Healthcare organizations, linguistic communities, and the emblematic model of palliative care

Cadernos de Saúde Pública

Paulo R. Vasconcellos-silva²  Francisco Javier Uribe Rivera¹  Flávio Beno Siebeneichler¹ 

[1] ,Universidade Federal do Estado do Rio de Janeiro Escola de Medicina e Cirurgia Rio de Janeiro,Brasil

关键词: Humanization of Assistance;    Hospice Care;    Linguistics;    Communication;    Humanização da Assistência;    Cuidados Paliativos;    Lingüística;    Comunicação;   

DOI  :  10.1590/S0102-311X2007000700003

来源: SciELO

【 摘 要 】

The linguistic-communicative paradigm offers some interesting perspectives in a context where the perception of patient needs is considered a critical step in high-quality care. This study describes healthcare organizations as linguistic communities based on the conceptual framework of Habermas' communicative action theory. Four communicative models are present in healthcare settings: objectifying-instrumental (hegemonic model), where elements of interaction are objectified for clinical purposes; dialogic model with strategic perspectives, in which conversations are used unilaterally as tools to access subjective states; non-dialogic-transmissional model, in which linguistic exchanges are replaced with artifacts to transmit information; and full communicative model (present in palliative care based in homecare and informal caregivers, emphasizing health team/family interactions). Based on these premises, we considered palliative care an emblematic communicative model based on multidisciplinary teams devoted to transdisciplinary collaboration. In these settings, linguistic interaction with patients and their families could provide a solid basis for organization of healthcare networks.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License