“On paper it was a surgical success, but the reality was very different”: A qualitative interview study using narrated casuistry to explore patient context in specialist care

Medical specialists emphasized the essential role of patient context in enabling personalized and efficient decision-making, enhancing care monitoring, and ultimately improving clinical outcomes. However, systematic and continuous integration of contextual information into decision-making remains challenging. Addressing this requires proactive exploration, improved communication training, and organizational support to embed contextualized care in routine practice.

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Publication Details

Journal
PLoS ONE
Published
2026-01-12
DOI
https://doi.org/10.1371/journal.pone.0339353
Primary Topic
Patient-Provider Communication in Healthcare
Type
article
Field-Weighted Citation Impact
0.00

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article

“On paper it was a surgical success, but the reality was very different”: A qualitative interview study using narrated casuistry to explore patient context in specialist care

Hugo R. W. Touw, Yvonne Engels, Marieke Voet, Linda Modderkolk et al.
PLoS ONE
Patient-Provider Communication in Healthcare
article

“On paper it was a surgical success, but the reality was very different”: A qualitative interview study using narrated casuistry to explore patient context in specialist care

Hugo R. W. Touw, Yvonne Engels, Marieke Voet, Linda Modderkolk, Anne B. Wichmann, Eva Stortelder, Yvonne Schoon
article en

Abstract

Medical specialists emphasized the essential role of patient context in enabling personalized and efficient decision-making, enhancing care monitoring, and ultimately improving clinical outcomes. However, systematic and continuous integration of contextual information into decision-making remains challenging. Addressing this requires proactive exploration, improved communication training, and organizational support to embed contextualized care in routine practice.

PLoS ONEVol. 21(1)
Radboud University Nijmegen (NL), Radboud University Medical Center (NL), University Medical Center Utrecht (NL), Cal Humanities (US), Queen Fabiola Children's University Hospital (BE), Radboud Institute for Molecular Life Sciences (NL)
ZonMw, KWF Kankerbestrijding
Peace, Justice and strong institutions
Openalex Percentile: Top 91%
Patient-Provider Communication in Healthcare
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“On paper it was a surgical success, but the reality was very different”: A qualitative interview study using narrated casuistry to explore patient context in specialist care — Hugo R. W. Touw, Yvonne Engels, et al. · PLoS ONE (2026) | TGRS Research Map | TGRS