scholarly journals Narrative co-construction in the medical consultation: How agency and control affect the diagnosis

2013 ◽  
Vol 9 (2) ◽  
pp. 159-171 ◽  
Author(s):  
Caroline H. Vickers ◽  
Ryan Goble ◽  
Christopher Lindfelt
Keyword(s):  
Nurse Practitioners ◽  
Medical Consultation ◽  
Diagnosis And Treatment ◽  
Differential Information ◽  
Patient Narratives ◽  
Medical Issues ◽  
Medical Consultations ◽  
Recorded Data ◽  
Narrative Scholarship ◽  
And Control

The purpose of this paper is to examine patient-provider narrative co-construction of symptoms, diagnosis and treatment in the medical consultation. Narrative scholarship has demonstrated that conversational narratives, including those that take place in medical consultations, are typically co-constructed by all participants within the conversation. In the context of the medical consultation, this means that patient narratives are co-constructed with providers, and that at times, provider contributions to the patient narrative can hide patient contributions. The inherent power asymmetry that exists between patient and provider facilitates the possibility for provider contributions to obscure those of the patient. Based on audio-recorded data from medical consultations between two different nurse practitioners and one patient, findings from this study demonstrate that such narrative co-construction leads to differential information regarding the patient’s symptoms, diagnosis and treatment. Implications include the need for providers to relinquish control over to the patient to allow the patient to fully articulate narrative accounts of their medical issues.

Medical Consultation Experience Questionnaire: Assessing perceived alliance and experienced confusion during medical consultations.

2018 ◽  
Vol 30 (11) ◽  
pp. 1499-1511 ◽  
Author(s):  
Keith Sanford ◽  
Alannah Shelby Rivers ◽  
Tara L. Braun ◽  
Kelly P. Schultz ◽  
Edward P. Buchanan
Keyword(s):  
Medical Consultation ◽  
Medical Consultations ◽  
Experience Questionnaire

DIAGNOSIS AND TREATMENT: GROUP A STREPTOCOCCAL INFECTIONS

PEDIATRICS ◽  
1965 ◽  
Vol 36 (6) ◽  
pp. 930-932
Author(s):  
Edward A. Mortimer ◽  
Bernard Boxerbaum
Keyword(s):  
Treatment Group ◽  
Oral Therapy ◽  
Accurate Diagnosis ◽  
Diagnosis And Treatment ◽  
Streptococcal Infections ◽  
Benzathine Penicillin ◽  
Throat Culture ◽  
Streptococcal Disease ◽  
Group A ◽  
And Control

In spite of adequate means of therapy, streptococcal disease and its complications continue to present problems to the physician who cares for children. For accurate diagnosis and control of streptococcal disease inexpensive bacteriologic culture facilities are required and the physician must assure himself of the accuracy of the results. To prevent the sequelae of streptococcal occal pharyngitis, therapy sufficient to eradicate the offending organism is required. Optimum therapy of streptococcal infections is intramuscular benzathine penicillin; oral therapy with penicillin or erythromycin should be followed by a throat culture to ensure that the streptococcus has been erdicated.

scholarly journals Disparity in Physician-Patient Communication by Ethnicity: Evidence from Bangladesh

2020 ◽  
Author(s):  
Muhammad Zakaria ◽  
Rezaul Karim ◽  
Murshida Rahman ◽  
Feng Cheng ◽  
Junfang Xu
Keyword(s):  
Decision Making ◽  
Linear Regression ◽  
Ethnic Minority ◽  
Health Problem ◽  
Patient Communication ◽  
Medical Consultation ◽  
Medical Decision ◽  
Medical Consultations ◽  
Physician Patient Communication ◽  
Physician Patient

Abstract Background: Physician-patient communication is the primary process by which medical decision-making occurs and health outcome depends. Physician-patient communication differences may partly from the ethnic disparities. To examine this problem, this study aims to explore whether physician-patient communication differs by ethnic in primary care medical consultations. Methods: The study was conducted among the Bengali and ethnic minority patients (N = 850) who visited the physician for medical consultations. Data were collected using a structured post-consultation questionnaire. T-test was conducted to compare the communication between the Bengali and ethnic minority patients. Multiple linear regression analyses were performed to identify the factors associated with favorable communication behavior from the physicians. Results: Bengali patients received more supportive communication behaviors from the Bengali doctors than that of ethnic minority patients including physicians’ cheerful greetings, encouraging patients to express health problems and asking questions, listening carefully, responding to the questions and concerns, explaining the patients about a medical test, medication, and probable side effects, discussing the treatment options, involved the patients in decisions and spending adequate time. Results of linear regression explored that respondents’ education year, internet use, knowledge on the health problem, having a pre-plan about the content of medical consultation, information seeking about the health problem, visiting female doctors, and quiet ambience of the doctor’s room are significantly associated with better PPCB score for the Bengali patients. In contrast, age, being the resident of an urban area, perception of affecting a minor health problem, having a pre-plan about the content of medical consultation, patients’ involvement in physicians’ decision-making about the treatment, and talking time resulted in better physician-patient communication for the ethnic minority patients. Conclusion: This study suggests for reducing the disparity in the socio-economic status of the ethnic minority people through development program and teaching healthcare providers how to use patient-centered communication skills to engage their patients is one solution to improve equity in the delivery of healthcare and make sure patients are receiving high-quality treatment, no matter their race or ethnicity.

scholarly journals Gender dan Penyakit Tuberkulosis: Implikasinya Terhadap Akses Layanan Kesehatan Masyarakat Miskin yang Rendah

2013 ◽  
Vol 7 (10) ◽  
pp. 447
Author(s):  
Dewi Rokhmah
Keyword(s):  
Secondary Data ◽  
Tuberculosis Patient ◽  
Case Finding ◽  
Diagnosis And Treatment ◽  
Treatment Result ◽  
Gender Perspective ◽  
Short Course ◽  
Directly Observed Treatment ◽  
And Control

Saat ini, fokus utama dari pelayanan kesehatan masih bertumpu pada aspek medis yang sangat kurang memperhatikan isu sosial termasuk gender yang merupakan penyebab utama kesenjangan bidang kesehatan di masyarakat kita. Tuberkulosis adalah penyakit yang menyebabkan kematian di seluruh dunia. Gender berperan sebagai salah satu determinan penyakit tuberkulosis meliputi penemuan kasus, diagnosis, dan proses pengobatan. Penelitian ini bertujuan menganalisis perspektif gender pencapaian Program Tuberkulosis Directly Observed Treatment Short-course (DOTS) meliputi penemuan, diagnosis pasien, dan hasil pengobatan di Rumah Sakit Paru Jember, tahun 2010. Penelitian ini menggunakan metode deskriptif analitik menggunakan data sekunder yang berasal dari Laporan Program Tuberkulosis DOTS Tahun 2010. Populasi adalah penduduk yang menderita tuberkulosis yang mendapat pelayanan dalam program DOTS. Sedangkan, sampel dari penelitian ini adalah pasien yang telah didiagnosis tuberkulosis oleh dokter, mendapatkan pelayanan di Poli Paru Rumah Sakit Paru Jember pada tahun 2010. Data yang terkumpul dianalisis secara diskriptif dengan perspektif gender. Hasil penelitian menunjukkan bahwa dalam proses penemuan pasien tuberkulosis, perempuan lebih tinggi dari laki-laki. Tetapi dalam proses diagnosis pasien tuberkulosis dan hasil pengobatan pasien tuberkulosis, laki-laki jauh lebih tinggi dari perempuan. Kondisi ini disebabkan karena stigma pada perempuan serta akses dan kontrol perempuan yang rendah terhadap pengelolaan sumber daya untuk kesehatan. Komitmen pemerintah dan masyarakat yang sensitif gender diperlukan dalam intervensi program tuberkulosis DOTS pada masa yang akan datang.Nowadays main focus of health care remains in medical aspect and lack on social issue include gender identities which are being main cause of the health gap in our society. Tuberculosis is a disease caused mortality in the worldwide. The role of gender as a determinant of health status, including all aspects of tuberculosis, from case finding, diagnosis, and treatment result of tuberculosis patient. The objective of this research was an analysis of gender perspective the reach of Tuberculosis Directly Observed Treatment Short-course (DOTS) program from case finding, diagnosis, and treatment result of tuberculosis patient in Lung Hospital of Jember in 2010. This research was descriptive analytic method used secondary data from the report of Tuberculosis DOTS program at 2010. The population of this research is people with Tuberculosis have accessed services from DOTS program. The sample of this research are man and woman patient, have been diagnosed as tuberculosis patient by doctor, getting services in Lung Poly in Lung Hospital of Jember in 2010. Collected data are analyzed descriptively with a gender perspective. The result of this research shows that in tuberculosis patient finding process, woman is higher than man, but in the diagnosis and treatment result of tuberculosis patient, man is higher than woman. This condition was caused by woman had stigma and low access and control in managing resources for health. Gender sensitivity commitment by government and society is needed to the intervention both in tuberculosis DOTS program applying in the future.

A Discourse on Mass Media and Society

2018 ◽  
pp. 422-438 ◽  
Author(s):  
Nneoma A. Anozie
Keyword(s):  
Mass Media ◽  
Media Studies ◽  
Media Literacy ◽  
Medical Diagnosis ◽  
Social Systems ◽  
Diagnosis And Treatment ◽  
Media Ethics ◽  
Medical Issues ◽  
Perceived Effects ◽  
The Media

Mass media and society, a popular concept in media studies, has constituted much discourse due to roles media play in society and perceived effects that can result thereof. This chapter is inspired by the term ‘medicalization of the society' whereby ailments are regarded as medical issues and subjected to medical diagnosis and treatment, regardless of their true causes. Similarly, the violence, moral decadence and ethno-religious crises witnessed in the society are largely ascribed to the media. This chapter examined the said effects of mass media with society's social systems, cultures and values, with a view to finding a relationship. It argues that these societal makeups especially ones as formidable as Africa's also affect largely members' conducts and reactions to media contents. However, it advocates children's news segment, adherence to media ethics, and use of media programmes to enhance learning, proper socialization, abolishment of negative cultures, media literacy among others.

scholarly journals A model for bringing TB expertise to HIV providers: Medical consultations to the CDC-funded Regional Tuberculosis Training and Medical Consultation Centers, 2013–2017

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0236933
Author(s):  
Robyn Fernando ◽  
Ashley C. McDowell ◽  
Rajita Bhavaraju ◽  
Henry Fraimow ◽  
John W. Wilson ◽  
...  
Keyword(s):  
Medical Consultation ◽  
Medical Consultations

scholarly journals Increase of scabies infestations, Norway, 2006 to 2018

2020 ◽  
Vol 24 (23) ◽  
Author(s):  
E Amato ◽  
LS Dansie ◽  
GM Grøneng ◽  
HS Blix ◽  
H Bentele ◽  
...  
Keyword(s):  
Young Adults ◽  
Surveillance System ◽  
Syndromic Surveillance ◽  
Diagnosis And Treatment ◽  
Syndromic Surveillance System ◽  
Sales Data ◽  
Timely Diagnosis ◽  
Medical Consultations ◽  
Mite Infestations

Between October and December 2018, several clinicians in Norway reported an increase in scabies diagnoses. We compared data from the Norwegian Syndromic Surveillance System on medical consultations for mite infestations with scabies treatment sales data to investigate this reported increase. From 2013 to 2018, consultations and sales of scabies treatments had almost increased by threefold, particularly affecting young adults 15–29 years. We recommend to increase awareness among clinicians to ensure timely diagnosis and treatment.

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