Patient initiatives and physician-challenging behaviors: The views of Israeli health professionals
The views of Israeli physicians, nurses, physiotherapists, occupational therapists, and medical social workers were compared regarding patient behaviors which express autonomy and initiative in the doctor-patient interaction. The data show that these professionals do not view such behaviors positive...
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Veröffentlicht in: | Social science & medicine (1982) 1990, Vol.31 (7), p.719-727 |
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description | The views of Israeli physicians, nurses, physiotherapists, occupational therapists, and medical social workers were compared regarding patient behaviors which express autonomy and initiative in the doctor-patient interaction. The data show that these professionals do not view such behaviors positively. Gender is relevant to the physicians' views, with male physicians, particularly the specialists, having the least negative views, and female residents and general practitioners the most negative. Allied health professionals express less negative views than the physicians, and attribute to the physicians more negative views than those actually expressed by the physicians. There is overall agreement among the different professional groups about the relative acceptability of these behaviors. Those which threaten the physician's dominance in the process of diagnosis and prescription of treatment are rejected outright, while others are tolerated but not accepted. The findings are interpreted in the light of the status-related motives of Israeli health professionals. |
doi_str_mv | 10.1016/0277-9536(90)90166-P |
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The data show that these professionals do not view such behaviors positively. Gender is relevant to the physicians' views, with male physicians, particularly the specialists, having the least negative views, and female residents and general practitioners the most negative. Allied health professionals express less negative views than the physicians, and attribute to the physicians more negative views than those actually expressed by the physicians. There is overall agreement among the different professional groups about the relative acceptability of these behaviors. Those which threaten the physician's dominance in the process of diagnosis and prescription of treatment are rejected outright, while others are tolerated but not accepted. The findings are interpreted in the light of the status-related motives of Israeli health professionals.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/0277-9536(90)90166-P</identifier><identifier>PMID: 2244213</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Allied Health Personnel - statistics & numerical data ; Attitude of Health Personnel ; Attitudes ; Autonomy ; Bioethics ; Biological and medical sciences ; Doctor ; Female ; Gender differences ; Health professionals ; health professionals' attitudes ; Humans ; Israel ; Male ; Medical sciences ; Medicine - statistics & numerical data ; Nurses ; Paternalism ; Patient Access to Records ; patient autonomy ; Patient Participation - statistics & numerical data ; Patient relationships ; Patient Rights ; Perceptions ; Personal Autonomy ; physician gender ; Physician-Patient Relations ; physician-patient relationship ; physician-patient relationship patient autonomy health professionals' attitudes self-care physician gender ; Physicians ; Practitioner Patient Relationship ; Professional relationships ; Public health. 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The data show that these professionals do not view such behaviors positively. Gender is relevant to the physicians' views, with male physicians, particularly the specialists, having the least negative views, and female residents and general practitioners the most negative. Allied health professionals express less negative views than the physicians, and attribute to the physicians more negative views than those actually expressed by the physicians. There is overall agreement among the different professional groups about the relative acceptability of these behaviors. Those which threaten the physician's dominance in the process of diagnosis and prescription of treatment are rejected outright, while others are tolerated but not accepted. The findings are interpreted in the light of the status-related motives of Israeli health professionals.</description><subject>Allied Health Personnel - statistics & numerical data</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Autonomy</subject><subject>Bioethics</subject><subject>Biological and medical sciences</subject><subject>Doctor</subject><subject>Female</subject><subject>Gender differences</subject><subject>Health professionals</subject><subject>health professionals' attitudes</subject><subject>Humans</subject><subject>Israel</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine - statistics & numerical data</subject><subject>Nurses</subject><subject>Paternalism</subject><subject>Patient Access to Records</subject><subject>patient autonomy</subject><subject>Patient Participation - statistics & numerical data</subject><subject>Patient relationships</subject><subject>Patient Rights</subject><subject>Perceptions</subject><subject>Personal Autonomy</subject><subject>physician gender</subject><subject>Physician-Patient Relations</subject><subject>physician-patient relationship</subject><subject>physician-patient relationship patient autonomy health professionals' attitudes self-care physician gender</subject><subject>Physicians</subject><subject>Practitioner Patient Relationship</subject><subject>Professional relationships</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Self Care</subject><subject>Social Workers</subject><subject>Specialization</subject><subject>Therapists</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkk1v1DAQhiMEKkvhH4BkIYTgEPBnnHBAQhUfRZXYQzlbE2fSuMomqZ1dtP-eCbvsgQM9jMeyn3f88U6WPRf8neCieM-ltXllVPGm4m8rWiny9YNsJUqrcqO0fZitTsjj7ElKt5xzwUt1lp1JqbUUapXVa5gDDjMLQ5gDzXeYGAwNm7p9Cj7AkPsO-h6HmzDcsBo72IUxpg_sukO2C_grsbFllykC9oF1CP3csSmOLaYUxgH69DR71FLCZ8d8nv388vn64lt-9ePr5cWnq9ybUs65tIqjFHWpKCsjWl0IBXWh28IAclqzBhqu26ZsWqN47cGUwlQ1tLxREtR59vpQl06_22Ka3SYkj30PA47b5EouZGmkuhcshNSGc3kvaKy1RaGXii__AW_HbVwe76Ti2qhSVwTpA-TjmFLE1k0xbCDuneBucdQtdrnFLldx98dRtybZ94Ms4oT-pEHENPoNNm7nFChBw55CVCRVECgsxbRkUTkrrevmDRV7cbzotl60f6sd-4H2Xx33IXno2wiDD-mEkSWGPpGwjwcMyU9qguiSpy7y2ISIfnbNGP7_qN_fttVh</recordid><startdate>1990</startdate><enddate>1990</enddate><creator>Shye, Diana</creator><creator>Javetz, Rachel</creator><creator>Shuval, Judith T.</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>DKI</scope><scope>X2L</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>1990</creationdate><title>Patient initiatives and physician-challenging behaviors: The views of Israeli health professionals</title><author>Shye, Diana ; Javetz, Rachel ; Shuval, Judith T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c582t-2730e21b8330e351f4613ab64f65ae00e375ad04fd8df530bca58159baf0d32a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Allied Health Personnel - statistics & numerical data</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Autonomy</topic><topic>Bioethics</topic><topic>Biological and medical sciences</topic><topic>Doctor</topic><topic>Female</topic><topic>Gender differences</topic><topic>Health professionals</topic><topic>health professionals' attitudes</topic><topic>Humans</topic><topic>Israel</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine - statistics & numerical data</topic><topic>Nurses</topic><topic>Paternalism</topic><topic>Patient Access to Records</topic><topic>patient autonomy</topic><topic>Patient Participation - statistics & numerical data</topic><topic>Patient relationships</topic><topic>Patient Rights</topic><topic>Perceptions</topic><topic>Personal Autonomy</topic><topic>physician gender</topic><topic>Physician-Patient Relations</topic><topic>physician-patient relationship</topic><topic>physician-patient relationship patient autonomy health professionals' attitudes self-care physician gender</topic><topic>Physicians</topic><topic>Practitioner Patient Relationship</topic><topic>Professional relationships</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Self Care</topic><topic>Social Workers</topic><topic>Specialization</topic><topic>Therapists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shye, Diana</creatorcontrib><creatorcontrib>Javetz, Rachel</creatorcontrib><creatorcontrib>Shuval, Judith T.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>RePEc IDEAS</collection><collection>RePEc</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shye, Diana</au><au>Javetz, Rachel</au><au>Shuval, Judith T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient initiatives and physician-challenging behaviors: The views of Israeli health professionals</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>1990</date><risdate>1990</risdate><volume>31</volume><issue>7</issue><spage>719</spage><epage>727</epage><pages>719-727</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>The views of Israeli physicians, nurses, physiotherapists, occupational therapists, and medical social workers were compared regarding patient behaviors which express autonomy and initiative in the doctor-patient interaction. The data show that these professionals do not view such behaviors positively. Gender is relevant to the physicians' views, with male physicians, particularly the specialists, having the least negative views, and female residents and general practitioners the most negative. Allied health professionals express less negative views than the physicians, and attribute to the physicians more negative views than those actually expressed by the physicians. There is overall agreement among the different professional groups about the relative acceptability of these behaviors. Those which threaten the physician's dominance in the process of diagnosis and prescription of treatment are rejected outright, while others are tolerated but not accepted. The findings are interpreted in the light of the status-related motives of Israeli health professionals.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>2244213</pmid><doi>10.1016/0277-9536(90)90166-P</doi><tpages>9</tpages></addata></record> |
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subjects | Allied Health Personnel - statistics & numerical data Attitude of Health Personnel Attitudes Autonomy Bioethics Biological and medical sciences Doctor Female Gender differences Health professionals health professionals' attitudes Humans Israel Male Medical sciences Medicine - statistics & numerical data Nurses Paternalism Patient Access to Records patient autonomy Patient Participation - statistics & numerical data Patient relationships Patient Rights Perceptions Personal Autonomy physician gender Physician-Patient Relations physician-patient relationship physician-patient relationship patient autonomy health professionals' attitudes self-care physician gender Physicians Practitioner Patient Relationship Professional relationships Public health. Hygiene Public health. Hygiene-occupational medicine Self Care Social Workers Specialization Therapists |
title | Patient initiatives and physician-challenging behaviors: The views of Israeli health professionals |
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