Ms733-R2 Health Communities as Permissible Space_Keeling DI LUPIN version.pdf (799.03 kB)
Health communities as permissible space: supporting negotiation to balance asymmetries
journal contribution
posted on 2023-06-09, 06:46 authored by Debbie KeelingDebbie Keeling, Angus Laing, Terry NewholmOnline communities provide promising opportunities to support patient-professional negotiations that address the asymmetries characterizing health services. This study addresses the lack of in-depth understanding of these negotiations, what constitutes successful negotiation outcomes, and the potential impact of negotiation on offline health behaviors. Adopting a netnographic approach, two threads were observed from each of four online health communities focusing on breast cancer, prostate cancer, depression, and diabetes, respectively. This analysis was supplemented with 45 in-depth interviews. The evidence suggests that online health communities can be constructed as permissible spaces. Such virtual spaces facilitate the type of patient-professional negotiations that can redress asymmetries. The critical elements of the negotiation process are identified as occupation, validation, advocacy, and recording. These support patients and professionals as they debate and resolve conflicts in how they experience health. Direct tangible offline negotiation outcomes are reported (e.g., changes in treatment plans). Implications for professional-patient partnerships are also explored.
History
Publication status
- Published
File Version
- Accepted version
Journal
Psychology and MarketingISSN
0742-6046Publisher
WileyExternal DOI
Issue
3Volume
32Page range
303-318Department affiliated with
- Business and Management Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2017-06-19First Open Access (FOA) Date
2017-06-19First Compliant Deposit (FCD) Date
2017-06-16Usage metrics
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