Abstract

This dissertation chronicles the complexity of chronic illness experience in a western biomedically-oriented health care system. It combines an exhaustive description of what it is like to be chronically ill in the current social context with an analysis of the implications of health care service delivery structures and ideologies for shaping that experience. In so doing, it applies an account of the chronic illness experience toward an understanding of some inherent flaws underlying modern health care delivery systems. The methodology for this research applies secondary analysis to an extensive data base derived from indepth qualitative investigations of chronically ill individuals and their family members. It represents a naturalistic inquiry into the interrelated phenomena of chronic illness experience and of health care for chronic illness from the perspective of those who are expert witness to both.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9114014; ProQuest document ID: 303918820. The author still retains copyright.

Authors

Sally Thorne

Author Details

Sally Thorne, PhD, RN

Sigma Membership

Xi Eta at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Qualitative Research

Keywords:

Chronic Illness, Community Nursing, Style of Nursing Care

Advisor

Hal Kirshbaum

Degree

PhD

Degree Grantor

The Union Institute

Degree Year

1990

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2020-01-10

Full Text of Presentation

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