SciELO - Scientific Electronic Library Online

 
vol.23 issue7Health policy effects on infant mortality trends in Brazil: a literature review from the last decadeBreastfeeding trends in a State capital in the Central West region of Brazil, 1999-2004 author indexsubject indexarticles search
Home Page  

Cadernos de Saúde Pública

Print version ISSN 0102-311X

Abstract

VASCONCELLOS-SILVA, Paulo R.; RIVERA, Francisco Javier Uribe  and  SIEBENEICHLER, Flávio Beno. Healthcare organizations, linguistic communities, and the emblematic model of palliative care. Cad. Saúde Pública [online]. 2007, vol.23, n.7, pp. 1529-1538. ISSN 0102-311X.  http://dx.doi.org/10.1590/S0102-311X2007000700003.

The linguistic-communicative paradigm offers some interesting perspectives in a context where the perception of patient needs is considered a critical step in high-quality care. This study describes healthcare organizations as linguistic communities based on the conceptual framework of Habermas' communicative action theory. Four communicative models are present in healthcare settings: objectifying-instrumental (hegemonic model), where elements of interaction are objectified for clinical purposes; dialogic model with strategic perspectives, in which conversations are used unilaterally as tools to access subjective states; non-dialogic-transmissional model, in which linguistic exchanges are replaced with artifacts to transmit information; and full communicative model (present in palliative care based in homecare and informal caregivers, emphasizing health team/family interactions). Based on these premises, we considered palliative care an emblematic communicative model based on multidisciplinary teams devoted to transdisciplinary collaboration. In these settings, linguistic interaction with patients and their families could provide a solid basis for organization of healthcare networks.

Keywords : Humanization of Assistance; Hospice Care; Linguistics; Communication.

        · abstract in Portuguese     · text in English     · pdf in English