Gaceta Médica de México

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>Journals >Gaceta Médica de México >Year 2002, Issue 2

García de Alba-García JE, Rubel AJ, Moore CC, Márquez-Amezcua M, Casasola S, Von Glascoe C
Some Anthropologic Aspects of the Physician-Patient Encounter with Pulmonary Tuberculosis in Western Mexico.
Gac Med Mex 2002; 138 (2)

Language: Español
References: 26
Page: 211-216
PDF: 53.89 Kb.

[Full text - PDF]


The present work has as its purpose a description of the information exchanged during doctor-patient encounters immediately following diagnosis of pulmonary tuberculosis. To accomplish this nine such encounters were audiotape at two public health clinics in Guadalajara, Mexico. Communication of information and affect was evaluated by adapting the Roter interactional process analysis. Results show that the physician instructed the patient to behave in ways to prevent disease transmission while assuring patient recovery. Virtually lacking from these recordings is evidence of physician concern with the struggle patients experience to incorporate this regimen of directly observed therapy in to their daily lives. Because these sessions are managed by clinicians to encourage a unidirectional flow of information from physician to patient, the former fail to attain either patient cultural understanding of his/her disease process or comprehensive understanding of how he is affected she by the illness.

Key words: Tuberculosis, medical anthropology, doctor-patient encounter.

>Journals >Gaceta Médica de México >Year 2002, Issue 2
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