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Doctor-Patient Relationship Between Individuals With Fibromyalgia and Rheumatologists in Public and Private Health Care in Mexico

Bibliographic Data

ID4668285
AuthorsTirsa Colmenares-Roa (0000-0003-3899-4787, Universidad Nacional Autónoma de Mexico, Mexico City, Mexico), Gabriela Huerta-Sil (Hospital General de México “Eduardo Liceaga,” Mexico City, Mexico), Claudia Infante-Castañeda (0000-0002-2798-8448, Universidad Nacional Autónoma de Mexico, Mexico City, Mexico), Leticia Lino-Pérez (Hospital General de México “Eduardo Liceaga,” Mexico City, Mexico), Everardo Alvarez-Hernández (Hospital General de México “Eduardo Liceaga,” Mexico City, Mexico), Everardo Álvarez‐Hernández (0000-0003-2557-5866, Hospital General de México), Ingris Peláez-Ballestas (0000-0001-5188-7375, Hospital General de México “Eduardo Liceaga,” Mexico City, Mexico, corresponding author)
Year2016
Volume26
Issue12
Pages1674-1688
Publication date2016-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732315588742
PMID27578852
OpenAlexW586230395
LanguageEN
Citations received4
References cited34

The aim of this article was to describe and analyze the doctor-patient relationship between fibromyalgia patients and rheumatologists in public and private health care contexts within the Mexican health care system. This medical anthropological study drew on hospital ethnography and patients' illness narratives, as well as the experiences of rheumatologists from both types of health care services. The findings show how each type of medical care subsystem shape different relationships between patients and doctors. Patient stigmatization, overt rejection, and denial of the disease's existence were identified. In this doctor-patient-with-fibromyalgia relationship, there are difficult encounters, rather than difficult patients. These encounters are more fluid in private consultations compared with public hospitals. The doctor-centered health care model is prevalent in public institutions. In the private sector, we find the characteristics of the patient-centered model coexisting with the traditional physician-centered approach

Family medicine · Fibromyalgia · Health care · Physical therapy · Political science · Private practice · Public health · Qualitative research · Sociology · Empathy and Medical Education · Fibromyalgia and Chronic Fatigue Syndrome Research · Medical and Biological Sciences · Medicine · Nursing · Psychology · Gerontology

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Unique citing works4
Citations per year0,5
Citation span2018 - 2022 (5)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3
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