• Like
History of patient doctor relationships
Upcoming SlideShare
Loading in...5

Thanks for flagging this SlideShare!

Oops! An error has occurred.

History of patient doctor relationships



Published in Health & Medicine , Business
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads


Total Views
On SlideShare
From Embeds
Number of Embeds



Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

    No notes for slide


  • 1. History Of Patient Doctor Relationships (social aspects) By: Ahmed Albehairy
  • 2. Approach to Patient Doctor RelationshipsI- Parsonian Formulation( 1950-1958-1978)- 1st social scientist to theorize Patient Doctor Relationships.- sick role, illness is a transitional state ( deviance).
  • 3. Approach to Patient DoctorRelationships( cont.)Parsonian Formulation:Parson saw 4 norms governing the functional sick role:- The individual is not responsible for their illness.- Exemption of the sick from normal obligation till they are well.- Illness is undesirable.- The ill should seek professional help.
  • 4. Approach to Patient DoctorRelationships( cont.)Critics of Parsonian Formulation:- Socialization and doctor role expectation, not universal.- Affective neutrality?.- Only discuss acute illness.- Mainly discussing family physicians.
  • 5. Approach to Patient DoctorRelationships( cont.)Critics of Parsonian Formulation:Szas and Hollander:- Acute illness :P- passive, D-assertive- Chronic illness: P-cooperative, D- guidance.- Culture aspects of sick role.
  • 6. II-Professionalization & Socializatio(1961) - Socialization and intercultural variation. - Affectionism vs. dehumanization. - Professional identity vs. social identity.
  • 7. III- Professional Power & Autonomy- Mal function is not only a social deviance.- Defense of autonomy.- Insurance.- Institutions ( vehicle vs human).
  • 8. IV-Marxist & Feminist (1972-1985)- Medical-industrial complex, capitalism, profit maximization, constraints physician, and decision making.- Physician are both agent and victim of capitalist exploitation.- Proletariazation / deprofessionalization.- Male physician- female patient relationship.- Women ?? Congenitally weak,- Female doctors and specialties??
  • 9. V- Economic Approach:(1980-1990)- Contract between P/D.- P- maximizing consumption of health.- D- maximizing income.- Health insurance.- Define illness leads to arguing the physician finance.- Induce demands vs. true needs.
  • 10. VI- Communication & Outcome( 1950-1993) - Improve physician skill communication. - Increase the quality of caring. - Investigate the conflictual P/D relationship. - Bargain over the treatment. - Kinds of interaction that improve patient satisfaction( make decision, code of ethics, patient satisfaction and kind of medical care).
  • 11. THANK YOU