Mellem nærhed og specialisering

Abstract

Coordinated care is part of a discursive turn towards a more patient-centered healthcare system. Coordinated care are defined as “The delivery of services by different care providers in a timely and complementary manner” (Langberg, Dyhr, and Davidsen 2019, 6). However, this easily overlooks the work that doctors put into involving patients, updating colleagues in other sectors and creating coherence with patients (Uijen et al. 2012). The article uses ethnographic co-creation as a method to examine doctors and general practitioners cross-sectoral collaboration on early diagnostics from a clinical everyday life perspective. Bakhtin’s dialogue theory and Foucault’s power/knowledge concept, provide an analytical framework to analyze collaborative practices. The article contributes with detailed knowledge of how relational strategies are used to handle cross-sectoral tensions. Furthermore, the article illustrates the co-creation of knowledge across a communication theoretical and biomedical perspective.

Keywords

• Change, ethnographic co-creation, dialogical communication, contexts, power