Guarded alliance: health care relationships in chronic illness.
A multiphase, qualitative study of ongoing health care relationships from the perspective of the chronically ill patient and family confirmed that such relationships evolve over time through three predictable stages: naïve trust, disenchantment and guarded alliance. In the final stage, four patterns of health care relationships were identified: hero worship, resignation, consumerism and team playing. The configuration of these relationships in guarded alliance is explained by dimensions of the core variable of reconstructed trust--patients' trust in a health care professional and their trust in their own competence.
Thorne
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Robinson
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D002908:Chronic Disease / Q000523:psychology*; D003256:Community Participation; D003258:Consumer Behavior; D006801:Humans; D010817:Physician-Patient Relations; D011368:Professional-Family Relations