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从消费主义到主动依赖:特应性皮炎患者的药物使用模式和治疗决策。

From consumerism to active dependence: Patterns of medicines use and treatment decisions among patients with atopic dermatitis.

机构信息

University of Copenhagen, Faculty of Pharmaceutical Sciences, Department of Pharmacology and Pharmacotherapy, Copenhagen, Denmark.

出版信息

Health (London). 2010 Jan;14(1):91-106. doi: 10.1177/1363459309347648.

DOI:10.1177/1363459309347648
PMID:20051432
Abstract

In this article, findings from in-depth interviews with 12 people diagnosed with atopic dermatitis (AD) are described. The findings describe the range of strategies used to manage atopic dermatitis, including use of conventional medicines. A strong theme identified in informants' accounts centred on concerns about the risks of illness and long-term use of conventional medicines, which acted as a strong incentive for patients to seek alternatives to conventional treatments. However, despite their significant efforts to do so, patients were eventually forced to return to and rely on conventional medicines because of their efficacy in alleviating and treating symptoms. These findings are discussed in relation to the sociological literature on consumerism, risk and reflexivity in health. We argue that our findings exemplify how living with and managing a chronic illness may not be straightforward and the choices of treatment at hand may be limited. Consequently, this may limit the potential opportunities accruing from adopting a reflexive or consumerist approach to managing illness.

摘要

本文描述了对 12 名被诊断患有特应性皮炎(AD)的人的深入访谈结果。研究结果描述了用于管理特应性皮炎的各种策略,包括使用传统药物。受访者的叙述中一个突出的主题是对疾病风险和长期使用传统药物的担忧,这强烈激励患者寻求传统治疗的替代方法。然而,尽管他们做出了巨大的努力,但由于传统药物在缓解和治疗症状方面的疗效,患者最终还是被迫回到并依赖传统药物。本文结合了有关消费主义、健康风险和反思性的社会学文献对这些发现进行了讨论。我们认为,我们的研究结果例证了患有慢性疾病并对其进行管理可能并不简单,而且手头的治疗选择可能有限。因此,这可能会限制从采用反思性或消费主义方法来管理疾病中获得的潜在机会。

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Health (London). 2010 Jan;14(1):91-106. doi: 10.1177/1363459309347648.
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