Healthy Skepticism Library item: 1229

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Cline RJ.
At the intersection of micro and macro: opportunities and challenges for physician-patient communication research.
Patient Educ Couns 2003 May; 50:(1):13-6
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6TBC-48CG0WX-9&_coverDate=05%2F31%2F2003&_alid=272783093&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=5139&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=5ebae07eeb92b44d334068747b9d8b54

Abstract:

The health care relationship model is undergoing dramatic change. Micro-level communication patterns yield health care relationship models (e.g. paternalism, mutual participation, consumerism). At the same time, macro-level systems appear increasingly likely to influence the nature of micro-level interaction. The intersections of health care communication micro-level and macro-level phenomena provide important venues for research and interventions. This essay identifies theoretical premises regarding the relationships between communication and health-related behavior; explores three prominent and growing macro-level phenomena that observers argue likely influence the physical-patient relationship and communication therein: complementary and alternative medicine, the Internet, and direct-to-consumer advertising of prescription drugs; and offers a research agenda for exploring macro-level influences on micro-level physician-patient communication.

Keywords:
Advertising Authoritarianism Communication* Complementary Therapies Cooperative Behavior Drug Industry Health Behavior Humans Internet Models, Psychological Patient Participation Physician-Patient Relations* Research/organization & administration*