RESUMO
No disponible
Assuntos
Humanos , Modificador do Efeito Epidemiológico , Entrevistas como Assunto/normas , Anamnese/normas , Relações Médico-PacienteRESUMO
No disponible
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Criança , Pessoa de Meia-Idade , Humanos , Bioética , Terapias Complementares , Medicina Baseada em Evidências , Terapia por Acupuntura , Fatores de Risco , HomeopatiaRESUMO
No disponible
Assuntos
Humanos , Relações Médico-Paciente , Atenção Primária à Saúde , Entrevistas como Assunto , Comunicação , Síndrome da Imunodeficiência Adquirida , Entrevista Psicológica , Infecções por HIVRESUMO
No disponible
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Humanos , Teoria Psicológica , Medicina Baseada em Evidências , Terminologia , Psicologia , Biologia , Transtornos Mentais , Cultura , AfetoRESUMO
No disponible
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Masculino , Feminino , Humanos , Medicina de Família e Comunidade , Fácies , Exame Físico , Relações Médico-Paciente , Inquéritos e Questionários , Teorema de Bayes , Anamnese , Expressão FacialRESUMO
The expression of emotion and the sharing of information are determined by cultural factors, consultation time, and the structure of the health care system. Two emblematic situations in Spain - the expression of aggression in the patient-physician encounter, and the withholding of diagnostic information from the patient - have not been well-described in their sociocultural context. To explore these, the authors observed and participated in clinical practice and teaching in several settings throughout Spain and analyzed field notes using qualitative methods. In this paper, we explore three central constructs - modesty (pudor), dignity (honor), and authority (autoridad) - and their expressions in patient-physician encounters. We define two types of emotions in clinical settings - public, extroverted expressions of anger and exuberance; and private, deeply held feelings of fear and grief that tend to be expressed through the arts and religion. Premature reassurance and withholding of information are interpreted as attempts to reconstruct the honor and pudor of the patient. Physician authority and perceived loyalty to the government-run health care system generate conflict and aggression in the patient-physician relationship. These clinical behaviors are contextualized within cultural definitions of effective communication, an ideal patient-physician relationship, the role of the family, and ethical behavior. Despite agreement on the goals of medicine, the behavioral manifestations of empathy and caring in Spain contrast substantially with northern European and North American cultures.
Assuntos
Autoritarismo , Comunicação , Ética Médica , Relações Médico-Paciente , Médicos de Família/psicologia , Agressão/psicologia , Atitude do Pessoal de Saúde/etnologia , Atitude Frente a Saúde/etnologia , Conflito Psicológico , Características Culturais , Empatia , Humanos , Programas Nacionais de Saúde , Defesa do Paciente , Lealdade ao Trabalho , Papel do Médico , Poder Psicológico , Atenção Primária à Saúde , Espanha , Revelação da Verdade , VirtudesRESUMO
No disponible
Assuntos
Humanos , Relações Médico-Paciente , Comunicação , Espanha , Programas Nacionais de Saúde , Gestão de Recursos Humanos , Corpo Clínico , EmpregoRESUMO
BACKGROUND: To compare information on the deaths detected by the register of AIDS cases and the register of deaths due to AIDS in residents of Barcelona, with the objective to determine the differences between the two. METHODS: Mortality data were obtained from the register of AIDS cases and the mortality register during 1991 and 1992. The two registers were linked and concordant cases were identified. RESULTS: During 1991-92 there were 582 deaths on the case-register and 525 on the mortality register. It was possible to link 458 cases. The 67 cases not detected by the register of cases of AIDS were due to the fact that some had not been reported (35.9%), some were not AIDS cases (28.3%), some lacked information that qualified them as AIDS cases (28.3%), or were from a different residence (7.5%). The 124 cases that were not detected in the mortality register were due to their having another underlying cause of death (60.5%), a different residence (21.8%) and a lack of information since 22 deaths could not be identified in the mortality register, therefore, the cause of death could not be identified (17.7%). CONCLUSIONS: To do a correct epidemiological surveillance of AIDS, a good coordination between the case and the mortality register is necessary.
