Interactions between persons—knowledge, decision making, and the co‐production of practice

Loughlin, Michael ORCID:, Buetow, Stephen, Cournoyea, Michael and Copeland, Samantha (2019) Interactions between persons—knowledge, decision making, and the co‐production of practice. Journal Of Evaluation In Clinical Practice, 25 (6). pp. 911-920. ISSN 1356-1294

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There is now broad agreement that ideas like person-centred care, patient expertise and shared decision-making are no longer peripheral to health discourse, fine ideals or merely desirable additions to sound, scientific clinical practice. Rather, their incorporation into our thinking and planning of health and social care is essential if we are to respond adequately to the problems that confront us: they need to be seen not as “ethical add-ons” but core components of any genuinely integrated, realistic and conceptually sound account of healthcare practice. This, the tenth philosophy thematic edition of the journal, presents papers conducting urgent research into the social context of scientific knowledge and the significance of viewing clinical knowledge not as something that “sits within the minds” of researchers and practitioners, but as a relational concept, the product of social interactions. It includes papers on the nature of reasoning and evidence, the on-going problems of how to 'integrate' different forms of scientific knowledge with broader, humanistic understandings of reasoning and judgement, patient and community perspectives. Discussions of the epistemological contribution of patient perspectives to the nature of care, and the crucial and still under-developed role of phenomenology in medical epistemology, are followed by a broad range of papers focusing on shared decision-making, analysing its proper meaning, its role in policy, methods for realising it and its limitations in real-world contexts.

Item Type: Article
Identifier: 10.1111/jep.13297
Additional Information: This is the peer reviewed version of the following article: [Loughlin, M, Buetow, S, Cournoyea, M, Copeland, SM, Chin‐Yee, B, Fulford, KWM. Interactions between persons—Knowledge, decision making, and the co‐production of practice. J Eval Clin Pract. 2019; 1– 10.], which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Keywords: person-centered medicine, patient-centered care, practical reasoning, value, humanity, experience
Subjects: Medicine and health > Person centered care
Related URLs:
Depositing User: Michael Loughlin
Date Deposited: 20 Nov 2019 15:32
Last Modified: 06 Feb 2024 16:01


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