Unmasking quality: exploring meanings of health by doing art
Identifieur interne : 000032 ( Main/Exploration ); précédent : 000031; suivant : 000033Unmasking quality: exploring meanings of health by doing art
Auteurs : Moira Kelly [Royaume-Uni] ; Carol Rivas ; Jens Foell ; Janet Llewellyn-Dunn ; Diana England ; Anna Cocciadiferro ; Sally HullSource :
- BMC Family Practice [ 1471-2296 ] ; 2015.
Abstract
Quality in healthcare has many potential meanings and interpretations. The case has been made for conceptualisations of quality that place more emphasis on describing quality and less on measuring it through structured, vertically oriented metrics. Through discussion of an interdisciplinary community arts project we explore and challenge the dominant reductionist meanings of quality in healthcare.
The model for structured participatory arts workshops such as ours is ‘art as conversation’. In creating textile art works, women involved in the sewing workshops engaged at a personal level, developing confidence through sharing ideas, experiences and humour. Group discussions built on the self-assurance gained from doing craft work together and talking in a relaxed way with a common purpose, exploring the health themes which were the focus of the art. For example, working on a textile about vitamin D created a framework which stimulated the emergence of a common discourse about different cultural practices around ‘going out in the sun’. These conversations have value as ‘bridging work’, between the culture of medicine, with its current emphasis on lifestyle change to prevent illness, and patients’ life worlds. Such bridges allow for innovation and flexibility to reflect local public health needs and community concerns. They also enable us to view care from a horizontally oriented perspective, so that the interface in which social worlds and the biomedical model meet and interpenetrate is made visible.
Through this interdisciplinary art project involving academics, health professionals and the local community we have become more sensitised to conceptualising one aspect of health care quality as ensuring a ‘space for the story’ in health care encounters. This space gives precedence to the patient narratives, but acknowledges the importance of enabling clinicians to have time to share stories about care.
The online version of this article (doi:10.1186/s12875-015-0233-x) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12875-015-0233-x
PubMed: 25888088
PubMed Central: 4343066
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000039
- to stream Pmc, to step Curation: 000039
- to stream Pmc, to step Checkpoint: 000019
- to stream Ncbi, to step Merge: 000222
- to stream Ncbi, to step Curation: 000222
- to stream Ncbi, to step Checkpoint: 000222
- to stream Main, to step Merge: 000031
- to stream Main, to step Curation: 000032
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Unmasking quality: exploring meanings of health by doing art</title>
<author><name sortKey="Kelly, Moira" sort="Kelly, Moira" uniqKey="Kelly M" first="Moira" last="Kelly">Moira Kelly</name>
<affiliation wicri:level="4"><nlm:aff id="Aff1">Centre for Medical Education, Institute of Health Sciences Education, Queen Mary University of London, Room 2.10, Garrod Building, Turner Street, Whitechapel, London E1 2AD UK</nlm:aff>
<orgName type="university">Université de Londres</orgName>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rivas, Carol" sort="Rivas, Carol" uniqKey="Rivas C" first="Carol" last="Rivas">Carol Rivas</name>
<affiliation><nlm:aff id="Aff2">University of Southampton, School of Health Sciences, Highfield, Building 67, Southampton, SO17 1BJ UK</nlm:aff>
<wicri:noCountry code="subfield">SO17 1BJ UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Foell, Jens" sort="Foell, Jens" uniqKey="Foell J" first="Jens" last="Foell">Jens Foell</name>
<affiliation><nlm:aff id="Aff3">Centre for Primary Care and Public Health, Blizard Institute, Queen Mary University London, Yvonne Carter Building, 58 Turner Street, Whitechapel, London E1 2AB UK</nlm:aff>
<wicri:noCountry code="subfield">London E1 2AB UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Llewellyn Dunn, Janet" sort="Llewellyn Dunn, Janet" uniqKey="Llewellyn Dunn J" first="Janet" last="Llewellyn-Dunn">Janet Llewellyn-Dunn</name>
<affiliation><nlm:aff id="Aff4">Stitches in Time, Old Limehouse Town Hall, 646 Commercial Road, London, E14 7HA UK</nlm:aff>
<wicri:noCountry code="subfield">E14 7HA UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="England, Diana" sort="England, Diana" uniqKey="England D" first="Diana" last="England">Diana England</name>
<affiliation><nlm:aff id="Aff4">Stitches in Time, Old Limehouse Town Hall, 646 Commercial Road, London, E14 7HA UK</nlm:aff>
<wicri:noCountry code="subfield">E14 7HA UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Cocciadiferro, Anna" sort="Cocciadiferro, Anna" uniqKey="Cocciadiferro A" first="Anna" last="Cocciadiferro">Anna Cocciadiferro</name>
<affiliation><nlm:aff id="Aff4">Stitches in Time, Old Limehouse Town Hall, 646 Commercial Road, London, E14 7HA UK</nlm:aff>
<wicri:noCountry code="subfield">E14 7HA UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Hull, Sally" sort="Hull, Sally" uniqKey="Hull S" first="Sally" last="Hull">Sally Hull</name>
<affiliation><nlm:aff id="Aff3">Centre for Primary Care and Public Health, Blizard Institute, Queen Mary University London, Yvonne Carter Building, 58 Turner Street, Whitechapel, London E1 2AB UK</nlm:aff>
<wicri:noCountry code="subfield">London E1 2AB UK</wicri:noCountry>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">25888088</idno>
<idno type="pmc">4343066</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4343066</idno>
<idno type="RBID">PMC:4343066</idno>
<idno type="doi">10.1186/s12875-015-0233-x</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000039</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000039</idno>
<idno type="wicri:Area/Pmc/Curation">000039</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000039</idno>
<idno type="wicri:Area/Pmc/Checkpoint">000019</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000019</idno>
<idno type="wicri:Area/Ncbi/Merge">000222</idno>
<idno type="wicri:Area/Ncbi/Curation">000222</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000222</idno>
<idno type="wicri:Area/Main/Merge">000031</idno>
<idno type="wicri:Area/Main/Curation">000032</idno>
<idno type="wicri:Area/Main/Exploration">000032</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Unmasking quality: exploring meanings of health by doing art</title>
<author><name sortKey="Kelly, Moira" sort="Kelly, Moira" uniqKey="Kelly M" first="Moira" last="Kelly">Moira Kelly</name>
<affiliation wicri:level="4"><nlm:aff id="Aff1">Centre for Medical Education, Institute of Health Sciences Education, Queen Mary University of London, Room 2.10, Garrod Building, Turner Street, Whitechapel, London E1 2AD UK</nlm:aff>
<orgName type="university">Université de Londres</orgName>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rivas, Carol" sort="Rivas, Carol" uniqKey="Rivas C" first="Carol" last="Rivas">Carol Rivas</name>
<affiliation><nlm:aff id="Aff2">University of Southampton, School of Health Sciences, Highfield, Building 67, Southampton, SO17 1BJ UK</nlm:aff>
<wicri:noCountry code="subfield">SO17 1BJ UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Foell, Jens" sort="Foell, Jens" uniqKey="Foell J" first="Jens" last="Foell">Jens Foell</name>
<affiliation><nlm:aff id="Aff3">Centre for Primary Care and Public Health, Blizard Institute, Queen Mary University London, Yvonne Carter Building, 58 Turner Street, Whitechapel, London E1 2AB UK</nlm:aff>
<wicri:noCountry code="subfield">London E1 2AB UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Llewellyn Dunn, Janet" sort="Llewellyn Dunn, Janet" uniqKey="Llewellyn Dunn J" first="Janet" last="Llewellyn-Dunn">Janet Llewellyn-Dunn</name>
<affiliation><nlm:aff id="Aff4">Stitches in Time, Old Limehouse Town Hall, 646 Commercial Road, London, E14 7HA UK</nlm:aff>
<wicri:noCountry code="subfield">E14 7HA UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="England, Diana" sort="England, Diana" uniqKey="England D" first="Diana" last="England">Diana England</name>
<affiliation><nlm:aff id="Aff4">Stitches in Time, Old Limehouse Town Hall, 646 Commercial Road, London, E14 7HA UK</nlm:aff>
<wicri:noCountry code="subfield">E14 7HA UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Cocciadiferro, Anna" sort="Cocciadiferro, Anna" uniqKey="Cocciadiferro A" first="Anna" last="Cocciadiferro">Anna Cocciadiferro</name>
<affiliation><nlm:aff id="Aff4">Stitches in Time, Old Limehouse Town Hall, 646 Commercial Road, London, E14 7HA UK</nlm:aff>
<wicri:noCountry code="subfield">E14 7HA UK</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Hull, Sally" sort="Hull, Sally" uniqKey="Hull S" first="Sally" last="Hull">Sally Hull</name>
<affiliation><nlm:aff id="Aff3">Centre for Primary Care and Public Health, Blizard Institute, Queen Mary University London, Yvonne Carter Building, 58 Turner Street, Whitechapel, London E1 2AB UK</nlm:aff>
<wicri:noCountry code="subfield">London E1 2AB UK</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Family Practice</title>
<idno type="eISSN">1471-2296</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Quality in healthcare has many potential meanings and interpretations. The case has been made for conceptualisations of quality that place more emphasis on describing quality and less on measuring it through structured, vertically oriented metrics. Through discussion of an interdisciplinary community arts project we explore and challenge the dominant reductionist meanings of quality in healthcare.</p>
</sec>
<sec><title>Discussion</title>
<p>The model for structured participatory arts workshops such as ours is ‘art as conversation’. In creating textile art works, women involved in the sewing workshops engaged at a personal level, developing confidence through sharing ideas, experiences and humour. Group discussions built on the self-assurance gained from doing craft work together and talking in a relaxed way with a common purpose, exploring the health themes which were the focus of the art. For example, working on a textile about vitamin D created a framework which stimulated the emergence of a common discourse about different cultural practices around ‘going out in the sun’. These conversations have value as ‘bridging work’, between the culture of medicine, with its current emphasis on lifestyle change to prevent illness, and patients’ life worlds. Such bridges allow for innovation and flexibility to reflect local public health needs and community concerns. They also enable us to view care from a horizontally oriented perspective, so that the interface in which social worlds and the biomedical model meet and interpenetrate is made visible.</p>
</sec>
<sec><title>Summary</title>
<p>Through this interdisciplinary art project involving academics, health professionals and the local community we have become more sensitised to conceptualising one aspect of health care quality as ensuring a ‘space for the story’ in health care encounters. This space gives precedence to the patient narratives, but acknowledges the importance of enabling clinicians to have time to share stories about care.</p>
</sec>
<sec><title>Electronic supplementary material</title>
<p>The online version of this article (doi:10.1186/s12875-015-0233-x) contains supplementary material, which is available to authorized users.</p>
</sec>
</div>
</front>
<back><div1 type="bibliography"><listBibl><biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Armstrong, D" uniqKey="Armstrong D">D Armstrong</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Hunter, Km" uniqKey="Hunter K">KM Hunter</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Gawande, A" uniqKey="Gawande A">A Gawande</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Heath, I" uniqKey="Heath I">I Heath</name>
</author>
<author><name sortKey="Rubenstein, A" uniqKey="Rubenstein A">A Rubenstein</name>
</author>
<author><name sortKey="Stange, Kc" uniqKey="Stange K">KC Stange</name>
</author>
<author><name sortKey="Van Driel, Ml" uniqKey="Van Driel M">ML van Driel</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Balint, M" uniqKey="Balint M">M Balint</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Stange, Kc" uniqKey="Stange K">KC Stange</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mol, A" uniqKey="Mol A">A Mol</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Mason, J" uniqKey="Mason J">J Mason</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Seale, C" uniqKey="Seale C">C Seale</name>
</author>
<author><name sortKey="Rivas, C" uniqKey="Rivas C">C Rivas</name>
</author>
<author><name sortKey="Kelly, M" uniqKey="Kelly M">M Kelly</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Rivas, C" uniqKey="Rivas C">C Rivas</name>
</author>
<author><name sortKey="Kelly, M" uniqKey="Kelly M">M Kelly</name>
</author>
<author><name sortKey="Seale, C" uniqKey="Seale C">C Seale</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Lo, C Mm" uniqKey="Lo C">C-MM Lo</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Launer, J" uniqKey="Launer J">J Launer</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Mccartney, M" uniqKey="Mccartney M">M McCartney</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Launer, J" uniqKey="Launer J">J Launer</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Brandling, J" uniqKey="Brandling J">J Brandling</name>
</author>
<author><name sortKey="House, W" uniqKey="House W">W House</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Loxterkamp, D" uniqKey="Loxterkamp D">D Loxterkamp</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Hamilton, C" uniqKey="Hamilton C">C Hamilton</name>
</author>
<author><name sortKey="Hinks, S" uniqKey="Hinks S">S Hinks</name>
</author>
<author><name sortKey="Petticrew, M" uniqKey="Petticrew M">M Petticrew</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Nieminen, T" uniqKey="Nieminen T">T Nieminen</name>
</author>
<author><name sortKey="Pr Tt L, R" uniqKey="Pr Tt L R">R Prättälä</name>
</author>
<author><name sortKey="Martelin, T" uniqKey="Martelin T">T Martelin</name>
</author>
<author><name sortKey="H Rk Nen, T" uniqKey="H Rk Nen T">T Härkänen</name>
</author>
<author><name sortKey="Hyypp, Mt" uniqKey="Hyypp M">MT Hyyppä</name>
</author>
<author><name sortKey="Alanen, E" uniqKey="Alanen E">E Alanen</name>
</author>
</analytic>
</biblStruct>
<biblStruct></biblStruct>
<biblStruct><analytic><author><name sortKey="Greenhalgh, T" uniqKey="Greenhalgh T">T Greenhalgh</name>
</author>
<author><name sortKey="Wieringa, S" uniqKey="Wieringa S">S Wieringa</name>
</author>
</analytic>
</biblStruct>
</listBibl>
</div1>
</back>
</TEI>
<affiliations><list><country><li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
</region>
<settlement><li>Londres</li>
</settlement>
<orgName><li>Université de Londres</li>
</orgName>
</list>
<tree><noCountry><name sortKey="Cocciadiferro, Anna" sort="Cocciadiferro, Anna" uniqKey="Cocciadiferro A" first="Anna" last="Cocciadiferro">Anna Cocciadiferro</name>
<name sortKey="England, Diana" sort="England, Diana" uniqKey="England D" first="Diana" last="England">Diana England</name>
<name sortKey="Foell, Jens" sort="Foell, Jens" uniqKey="Foell J" first="Jens" last="Foell">Jens Foell</name>
<name sortKey="Hull, Sally" sort="Hull, Sally" uniqKey="Hull S" first="Sally" last="Hull">Sally Hull</name>
<name sortKey="Llewellyn Dunn, Janet" sort="Llewellyn Dunn, Janet" uniqKey="Llewellyn Dunn J" first="Janet" last="Llewellyn-Dunn">Janet Llewellyn-Dunn</name>
<name sortKey="Rivas, Carol" sort="Rivas, Carol" uniqKey="Rivas C" first="Carol" last="Rivas">Carol Rivas</name>
</noCountry>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Kelly, Moira" sort="Kelly, Moira" uniqKey="Kelly M" first="Moira" last="Kelly">Moira Kelly</name>
</region>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Ticri/CIDE/explor/EpistemeV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000032 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000032 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Ticri/CIDE |area= EpistemeV1 |flux= Main |étape= Exploration |type= RBID |clé= PMC:4343066 |texte= Unmasking quality: exploring meanings of health by doing art }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:25888088" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a EpistemeV1
This area was generated with Dilib version V0.6.31. |