Being Heard, Exerting Influence, or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients

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Weiste , E , Käpykangas , S , Uusitalo , L-L & Stevanovic , M 2020 , ' Being Heard, Exerting Influence, or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients ' , International Journal of Environmental Research and Public Health , vol. 17 , no. 16 , 5653 . https://doi.org/10.3390/ijerph17165653

Title: Being Heard, Exerting Influence, or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients
Author: Weiste, Elina; Käpykangas, Sari; Uusitalo, Lise-Lotte; Stevanovic, Melisa
Contributor: University of Helsinki, Sociology
University of Helsinki, Sociology
University of Helsinki, Helsinki Inequality Initiative (INEQ)
Date: 2020-08
Language: eng
Number of pages: 19
Belongs to series: International Journal of Environmental Research and Public Health
ISSN: 1661-7827
URI: http://hdl.handle.net/10138/324470
Abstract: Contemporary social and health care services exhibit a significant movement toward increasing client involvement in their own care and in the development of services. This major cultural change represents a marked shift in the client's role from a passive patient to an active empowered agent. We draw on interaction-oriented focus group research and conversation analysis to study workshop conversations in which social and health care clients and professionals discussed "client involvement". Our analysis focuses on the participants' mutually congruent or discrepant views on the topic. The professionals and clients both saw client involvement as an ideal that should be promoted. Although both participant groups considered the clients' experience of being heard a prerequisite of client involvement, the clients deviated from the professionals in that they also highlighted the need for actual decision-making power. However, when the professionals invoked the clients' responsibility for their own treatment, the clients were not eager to agree with their view. In addition, in analyzing problems of client involvement during the clients' and professionals' meta-talk about client involvement, the paper also shows how the "client involvement" rhetoric itself may, paradoxically, sometimes serve to hinder here-and-now client involvement.
Subject: client involvement
client participation
cultural change
co-development
conversation analysis
social and health care professionals
interaction
qualitative research
FOCUS GROUPS
MENTAL-HEALTH
PATIENT INVOLVEMENT
DECISION-MAKING
PUBLIC-SERVICES
PARTICIPATION
COMMUNICATION
CONSULTATIONS
COPRODUCTION
EXPERIENCE
3141 Health care science
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