The Paediatric Clinic as Negotiated Social Space

The Paediatric Clinic as Negotiated Social Space

The Paediatric Clinic as Negotiated Social Space

The Paediatric Clinic as Negotiated Social Spaces

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Référence bibliographique [1976]

Fortin, Sylvie. 2008. «The Paediatric Clinic as Negotiated Social Space ». Anthropology & Medicine, vol. 15, no 3, p. 175-187.

Fiche synthèse

1. Objectifs

Intentions :
«Drawing on ongoing fieldwork in hospital wards (of both general and subspecialty paediatrics), this paper addresses the patient–physician relation as well as evolving clinical practices in a specialised hospital with a multi-ethnic clientele.» (p. 176)

2. Méthode

Échantillon/Matériau :
47 medical doctors
18 case studies of patients and their families

Instruments :
Guide d’entrevue
Grille d’observation

Type de traitement des données :
Analyse de contenu
Réflexion critique

3. Résumé

«Contemporary urban diversity combined with increasing specialisation in tertiary care, technological innovations, and complexity of pathologies, render patient–physician relations challenging for both patients and practitioners. Based on ongoing research in a university paediatric hospital in Montreal, this paper examines how patient–physician relations are played out in the space of the clinic in which a set of social, cultural, structural and asymmetrical relations intertwine. Through an ethnographic approach, which includes the observation of multidisciplinary clinical settings as well as interviews with clinicians and families (migrants and non-migrants), the paper examines how the ‘images’ of both the patient (his family) and the physician play an active role in the clinical encounter. Interpretations of parental attitudes by practitioners are linked to their perceived background within the local and institutional configuration of norms and values, including the notion of a ‘good parent’. This research problematises the concept of culture as it is engaged by clinicians (by excluding their own) and promotes reflection on an anthropologically informed clinical practice.» (p. 175)