Self-responsibility, rationing and treatment decision making - managing moral narratives alongside fiscal reality in the obesity surgery clinic.
Amanda Owen-SmithJoanna CoastJenny L DonovanPublished in: Health expectations : an international journal of public participation in health care and health policy (2018)
Although clinicians sought to maintain an empathic attitude towards individual patients, in practice they were conflicted by their responsibility to ration health-care resources and tended to rely on entrenched models of behaviour change to allocate treatment. As a result, the content of consultations was mostly focused on issues of personal responsibility, reflecting wider stigmatized attitudes towards extreme obesity.
Keyphrases
- healthcare
- decision making
- metabolic syndrome
- end stage renal disease
- insulin resistance
- primary care
- type diabetes
- weight loss
- chronic kidney disease
- newly diagnosed
- weight gain
- climate change
- peritoneal dialysis
- physical activity
- high fat diet induced
- adipose tissue
- patient reported outcomes
- quality improvement
- health insurance
- virtual reality