The Elephants in the Doctor-Patient Relationship: Patient's clinical interactions and the Changing Surgical Landscape of the 1890's

Wilde, Sally (2007) The Elephants in the Doctor-Patient Relationship: Patient's clinical interactions and the Changing Surgical Landscape of the 1890's. Health and History, 9 1: 2-27.


Author Wilde, Sally
Title The Elephants in the Doctor-Patient Relationship: Patient's clinical interactions and the Changing Surgical Landscape of the 1890's
Journal name Health and History   Check publisher's open access policy
ISSN 1442-1771
Publication date 2007
Sub-type Article (original research)
Volume 9
Issue 1
Start page 2
End page 27
Total pages 26
Editor H. Pols
Place of publication West Leederville, W.A., Australia
Publisher Australian and New Zealand Society of the History of Medicine
Collection year 2008
Language eng
Subject C1
430101 History - Australian
Abstract The phrase 'doctor-patient relationship' obscures the profound differences between clinical interactions in hospital and in private practice. In the 1890s in private practice (whether in Britain, Australia or New Zealand) patients typically encountered doctors in their own homes, while accompanied by friends or relations. In hospital, solitary patients faced a multiplicity of nurses and doctors. At this time, surgery was already moving from homes to hospitals, thereby shifting the clinical encounter from the patient's to the doctor's territory, and the balance of power from the patient to the doctor. The fiction of one doctor interacting with one patient, ignoring the financial and administrative arrangements under which they met, served the interests of inter-doctor etiquette over 'ownership' of patients, and the emerging system of specialist referrals.
Keyword Doctor-patient relationship
Q-Index Code C1
Q-Index Status Confirmed Code

 
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Created: Thu, 10 Apr 2008, 13:36:19 EST by Ms Emma Pursey on behalf of School of Historical and Philosophical Inquiry