{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T22:48:19Z","timestamp":1771886899282,"version":"3.50.1"},"reference-count":65,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100003157","name":"Myasthenia Gravis Foundation of America","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100003157","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Education"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Effective communication during health encounters is known to decrease patient complaints, increase patient adherence and optimise health outcomes. While the aim of patient\u2010centred care is to find common ground, health practitioners tend to drive the encounter, often interrupting patients within the first minute of the clinical conversation. Optimal care for people with chronic illnesses requires individuals to interact with health practitioners regarding their health concerns, but given these constraints, we know little about how patients strategise conversations with their care providers. This understanding may further our efforts to educate health practitioners and trainees to learn and practice patient\u2010centred care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A constructivist grounded theory approach with iterative data collection and analysis was used to explore the processes patients use to present and shape their stories for interactions with health practitioners. Twenty\u2010one patients (n\u00a0=\u00a016 female; 5 male) representing a variety of chronic illnesses participated in semi\u2010structured interviews. Using the constant comparative method of analysis, salient themes were ascertained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients engage in extensive strategic preparations for productive health encounters. From the data, we identified four related elements comprising patients\u2019 process of planning, preparing, and strategising for health encounters: deciding to go, organising to get airtime, rehearsing a game plan, and anticipating external forces. By focusing on the extensive preparatory work patients engage in, our study expands the dimensions of how we understand illness\u2010related work. Assembling personal health information, gathering disease information and achieving equanimity represent the dimensions of this \u2018health interaction work\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The work patients engage in for health encounters is noteworthy yet often invisible. And work that is unseen may also be undervalued. Acknowledging, illuminating and valuing patients\u2019 preparatory work for health encounters add to how we understand patient\u2010centred care, and this offers new targets for us to effectively teach and deliver it.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/medu.14561","type":"journal-article","created":{"date-parts":[[2021,5,12]],"date-time":"2021-05-12T11:09:26Z","timestamp":1620817766000},"page":"1142-1151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Getting airtime: Exploring how patients shape the stories they tell health practitioners"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5074-5711","authenticated-orcid":false,"given":"Wilma J.","family":"Koopman","sequence":"first","affiliation":[{"name":"Health and Rehabilitation Sciences Western University  London ON Canada"},{"name":"London Health Sciences Centre  London ON 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