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

Vasconcellos-Silva, Paulo R ; Rivera, Francisco Javier Uribe ; Siebeneichler, Flávio Beno

Cadernos de saúde pública, 2007-07, Vol.23 (7), p.1529-1538 [Periódico revisado por pares]

Brazil: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz

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  • Título:
    Healthcare organizations, linguistic communities, and the emblematic model of palliative care
  • Autor: Vasconcellos-Silva, Paulo R ; Rivera, Francisco Javier Uribe ; Siebeneichler, Flávio Beno
  • Assuntos: Brazil ; Caregivers ; Communication ; Community Health Planning - standards ; Delivery of Health Care - standards ; Health Policy & Services ; Health Promotion ; Humanism ; Humans ; Interdisciplinary Communication ; Interprofessional Relations ; Models, Organizational ; Palliative Care - standards ; Quality of Health Care
  • É parte de: Cadernos de saúde pública, 2007-07, Vol.23 (7), p.1529-1538
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-3
    content type line 23
    ObjectType-Review-1
  • Descrição: 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.
  • Editor: Brazil: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
  • Idioma: Inglês;Português

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