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Diagnosis and the practices of patienthood: How diagnostic journeys shape illness experiences
Journal article   Open access   Peer reviewed

Diagnosis and the practices of patienthood: How diagnostic journeys shape illness experiences

Melanie Jeske, Jennifer James and Kelly Joyce
Sociology of health & illness
27 Jan 2023
PMID: 36707922
url
https://doi.org/10.1111/1467-9566.13614View
Published, Version of Record (VoR)CC BY-NC-ND V4.0 Open

Abstract

Biomedical Social Sciences Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Social Sciences Social Sciences, Biomedical Sociology
Sociologists have a rich history of studying the process of diagnosis and how people experience illness. Yet, the sociology of diagnosis and illness experience literatures have seldom been fully integrated. Instead, these literatures highlight one element of the illness journey, wherein scholars either primarily study diagnostic processes and categories or people's illness experiences. Drawing on empirical studies that examine diagnosis and experiences of illness in varied settings (diagnosis during breast cancer surveillance, diagnosis and experience of autoimmune illness and incarcerated women's experiences of diagnoses and illness), in this article we build on our concept of regimes of patienthood to explain how diagnostic journeys, and the relations and power dynamics that manifest during this time, shape the illness experience and practices of patienthood. We construct a classification of diagnostic processes grounded in our empirical research that span (1) sudden diagnoses, (2) long, changing diagnostic journeys and (3) diagnostic journeys marked by disbelief and denial of care. Our findings demonstrate how diagnostic journeys and illness experiences are intertwined, with different diagnostic pathways impacting how illness is experienced. Analysing these categories collectively demonstrates that diagnostic journeys, while heterogenous, shape the practices that patients develop to manage health conditions and navigate unequal health-care encounters.

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17 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
Social Sciences, Biomedical
Sociology
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