In the Hands of Strangers: The Myth of Choice and Self-Determination for Chronic Pain Patients in Ontario

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dc.contributor.advisorVisano, Brenda L. S.
dc.creatorDyson, Guadalupe Consuelo
dc.date.accessioned2018-05-28T12:48:49Z
dc.date.available2018-05-28T12:48:49Z
dc.date.copyright2017-11-23
dc.date.issued2018-05-28
dc.date.updated2018-05-28T12:48:49Z
dc.degree.disciplineSociology
dc.degree.levelDoctoral
dc.degree.namePhD - Doctor of Philosophy
dc.description.abstractThis study aimed to better understand and explain the lived experience of chronic pain patients within Ontario primary health care settings, their perceptions of self-determination, and the impact on their capacity to self-manage their condition and health-related quality of life. Through in-depth interviews with 23 chronic pain (CP) patients, this research establishes an emergent theme of alienation as a key sensitizing characteristic of the experience of the research participants. Self-Determination Theory suggests the management of pain is most effective when patients have a sense of agency and some measure of influence in their own health care. This view is consistent with the current provincial government policy of promoting Patient Centred Care (PCC). The results of this study suggest that CP respondents experience feelings of alienation in the management of their condition. This experience is evidence of a lack of self-determination created by the inability of the health care professionals to effectively put into practice PCC.
dc.identifier.urihttp://hdl.handle.net/10315/34508
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectEpidemiology
dc.subject.keywordsPatient Centered Care
dc.subject.keywordsChronic Pain Management
dc.subject.keywordsPrimary Care
dc.subject.keywordsOntario Health Care System
dc.subject.keywordsPatient Self-Determination
dc.subject.keywordsDecision Making
dc.subject.keywordsHealth Coaching
dc.subject.keywordsPerson Centered Care
dc.subject.keywordsStructural Competence in Clinical Models of Care
dc.titleIn the Hands of Strangers: The Myth of Choice and Self-Determination for Chronic Pain Patients in Ontario
dc.typeElectronic Thesis or Dissertation

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