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The meaning of the physician-patient...

Colavita, Dorothea F.

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The meaning of the physician-patient relationship to older women: A phenomenological study.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	The meaning of the physician-patient relationship to older women: A phenomenological study./
作者:	Colavita, Dorothea F.
面頁冊數:	125 p.
附註:	Source: Dissertation Abstracts International, Volume: 65-04, Section: B, page: 2079.
Contained By:	Dissertation Abstracts International65-04B.
標題:	Psychology, General. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3128522
ISBN:	0496757849

The meaning of the physician-patient relationship to older women: A phenomenological study.
Colavita, Dorothea F.

The meaning of the physician-patient relationship to older women: A phenomenological study. - 125 p.

Source: Dissertation Abstracts International, Volume: 65-04, Section: B, page: 2079.

Thesis (Ph.D.)--Temple University, 2004.

This study used semi-structured interviews to answer 2 questions: (a) how do older women conceptualize their relationships with their physicians, and (b) what physician characteristics do older women value in these relationships that foster treatment adherence. Participants were 7 women aged 65--74, diagnosed with 1 or more chronic medical condition/s. The participants described relationships with male and female primary care and specialist physicians in short (less than 6 visits) and longer term relationships (more than 3 years).

ISBN: 0496757849Subjects--Topical Terms:

1018034
Psychology, General.

The meaning of the physician-patient relationship to older women: A phenomenological study.
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245 1 4 $a The meaning of the physician-patient relationship to older women: A phenomenological study.
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500 $a Source: Dissertation Abstracts International, Volume: 65-04, Section: B, page: 2079.
500 $a Chair: Suni Petersen.
502 $a Thesis (Ph.D.)--Temple University, 2004.
520 $a This study used semi-structured interviews to answer 2 questions: (a) how do older women conceptualize their relationships with their physicians, and (b) what physician characteristics do older women value in these relationships that foster treatment adherence. Participants were 7 women aged 65--74, diagnosed with 1 or more chronic medical condition/s. The participants described relationships with male and female primary care and specialist physicians in short (less than 6 visits) and longer term relationships (more than 3 years).
520 $a Two core categories emerged across the interviews. First, the women attempted to describe the characteristics they value in their relationships with their physicians. Three themes emerged as the women conceptualized their relationships with their physicians: (a) physicians function in two roles: a professional role and therapeutic role, (b) their need to be involved with their physicians in maintaining and/or restoring or improving the quality of their health, and (c) their wish to be acknowledged as individuals. The second core category emerged as the women attempted to describe the physicians' characteristics that they value in their relationships. Four themes emerged as the women described: (a) physicians' characteristics that increased and decreased the likelihood of a beneficial relationship and treatment adherence, (b) physicians' behaviors that fostered or hindered the relationship and adherence, (c) their own feelings and experiences in the relationship, and (d) their acknowledgement of physicians' constraints in the medical setting.
520 $a The findings in this study suggest that (a) physicians' professional and therapeutic characteristics are important determinants for establishing beneficial relationships with older women (e.g., competent, friendly, trustworthy); (b) physician-patient relationships effect older women's adherence to treatment recommendations; (c) the health care of older women is adversely affected by the biases and stereotypes they encounter in relationships with their physicians; (d) some older women prefer a collaborative and supportive relationship rather than a paternalistic approach to health care; (e) the primacy of the physicians' authority in their relationships with older women positively influences their ability to foster mutually beneficial relationships; (f) it is important to elicit and consider older women's perceptions of their illness and treatment in order to determine their health care preferences.
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