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KMID : 0379319990240020315
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Korean Journal of Rural Medicine
1999 Volume.24 No. 2 p.315 ~ p.329
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The Nature of Patient’s Disagreements with Doctors among Some Rural Residents
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Lee Moo-Sik
Cho Hyung-Won
Kim Eun-Young
Chun Byung-Chul
Shin Dong-Hoon
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Abstract
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Recently, dissatisfaction with aspects of health care has been complemented by directly at complaints such as informal, formal and litigation. But some people take action and other not in spite of feeling of dissatisfaction. This study was to investigate an accounts of patient’s disagreement with doctor’s care from a community sample, and make a distinction between felt disagreement and disagreement actions. This study was done in six hundred forty residents in Sungjoo County of Kyungbuk Province and Nonsan city of Chungnam Province. The questionnaires of Interview included sociodemographic data, health status data, a nature of patient’s disagreement with doctor and actions taken following or during the disagreement episode. Approximately sixteen percent of sample reported a disagreement, and nine percent reported action taken following or during the disagreement episode. Age, educational attainment, income and area were significantly related with experience of disagreement episode in univariate analysis. In people who experienced the disagreement episode, nearly forty-one percent reported on disagreement about the diagnosis related, twenty-eight percent reported doctor-patients relationship related, twenty percent reported treatment related, and eleven percent reported prescription drug related. In people who experienced actions taken following or during the disagreement episode, nearly fifty-four percent acted as ’sought a second opinion or visit other doctor’, thirty-six percent acted as ’verbally challenged the doctor’, thirty-two percent acted as’ stopped prescribed treatment or medication’, twenty-nine percent acted as’ made repeat visits to the same doctor’, twenty-five percent acted as’ eventually left and changed doctor’. Results of multivariate analysis, age, marital status, have or haven’t chronic disease, and general satisfaction with health service were significantly related with experience of disagreement episode and marital status was significantly related with experience of actions taken following or during the disagreement episode. This study is experimental and exploratory trial about a relationship between patient’s disagreement with doctor and actions taken following or during the disagreement episode in some community of Korea. We find that patient’s disagreement with doctor and actions taken following or during the disagreement episode is latent in our community. We suggest that the relationship between felt disagreement and disagreement action is more complicated and worthy of further study.
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KEYWORD
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Patient’s disagreement, Disagreement action, Relationship between patient’s disagreement and disagreement action
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Listed journal information
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