CoChat
Sign Up
Cited by 35Patient-Provider Communication in HealthcareMedicine, History, and PhilosophyMedical Research and Practices

Shrinking social space in the doctor–modern patient relationship: A review of forces for, and implications of, homologisation

Buetow, Stephen, Jutel, Annemarie, Hoare, Karen·2009·Patient Education and Counseling
DOI 10.1016/j.pec.2008.07.053
Open this paper in CoChat — free account

Abstract

Objective Forces for modernisation appear to have led to role convergence and reduced social distances between doctors and modern patients. This review aims to document and understand this process in theory and practice, and to consider the implications for modern patients in particular but also non-modern patients and doctors.Method Narrative review of published and grey literature identified from sources including electronic databases, the Internet and reference lists of retrieved works.Results Forces for role convergence between doctors and modern patients include consumerism and increased patient literacy; socio-technological changes; values convergence; increased licence for doctors to use their emotions in patient care; and structural changes in the social organisation of health care. As a result, modern patients appear to have gained more in health care than they have lost and more than have the non-modern (or less modern) patients. Doctors have lost authority and autonomy in patient care.Conclusion The net impulse toward role convergence is, on balance, a positive development. The differential uptake of modernisation by patients has increased health inequalities between modern and non-modern patients. The need of doctors to accommodate these changes has contributed to a form of reprofessonalisation.Practice implications A key challenge is to make available the benefits of modernisation, for example through patient education, to as many patients as possible while minimising the risk of harm. It is important therefore to elucidate and be responsive to patient preferences for modernisation, for example by enlisting the support of the modern patients in overcoming barriers to the modernisation of non-modern patients. There is also a need to support doctors as they redefine their own professional role identity.

Integrity signals

Registry

Crossref · 10.1016/j.pec.2008.07.053

Cites

98 of 98 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

3 of the 101 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Buetow, S., Jutel, A., & Hoare, K.
Affiliations
  • University of Auckland (NZ)
  • Otago Polytechnic (NZ)
Corresponding author
Buetow, Stephen
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2009-01
Volume
74
Issue
1
Pages
97-103
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2008.07.053
OpenAlex
W2063297590
Cited by
35
References
101
Citations by year
2024: 2 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 5
FWCI
0.63
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchSpace (University of Auckland) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
  • Health Sciences › Health Professions › Medical Terminology › Medical Research and Practices
Keywords
physician-patient relationship, consumerism in health care, patient literacy, socio-technical change, health care organization, health disparities, professional role identity, patient education
MeSH terms
Attitude to Health, Authoritarianism, Cooperative Behavior, Decision Making, Humans, Patient Education as Topic, Patient Participation, Physician-Patient Relations, Physician's Role, Psychological Theory, Self Care, Social Change, Psychological Distance, Social Values, Professional Autonomy, Patient Rights, Narration

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review