Conflict Among Providers, Patients, and Families
Roter and Hall (2006) purported that “talk is the fundamental instrument by which the doctor-patient relationship is crafted and by which therapeutic goals are achieved” (p. 4). When talk or, more broadly, communication, is discussed within the provider-patient relational context, however, conceptualizations and operationalizations of communication can vary widely—from examinations of communication style of the provider or patient to information sharing and decisionmaking models.
Much of the research on provider-patient interaction and/or conflict is heavily contextualized, focusing on populations with specific illnesses (e.g., congestive heart failure, diabetes, cancer), specific medical specialties (e.g., pediatric oncology), specific medical care locations (e.g., private offices, nursing homes), or specific demographic characteristics of patients (e.g., elderly women). While it is difficult to make broad generalizations about the pervasiveness of interpersonal conflict between providers and their patients, the disparate studies identify common sources of conflict among providers and patients and providers and patients’ families.
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