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医生作为患者角色的障碍。一种文化建构。

Barriers to the doctor as patient role. A cultural construct.

作者信息

Rogers T

机构信息

Diamond Creek Medical Centre, Vic.

出版信息

Aust Fam Physician. 1998 Nov;27(11):1009-13.

PMID:9845992
Abstract

BACKGROUND

The fact that few doctors have their own GP may help explain doctors' poor health outcomes. Barriers to the doctor as patient role may arise from problematic perceptions of the 'doctor' subject position and from its subjugation of 'other-than-doctor' positions. Medical culture appears to foster and construct inappropriate health seeking behaviour of doctors.

OBJECTIVE

A behaviour model is proposed--delusion, denial and delay; self-investigation, self-diagnosis, self-treatment and self-referral. Application of a behaviour change model could facilitate the doctor as patient role.

DISCUSSION

Literary theory and sociology critiques may help peel off the social construction of 'doctor'. The realisation of such myths may allow access to medical care enjoyed by the general community.

摘要

背景

很少有医生有自己的全科医生,这一事实可能有助于解释医生不佳的健康状况。医生作为患者角色所面临的障碍可能源于对“医生”主体地位的问题性认知,以及该地位对“非医生”地位的压制。医学文化似乎助长并构建了医生不恰当的就医行为。

目的

提出一种行为模型——妄想、否认与拖延;自我调查、自我诊断、自我治疗和自我转诊。应用行为改变模型可能有助于医生作为患者的角色。

讨论

文学理论和社会学批判可能有助于揭开“医生”的社会建构。认识到这些神话可能会让医生获得普通大众所享有的医疗服务。

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