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https://doi.org/10.5463/thesis...
Doctoral thesis . 2025 . Peer-reviewed
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Positioning Dynamics

Dealing with the risks of incongruent perspectives and domination in collaborative decision-making about preventive healthcare
Authors: la Grouw, Yvonne Maria;

Positioning Dynamics

Abstract

Positioning Dynamics: Dealing with power and perspectives in collaborative decision-making on preventive care In healthcare, something magical is often expected from collaborative decision-making: collaboration could enable us to bridge different power positions and perspectives and make decisions on an equal footing. Yet, decision-making is often hindered by problems during collaborative processes. How does that magic of collaboration work? I investigate this in my dissertation by exploring how collaborative decision-making on preventive care takes place between patients, healthcare professionals and representatives of healthcare organisations. My qualitative research shows how these different actors each develop a position during the decision-making process. Their position is not only determined by their own knowledge and interests, but also by how they anticipate other(s). By anticipating each other, a positioning dynamic is created that determines how collaborative decision-making on preventive care proceeds. An important insight is that positioning dynamics are not rational-strategic, nor problem-oriented: positioning is a mundane and relational process, and therefore embedded in existing power relations and experienced as meaningful by the patients, professionals and organisation representatives involved. It shows that collaborative decision-making does not magically resolve differences in power and perspectives, but can help to better deal with power relations and different perspectives.

Country
Netherlands
Keywords

gezamenlijke besluitvorming, preventive healthcare, perspectieven, positioning dynamics, collaborative governance, positioneringsdynamieken, interpretatief onderzoek, patient-professional interactie, perspectives, patient-professional interaction, machtsdynamieken, samenwerking, power dynamics, interpretive research, kwalitatief onderzoek, collaborative decision-making, qualitative research

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average