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首页> 外文期刊>Qualitative health research >Doctor-Patient Relationship Between Individuals With Fibromyalgia and Rheumatologists in Public and Private Health Care in Mexico
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Doctor-Patient Relationship Between Individuals With Fibromyalgia and Rheumatologists in Public and Private Health Care in Mexico

机译：墨西哥公共和私人卫生保健中纤维肌痛患者与风湿病医生之间的医生-患者关系

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The aim of this article was to describe and analyze the doctor-patient relationship between fibromyalgia patients and rheumatologists in public and private health care contexts within the Mexican health care system. This medical anthropological study drew on hospital ethnography and patients' illness narratives, as well as the experiences of rheumatologists from both types of health care services. The findings show how each type of medical care subsystem shape different relationships between patients and doctors. Patient stigmatization, overt rejection, and denial of the disease's existence were identified. In this doctor-patient-with-fibromyalgia relationship, there are difficult encounters, rather than difficult patients. These encounters are more fluid in private consultations compared with public hospitals. The doctor-centered health care model is prevalent in public institutions. In the private sector, we find the characteristics of the patient-centered model coexisting with the traditional physician-centered approach.
机译：本文的目的是描述和分析墨西哥卫生保健系统内公共和私人卫生保健背景下的纤维肌痛患者与风湿病医生之间的医患关系。这项医学人类学研究借鉴了医院民族志和患者的病情叙述，以及两种医疗保健服务中风湿病医生的经验。研究结果表明，每种类型的医疗护理子系统如何塑造患者与医生之间的不同关系。确定了患者的耻辱，明显的排斥和否认疾病的存在。在这种医患纤维肌痛的关系中，有困难的相遇，而不是困难的患者。与公立医院相比，这些会面在私人会诊中更为流畅。以医生为中心的医疗保健模式在公共机构中很普遍。在私营部门，我们发现以患者为中心的模型与传统的以医生为中心的方法并存。

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