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The patient–doctor relationship in the transnational healthcare context

机译：跨国医疗保健环境中的患者医生关系

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Abstract Moving away from paternalism to more equal forms of interaction in the patient–doctor relationship has been seen in positive light by policymakers, patients’ rights advocates and scholars alike. Nonetheless, against the background of commercialisation and consumerism, empirical research showcases how reduced asymmetries bring in tensions and friction between patients and doctors (Greenfield et?al . 2012). This paper contributes to the discussion through the examination of the patient–doctor relationship in the niche setting of private transnational healthcare markets which involve patients travelling overseas for care and where commodification, consumerism and care go hand‐in‐hand. It is geographically focused on two large cities in South‐Eastern Europe as settings where health care is provided to foreign patients – Athens and Istanbul – and empirically draws on qualitative interviews with doctors who run small/medium practices. The findings highlight that, despite excessive consumerism, power asymmetries are not mitigated but patient vulnerability shapes the patient–doctor relationship. In the transnational context, the patient faces an additional source of vulnerability: a condition of foreignness. As such, the findings stress that one relationship model (the consumerist) does not, per se , replace an older one (e.g. the Parsonian). Instead, the consumer–provider dimension co‐exists with the client–expert, patient–doctor and, finally, host–guest relation.
机译：摘要通过政策制定者的积极光线，患者的权利倡导者和学者在患者 - 博士关系中远离家长主义以更平等的互动形式的互动。尽管如此，在商业化和消费主义的背景下，实证研究展示了患者和医生之间的不对称和摩擦力如何降低（Greenfield et？al。2012）。本文通过审查私人跨国医疗保健市场的患者 - 医生关系审查涉及海外旅行的患者的患者 - 医生关系以及商品化，消费主义和护理携手共进。它在地理上专注于东南欧的两个大城市，作为外国患者的医疗保健的环境 - 雅典和伊斯坦布尔 - 与运行小/中等实践的医生进行定性访谈。调查结果强调，尽管消费者过度，但不缓解了电力不对称，但患者脆弱性塑造了患者医生关系。在跨国背景下，患者面临额外的漏洞来源：异常的状况。因此，调查结果强调一个关系模型（消费者）本身不替换较旧的（例如牧师）。相反，消费者提供者维度与客户专家，患者医生以及最终寄主访客关系共存。

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