Health Informatics Can Avoid Committing Symbolic Violence by Recognizing and Supporting Generic Decision-making Competencies

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

Abstract

'Symbolic violence' is committed, however well-intentionally, by the imposition of particular conceptualizations of what information, in what form and quality, is needed in order to make an 'informed choice' and hence - by questionable segue - a high quality decision. The social and cultural forms of relevant cognitive capital possessed by those who fail, because of their low general literacy, professionally-set knowledge tests of functional health literacy, are being ignored. Failing to recognise and exploit a particular form of functional decision literacy, in fact leads to symbolic violence being experienced by individuals at any and all levels of general literacy. It leads many to adopt the same range of avoidant and other undesirable strategies within healthcare situations observed in those of low basic literacy. The alternative response we propose exploits the alternative generic decision literacy which comes in the form of the ability to access and use the decision-relevant resources provided for many consumer services and products on comparison websites and magazines. The methodology is the simple form of multi-criteria analysis in which the products' ratings on multiple criteria are combined with criterion weights (supplied by the site) to produce scores and 'best buys' and 'good value for money' verdicts. Our alternative approach extends this approach to healthcare options and permits the incorporation of personal criterion weights in furtherance of person-centred care. Health informaticians, especially those in the decision support field, should build on this widespread generic competence. The fact that it is generic, far from implying context insensitivity, can be seen as a necessary basis for achieving context-sensitivity and sensitivisation at the level of the individual person as they experience a lifelong sequence of healthcare decisions.

Original languageEnglish
Title of host publicationContext Sensitive Health Informatics : Many Places, Many Users, Many Contexts, Many Uses
EditorsElizabeth M. Borycki, Andre W. Kushniruk, Craig E. Kuziemsky, Christian Nøhr
Publication date1. Jan 2015
Pages172-177
ISBN (Electronic)9781614995739
DOIs
Publication statusPublished - 1. Jan 2015
Eventhttp://cshi2015.org/: Human & Sociotechnical approaches - Curitiba, Brazil
Duration: 15. Aug 201516. Aug 2015

Conference

Conferencehttp://cshi2015.org/
CountryBrazil
CityCuritiba
Period15/08/201516/08/2015
SeriesStudies in Health Technology and Informatics
Volume218
ISSN0926-9630

Fingerprint

Informatics
Health
Delivery of Health Care
Weights and Measures
Mental Competency

Keywords

  • Empowerment
  • Health literacy
  • Informed choice
  • Person-centred care

Cite this

Kaltoft, M. K., Nielsen, J. B., Salkeld, G., & Dowie, J. (2015). Health Informatics Can Avoid Committing Symbolic Violence by Recognizing and Supporting Generic Decision-making Competencies. In E. M. Borycki, A. W. Kushniruk, C. E. Kuziemsky, & C. Nøhr (Eds.), Context Sensitive Health Informatics: Many Places, Many Users, Many Contexts, Many Uses (pp. 172-177). Studies in Health Technology and Informatics, Vol.. 218 https://doi.org/10.3233/978-1-61499-574-6-172
Kaltoft, Mette Kjer ; Nielsen, Jesper Bo ; Salkeld, Glenn ; Dowie, Jack. / Health Informatics Can Avoid Committing Symbolic Violence by Recognizing and Supporting Generic Decision-making Competencies. Context Sensitive Health Informatics: Many Places, Many Users, Many Contexts, Many Uses. editor / Elizabeth M. Borycki ; Andre W. Kushniruk ; Craig E. Kuziemsky ; Christian Nøhr. 2015. pp. 172-177 (Studies in Health Technology and Informatics, Vol. 218).
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Kaltoft, MK, Nielsen, JB, Salkeld, G & Dowie, J 2015, Health Informatics Can Avoid Committing Symbolic Violence by Recognizing and Supporting Generic Decision-making Competencies. in EM Borycki, AW Kushniruk, CE Kuziemsky & C Nøhr (eds), Context Sensitive Health Informatics: Many Places, Many Users, Many Contexts, Many Uses. Studies in Health Technology and Informatics, vol. 218, pp. 172-177, http://cshi2015.org/, Curitiba, Brazil, 15/08/2015. https://doi.org/10.3233/978-1-61499-574-6-172

Health Informatics Can Avoid Committing Symbolic Violence by Recognizing and Supporting Generic Decision-making Competencies. / Kaltoft, Mette Kjer ; Nielsen, Jesper Bo; Salkeld, Glenn; Dowie, Jack.

Context Sensitive Health Informatics: Many Places, Many Users, Many Contexts, Many Uses. ed. / Elizabeth M. Borycki; Andre W. Kushniruk; Craig E. Kuziemsky; Christian Nøhr. 2015. p. 172-177 (Studies in Health Technology and Informatics, Vol. 218).

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

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Kaltoft MK, Nielsen JB, Salkeld G, Dowie J. Health Informatics Can Avoid Committing Symbolic Violence by Recognizing and Supporting Generic Decision-making Competencies. In Borycki EM, Kushniruk AW, Kuziemsky CE, Nøhr C, editors, Context Sensitive Health Informatics: Many Places, Many Users, Many Contexts, Many Uses. 2015. p. 172-177. (Studies in Health Technology and Informatics, Vol. 218). https://doi.org/10.3233/978-1-61499-574-6-172