Factors influencing patient perceived recovery in Mexico.
The aim of this paper is twofold: first, to present empirical findings, using data drawn from a comprehensive two year study of biomedical practice and patients perceptions of treatment and recovery done in a Mexico City public hospital, identifying specific aspects of the doctor-patient relationship that impact on patient perceived recovery. Second, and flowing from the first, the objective is to consider broader theoretical issues relevant to the doctor-patient relationship, the role it plays in the healing process and in biomedical practice, especially in a developing nation such as Mexico. The paper is divided into two sections: in Section I, the problem is defined and the methodology and findings are described, employing statistical and qualitative analyses. While enormous importance has been given to the doctor-patient relationship in biomedicine, the results of the study using statistical analysis, reveal that only particular components of the physician-patient encounter significantly influence differential treatment outcomes. In Section II the significance of the findings are discussed and theoretical issues are addressed bearing on the physician-patient relationship, and patients' perceptions of treatment. To illuminate the differential perceptions of treatment outcomes by patients with non-life-threatening disorders, the concept of life's lesions is proposed.
Finkler
K
K
Department of Anthropology, University of North Carolina Chapel Hill, 27515-2688, USA.
Correa
M
M
D000208:Acute Disease / Q000628:therapy; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D002908:Chronic Disease / Q000628:therapy; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008800:Mexico; D008875:Middle Aged; D015999:Multivariate Analysis; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors; D013812:Therapeutics / Q000523:psychology; D013997:Time Factors; D016896:Treatment Outcome