Evaluating palliative care: facilitating reflexive dialogues about an ambiguous concept.

作者: Tineke A. Abma

DOI: 10.1023/A:1012096917865

关键词: Palliative carePhilosophy of medicineMedical lawPedagogyReflexivityPatient satisfactionMedicineHealth carePsychotherapistProgram evaluationMeaning (linguistics)

摘要: Palliation is a relatively new concept that used in connection with the integral care provided to those who are unable recover from their illness. The specific meaning of has not been clearly defined. This article explores possibilities offered by responsive approach evaluation can facilitate reflexive dialogue on this ambiguous concept. In doing so it draws case study palliative project Dutch health authority. begins an overview characteristics and addresses interpretative, representational practical dilemmas. It goes present series dialogues between professionals, informal caregivers, patients evaluators. These take form juxtaposed stories, transcribed conversations interpretations. Finally, learning experiences summarised appropriateness evaluate discussed.

参考文章(26)
Lincoln Ys, Fourth generation evaluation, the paradigm revolution and health promotion. Canadian Journal of Public Health-revue Canadienne De Sante Publique. ,(1992)
Sam Ahmedzai, J. M. Hockley, David Clark, New Themes in Palliative Care ,(1997)
Karl E. Weick, Sensemaking in organizations ,(1995)
Tineke Abma, Robert E Stake, None, Telling Tales: On Evaluation and Narrative. Advances in Program Evaluation. Volume 6. JAI Press Inc./Ablex Publishing Corporation, 100 Prospect Street, P.O. Box 811, Stamford, CT 06904-0811 ($82.50). Tel: 203-323-9606, ext. 3054; Fax: 203-357-8446; e-mail: a.dirado@elsevier.com.. ,(1999)
Irene Higginson, Clinical Audit in Palliative Care ,(1993)
Martin Rein, From Policy to Practice ,(1983)
Egon G. Guba, Yvonna S. Lincoln, Fourth Generation Evaluation ,(1989)
Kenneth J. Gergen, Sheila. McNamee, Relational Responsibility: Resources for Sustainable Dialogue ,(1998)