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‘Keep complaining til someone listens’: Exchanges of tacit healthcare knowledge in online illness communities

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  • Foster, Drew

Abstract

This article examines online exchanges of advice and knowledge among patients. It draws a distinction between explicit healthcare knowledge (i.e., facts about symptoms and treatments) and tacit healthcare knowledge (i.e., know-how about navigating the healthcare system). Based on analysis of message board interactions at a prominent online illness community, I find that patients routinely encourage one another to exercise agency strategically in clinical encounters by honing specific interactional skills. I isolate three major techniques that are advocated within the community (affect regulation, information management, and treatment persistence) and frame them as discrete examples of tacit healthcare knowledge. I argue that tacit healthcare knowledge constitutes a potentially potent source of empowerment for patients that can help them to receive their desired form of care from the health system and to negotiate relationships with medical professionals and institutions. I conclude by discussing how the concept of tacit healthcare knowledge further clarifies the wide variety of lay knowledge exchanged among patients online.

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  • Foster, Drew, 2016. "‘Keep complaining til someone listens’: Exchanges of tacit healthcare knowledge in online illness communities," Social Science & Medicine, Elsevier, vol. 166(C), pages 25-32.
  • Handle: RePEc:eee:socmed:v:166:y:2016:i:c:p:25-32
    DOI: 10.1016/j.socscimed.2016.08.007
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    1. Griffiths, Frances & Cave, Jonathan & Boardman, Felicity & Ren, Justin & Pawlikowska, Teresa & Ball, Robin & Clarke, Aileen & Cohen, Alan, 2012. "Social networks – The future for health care delivery," Social Science & Medicine, Elsevier, vol. 75(12), pages 2233-2241.
    2. Lupton, Deborah & Donaldson, Cam & Lloyd, Peter, 1991. "Caveat emptor or blissful ignorance? Patients and the consumerist ethos," Social Science & Medicine, Elsevier, vol. 33(5), pages 559-568, January.
    3. Barker, Kristin K. & Galardi, Tasha R., 2011. "Dead by 50: Lay expertise and breast cancer screening," Social Science & Medicine, Elsevier, vol. 72(8), pages 1351-1358, April.
    4. Glenton, Claire, 2003. "Chronic back pain sufferers--striving for the sick role," Social Science & Medicine, Elsevier, vol. 57(11), pages 2243-2252, December.
    5. Thompson, M.S., 1986. "Willingness to pay and accept risks to cure chronic disease," American Journal of Public Health, American Public Health Association, vol. 76(4), pages 392-396.
    6. Dumit, Joseph, 2006. "Illnesses you have to fight to get: Facts as forces in uncertain, emergent illnesses," Social Science & Medicine, Elsevier, vol. 62(3), pages 577-590, February.
    7. Berger, Magdalena & Wagner, Todd H. & Baker, Laurence C., 2005. "Internet use and stigmatized illness," Social Science & Medicine, Elsevier, vol. 61(8), pages 1821-1827, October.
    8. McKinlay, John & Marceau, Lisa, 2008. "When there is no doctor: Reasons for the disappearance of primary care physicians in the US during the early 21st century," Social Science & Medicine, Elsevier, vol. 67(10), pages 1481-1491, November.
    9. Gray, Nicola J. & Klein, Jonathan D. & Noyce, Peter R. & Sesselberg, Tracy S. & Cantrill, Judith A., 2005. "Health information-seeking behaviour in adolescence: the place of the internet," Social Science & Medicine, Elsevier, vol. 60(7), pages 1467-1478, April.
    10. Ziebland, Sue, 2004. "The importance of being expert: the quest for cancer information on the Internet," Social Science & Medicine, Elsevier, vol. 59(9), pages 1783-1793, November.
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    Cited by:

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    4. Park, Hyanggi, 2022. "Can imaginary mobilities be conducive to mental health?," Social Science & Medicine, Elsevier, vol. 314(C).
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    6. Donghua Chen & Runtong Zhang & Kecheng Liu & Lei Hou, 2018. "Knowledge Discovery from Posts in Online Health Communities Using Unified Medical Language System," IJERPH, MDPI, vol. 15(6), pages 1-16, June.
    7. Lilas Ali & Andreas Fors & Inger Ekman, 2018. "Need of support in people with chronic obstructive pulmonary disease," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1089-1096, March.

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