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Doctor/patient interaction in the te...

Richmond, Michele Andria.

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Doctor/patient interaction in the teaching hospital.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Doctor/patient interaction in the teaching hospital./
Author:	Richmond, Michele Andria.
Description:	487 p.
Notes:	Source: Dissertation Abstracts International, Volume: 49-09, Section: A, page: 2837.
Contained By:	Dissertation Abstracts International49-09A.
Subject:	Sociology, Theory and Methods. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=8826877

Doctor/patient interaction in the teaching hospital.
Richmond, Michele Andria.

Doctor/patient interaction in the teaching hospital. - 487 p.

Source: Dissertation Abstracts International, Volume: 49-09, Section: A, page: 2837.

Thesis (Ph.D.)--University of California, San Diego, 1988.

In this dissertation I show empirically how abstract and local organizations influence doctor/patient interaction. I also examine the relationship between the use of language in doctor/patient interaction and medical organizations.Subjects--Topical Terms:

626625
Sociology, Theory and Methods.

Doctor/patient interaction in the teaching hospital.
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035 $a (UnM)AAI8826877
035 $a AAI8826877
040 $a UnM $c UnM
100 1 $a Richmond, Michele Andria. $3 1932920
245 1 0 $a Doctor/patient interaction in the teaching hospital.
300 $a 487 p.
500 $a Source: Dissertation Abstracts International, Volume: 49-09, Section: A, page: 2837.
500 $a Chairperson: Aaron V. Cicourel.
502 $a Thesis (Ph.D.)--University of California, San Diego, 1988.
520 $a In this dissertation I show empirically how abstract and local organizations influence doctor/patient interaction. I also examine the relationship between the use of language in doctor/patient interaction and medical organizations.
520 $a Theory developed from research undertaken in the areas of: (1) theory of complex organizations, (2) medical sociology, and (3) sociolinguistics has provided the framework for this dissertation.
520 $a This study is situated in three general surgery clinics located in two teaching hospitals. This dissertation addresses 15 doctor/patient interactions out of a total of 79 observed. The principal source of data in this study is from detailed observations and tape recordings of doctor/patient interaction.
520 $a In this dissertation I observed both similarities and differences between the organizational features of each clinic that influence the doctor/patient interaction. There are differences and similarities in each clinic in terms of: (1) Organizational resources (participants present in clinic); (2) The characteristics and role of participants and their doctor/patient interactions and relationships with other health workers in the organization; (3) The physical environment; (4) The population each served, presenting varying chief complaints and who are provided with different diagnoses and treatment plans; (5) The fee structure; and (6) The policies and procedures.
520 $a Not only are there different pattens of doctor/patient interaction that occur across medical organizations, but also different patterns of doctor/patient interaction that appear in the same clinic because patients interact with physicians at different levels of authority. This dissertation provides both examples of differences in doctor discourse versus patient discourse and examples of how each level of authority, attending surgeon, chief resident, resident and medical student carries out communication with the patient. Patients and physicians are seen approaching the exchange with different understandings, attitudes and knowledge.
520 $a This dissertation also highlights how organizational aspects can influence the doctor/patient interaction and have strong consequences for the patient while at the same time violating bureaucratic procedures and authority structures.
590 $a School code: 0033.
650 4 $a Sociology, Theory and Methods. $3 626625
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
690 $a 0344
690 $a 0564
710 2 0 $a University of California, San Diego. $3 1018093
773 0 $t Dissertation Abstracts International $g 49-09A.
790 1 0 $a Cicourel, Aaron V., $e advisor
790 $a 0033
791 $a Ph.D.
792 $a 1988
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=8826877