DOKTOR HASTA İLETİŞİMİNDE SOSYAL GRADYAN

Yıl 2020, Akademik Bakış Uluslararası Hakemli Sosyal Bilimler Dergisi [tr], 110 - 132, 31.05.2020

Fikriye Yılmaz

Öz

Hasta ve doktor arasındaki iletişim, sağlık hizmetlerinin sunulmasında vazgeçilmez bir unsurdur. Doktor hasta iletişimi alanını geliştiren çok sayıda çalışmaya rağmen, sosyo-ekonomik özellikler gibi belirgin doktor ve hasta özelliklerinin sağlık hizmetleri etkileşimi üzerindeki etkisi kesin olarak ortaya konulmamıştır.Bu çalışmada sosyo-ekonomik farklılıkların doktor-hasta iletişimi içerisinde nasıl ifade edildiğini değerlendirmek için yol gösterici bir kavramsal çerçeve sunmak amaçlanmıştır. Çalışma sonucunda daha önce yapılan araştırmalara dayanarak doktorun, hastanın sosyal statüsüne göre farklı iletişim kurabildiğini ve hastaların da sosyal sınıflarına göre farklı bir iletişim tarzı benimseyebildiklerini söylemek mümkündür. Bu doğrultuda doktor hasta iletişimini geliştirmeye yönelik müdahale çalışmalarının yararlı olabileceği ve bu çabaların sağlıkta sosyoekonomik eşitsizliklerin üstesinden gelmede önemli çıkarımlar sağlayabileceği düşünülmektedir.

Anahtar Kelimeler

doktor-hasta iletişimi, hasta katılımı

Kaynakça

• Achat, H.M., Thomas, P., Close, G.R., Moerkerken, L.R., Harris, M.F. (2010). General health care service utilisation: where, when and by whom in a socioeconomically disadvantaged population. Australian Journal of Primary Health, 16, 132-140. Ahmed, R. (2012). Interpersonal Health Communication An Ecological Perspective.In R.Obregon S. Waisbord (Eds.), The Handbook Of Global Health Communication(pp.144-176 ). Wiley-Blackwell. Aita, V., McIlvain, H., Backer, E., McVea, K., Crabtree, B. (2004). Patient-centred care and communication in primary care practice: what is involved? Patient Education and Counseling, 58, 296-304. Alexander, J., Hearld, L., Mittler, J. N. (2014). Patient–physician role relationships and patient activation: The moderating effects of race and ethnicity. Medical Care Research and Review, 71(5), 472-495. Atıcı, E. (2007). Hasta - Hekim İlişkisi Kavramı.Uludağ Üniversitesi Tıp Fakültesi Dergisi,33 (1), 45-50. Atilla, G., Oksay, A., Erdem, R. (2012). Hekim-Hasta İletişimi Üzerine Nitel Bir Ön Çalışma. İstanbul Üniversitesi İletişim Fakültesi Hakemli Dergisi, (43), 23-37. Baughn, D. (2012). Care for the socially disadvantaged: The role of race and gender on the physician-patient relationship and patient outcomes in a safety net primary care clinic. Dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University. Baumann, M., Baumann, C., Le Bihan, E., Chau, N. (2008). How patients perceive the therapeutic communication skills of their general practitioners, and how that perception affects adherence : use of the TCom-skill GP scale in a specific geographical area. BMC Health Services Research, 8 (1), 244-253. Bayın, G. (2016). Sağlık hizmetlerinin geliştirilmesi sürecinde hasta ve toplum katılımının rolü. TAF Preventive Medicine Bulletin, 15(5), 458-466. Bensing J. (1991). Doctor-patient communication and the quality of care. Social Science& Medicine, 32(11), 1301-1310. Bensing, J.M., Kerssens, J.J., van der Pasch, M. (1995). Patient-directed gaze as a tool for discovering and handling psychosocial problems in general practice. Journal of Nonverbal Behaviour, 19, 223-242. Blacksher, E. (2008). Healthcare disparities: The salience of the social class. Cambridge Quarterly of Healthcare Ethics, 17, 143-153. Blane, D. (2009). Sağlığın Sosyal Belirleyicileri. Marmot M. Ve Wilkinson, R.G. (Ed) içinde, Yaşam Seyri, Sosyal Gradyan ve Sağlık (72-97). İstanbul: İnsev Yayınları. Bloch, G., Rozmovits, L., Giambrone, B. (2011). Barriers to primary care responsiveness to poverty as a risk factor for health. BMC Family Practice, 12(1), 62-68. Bobak, M., Pikhart, H., Rose, R., Hertzman, C., Marmot, M. (2000). Socioeconomic factors, material inequalities, and perceived control in self-rated health: cross-sectional data from seven post-communist countries. Social Science & Medicine, 51, 1343-1350. Boyer, L., Baumstarck, K., Iordanova, T., Fernandez, J., Jean, P., Auquier, P. (2014). A poverty-related quality of life questionnaire can help to detect health inequalities in emergency departments. Journal of Clinical Epidemiology, 67, 285-295. Bulduklu, Y. (2015). Hastalarla İletişim. Çizgi Kitabevi: Konya. Burgess, D.J., Fu, S.S., van Ryn, M. (2004). Why do providers contribute to disparities and what can be done about it? Journal of General Internal Medicine, 19, 1154-1159. Campbell, T. A., Auerbach, S. M., Kiesler, D. J. (2007). Relationship of interpersonal behaviors and health-related control appraisals to patient satisfaction and compliance in a university health center. Journal of American College Health, 55(6), 333-340. Caron, J. (2012). Predictors of Quality of Life in Economically Disadvantaged Populations in Montreal. Social Indicators Research, 107(3), 411–427. Caruso, M. (2017). The Patient-Physician Relationship from the Perspective of Economically Disadvantaged Patients. Dissertation Submitted in partial fulfillment of the requirements for the degreeof Doctor of Psychology in the Department of Clinical PsychologyAntioch University New England. Coulter, A., Parsons, S., Askham, J., World Health Organization. (2008). Where are the patients in decision-making about their own care?(No. EUR/07/5065810). Copenhagen: WHO Regional Office for Europe. CSDH. (2008). Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva, World Health Organization. Dahlgren G, Whitehead M. (2006). European strategies for tackling social inequities in health: Levelling up Part 2.Copenhagen: World Health Organization. De Laender, N. (2011).Socio-Economic Status Of The Patient and Doctor-Patient Communıcation: Does It Make A Difference?Patient Education And Counseling, 56(2), 139-146. Dehlendorf, C., Anderson, N., Vittinghoff, E., Grumbach, K., Levy, K., Steinauer, J. (2017). Quality and Content of Patient–Provider Communication About Contraception: Differences by Race/Ethnicity and Socioeconomic Status. Women's Health Issues, 27(5), 530-538. DeVoe, J. E., Wallace, L. S., Fryer Jr, G. E. (2009). Measuring patients’ perceptions of communication with healthcare providers: Do differences in demographic and socioeconomic characteristics matter?. Health Expectations, 12(1), 70-80. Diener, E., Tov, W. (2012). National accounts of well-being. In K. C. Land, A.C. Michalos, M.J. Sirgy (Eds.), Handbook of social indicators and quality-of-life research, (pp. 137-159). New York & London: Springer. Droomers, M., Schrijvers, C.T.M., van de Mheen, H., Mackenbach, J.P. (1998). Educational differences in leisure-time physical inactivity: a descriptive and explanatory study. Social Science & Medicine, 47, 1665-1676. Duberstein, P., Meldrum, S., Fiscella, K., Shields, C. G., Epstein, R. M. (2007). Influences on patients’ ratings of physicians: Physicians demographics and personality. Patient education and counseling, 65(2), 270-274. Dwamena, F., Holmes-Rovner, M., Gaulden, C. M., Jorgenson, S., Sadigh, G., Sikorskii, A., ... Beasley, M. (2012). Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev, 12(1). Emanuel, E. J., Emanuel, L. L. (1992). Four models of the physician-patient relationship. JAMA, 267(16), 2221-2226. Field, K. S., Briggs, D. J. (2001). Socio‐economic and locational determinants of accessibility and utilization of primary health‐care. Health & Social Care İn The Community, 9(5), 294-308. Franks, P., F Jerant, A., Fiscella, K., G Shields, C., J Tancredi, D., M Epstein, R. (2006). Studying physician effects on patient outcomes: Physician interactional style and performance on quality of care indicators. Social Science and Medicine, 62(2), 422-432. Furler, J.S., Harris, E., Chondros, P., Davies, P.G.P., Harris, M.F., Young, D.Y.L. (2002). The inverse care law revisited: impact of disadvantaged location on accessing longer GP consultation times. The Medical Journal of Australia, 177, 80-83. Gordon, H. S., Street, R. L., Jr, Sharf, B. F., Kelly, P. A., Souchek, J. (2006). Racial differences in trust and lung cancer patients' perceptions of physician communication. Journal of Clinical Oncology, 24(6), 904-909. Hall, J. A., Dornan, M. C. (1988). What patients like about their medical care and how oftenthey are asked: A meta-analysis of the satisfaction literature. Social Science and Medicine, 27(9), 935-939. Hall, J. A., Roter, D. L., Milburn, M. A., Daltroy, L. H. (1996). Patients’ health as a predictor of physician and patient behavior in medical visits: A synthesis of four studies. Medical Care, 34, 1205-1218. Heidarnia M.A., Ghaemian, T., Montazeri, A., Abadi, A.R. (2013). Evaluation of the relation between poverty and health-related quality of life in the people over 60 years-old in the district 4 of Tehran municipality in 2009-2010. Novelty in Biomedicine,1, 23-28. Huebner, E. S., Gilman, R., Ma, C. (2012). Perceived quality of life of children and youth. In K. C. Land, A.C. Michalos, M.J. Sirgy (Eds.), Handbook of social indicators and quality-of-life research, (pp. 355-373). New York & London: Springer. Black, D. (1980). Inequalities in health: report/ of a research working group. DHSS. Institute of Medicine. (1988). The Future of Public Health. Washington, DC: National Academy Press. Jensen, J.D., King, A.J., Guntzviller, L.M., Davis, L.A. (2010). Patient-provider communication and low-income adults: Age, race, literacy and optimism predict communication satisfaction. Patient Education and Counseling, 79, 30-35. Kaplan, S.H., Gandek, B., Greenfield, S., Rogers, W., Ware, J.E. (1995). Patient and visit characteristics related to physicians’ participatory decision-making style. Results from the Medical Outcomes Study. Medical Care, 33(12), 1176-1187. Kaplan, S.H., Greenfield, S., Ware, J.E. (1989). Assessing the effects of physicianpatient interactions on the outcomes of chronic disease. Medical Care, 27, 110-127. Kee, J. W., Khoo, H. S., Lim, I., & Koh, M. Y. (2018). Communication skills in patient-doctor interactions: learning from patient complaints. Health Professions Education, 4(2), 97-106. Kim, Y.M., Putjuk, F., Basuki, E., Kols, A. (2003). Increasing patient participation in reproductive health consultations: an evaluation of ‘Smart Patient’ coaching in Indonesia. Patient Education and Counseling, 50, 113-122 Kowalski, C., Nitzsche, A., Scheibler, F., Steffen, P., Albert, U.S., Pfaff, H. (2009). Breast cancer patients’ trust in physicians: The impact of patients’ perception of physicians’ communication behaviours and hospital organizational climate. Patient Education and Counseling, 77, 344-348. Lee, Y.Y., Lin, J.L. (2010). Do patient autonomy preferences matter? Linking patient-centred care to patient-physician relationships and health outcomes. Social Science & Medicine, 71, 1811-1818 Loignon, C., Fortin, M., Bedos, C., Barbeau, D., Boudreault-Fournier, A., Gottin, T., ... Haggerty, J. L. (2015). Providing care to vulnerable populations: a qualitative study among GPs working in deprived areas in Montreal, Canada. Family Practice, 32(2), 232-236. Loignon, C., Haggerty, J.L., Fortin, M., Bedos, C.P., Allen, D., Barbeau, D. (2010). Physicians’ social competence in the provision of care to persons living in poverty: research protocol. BMC Health Services Research, 10, 1-7. Longtin, Y., Sax, H., Leape, L. L., Sheridan, S. E., Donaldson, L., Pittet, D. (2010). Patient participation: current knowledge and applicability to patient safety. Mayo Clinic Proceedings, 85(1), 53-62. Elsevier. Lynch, J., Smith, G. D., Hillemeier, M., Shaw, M., Raghunathan, T., Kaplan, G. (2001). Income inequality, the psychosocial environment, and health: comparisons of wealthy nations. The Lancet, 358(9277), 194-200. Mackenbach, J. P., Kunst, A. E. (1997). Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Social science & medicine, 44(6), 757-771. Mackenbach, J. P., Stirbu, I., Roskam, A. J. R., Schaap, M. M., Menvielle, G., Leinsalu, M., Kunst, A. E. (2008). Socioeconomic inequalities in health in 22 European countries. New England Journal of Medicine, 358(23), 2468-2481. Mackenbach, J. P., Van de Mheen, H., Stronks, K. (1994). A prospective cohort study investigating the explanation of socio-economic inequalities in health in The Netherlands. Social science & medicine, 38(2), 299-308. Malat, J.R., van Ryn, M., Purcell, D. (2005). Race, socioeconomic status, and the perceived importance of positive self-presentation in healthcare. Social Science & Medicine, 62, 2479-2488. Manderbacka, K., Lundberg, O., Martikainen, P. (1999). Do risk factors and health behaviours contribute to self-ratings of health? Social Science & Medicine, 12, 1713- 1720 Marmot, M., Friel, S., Bell, R., Houweling, T.A., Taylor, S. (2008). Closing the gap in a generation: health equity through action on the social determinants of health. Lancet, 372 (9650), 1661-9. Mercer, S. W., Higgins, M., Bikker, A. M., Fitzpatrick, B., McConnachie, A., Lloyd, S. M., ... Watt, G. C. (2016). General practitioners’ empathy and health outcomes: a prospective observational study of consultations in areas of high and low deprivation. The Annals of Family Medicine, 14(2), 117-124. Mockford, C., Staniszewska, S., Griffiths, F., Herron-Marx, S. (2011). The impact of patient and public involvement on UK NHS health care: a systematic review. International journal for quality in health care, 24(1), 28-38. Monnickendam, M., Monnickendam, S.M., Katz, C., Katan, J. (2007). Healthcare for the poor- An exploration of primary care physicians’ perceptions of poor patients and their helping behaviours. Social Science & Medicine, 64, 1463-1474 Murray, E., Pollack, L., White, M., Lo B. (2007). Clinical decision-making: patients’ preferences and experiences. Patient Education and Counseling, 65, 189-196. OECD & WHO. (2003). Poverty and Health. DAC Guidelines and Reference Series. France Okay, A. (2012). Sağlık İletişimi. İstanbul: Farmaskop/MediaCat. Ong, L.M., de Haes, J.C., Hoos, A.M., Lammes, F.B. (1995). Doctor-patient communication: a review of the literature. Social Science & Medicine, 40, 903-918. Ou, F., Li, K., Gao, Q, Liu, D., Li, J., Hu, L. (2012). An Urban Neo-Poverty Population-Based Quality of Life and Related Social Characteristics Investigation from Northeast China. PLoS ONE 7(6), e38861. Pappa, E., Kontodimopoulos, N., Papadopoulos, A. A., & Niakas, D. (2009). Assessing the socio-economic and demographic impact on health-related quality of life: evidence from Greece. International journal of public health, 54(4), 241-249. Park, J., Turnbull, A., Turnbull, I. I. I., Ruthorford, H. (2002). Impact of Poverty on quality of life in families with children disabilities. Exceptional Children, 68(2), 151–172. Phillips, D. (2006). Quality of life: concept, policy and practice. Routledge: Abingdon. Piette, J. D., Schillinger, D., Potter, M. B., Heisler, M. (2003). Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse population. Journal of General Internal Medicine, 18(8), 624-633. Piette, J.D., Bibbins-Domingo, K., Schillinger, D. (2006). Healthcare discrimination, processes of care and diabetes patients’ health status. Patient Education and Counseling, 60, 41-48. Rambotti, S. (2015). Recalibrating the spirit level: An analysis of the interaction of income inequality and poverty and its effect on health. Social science & medicine, 139, 123-131. Ross, C.E., Wu, C.L. (1995). The links between education and health. American Sociological Review, 60, 719-745. Saito, M., Kondo, K., Kondo, N., Abe, A., Ojima, T., & Suzuki, K. (2014). Relative deprivation, poverty, and subjective health: JAGES cross-sectional study. PloS one, 9(10), e111169. Schouten, B.C., Meeuwesen, L., Tromp, F., Harmsen, H.A.M. (2007). Cultural diversity in patient participation: the influence of patients’ characteristics and doctors’ communicative behaviour. Patient Education and Counseling, 67, 214-223. Schouten, B.C., Meeuwsen, L., Harmsen, H.A.M. (2008). GP’s interactional styles in consultation with Dutch and Ethnic minority patients. Immigrant Minority Health, 11, 468-475 Siminoff, L.A., Step, M.M. (2005). A communication model of shared decision making: accounting for cancer treatment decisions. Health Psychology, 24, 99-105. Siminoff, L.A., Graham, G.C., Gordon, N.H. (2006). Cancer communication patterns and the influence of patient characteristics: disparities in information-giving and affective behaviours. Patient Education and Counseling, 62, 355-360. Stewart, M. A. (1995). Effective physician-patient communication and health outcomes: A review. Canadian Medical Association Journal, 152, 1423-1433. Street Jr, R. L., Gordon, H. S., Ward, M. M., Krupat, E., & Kravitz, R. L. (2005). Patient participation in medical consultations: why some patients are more involved than others. Medical care, 960-969. Street, R.L., Millay, B. (2001). Analyzing patient participation in medical encounters. Health Communication, 13 (1), 61-73 Şahin, G. & İğde, F.A.A. (2014). Hasta Merkezli Bakım - Ortak Karar Alma Süreci ve Kalite. Türkiye Klinikleri Dergisi, 5(3), 38-43. Teutsch, C. (2003). Patient-doctor communication. Medical Clinics of North America, 87(5), 1115-1145. Thrane, C. (2006). Explaining educational-related inequalities in health: Mediation and moderator models. Social Science & Medicine, 62, 467-478. Tiliouine, H., & Meziane, M. (2012). The Quality of Life of Muslim Populations:The Case of Algeria In K. C. Land, A.C. Michalos, & M.J. Sirgy (Eds.), Handbook of social indicators and quality-of-life research, (pp. 499-529). Dordrecht, Netherlands: Springer Publishers. Trachtenberg, F., Dugan, E., & Hall, M. A. (2005). How patients' trust relates to their involvement in medical care: trust in the medical profession is associated with greater willingness to seek care and follow recommendations. Journal of Family Practice, 54(4), 344-353. Turrell, G., & Mathers, C. (2001). Socioeconomic inequalities in all-cause and specific-cause mortality in Australia: 1985–1987 and 1995–1997. International journal of epidemiology, 30(2), 231-239. Uludağ, A. (2011). Doktor-hasta iletişimi açısından hastanelerde hekim seçme uygulaması: Karşılaştırmalı bir çalışma. Selçuk Üniversitesi Sosyal Bilimler Enstitüsü Doktora Tezi. Van den Brink-Muinen, A., Verhaak, P. F., Bensing, J. M., Bahrs, O., Deveugele, M., Gask, L., ... Oppizzi, L. (2003). Communication in general practice: differences between European countries. Family Practice, 20(4), 478-485. Van Ryn, M., Burke, J. (2000). The effect of patient race and socio-economic status on physicians' perceptions of patients. Social science & medicine, 50(6), 813-828. Vaucher, P., Bischoff, T., Diserens, E.A., Herzig, L., Meystre-Agustoni, G., Panese, F., et al. (2012). Detecting and measuring deprivation in primary care: development, reliability and validity of a self-reported questionnaire: the DiPCare-Q. BMJ Open, 2, e000692. Ventres, W., Gordon, P. (1990). Communication strategies in caring for the underserved. Journal of Health Care for the Poor and Underserved, 1(3), 305-314. Verlinde, E., De Laender, N., De Maesschalck, S., Deveugele, M., Willems, S. (2012). The social gradient in doctor-patient communication. International journal for equity in health, 11(1), 12. Videau, Y., Saliba-Serre, B., Paraponaris, A., Ventelou, B. (2010). Why patients of low socioeconomic status with mental health problems have shorter consultations with general practitioners. Journal of health services research & policy, 15(2), 76-81. Wardle, J., Steptoe, A. (2003). Socioeconomic differences in attitudes and beliefs about healthy lifestyles. J Epidemiol Community Health, 57, 440-3. Whıtehead, M., Dahlgren, G., Evans T. (2001). Equity And Health Sector Reforms: Can Low Income Countries Escape The Medical Poverty Trap? Lancet, 358(9284), 833-836. WHO, World Bank (2002). Dying for Change: Poor People’s Experience of Health and Ill-Health, WHO/World Bank: Washington DC. Willems, S., De Maesschalck, S., Deveugele, M., Derese, A., De Maeseneer, J. (2005). Socio-economic status of the patient and doctor–patient communication: does it make a difference?. Patient education and counseling, 56(2), 139-146. Wong, E. L., Lui, S., Cheung, A. W., Yam, C. H., Huang, N. F., Tam, W. W., Yeoh, E. (2017). Views and Experience on Patient Engagement in Healthcare Professionals and Patients—How Are They Different? Open Journal of Nursing, 7(06), 615. World Bank (2003). Turkey, Poverty and Coping After Crises. Human Development Unit Europe and Central Asia Region. Report No:24185- TR Vol.1-2. Xu, K., Evans, D.B., Carrin, G., Aguilar-Rivera, A.M., Musgrove, P., Evans, T. (2007). Protecting households from catastrophic health spending. Health Affairs, 26 (4), 972-983. Zandbelt, L.C., Smets, E.M.A., Oort, F.J., Godfried, M.H., & de Haes, H.C.J.M. (2006). Patient participation in the medical specialist encounter: Does physicians’ patientcentred communication matter? Patient Education and Counseling, 65, 396-406. Zandbelt, L.C., Smets, E.M.A., Oort, F.J., Godfried, M.H., & de Haes, H.C.J.M. (2007). Medical specialists’ patient-centred communication and patient-reported outcomes. Medical Care, 45, 330-339. Zhang, Y., Ou, F., Gao, S., Gao, Q., Hu, L., & Liu, Y. (2015). Effect of low income on health-related quality of life: A cross-sectional study in northeast China. Asia Pacific Journal of Public Health, 27(2), 1013-1025.