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Demanding patient or demanding encounter?: A case study of a cancer clinic

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  • Stacey, Clare Louise
  • Henderson, Stuart
  • MacArthur, Kelly R.
  • Dohan, Daniel

Abstract

This paper explores the sociological relevance of demanding encounters between doctors and patients. Borrowing from Potter and McKinlay's [(2005). From a relationship to encounter: an examination of longitudinal and lateral dimensions in the doctor-patient relationship. Social Science & Medicine, 61, 465-479] reconceptualization of the doctor-patient relationship, we suggest an analytic shift away from 'demanding patients' toward 'demanding encounters'. Such a shift places provider-patient conflict within a broader socio-cultural context, emphasizing constraints facing both doctor and patient as they interact in a clinical setting. Specifically, through an ethnographic study of doctor-patient interactions at the oncology clinic of a US University Hospital, we examine the respective influences of new information technologies and patient consumerism in the production of demanding encounters in oncology. Findings suggest that these interconnected socio-cultural realities, in tandem with patient tendencies to challenge physician judgment or expertise, play a role in demanding encounters. We conclude by considering the implications of demanding encounters for doctors, patients and healthcare organizations.

Suggested Citation

  • Stacey, Clare Louise & Henderson, Stuart & MacArthur, Kelly R. & Dohan, Daniel, 2009. "Demanding patient or demanding encounter?: A case study of a cancer clinic," Social Science & Medicine, Elsevier, vol. 69(5), pages 729-737, September.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:5:p:729-737
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    References listed on IDEAS

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    1. Fox, N.J. & Ward, K.J. & O'Rourke, A.J., 2005. "The 'expert patient': empowerment or medical dominance? The case of weight loss, pharmaceutical drugs and the Internet," Social Science & Medicine, Elsevier, vol. 60(6), pages 1299-1309, March.
    2. Ford, Sarah & Fallowfield, Lesley & Lewis, Shôn, 1996. "Doctor-patient interactions in oncology," Social Science & Medicine, Elsevier, vol. 42(11), pages 1511-1519, June.
    3. Gabe, Jonathan & Olumide, Gillian & Bury, Michael, 2004. "'It takes three to tango':: a framework for understanding patient partnership in paediatric clinics," Social Science & Medicine, Elsevier, vol. 59(5), pages 1071-1079, September.
    4. Potter, Sharyn J. & McKinlay, John B., 2005. "From a relationship to encounter: an examination of longitudinal and lateral dimensions in the doctor-patient relationship," Social Science & Medicine, Elsevier, vol. 61(2), pages 465-479, July.
    5. Payne, S. A., 1992. "A study of quality of life in cancer patients receiving palliative chemotherapy," Social Science & Medicine, Elsevier, vol. 35(12), pages 1505-1509, December.
    6. Thompson, Andrew G.H., 2007. "The meaning of patient involvement and participation in health care consultations: A taxonomy," Social Science & Medicine, Elsevier, vol. 64(6), pages 1297-1310, March.
    7. Ziebland, Sue, 2004. "The importance of being expert: the quest for cancer information on the Internet," Social Science & Medicine, Elsevier, vol. 59(9), pages 1783-1793, November.
    8. Lupton, Deborah, 1997. "Consumerism, reflexivity and the medical encounter," Social Science & Medicine, Elsevier, vol. 45(3), pages 373-381, August.
    9. Eide, Hilde & Quera, Vicenç & Graugaard, Peter & Finset, Arnstein, 2004. "Physician-patient dialogue surrounding patients' expression of concern: applying sequence analysis to RIAS," Social Science & Medicine, Elsevier, vol. 59(1), pages 145-155, July.
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    Cited by:

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    8. Fisher, Jill A. & Cottingham, Marci D. & Kalbaugh, Corey A., 2015. "Peering into the pharmaceutical “pipeline”: Investigational drugs, clinical trials, and industry priorities," Social Science & Medicine, Elsevier, vol. 131(C), pages 322-330.

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