Quality of Treatment Relationships between Physicians and Patients (Case Study: Polyclinic of General Hospital and Private Clinic)
14 Pages Posted: 20 Apr 2015
Date Written: February 28, 2015
Abstract
The studies and researches applied on the social medicine Mostly considered the role and position of organizational and macro elements in the treatment system: in return, the relationship between physician and patient as a cultural issue has been focused lower. Due to lack of interaction between physician and patient, the treatment process has got into trouble in Iran. In this paper, in addition to Identification of physician and patients presence, we intend to explain the pattern enforcing on the diagnosis and treatment flow in Iran by comparing two different environments of polyclinic and private clinic. The main question of this study is to investigate the quality of communication system between physician and patient: if the relationship between physician and patient is unilateral or interactive and continuous? The significance of interactive communication System is in patients collaboration in disease diagnosis and treatment process.
In this study, firstly by means of participant observation method, 60 samples of patients visit by physician and their conversation in the hospital and private clinic have been recorded and categorized in order to provide the requirements for conceptual analysis of findings. To analyze the data, considering the basic assumptions, Habermas communicative action theory and two main concepts of life world and system were used which have been declined to patient's life world and system (medical explanation) in the medical context.
The summary of this field study shows that the enforcement of biomedical and biologic view to the patient is yet continuing among the physician. This type of viewpoint affects the communication between physicians and patients and quality of conversation and counseling and even the diagnosis and treatment, and physicians single-dimensional and merely biological view to the patients leads to inefficiency of medical consultations.
Keywords: Communication patterns, relationship between physician and patient, life world, Medical Explanation, polyclinic, private clinic.
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