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journal of digital research & publishing - The Sydney eScholarship ...

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1 P M J O U R N A L O F D I G I T A L R ESEARCH & P UBLISHING<br />

In the United Kingdom, the most prominent patient advocate is Sheila Turner who founded<br />

Thyroid Patient Advocacy UK (TPA UK ­ http://www.tpa­uk.org.uk/). <strong>The</strong> situation in<br />

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respond to traditional treatment, with National Health Service doctors being ordered not<br />

to prescribe certain medications and common diagnostic testing being refused.<br />

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provided by forum moderators on the Real Thyroid Help message boards. Although the<br />

moderators are not self­described advocates, they are by default since they provide moral<br />

support, maintain “good doctor” lists and disseminate information.<br />

All patient advocates have one important factor in common: they are themselves thyroid<br />

patients who have spent years navigating a complex disease and even more complex<br />

and frustrating medical systems in their respective countries. This imbues them with<br />

authenticity and gravitas in the patient community. Data from the Pew Research study<br />

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making” (Fox and Jones: 2009).<br />

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notions <strong>of</strong> authority:<br />

}& Authenticity as detailed previously, which leads to trust – a different currency<br />

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}& Specialisation Unlike doctors (even specialists), patient advocates mostly specialise<br />

in one disease type, meaning that in many cases they know more about that disease than<br />

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}& Access to Information Because <strong>of</strong> their position, advocates <strong>of</strong>ten have access to<br />

information that others do not, for example <strong>research</strong> papers, policy papers, articles by<br />

doctors.<br />

}& Information dissemination Advocates <strong>of</strong>ten publish quite complex information in<br />

accessible language via their website or blog. Because <strong>of</strong> their authenticity and the resulting<br />

trust, the <strong>of</strong>ten­cited issue <strong>of</strong> information reliability when it comes to health information<br />

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advocate “expert” before it is published.<br />

142

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