Demanding patient or demanding encounter?: A case study of a cancer clinic.

Demanding patient or demanding encounter?: A case study of a cancer clinic.
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DOI:
10.1016/j.socscimed.2009.06.032
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发表时间:
2009-09
影响因子:
5.4
通讯作者:
Dohan, Daniel
Dohan, Daniel
中科院分区:
医学2区
文献类型:
--
作者:
Stacey, Clare Louise;Henderson, Stuart;MacArthur, Kelly R.;Dohan, Daniel

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This paper explores the sociological relevance of demanding encounters between doctors and patients. Borrowing from reconceptualization of the doctor-patient relationship, we suggest an analytic shift away from `demanding patients' toward `demanding encounters'. Such a shift places provider-patient conflict within a broader sociocultural context, emphasizing constraints facing both doctor and patient as they interact in a clinical setting. Specifically, through an ethnographic study of doctor-patient interactions at the oncology clinic of a US University Hospital, we examine the respective influences of new information technologies and patient consumerism in the production of demanding encounters in oncology. Findings suggest that these interconnected socio-cultural realities, in tandem with patient tendencies to challenge physician judgment or expertise, play a role in demanding encounters. We conclude by considering the implications of demanding encounters for doctors, patients and healthcare organizations.
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