Lecture 8 Physician Patient Relationship (2)

Lecture 8 Physician Patient Relationship (2) -...

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Physician-Patient Interaction Lecture 8
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Parsons: Sick role - Doctors use expert knowledge to return patients to normal - Patients cooperate Medical decision rule (Eliot Freidson) – bias toward finding disease
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Challenge to Sick Role: A Questioning Patient What factors contribute to this trend? Better general education Internet Direct-to-consumer advertising Shared decision-making seen as desirable
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Approaches Challenging Parsons Type of disease matters : 3 models Activity-passivity model (serious illness) Guidance-cooperation model (typically acute illness, patient can cooperate) Mutual participation model (chronic illness)
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Approaches Challenging Parsons Patients negotiate treatment Hayes-Bautista : Patients modify doctor’s advice
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Karen Lutfey: physicians take on various roles to promote adherence
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Patient Involvement in Treatment - Type and seriousness of disease - Social class - Age
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Physician-Patient Communication Benefits of effective communication - Strengthens physician-patient relationship - Reduces uncertainty - Increases compliance Factors in ineffective communication - Technical jargon - Language problems - Evasion
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This note was uploaded on 06/02/2011 for the course SOCY 360 taught by Professor Stepanikova during the Spring '11 term at South Carolina.

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Lecture 8 Physician Patient Relationship (2) -...

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