Talking with Me or Talking at Me? The Impact of Status Characteristics on Doctor-Patient Interaction

Peck, B. Mitchell; Conner, Sonya

doi:10.1525/sop.2011.54.4.547

Cited by 23 publications

(14 citation statements)

References 40 publications

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“…Angrist and Pischke, 2009;Deaton, 1997;Gelman, 2007). As an illustration for this point, we located eight articles in Acta Sociologica that made use of ESS data (Edlund and Grönlund, 2010;Ervasti and Venetoklis, 2010;Gesthuizen and Scheepers, 2010;Hjerm, 2009;Huijts and Kraaykamp, 2012;Koos, 2012;Paskov, 2016;Reeskens and van Oorschot, 2014). Of these articles, only one article (Edlund and Grönlund, 2010) appears to use weights.…”

Section: A22 Models With Weighted Datamentioning

confidence: 99%

The Educational Gradient in Self-Rated Health in Europe: Does the Doctor-Patient Relationship Make a Difference?

Präg¹,

Wittek²,

Mills³

2017

Preprint

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Research suggests that doctor-patient relations have evolved from a doctorcentered, paternalistic approach towards a more patient-centered, egalitarian model of interactions between physicians and their patients. Given the longrunning debate on the positive relationship between education and health, the question arises how this development in doctor-patient relations affects social inequalities in health. First, we test to what extent egalitarian (e.g. discussing treatment decisions with patients) doctor-patient relations are underlying the education-self-reported health association. Second, we test whether egalitarian and paternalistic (e.g. withholding some information from patients) doctor-patient relations show differential effects on self-reported health across educational groups. Analyses of the European Social Survey (ESS) 2004/2005 for 24 countries demonstrate that a more egalitarian doctor-patient relationship does not substantially reduce educational inequalities in self-reported health. However, some direct positive effects of egalitarian and direct negative effects of paternalistic doctor-patient relations on health ratings can be found. Finally, results show how the health status of the lower educated can improve with a more egalitarian and less paternalistic doctor-patient relationship.

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Section: A22 Models With Weighted Datamentioning

confidence: 99%

The Educational Gradient in Self-Rated Health in Europe: Does the Doctor-Patient Relationship Make a Difference?

Präg¹,

Wittek²,

Mills³

2017

Preprint

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“…Thus the information given did not allow them to cope with the new situation, harmed the formation of an attachment with the child, and prevented families from overcoming the sadness of the situation (Gromošová, 2017;Nunes and Dupas, 2011). In their study, Huiracocha et al (2017) report that the unequal status between doctors and parents may be at the core of insufficient and inappropriate information provided to parents (Peck and Conner, 2011). On the other hand, doctors also indicate that gicing the diagnosis of Down syndrome to parents is very stressful for them (Vehkakoski, 2007), which may be due to the fact that, according to the Pickering and Busse study (2010), doctors and healthcare professionals lack skills in sensitive communication and thus in announcing the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Research into the needs of families who have children with Down syndrome (in the Slovak framework)

Slaná¹,

Letovancová²,

Dobríková³

et al. 2020

Kontakt

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Objective: The objective of the research was to identify the current needs of parents who have children with Down syndrome (DS); needs which were not satisfied at the time when DS was diagnosed in the child, and to describe the nature of the relationship between the needs of parents who have children with DS and their quality of life. Methods: Two valid standardized scales were applied in the research: the Family Needs Survey (FNS) and the Family Quality of Life Scale (FQOL). The research sample consisted of 102 parents of children with DS. The obtained data were processed using content analysis of data and statistical data processing through SPSS. Results: The research shows that it was right after the birth of their DS child that parents felt they most lacked information and psychological assistance. As their children grew older, they needed more formal or informal support, financial assistance, engagement of their DS child in the educational process, and they also felt a shortage of time. At the same time, a strong factor with a positive impact on the needs of parents of DS children (U = 448; p < 0.05) and their quality of life (U = 146; p < 0.05) was the support of grandparents and self-help communities (α = 52.78; p < 0.05). The higher the quality of the parents life, the lower the needs in terms of family functioning (r s = -0.267; p > 0.01), use of community services (r s = -0.278; p > 0.01) or the necessity to acquaint the community with the child's disability (r s = -0.280; p > 0.01). Conclusions: In order to satisfy the needs of families with DS children, formal and informal support is equally important. The types of support vary throughout the children's lives. Services provided to these families should not only be complex, but also coordinated and continuous.

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“…This turns attention to the ability of both patients and GPs to include each other and negotiate one another's influence in their interactions during the encounter [12,13]. Negotiation can therefore be understood as an ongoing process whereby individuals engage in interactions aimed to attain a certain outcome attainable only through the other party [14].…”

Section: Interaction and Negotiation During Encountersmentioning

confidence: 99%

Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care

Hultstrand

Coe

Lilja

et al. 2020

BMC Health Serv Res

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Background: How interactions during patient-provider encounters in Swedish primary care construct access to further care is rarely explored. This is especially relevant nowadays since Standardized Cancer Patient Pathways have been implemented as an organizational tool for standardizing the diagnostic process and increase equity in access. Most patients with symptoms indicating serious illness as cancer initially start their diagnostic trajectory in primary care. Furthermore, cancer symptoms are diverse and puts high demands on general practitioners (GPs). Hence, we aim to explore how presentation of bodily sensations were constructed and legitimized in primary care encounters within the context of Standardized Cancer Patient Pathways (CPPs). Methods: Participant observations of patient-provider encounters (n = 18, on 18 unique patients and 13 GPs) were carried out at primary healthcare centres in one county in northern Sweden. Participants were consecutively sampled and inclusion criteria were i) patients (≥18 years) seeking care for sensations/symptoms that could indicate cancer, or had worries about cancer, Swedish speaking and with no cognitive disabilities, and ii) GPs who met with these patients during the encounter. A constructivist approach of grounded theory method guided the data collection and was used as a method for analysis, and the COREQ-checklist for qualitative studies (Equator guidelines) were employed. Results: One conceptual model emerged from the analysis, consisting of one core category Negotiating bodily sensations to legitimize access, and four categories i) Justifying care-seeking, ii) Transmitting credibility, iii) Seeking and giving recognition, and iv) Balancing expectations with needs. We interpret the four categories as social processes that the patient and GP constructed interactively using different strategies to negotiate. Combined, these four processes illuminate how access was legitimized by negotiating bodily sensations. Conclusions: Patients and GPs seem to be mutually dependent on each other and both patients' expertise and GPs' medical expertise need to be reconciled during the encounter. The four social processes reported in this study acknowledge the challenging task which both patients and primary healthcare face. Namely, negotiating sensations signaling possible cancer and further identifying and matching them with the best pathway for investigations corresponding as well to patients' needs as to standardized routines as CPPs.

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Talking with Me or Talking at Me? The Impact of Status Characteristics on Doctor-Patient Interaction

Cited by 23 publications

References 40 publications

The Educational Gradient in Self-Rated Health in Europe: Does the Doctor-Patient Relationship Make a Difference?

The Educational Gradient in Self-Rated Health in Europe: Does the Doctor-Patient Relationship Make a Difference?

Research into the needs of families who have children with Down syndrome (in the Slovak framework)

Negotiating bodily sensations between patients and GPs in the context of standardized cancer patient pathways – an observational study in primary care

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