Hvad siger patienterne? - En undersøgelse af patienters forestillinger om hvad læger kan og skal i læge-patient-kommunikationen

Anette Olesen

Studenteropgave: Speciale

Abstrakt

The aim of this thesis is to shed light on how women with the hormonal disorder PCOS (Polycystic ovary syndrome) experience physician-patient-communication. The thesis therefore examines which ideas these women have about what physicians can and must do. As theoretic foundation the thesis contains theories about physician-patient-communication and other theories such as women’s experiences with living a life with PCOS, what good physician-patient-communications is, and as a final addition positioning theory. The empirical basis are nine semi-structured interviews with women with PCOS aged 20-33 years. As a methodical tool self-ethnography is used as an attempt to get close to the interviewee’s perspectives. The thesis concludes several things. It turns out that all the interviewees somehow articulate their consultations as frustrating. First, they indicate that their physicians are absent because they don’t listen or understand them. Second, they say that the physicians are incompetent. The interviewees express that the physicians have a lack of knowledge about PCOS and the consequences are that they aren’t able to give them any usable answers, instructions or further references to a specialist. However some interviewees uttered, that it is not possible for the physicians to know everything. Third, the physicians are portrayed as dishonest based on the interviewee’s feelings and ideas, that physicians would rather hide their doubt than expose their insecurities and risk losing their face. But some of the interviewees stated that they want their physicians to be honest which indicate contradicting opinions. Fourth, they express a number of things they think their physicians can do differently. Few gave some examples of a satisfying consultation. But it is vaguely showed that they have a feeling throughout the whole consultation where they feel calmed, understood and right about their self-diagnosis. The thesis also shows that positionings between the patients and physicians appear. Mostly it makes the patients experience the physicians as condescending which has an impact on the physician-patient-communication. Finally it turns out that the interviewee’s ideas of what is going to happen in the physician-patient-communication, is most likely not in accordance with the physicians’ ideas. Therefore it would be beneficial if the physicians made it even more clear, what they actually can and must do. Especially when it turns out that the interviewees visit their physicians with a lot of ideas about what the physicians can do, which do not reflect the reality and sometimes isn’t possible for the physicians to live up to.

UddannelserKommunikation, (Bachelor/kandidatuddannelse) Kandidat
SprogDansk
Udgivelsesdato18 dec. 2014
VejledereSanne Knudsen

Emneord

  • Læge-patient-kommunikation
  • Læge-patient-forhold
  • PCOS
  • Polycystisk ovariesyndrom
  • Positionering
  • PCOS-patienter
  • Lægekonsultation
  • Patientperspektiv
  • Forestillinger
  • Uoverensstemmelser
  • Frustration