IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v292y2022ics0277953621008649.html
   My bibliography  Save this article

Keeping in balance on the multimorbidity tightrope: A narrative analysis of older patients’ experiences of living with and managing multimorbidity

Author

Listed:
  • Fudge, Nina
  • Swinglehurst, Deborah

Abstract

Primary care management of patients with multimorbidity in the UK is underpinned by clinical guidelines, quality standards and measurable targets which govern practices of risk management and disease control. There is concern that standardised approaches may not always be appropriate for older patients living with multimorbidity.

Suggested Citation

  • Fudge, Nina & Swinglehurst, Deborah, 2022. "Keeping in balance on the multimorbidity tightrope: A narrative analysis of older patients’ experiences of living with and managing multimorbidity," Social Science & Medicine, Elsevier, vol. 292(C).
    • Handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621008649
    DOI: 10.1016/j.socscimed.2021.114532
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953621008649
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2021.114532?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. McDonald, Ruth & Cheraghi-Sohi, Sudeh & Bayes, Sara & Morriss, Richard & Kai, Joe, 2013. "Competing and coexisting logics in the changing field of English general medical practice," Social Science & Medicine, Elsevier, vol. 93(C), pages 47-54.
    2. Barry, Christine A. & Stevenson, Fiona A. & Britten, Nicky & Barber, Nick & Bradley, Colin P., 2001. "Giving voice to the lifeworld. More humane, more effective medical care? A qualitative study of doctor-patient communication in general practice," Social Science & Medicine, Elsevier, vol. 53(4), pages 487-505, August.
    3. Stephen Harrison & Bruce Wood, 2000. "Scientific‐Bureaucratic Medicine And Uk Health Policy1," Review of Policy Research, Policy Studies Organization, vol. 17(4), pages 25-42, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Daker-White, Gavin & Rogers, Anne & Kennedy, Anne & Blakeman, Thomas & Blickem, Christian & Chew-Graham, Carolyn, 2015. "Non-disclosure of chronic kidney disease in primary care and the limits of instrumental rationality in chronic illness self-management," Social Science & Medicine, Elsevier, vol. 131(C), pages 31-39.
    2. May, Carl & Rapley, Tim & Moreira, Tiago & Finch, Tracy & Heaven, Ben, 2006. "Technogovernance: Evidence, subjectivity, and the clinical encounter in primary care medicine," Social Science & Medicine, Elsevier, vol. 62(4), pages 1022-1030, February.
    3. Weiste, Elina & Peräkylä, Anssi & Valkeapää, Taina & Savander, Enikö & Hintikka, Jukka, 2018. "Institutionalised otherness: Patients references to psychiatric diagnostic categories," Social Science & Medicine, Elsevier, vol. 207(C), pages 71-79.
    4. Lander, Bryn, 2016. "Boundary-spanning in academic healthcare organisations," Research Policy, Elsevier, vol. 45(8), pages 1524-1533.
    5. Toth, Federico, 2015. "Sovereigns under Siege. How the medical profession is changing in Italy," Social Science & Medicine, Elsevier, vol. 136, pages 128-134.
    6. Sarah Jane Brubaker, 2024. "Toward a Critical Sociology of Campus Sexual Assault: Victim Advocacy as the Lifeworld Resisting the System," Social Sciences, MDPI, vol. 13(3), pages 1-16, February.
    7. Leanza, Yvan & Boivin, Isabelle & Rosenberg, Ellen, 2010. "Interruptions and resistance: A comparison of medical consultations with family and trained interpreters," Social Science & Medicine, Elsevier, vol. 70(12), pages 1888-1895, June.
    8. Gordon, Elisa Jill, 2006. "The political contexts of evidence-based medicine: Policymaking for daily hemodialysis," Social Science & Medicine, Elsevier, vol. 62(11), pages 2707-2719, June.
    9. Doblytė, Sigita, 2022. "The vicious cycle of distrust: Access, quality, and efficiency within a post-communist mental health system," Social Science & Medicine, Elsevier, vol. 292(C).
    10. Murdoch, Jamie & Salter, Charlotte & Ford, John & Lenaghan, Elizabeth & Shiner, Alice & Steel, Nicholas, 2020. "The “unknown territory” of goal-setting: Negotiating a novel interactional activity within primary care doctor-patient consultations for patients with multiple chronic conditions," Social Science & Medicine, Elsevier, vol. 256(C).
    11. Llopis, Oscar & D’Este, Pablo, 2016. "Beneficiary contact and innovation: The relation between contact with patients and medical innovation under different institutional logics," Research Policy, Elsevier, vol. 45(8), pages 1512-1523.
    12. Hardman, Doug & Geraghty, Adam W.A. & Lown, Mark & Bishop, Felicity L., 2020. "Subjunctive medicine: Enacting efficacy in general practice," Social Science & Medicine, Elsevier, vol. 245(C).
    13. Gately, Claire & Rogers, Anne & Sanders, Caroline, 2007. "Re-thinking the relationship between long-term condition self-management education and the utilisation of health services," Social Science & Medicine, Elsevier, vol. 65(5), pages 934-945, September.
    14. Lo, Ming-Cheng Miriam & Bahar, Roxana, 2013. "Resisting the colonization of the lifeworld? Immigrant patients' experiences with co-ethnic healthcare workers," Social Science & Medicine, Elsevier, vol. 87(C), pages 68-76.
    15. Jennifer Watermeyer & Victoria Hume & Tshegofatso Seabi & Bruno Pauly, 2020. "“It’s got its own life, and you can’t contain it”: A qualitative study of patient and health professional experiences of diabetes care," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 240-250, January.
    16. Norman, Armando H. & Russell, Andrew J. & Merli, Claudia, 2016. "The Quality and Outcomes Framework: Body commodification in UK general practice," Social Science & Medicine, Elsevier, vol. 170(C), pages 77-86.
    17. Bryce, Marie & Luscombe, Kayleigh & Boyd, Alan & Tazzyman, Abigail & Tredinnick-Rowe, John & Walshe, Kieran & Archer, Julian, 2018. "Policing the profession? Regulatory reform, restratification and the emergence of Responsible Officers as a new locus of power in UK medicine," Social Science & Medicine, Elsevier, vol. 213(C), pages 98-105.
    18. Ariss, Steven M., 2009. "Asymmetrical knowledge claims in general practice consultations with frequently attending patients: Limitations and opportunities for patient participation," Social Science & Medicine, Elsevier, vol. 69(6), pages 908-919, September.
    19. Spendlove, Zoey, 2018. "Medical revalidation as professional regulatory reform: Challenging the power of enforceable trust in the United Kingdom," Social Science & Medicine, Elsevier, vol. 205(C), pages 64-71.
    20. Martin, Graham P. & Chew, Sarah & Dixon-Woods, Mary, 2021. "Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualitative study," Social Science & Medicine, Elsevier, vol. 287(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:292:y:2022:i:c:s0277953621008649. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.