Algunos aspectos antropológicos del encuentro médico-paciente con tuberculosis pulmonar en el occidente de México / Various anthropologic features of the physician-patient encounter with pulmonary tuberculosis in Western Mexico
Gac. méd. Méx
;
138(2): 211-216, mar.-abr. 2002.
Article
in Spanish
| LILACS
| ID: lil-333653
RESUMO
The present work has as its purpose a description of the information exchanged during doctor-patient encounters immediately following diagnosis of pulmonary tuberculosis. To accomplish this nine such encounters were audiotape at two public health clinics in Guadalajara, Mexico. Communication of information and affect was evaluated by adapting the Roter interactional process analysis. Results show that the physician instructed the patient to behave in ways to prevent disease transmission while assuring patient recovery. Virtually lacking from these recordings is evidence of physician concern with the struggle patients experience to incorporate this regimen of directly observed therapy in to their daily lives. Because these sessions are managed by clinicians to encourage a unidirectional flow of information from physician to patient, the former fail to attain either patient cultural understanding of his/her disease process or comprehensive understanding of how he is affected she by the illness.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Physician-Patient Relations
/
Tuberculosis, Pulmonary
Limits:
Humans
Country/Region as subject:
Mexico
Language:
Spanish
Journal:
Gac. méd. Méx
Journal subject:
Medicine
Year:
2002
Type:
Article
Affiliation country:
Mexico
/
United States
Institution/Affiliation country:
Instituto Mexicano del Seguro Social/MX
/
Universidad de California/US
/
Universidad de Guadalajara/MX
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