1.7 - Cultural Aspects Of The Doctor-Patient Relationship Flashcards
What is transmitted to the next generation by use of symbols, language, art and ritual?
Culture
TRUE OR FALSE
Culture is a Set of explicit guidelines only which are inherited from a society. Culture also tells us how to view, experience and behave in the world in relation to supernatural forces, other people and natural environment
False
Explicit AND implicit
What are inherited “lenses” thru which individual perceives and understands the world he inhabits and learns to live within it?
Culture
What is the blueprint of our behavior but not absolute straight jacket that constrains our behavior because it allows for agency?
Culture
What is agency?
Capacity of people to make individual decisions
- choose among what is available and can go beyond ( reason for culture change)
What is the macro level of culture?
Systems of production, exchange etc
What is the micro level of culture?
Modes of interaction, control of time, and space, attitudes, values, perception of the world etc.
What is the social organization in the Philippines?
Immediate family
Extended kin group
Peer group
What frameworks are shaped by the the social structures in the Philippines?
Personalism
Familism
Paternalism
What is personalism?
Placing a high value on interpersonal relationships
What is the disadvantage of personalism?
Bad for goal setting
What is the advantage of personalism?
Good for long term relationships
Get things done quicker
What is familism?
Way of relating to others not necessarily related to us using models derived from family patterns
What are the advantages of familism?
Used to related to other people by using family terminology
Relationsl aspects are emphasized
Appease person and make them more likely to listen to you
What is paternalism?
Kind of concern displayed by older relatives for younger ones
What are the themes of Filipino interpersonal relationships?
- A personal touch
- Being family
- Paternalism as a concern
What does a personal touch mean?
Focus on personalist theme prevalent in FIlipino culture and how this can be tapped for enhancing doctor-patient relationships
Application of the personalistic approach involves recognizing possible differences in__________(3 things)_______.
Basic orientations
Impact on managerial style
Impact on interpersonal relations
The sense of kapwa is found in what theme of Filipino interpersonal relationships?
A personal touch
A compassionate concern for the patient’s well-being takes on another dimension when taking into account the familistic orientation in Filipino culture.
Which Filipino interpersonal relationship theme is this?
Being Family
In which Filipino interpersonal relationship theme do Patients often draw the doctor into ritual kinshio relationships?
Give examples.
Being family
Doctors become quasi-relatives, ninong of patient’s children etc.
TRUE OR FALSE
A doctor treating the patient with concern of an older relative for a younger one is familism.
False
Paternalism
Based on orientation, our academic training often emphasizes the following: ______.
Objectivity
Impersonal
Organizational
Based on basic orientation, patients would rather have doctors who are ________.
Subjective
Personal approach
Tendency to be familial
______ is the priority of the institution over an individual.
A. Organizational
B. Impersonal
C. Legal
A
Dating or Diskarte: a filipino term referring to impressions made of another person, an event or an idea.
Dating
What is the effect of a doctor’s dating?
Can affect communication process: can easily facilitate or hinder patient-doctor relationship
What is the effect of a doctor’s diskarte?
Discern illness and quickly address it (manage cultural encounter and interweave with medical knowledge)
Based on the managerial style, the institutional setting can end up being ______.
Bureaucratic
Legal
Adversarial
Which pertains to standards that conform to rules?
A. Bureaucratic
B. Legal
C. Rely on persuasion
B.
Based on managerial style, people tend to be_____.
Consultative
Rely on persuasion
Seek to build consensus
Based on interpersonal relations, a corporate setting has a tendency towards______.
Individual incentives
Segmented decisions
Specialization as a manager
Based on interpersonal relations, a less structure setting has emphases on____.
Group incentives
Generalized decisions
Generalist leadership
______ is one of the issues that shapes the doctor-patient relationship.
Language
______ clinical categories, symptoms from medical practitioner’s perspective.
Disease
________state of discomfort or ill-being brought about by symptoms
Illness
Explain the process of illness narratives and clinical categories.
People come to clinice with illness and experiences of ill-being then doctors listen and extract details necessary to construct applicable disease category.
Doctors are_________ between world of clinic and laboratory and the patient’s world.
Culture Brokers
A culturally-based model of relationship includes modifying one’s communicatin style accordingly which includes:_______.
Interviews in a sensitive, personalized manner
Pay attention to use of honorifics
Seek to adapt a polite and respectful tone
Act as a guide not a boss
