We discuss the second discourse in greatest detail here i.e. attributions of responsibility for problems of quality, first because this reflects its more frequent and recurring position in the data, and second because of its greater internal complexity and utility for illuminating questions of patient understandings of 'quality improvement' and 'quality'quality
The two discourses i.e. ideas about collectivity versus those about the individual coexisted within individual participants' accounts, with the latter being more frequently and recurrently drawn upon to attribute responsibility for problems of quality.
Moral responsibility, problem of, the problem of reconciling the belief that people are morally responsible for what they do with the apparent fact that humans do not have free will because their actions are causally determined.
To break the pattern that is causing the emotional roller coaster in the relationship, both partners need to take responsibility of the problem.
I want you to bring any questions.' Making them in charge of their health, responsibility of their problem, engaging them, almost, and I hate this word, but empowering them (GP4).
Analysis of the comments on the videotaped consultations of the first period identified seven overall themes that were visible across the different quality dimensions: clarity of explanations, asking for consent, responsibility of GP, problem-focused approach, active listening, supporting patient, and showing respect.
Muslims carry the prime responsibility of political-economic problems affecting them.
The GPs and practice nurses in our sample felt that their role in obesity management was centred upon raising the issue of a child's weight, but that the responsibility of solving the problem lay primarily with the family.
This includes the deeper 'darksides' of service organisation and delivery, 35 such as organisational boundaries and the shifting of responsibility and endemic problems of interprofessional and interorganisational working, which typically relate to problems in communication or knowledge sharing.
The rise of dolphin-safe, cage-free, organic, fair-trade, shade-grown, sustainable, cruelty-free, carbon-neutral products suggested that responsibility for a wide array of problems was in the hands of individuals, rather than being something that society, or the political system, needed to address.
