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Taking an epistemological perspective on advocacy 

Taking an epistemological perspective on advocacy
Chapter:
Taking an epistemological perspective on advocacy
Author(s):

Thomas Grisold

, and Oliver Lukitsch

DOI:
10.1093/med/9780198796039.003.0002
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date: 17 October 2019

Drawing on various definitions of ‘advocacy’, this chapter takes an epistemological perspective on the term. It focuses on patients’ knowledge of personal needs that require advocacy. While patients can be able to articulate knowledge of their needs, they might also lack the ability to express it linguistically. On that account, one can distinguish between (1) explicit, and (2) tacit knowledge. If patients access their personal needs only by way of tacitly knowing them, then this poses a challenge for the advocate. We propose three types of strategies in order to make the patients tacit needs accessible: (i) physician-centred; (ii) patient-centred; and (iii) collaborative strategies. Furthermore, we introduce a framework to guide an advocate through the process from initiating to realizing an advocacy project.

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