LEADER 05582nam 2200721 450 001 9910460410303321 005 20200520144314.0 010 $a0-8131-3208-8 010 $a0-8131-5843-5 035 $a(CKB)3710000000334126 035 $a(EBL)1915291 035 $a(SSID)ssj0001402976 035 $a(PQKBManifestationID)12611150 035 $a(PQKBTitleCode)TC0001402976 035 $a(PQKBWorkID)11379647 035 $a(PQKB)10539436 035 $a(MiAaPQ)EBC1915291 035 $a(OCoLC)900344675 035 $a(MdBmJHUP)muse44169 035 $a(Au-PeEL)EBL1915291 035 $a(CaPaEBR)ebr11009789 035 $a(CaONFJC)MIL691117 035 $a(EXLCZ)993710000000334126 100 $a20150209h19931993 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aSociomedical perspectives on patient care /$fJeffrey Michael Clair, Richard M. Allman, editors 210 1$aLexington, Kentucky :$cThe University Press of Kentucky,$d1993. 210 4$dİ1993 215 $a1 online resource (306 p.) 300 $aDescription based upon print version of record. 311 $a1-322-59835-5 311 $a0-8131-1815-8 320 $aIncludes bibliographical references and indexes. 327 $aCover; Title; Copyright; Contents; List of Figures and Tables; Foreword; Acknowledgments; Introduction; Organization and Content; Issues and Perspectives; 1. The Application of Social Science to Medical Practice; The Quarantine of Scientific Data Thought Applicable to Medical Practice; The Social Sciences Working ""With"" Medicine; Functions of the Clinically Applied Social Scientist; Generating Applicable Sociomedical Data; Conclusion; Notes; 2. Reconciling the Agendas of Physicians and Patients; What Needs to Be Done When Doctor Meets Patient? 327 $aWhat Does the Patient Want from the Clinical Encounter?Implications of Discrepant Doctor-Patient Agendas; Pressures on Physicians; Patient Satisfaction and Health Outcomes; Future Research and Practice; Changes in Education and Practice; 3. The Changing Pattern of Physician-Patient Interaction; Models of Physician-Patient Interaction; Patients as Consumers; Modernity; Implications for Physician Status and Professional Autonomy; Conclusion; The Social Context of Medical Practice; 4. From Bedside to Bench: The Historical Development of the Doctor-Patient Relationship 327 $aThe Physician's Dichotomy: Artist or Scientist ?Humoral Physiology: Emphasis on the Individual Patient; Discovery of Hidden Causes Shifts Bedside Focus; Christianity and Medical Theory; Medicine as Part of University Curriculum; Gender-Based Theories of Doctor-Patient Relationship; Race- and Class-Based Theories of Treatment; Superimposing Science on Individual Symptoms; Conclusion; Notes; 5. High Tech vs ""High Touch"": The Impact of Medical Technology on Patient Care; Case Studies of Medical Instruments; Instruments and the Doctor-Patient Relationship; How Instruments Transformed Medicine 327 $aNotes6. Contractual Arrangements, Financial Incentives, and Physician-Patient Relationships; Principal-Agent Relationships; Contractual Arrangements and Incentives; Alternative Forms of Compensation: Empirical Studies; Physicians' Ownership Interests; Monitoring Effort and Peer Review; Conclusion; Notes; 7. Fear of Malpractice Litigation, the Risk Management Industry, and the Clinical Encounter; The Risk Management Industry; Malpractice, Medical Uncertainty, and Professional Esteem; Relationship of Injuries to Claims; An Epidemic of Injuries or of Litigation? 327 $aHow Risk Management Affects the Patient EncounterStereotypes of the Suit-Prone Patient; Inaccuracy of Stereotypes; Differential Treatment Based on Fear of Lawsuits; Malpractice Claims: The View from Both Sides; Are Risk Managers on the Mark?; Future Research; Ethical Dilemmas; Notes; Communicating with Patients and Caregivers; 8. Incomplete Narratives of Aging and Social Problems in Routine Medical Encounters; Conceptual Approach, Definitions, and Method; Encounter A: Independence and Physical Decline; Encounter B: Retirement and Death of a Spouse 327 $aConclusions: Aging and the Discourse of Medicine 330 $aSocial change has placed new demands on the practice of medicine, altering almost every aspect of patient care relationships. Just as medicine was encouraged to embrace the biological sciences some 100 years ago, recent directives indicate the importance of the social sciences in understanding biomedical practice. Humanistic challenges call for changes in curative and technological imperatives. In this book, social scientists contribute to such challenges by using social evidence to indicate appropriate new goals for health care in a changing environment.This book was designed to stimulate and 606 $aPhysician and patient 606 $aMedical care$xPsychological aspects 606 $aInterpersonal communication 606 $aCommunication in medicine 608 $aElectronic books. 615 0$aPhysician and patient. 615 0$aMedical care$xPsychological aspects. 615 0$aInterpersonal communication. 615 0$aCommunication in medicine. 676 $a610.69/6 702 $aClair$b Jeffrey M.$f1958- 702 $aAllman$b Richard M.$f1955- 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910460410303321 996 $aSociomedical perspectives on patient care$92458732 997 $aUNINA