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University of California, Los Angeles *

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140

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Sociology

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May 23, 2024

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docx

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SOC 140 MIDTERM STUDY GUIDE *note: this is an optional, supplemental guide - Interactive treatment recommendations - medical conversation analysis has shown soial dynamics and interactional patterns Korsch & Negrete 1972 This relates to the lecture content since this article discusses About patient satisfaction and dissatisfaction and what are the contributing factors that causes the satisfaction this relates to the lecture content since it ties in with a general theme of patient physician interactions and how those interactions can influence course of treatment The main takeaways from This article was that the way that Physicians interacted with the patients and the way they overall engaged with the patient was a very big contributor of whether the patient was satisfied or dissatisfied; if the physician was more friendly and engaged as well as explaining and answered questions it was deemed as a satisfactory visit whereas if the physician was business like the patient was not satisfied Timmermans 2020 - Patient centered care Stivers & Tate 2023 Advocating for treatment: direct requests for treatments from patients means they are challenging medical authority Lobbying for medications influences prescribing outcomes Presenting the problem: candidate diagnosis Before the diagnosis: patients say “I have a flight tomorrow” or patients steer physicians to certain diagnoses. After the diagnosis: once a physicians provides a diagnosis the patient can either accept or resist. Patients shape treatment outcomes are not necessarily inline with clinical practice Consequences of patient engagement and treatment Greater emphasis on treatment than diagnosis Treatment recommendations now involve more varied formatting (how do u feel about trying x) Doctors use online commentary, affirmative recommending, mobilizing clinical reasoning all steer patients towards acceptance Delicate news requires a goal of accepting the situation, not treatment Physicians need more communication strategies to work with engaged patients Patient involvement shapes treatment outcomes The present state of physician-patient relations manifests in communication that ranges from a partnership between social actors who play critical roles in negotiating care to a more adversarial duel in which both participants advocate for goals that are not necessarily shared

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