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Qualitative Health Research
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Article

A Structurational Analysis of Informed Consent to Treatment: (Re)productions of Contradictory Sociohistorical Structures in Practitioners' Interpretive Schemes

James Olumide Olufowote*

* To whom correspondence should be addressed. E-mail: olufowot{at}bc.edu.


  Abstract
Informed consent (IC) to treatment honors patient autonomy and bodily integrity. Yet, it is a leading reason for patient litigation, it has not been examined from discursive or theoretical perspectives, and its sociohistorical context is ignored. In a previous analysis of American IC law and the IC literature, structuration theory guided a reconceptualization of IC as unfolding amid contradictory sociohistorical structures or discursive formations—traditionalism, liability, and decision making—representing interests favoring a group’s (physicians, states and administrative entities, and patients, respectively) control of IC. This study’s focus groups with radiologists found them (re)producing these structures in their interpretive schemes of patients’ reactions to IC, IC as protective paperwork, and IC as a patient- and relationship-centered process.

First published on April 13, 2009, doi:10.1177/1049732309335605

Qualitative Health Research 2009;19:802.

A more recent version of this article appeared on June 1, 2009

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