Chinese HIV-positive patients and their healthcare providers - Contrasting Confucian versus Western notions of secrecy and support
Chinese HIV-positive patients and their healthcare providers - Contrasting Confucian versus Western notions of secrecy and support
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DOI：
10.1097/01.ans.0000300182.48854.65
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发表时间：
2007-10-01
影响因子：
1.6
通讯作者：
Zhao, Hongxin
中科院分区：
文献类型：
--
作者：
Chen, Wei-Ti;Starks, Helene;Zhao, Hongxin
在这项定性研究中，29名HIV阳性的中国患者报告了他们对医疗服务提供者的高度好感，他们被认为提供了重要的医疗相关，经济和情感支持。一般来说，患者与提供者的关系对参与者及其维持健康的能力产生了积极的影响，当患者因艾滋病的严重耻辱而与家庭支持来源隔离时，这种关系尤为重要。家庭成员往往在病人之前被告知艾滋病毒的诊断，这揭示了集体主义和家庭权威的儒家原则与日益流行的个人自主权和个人健康信息特权地位的西方理想之间的紧张关系。
In this qualitative study, 29 HIV-positive, Chinese patients reported highly favorable impressions of their healthcare providers, who were seen as providing important medical-related, financial, and emotional support. Generally, the patient-provider relationship positively impacted the participants and their ability to maintain their health and was especially critical when patients were isolated from familial sources of support due to intense AIDS stigma. Often family members were informed of an HIV diagnosis before the patient, revealing tensions between Confucian principles of collectivism and familial authority and increasingly prevalent Western ideals of individual autonomy and the privileged status of personal health information.