Clinician-patient communication in a glaucoma clinic in India

dc.contributor.author Mocherla, Shobha
dc.contributor.author Raman, Usha
dc.contributor.author Holden, Brien
dc.date.accessioned 2022-03-27T01:47:16Z
dc.date.available 2022-03-27T01:47:16Z
dc.date.issued 2011-03-01
dc.description.abstract We compiled data from nonparticipant observations of clinician-patient communication in clinical interactions in a tertiary care eye hospital in India. Applying elements of the French philosopher Michel Foucault's concept of power and knowledge, we deconstructed the structuring and moderating influences on the expert/nonexpert dyad. We found that clinicians enforce their "disciplining power" through varying degrees of communicativeness to bring about compliance in the patient. Clinicians appear to classify the patient as "participant" or "deviant" based on the patient's "internalization" of instructions, and then communicate in predictable ways with the patient. Patients can also wield power, communicating it by understanding and following or not understanding and not clarifying/verifying instructions in the clinic, and thereafter failing to comply with the clinician's advice. We suggest that clinicians need to hone their communication skills both to optimally utilize interactions in the clinic and to encourage patient compliance, thereby making possible better treatment outcomes. © The Author(s) 2011.
dc.identifier.citation Qualitative Health Research. v.21(3)
dc.identifier.issn 10497323
dc.identifier.uri 10.1177/1049732310386050
dc.identifier.uri http://journals.sagepub.com/doi/10.1177/1049732310386050
dc.identifier.uri https://dspace.uohyd.ac.in/handle/1/4149
dc.subject chronic
dc.subject communication
dc.subject constant comparison
dc.subject grounded theory
dc.subject illness and disease
dc.subject interviews
dc.subject medical
dc.subject mixed methods
dc.subject patient-provider
dc.subject relationships
dc.subject research
dc.subject semistructured
dc.subject vision
dc.title Clinician-patient communication in a glaucoma clinic in India
dc.type Journal. Article
dspace.entity.type
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