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Trust Testing in Care Pathways for Neurodevelopmental Disorders: A Grounded Theory Study
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Region of Kronoberg. (Research group for neurocognition)
Lund University.
2016 (English)In: The Grounded Theory Review, ISSN 1556-1542, E-ISSN 1556-1550, Vol. 15, no 1, 45-58 p.Article in journal (Refereed) Published
Abstract [en]

Building care pathways for the expansive, heterogeneous, and complex field of neurodevelopmental disorders (ND) is challenging. This classic grounded theory study conceptualizes problems encountered and resolved by professionals in the unpacking— diagnosis and work up—of ND. A care pathway for ND in children and adolescents was observed for six years. Data include interviews, documentation of a dialogue-conference devoted to the ND care pathway, 100+ hours of participant observations, and coding of stakeholder actions. Trust testing explores whether professional unpacking collaboration can occur without being “stuck with the buck” and if other professionals can be approached to solve own unpacking priorities. ND complexity, scarce resources, and diverging stakeholder interests undermine the ability to make selfless collaborative professional choices in the care pathway. ND professionals and managers should pay as much attention to trust issues as they do to structures and patient flows. The trust testing theory may improve the understanding of ND care pathways further as a modified social dilemma framework. 

Place, publisher, year, edition, pages
Sociology Press, 2016. Vol. 15, no 1, 45-58 p.
Keyword [en]
Neurodevelopment; health care services; care pathways; autism; ADHD
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Social Sciences, Psychology
Identifiers
URN: urn:nbn:se:lnu:diva-62806OAI: oai:DiVA.org:lnu-62806DiVA: diva2:1092712
Available from: 2017-05-03 Created: 2017-05-03 Last updated: 2017-05-04Bibliographically approved

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CiteExportLink to record
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