Public Challenge of Physician Authority

Haug, Marie R.; Lavin, Bebe

doi:10.1097/00005650-197908000-00007

Cited by 82 publications

(22 citation statements)

References 18 publications

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“…With regard to determinants of autonomy preference, studies have generally found that patients were more likely to prefer a passive role if they were man, relatively older, and had less education (4)(5)(6)(7)(8)(9). Although these findings were derived from studies conducted in Europe, the United States, and Canada, where cultures and ethics differ greatly from those in Japan, our results supported a positive association T a b l e 2 .…”

Section: Subjects and Samplingmentioning

confidence: 99%

Patient Autonomy Preferences among Hypertensive Outpatients in a Primary Care Setting in Japan

et al. 2007

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Section: Subjects and Samplingmentioning

confidence: 99%

Patient Autonomy Preferences among Hypertensive Outpatients in a Primary Care Setting in Japan

et al. 2007

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“…Research on power and control in health care has focused above all on the power of the medical establishment (e.g., Haug & Lavin, 1979, 1983 and, on the other hand, on patient participation and empowerment (e.g., Anderson, 1996;Malterud, 1993;Sätterlund Larsson, 1989). According to earlier studies, the role of the doctor is central with regard to power within health care.…”

Section: Power and Control In The Patient-health Care Provider Interamentioning

confidence: 99%

Patient Power and Control: A Study of Women with Uncertain Illness Trajectories

Åsbring

Närvänen

2004

Qual Health Res

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The authors interviewed 12 women diagnosed with chronic fatigue syndrome and 13 with fibromyalgia with the aim of determining the strategies they perceive themselves as using to gain control over their situation during the health care process. The results highlight various strategies that the women report applying to find a way of managing the illness and to influence caregivers. They describe, for example, how they try to gain control over their situation by acquiring knowledge about the illness. The women also describe various power strategies they use in their interaction with the caregivers to take command of their situation, namely exiting, noncompliance, confrontation, persuasion/insistence, making demands, and demonstrative distancing.

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“…In addition, these 'take-charge' behaviours have been shown to be beneficial to patients' health outcomes (Greenfield et al ., 1988;Starfield et al ., 1981). Empowerment, however, may take time to develop in many patients, with passivity often noted initially after diagnosis and more empowered behaviours occurring later after time and experience with their illness (Haug & Lavin, 1979;Marelich et al ., 2002;Strull et al ., 1984).…”

Section: Introductionmentioning

confidence: 99%

Effects of empowerment among HIV-positive women on the patient-provider relationship

Marelich

Da²

2003

AIDS Care

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An assessment of the effects of HIV/AIDS patients' empowered behaviours on the patient-provider relationship was undertaken. Participants were 50 HIV-positive women ranging in age from 23 to 48 years, with 60% of the sample African American, 24% Latina, 6% White and 10% mixed/other race. Descriptive and canonical correlation analyses were used to investigate the interrelationships between patients' empowered behaviours and self-reported interactions with their providers. Positive associations were noted between patients' medical decision-making involvement and patient-provider interactions. Patients reporting greater decision-making involvement, had higher levels of communication with their providers, and received more information and positive affect from their providers. Health care providers of HIV-positive women are encouraged to cultivate empowered behaviours in their patients.

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Public Challenge of Physician Authority

Cited by 82 publications

References 18 publications

Patient Autonomy Preferences among Hypertensive Outpatients in a Primary Care Setting in Japan

Patient Autonomy Preferences among Hypertensive Outpatients in a Primary Care Setting in Japan

Patient Power and Control: A Study of Women with Uncertain Illness Trajectories

Effects of empowerment among HIV-positive women on the patient-provider relationship

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