转向生活经验”，但还有一段路要走，特别是在药物使用方面。最后，我想提出一个可能的未来情景。第二个反思是由Kath Maguire提出的，是从一个人的角度做出的回应，他来到这个领域工作的明确目的是改善与外行知识的接触。它质疑我自己的外行，并探讨了尼基布里顿提出的问题，使用透镜的生活经验。最后，它质疑社会运动的范式，并强调了发展不同倾听方式的重要性。
This article consists of two personal reflections about the changing status of lay knowledge over the last 20years. The first reflection is by Nicky Britten from the perspective of a sociologist working in medical schools whose interest in this topic was motivated by my own personal experience of health care and of teaching general practitioners. Starting with the problematic deficit model of ignorant patients', I trace the literature on patient-centredness, shared decision-making, lay knowledge, public involvement in research and social movements. Looking at medicines use in particular, I deplore the continued hegemony of the concept of compliance in the face of extensively documented problems with the licensing, regulation, prescribing and monitoring of medicines. I argue that lay knowledge is now taken more seriously, not so much because of advocacy by clinicians and academics, but because of social movements and social action. We may have moved from anecdotes' to lived experience' but there is still a way to go, particularly when it comes to medicines use. I end with a possible future scenario. The second reflection is by Kath Maguire and is a response from the perspective of someone who came to work in this field with the express purpose of improving engagement with lay knowledge. It questions my own layness' and explores the issues raised by Nicky Britten using the lens of lived experience. Finally, it questions the paradigm of social movements and highlights the importance of developing different ways of listening.