Week 8-1 Doctor–Patient Interaction

Vocabulary flashcards covering the Szasz and Hollender models, social class influences, and communication dynamics in doctor-patient interactions.

What is the Activity-passivity model?

A doctor-patient interaction model where the patient is helpless or seriously ill, and the doctor has all decision-making power

• most common during emergencies or when a patient is unconscious.

What is the Guidance-cooperation model

A model where the physician makes decisions but the patient cooperates with treatment

• occurs during acute or infectious illnesses.

What is the Mutual participation model

A model where the doctor and patient work together as partners in decision-making

• most common in managing chronic illnesses

• most common model today

How has the Dr to patient relationship changed since the 1950s?

It shifted from paternalistic interaction to mutual participation

According to Hayes-Bautista, how do patient respond when treatment is not working?

patients may negotiate, question, or resist treatment recommendations

What is Patient-centered care

Carethat respects patient preferences and encourages shared decision-making between the provider and the patient.

How do physicians typically respond when patients resist treatment

By emphasizing expertise, warning about health risks or encouraging compliance

Which social classes are more likely to negotiate with doctors?

Middle and upper class patients

Which social classes are more likely to accept physician authority

Lower class patients

What does Dr. Google refer to?

patients who research their illnesses online before or after visiting with a physician.

What creates barriers in physician patient communication?

Differences in status, education, training, and authority

How can Information act as a therapeutic tool

By reduces uncertainty, guides action, and strengthens the doctor-patient relationship.

Why do you misunderstandings occur between doctors and patients?

Because physicians and patients often differ in education, authority, and communication styles

Which patients are more likely to receive personalized care

Upper and upper middle-class patients

Which patients are more likely to have the question ignored

Poorly educated or lower class patients

According to the Waitzkin's communication theory, what most strongly influenced physician patient communication

social class differences

how do middle-class patients typically communicate with the doctors?

assertively and as a partner

how do you work in class patients often communicate with doctors

With trust, deference, and compliance

What is Cultural capital

Social and linguistic skills that help patients communicate effectively with providers.

How are Female physician often different in communication style

more empathic, egalitarian, and responsive to the psychosocial concerns of patients.

What issue exist with male physicians and female patients?

Some women symptoms may be dismissed or misdiagnosed

How are women physicians sometimes perceived by male patient

Less authoritative than male physicians

How does language of federal healthcare outcomes?

Better integration into the dominant language has some improves the outcomes

Why do non-English-speaking patients face healthcare difficulties

Communication barriers make navigating healthcare harder

How has the Internet changed after patient interaction?

Patients are more informed and active in healthcare decisions

What isTelemedicine

Healthcare services delivered remotely using technology.

How has genetics influenced doctor patient relations?

A raises, ethical privacy and decision-making issues in healthcare

According to Szasz and Hollender, which model occurs when the patient is unconscious or severely ill?

A. Mutual participation

B. Guidance-cooperation

C. Activity-passivity

D. Deliberative

C. Activity-passivity

Which doctor-patient interaction model is most associated with chronic illness management?

A. Activity-passivity

B. Guidance-cooperation

C. Mutual participation

D. Paternalistic

C. Mutual participation

In the guidance-cooperation model:

A. The patient makes all decisions

B. The physician makes decisions while the patient cooperates

C. Both physician and patient share equal power

D. The physician has no authority

B. The physician makes decisions while the patient cooperates

Which statement best reflects the modern doctor-patient relationship?

A. Physicians hold complete authority

B. Patients are passive recipients of care

C. Patients participate more actively in decisions

D. Physicians discourage patient questions

C. Patients participate more actively in decisions

According to Hayes-Bautista, patients may respond to treatment by:

A. Automatically complying

B. Ignoring symptoms entirely

C. Negotiating or questioning treatment

D. Refusing all medical advice

C. Negotiating or questioning treatment

Which social class is MOST likely to negotiate with physicians?

A. Lower class

B. Middle and upper class

C. Working poor only

D. Elderly populations

B. Middle and upper class

What is “patient-centered care”?

A. Care controlled entirely by physicians

B. Care emphasizing patient preferences and shared decisions

C. Care focused only on cost reduction

D. Emergency-based treatment only

B. Care emphasizing patient preferences and shared decisions

According to the lecture, “Dr. Google” refers to:

A. Online physicians

B. AI replacing doctors

C. Patients researching illnesses online

D. Government health website

C. Patients researching illnesses online

Which factor creates barriers in physician-patient communication?

A. Equal educational backgrounds

B. Shared authority

C. Differences in status and education

D. Similar lifestyles

C. Differences in status and education

Information can function as a therapeutic tool because it:

A. Eliminates illness completely

B. Reduces uncertainty and guides action

C. Replaces treatment

D. Prevents all conflict

B. Reduces uncertainty and guides action

According to Waitzkin, what is the MOST important factor in physician-patient communication?

A. Religion

B. Gender

C. Social class

D. Age

C. Social class

Middle-class parents are more likely to communicate with doctors in what style?

A. Passive and silent

B. Assertive and partnership-oriented

C. Hostile and aggressive

D. Completely dependent

B. Assertive and partnership-oriented

Working-class parents are more likely to:

A. Challenge physician authority

B. Distrust all physicians

C. Show deference and compliance

D. Refuse treatment

C. Show deference and compliance

Female physicians are generally described as:

A. More authoritarianB. Less attentive to psychosocial concerns

C. More empathic and egalitarian

D. Less communicative

C. More empathic and egalitarian

A major issue discussed regarding male physicians and female patients is:

A. Overdiagnosis of heart attacks

B. Lack of medical training

C. Misdiagnosis of women’s symptoms

D. Women avoiding medical care entirely

C. Misdiagnosis of women’s symptoms

Language barriers in healthcare can lead to:

A. Better health outcomes

B. Easier navigation of the healthcare system

C. Communication difficulties and poorer outcomes

D. More physician authority

C. Communication difficulties and poorer outcomes

Which trend reflects the future of doctor-patient relations?

A. Greater patient passivity

B. Increased medical consumerism

C. Less patient involvement

D. Elimination of technology in medicine

B. Increased medical consumerism