Patient Reports as Stories of Clinical Work: Narrative and Work in Neuroradiology

Summary

Objective: This paper describes the connections between the radiology report and clinical work and considers the implications for computerisation.

Method: A story representation is described that allows consideration of the radiology report as an active unit of narrative rather than a passive collection of data. This paper draws upon the results of a qualitative study of a neuroradiology department.

Results and Conclusion: Radiology reports recount a patient condition but also represent and influence clinical work.

Keywords

Narrative - story - radiology report - clinical work process

• References

• 1 Kay S, Purves I. Medical records and other stories, a narratological framework. Meth Inform Med 1996; 35: 72-88.
• 2 Kay S, Purves I. Medical records and the “story Stuff”, a narratavistic model. In: Greenhalgh T, Hurwitz B. editors. Narrative based medicine, dialogue and discourse in clinical practice. London: BMJ Books; 1998. pp. 185-201.
• 3 Rooksby J, Kay S. The Communicative function of radiology reports. Stud Health Technol Inform 2000; 77: 1045-50.
• 4 Gubrium J. Perspective and story in nursing home ethnography. In: Henderson JN, Vesperi MD. editors. The culture of long term care, nursing home ethnography. Westport (CT): Bergin and Garvey; 1995. pp. 23-36.
• 5 Hunter KM. Doctors stories, the narrative structure of medical knowledge. Princeton (NJ): Princeton University Press; 1991
• 6 Berg M, Bowker G. The multiple bodies of the medical record, towards a sociology of an artefact. The Sociological Quarterly 1997; 38: 513-27.
• 7 Labov W. Language in the inner city, studies in the black English vernacular. Philadelphia: University of Pennsylvania Press; 1972
• 8 Opie A. Teams as author, narrative and knowledge creation in case discussions in multi-disciplinary health teams. Soc Res Online 1997 2. 03 [cited 2003 February 7]; Available from: URL: www.socresonline.org.uk/2/3/5.html