Noncompliance with treatment instructions has traditionally been viewed as a physician's failure to communicate. Recent emphasis on the value of patient involvement in defining and resolving health care issues has shifted this perspective toward one of mutual responsibility for participation in health care decisions. A Dutch model of gendered care is described: It acknowledges the traditional power imbalance between physician and patient, as well as the link between socialization of the sexes and their health issues.
Get full access to this article
View all access options for this article.
References
1.
Adviesgroep Vrouwenhulpverlening . (1991). Vrouwenhulpverlening in de somatische zorg [Assistance to women in somatic care]. Rijswijk, the Netherlands: Ministerie van Welzijn, Volksgezondheid en Cultuur.
2.
Anspach, R. R. (1988). Notes on the sociology of medical discourse: The language of case presentation. Journal of Health and Social Behavior, 29, 357-375.
3.
Baker Miller, J. (1976). Towards a new psychology of women. London: Pelican.
4.
Beisecker, A. E. , & Beisecker, T. D. (1990). Patient information-seeking behaviors when communicating with doctors. Medical Care, 28, 19-28.
5.
Bensing, J. M. (1991). Doctor-patient communication and the quality of care. An observation study into affective and instrumental behavior in general practice. Rotterdam: Erasmus University.
6.
Bertakis, K. D. (1977). The communication of information from physician to patient: A method for increasing patient retention and satisfaction. Journal of Family Practice, 5, 217-223.
7.
Boreham, P. , & Gibson, D. (1978). The informative process in private medical consultations: A preliminary investigation. Social Science and Medicine, 12, 409-416.
8.
Brody, H. (1987). Stories of sickness. New Haven, CT: Yale University Press.
9.
Brown Trevis, C. (1988). Women and health psychology: Biomedical issues. Hillsdale, NJ: Lawrence Erlbaum.
10.
Cassell, E. (1985a). Talking with patients, Vol. 1: The theory of doctor-patient communication. Cambridge, MA: MIT Press.
11.
Cassell, E. (1985b). Talking with patients, Vol. 2: Clinical Technique. Cambridge, MA: MIT Press.
12.
Charon, R. (1986). To render the lives of patients. Literature and medicine, 5, 58-74.
13.
Charon, R. (1989). Doctor-patient/reader-writer: Learning to find the text. Soundings, 72, 1101-1106.
14.
Cicourel, A. V. (1964). Method and measurement in sociology. New York: Free Press.
15.
Cicourel, A. V. (1983). Hearing is not believing: Language and the structure of belief in medical communication. In S. Fisher & D. Todd (Eds.), The social organization of doctor-patient communication (pp. 221-239). Washington, DC: Center of Applied Linguistics.
16.
Clark, J. A. , & Mishler, E. G. (1992). Attending to patients' stories: Reframing the clinical task. Sociology of Health and Illness, 14, 344-372.
17.
Cochrane, R. , & Stopes Roe, M. (1983). Women, marriage, employment and mental health. British Journal of Psychiatry, 11, 373-381.
18.
Comstock, L. M. , Hooper, E. H., Goodwin, J. M., & Goodwin, J. S. (1982). Physician behaviors that correlate with patient satisfaction. Journal of Medical Education, 57, 105-112.
19.
Davis, K. (1988). Power under the microscope: Toward a grounded theory of gender relations in medical encounters. Dordrecht, the Netherlands: Foris.
20.
DiMatteo, M. R. , & DiNicola, D. D. (1982). Achieving patient compliance. New York: Pergamon.
21.
Egtbers, J. , Van der Marel, K., Rijkschroeff, R., & Soetenhorst-de Savornin Lohman, J. (1991). De integratie van vrouwenhulpverlening in het algemene psychiatrische ziekenhuis [Integration of assistance to women in general psychiatric hospitals]. Utrecht: Nationaal Ziekenhuis Instituut.
22.
Eisner, M. , & Wright, M. (1986). A feminist approach to general practice. In C. Webb (Ed.), Feminist practice in women's health care (pp. 113-145). Chicester: Wiley.
23.
Fisher, S. (1986). In the patient's best interest. Women and the politics of medical decisions. New Brunswick, NJ: Rutgers University Press.
24.
Fisher, S. , & Groce, S. B. (1990). Accounting practices in medical interviews. Language in Society, 19, 225-250.
25.
Fisher, S. , & Todd, A. D. (1983). Friendly persuasion: Negotiating decisions to use oral contraceptives. In S. Fisher & A. D. Todd (Eds.), The social organization of doctor-patient communication (pp. 3-25). Washington, DC: Center of Applied Linguistics Press.
26.
Flax, J. (1990). Remembering the selves: Is the repressed gendered?Michigan Quarterly Review, 29, 93-110.
27.
Frankel, R. M. (1984). From sentence to sequence: Understanding the medical encounter through micro-interactional analysis. Discourse Processes, 7, 135-170.
28.
Frankel, R. M. (1990). Talking in interviews: A dispreference for patient-initiated questions in physical-patient encounters. In G. Psathas & R. Frankel (Eds.), Interactional competence (pp. 231-252). Washington, DC: University Press of America.
29.
Frankel, R. M. , & Beckman, H. (1989). Evaluating the patient's primary problem(s). In M. Stewart & D. Roter (Eds.), Communicating with medical patients (pp. 86-98). Newbury Park, CA: Sage.
30.
Freemon, B. , Negrete, V. F., Davis, M. & Korsch, B. M. (1971). Gaps in doctor-patient communication: Doctor-patient interaction analysis. Pediatric Research, 5, 298-311.
31.
Garfinkel, H. (1964). Studies in the routine grounds of everyday activities. Social problems, 11, 225-250.
32.
Gijsbers van Wijk, C.M.T. , & Van Vliet, P. P. (1989). Het zieke geslacht. Over sekseverschillen in morbiditeit, medische consumptie en de rapportage van lichamelijke symptomen [The ill gender. About gender differences in morbidity, medical consumption, and the communication of physical symptoms]. Gedrag en Gezondheid, 2, 59-68.
33.
Gilligan, C. (1982). In a different voice. Psychological theory and women's development. Cambridge, MA: Harvard University Press.
34.
Goodwin, M. H. , & Goodwin, C. (1987). Children's arguing. In S. U. Philips, S. Steele, & C. Tanz (Eds.), Language, gender and sex in comparative perspective (pp. 200-248). Cambridge: Cambridge University Press.
35.
Gove, W. R. (1984). Gender differences in mental and physical illness: The effects of fixed roles and nurturant roles. Social Science and Medicine, 19, 77-84.
36.
Greenfield, S. , Kaplan, S. H., & Ware, J. E. (1985). Expanding patient involvement in care. Annals of Internal Medicine, 102, 520-528.
37.
Greenfield, S. , Kaplan, S. H., & Ware, J. E. (1988). Patient participation in medical care: Effects on blood sugar and quality of life in diabetes. Journal of General Internal Medicine, 3, 448-457.
38.
Hall, J. A. , & Dornan, M. C. (1988). What patients like about their medical care and how often they are asked: A meta-analysis of the satisfaction literature. Social Science and Medicine, 27, 935-939.
39.
Hall, J. A. , Roter, D. L., & Katz, N. R. (1988). Meta-analysis of correlates of patient-provider behavior in medical encounters. Medical Care, 26, 657-675.
40.
Hart, N. (1977). Parenthood and patienthood: A dialectical autobiography. In A. Davis & G. Horobin (Eds.), Medical encounters: The experience of illness and treatment (pp. 98-114). London: Croom Helm.
41.
Helman, C. (1990). Culture, health and illness. An introduction for health professionals. Bristol: Wright.
42.
Hernbest, R. , & Stewart, M. A. (1990). Patient-centeredness in the consultation 2: Does it really make a difference?Family Practice, 7, 28-33.
43.
Hochschild, A. (1989). The second shift: Working parents and the revolution at home. New York: Viking.
44.
Hughes, D. (1982). Control in the medical consultation. Organizing talk in a situation where co-participants have different competence. Sociology, 16, 359-376.
45.
Joos, S. K. , & Hickam, D. H. (1990). How health professionals influence health behavior: Patient-provider interaction and health care outcomes. In K. Glanz, F. M. Lewis, & B. K. Rimer (Eds.), Health behavior and health education. Theory, research and practice (pp. 216-241). San Francisco, CA: Jossey-Bass.
46.
Kjervik, D. K. , & Martinson, I. M. (1986). Women in health and illness. Life experiences and crises. Philadelphia: W. B. Saunders.
47.
Kleinman, A. (1980). Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. Berkeley: University of California Press.
48.
Kleinman, A. (1988). The illness narratives. Suffering, healing and the human condition. New York: Basic Books.
49.
Kohut, H. (1974). The analysis of the self. New York: International Universities Press.
50.
Kohut, H. (1977). The restoration of the self. New York: International Universities Press.
51.
Komter, A. (1985). De macht van de vanzelfsprekendheid. Relaties tussen vrouwen en mannen [The power of something obvious. Relations between women and men]. 's-Gravenhage, the Netherlands: VUGA.
52.
Korsch, B. M. , Gozzi, E. K., & Francis, V. (1968). Gaps in doctor-patient communication I. Doctor-patient interaction and patient satisfaction. Pediatrics, 42, 855-871.
53.
Korsch, B. M. , & Negrete, V. F. (1972). Doctor-patient communication. Scientific American, 227, 66-74.
54.
Krause, N. (1984). Employment outside the home and women's psychological well-being. Social Psychiatry, 1, 41-48.
55.
Lazare, A. , & Eisenthal, S. (1977). Patient requests in a walk-in clinic. Journal of Nervous and Mental Disease, 165, 330-340.
56.
Ley, P. (1982). Giving information to patients. In J. R. Eiser (Ed.), Social psychology and behavioral science (pp. 339-372). Chicester: Wiley.
57.
Ley, P. (1983). Patients' understanding and recall in clinical communication failure. In D. Pendleton & J. Hasler (Eds.), Doctor-patient communication (pp. 89-107). London: Academic Press.
58.
Lipkin, M. , Quill, T. E., & Napodano, R. J. (1984). The medical interview: A core curriculum for residencies in internal medicine. Annals of Internal Medicine, 100, 277-284.
59.
Maltz, D. N. , & Borker, R. A. (1982). A cultural approach to male-female miscommunication. In J. J. Gumperz (Ed.), Language and social identity (pp. 196-216). Cambridge: Cambridge University Press.
60.
Maseide, P. (1991). Possibly abusive, often benign, and always necessary. On power and domination in medical practice. Sociology of Health and Illness, 13, 545-561.
61.
McIlwaine, G. , Rosenberg, K., & Rooney, I. (1989). The health of mid-life inner-city women. Journal of Psychosomatic Obstetrics and Gynecology, 10(Supp. 1), 102-109.
62.
McPherson, A. (1987). Why women's health? In A. McPherson (Ed.), Women's problems in general practice (pp. 1-13). Oxford: Oxford University Press.
63.
Meeuwesen, L. (1988). Spreekuur of zwijguur. Somatische fixatie en sekse-asymmetrie tijdens het medisch consult [Speaking or being silent. Somatic fixation and gender asymmetry during the medical interview]. Nijmegen, the Netherlands: University of Nijmegen.
64.
Meeuwesen, L. , Ruiter, M., Esterbeek van Eerten, J., & Brinkgreve, C. (1991). Vrouwen en gezondheid. Een overzicht van onderzoek naar gezondheidsklachten van vrouwen, 1970-1990 [Women and health. A research survey of women's health complaints, 1970-1990]. Den Haag: Stimuleringsgroep Emancipatie-Onderzoek.
65.
Meeuwesen, L. , Schaap, C., & Van der Staak, C. (1991). Verbal analysis of doctor-patient communication. Social Science and Medicine, 32, 1143-1150.
66.
Mishler, E. G. (1984). The discourse of medicine: Dialetics of medical interviews. Norwood, NJ: Ablex.
67.
Mullen, P. D. , Green, L. W., & Persinger, G. (1985). Clinical trials of patient education for chronic conditions: A comparative meta-analysis of intervention types. Preventive Medicine, 14, 753-781.
68.
Nicolai, N. (1992a). De hordenloop door de instituties. Een analyse van struikelblokken [The hurdlerace through the institutions. An analysis of obstacles]. Vrouw en Gezondheidszorg, 2, 3-6.
69.
Nicolai, N. (1992b). Vrouwenhulpverlening en psychiatrie [Assistance to women and psychiatry]. Amsterdam: SUA.
70.
Orth, J. E. , Stiles, W. B., Scherwitz, C., Henrikus, D., & Vallbona, C. (1987). Patient exposition and provider explanation in routine interviews and hypertensive patients' blood pressure control. Health Psychology, 6, 29-42.
71.
Pendleton, D. A. (1983). Doctor-patient communication: A review. In D. Pendleton & J. Hasler (Eds.), Doctor-patient communication (pp. 5-53). London: Academic Press.
72.
Pendleton, D. A. , & Bochner, S. (1980). The communication of medical information in general practice consultations as a function of patients' social class. Social Science and Medicine, 14, 669-673.
73.
Popay, J. (1992). “My health is all right, but I'm just tired all the time.” Women's experience of ill health. In H. Roberts (Ed.), Women's health matters (pp. 99-120). London: Routledge & Kegan Paul.
74.
Porter, M. (1990). Professional-client relationships and women's reproductive health care. In S. Cunningham-Burley & N. P. McKeganey (Eds.), Readings in medical sociology (pp. 182-210). London: Routledge & Kegan Paul.
75.
Porter, M. , & Macintyre, S. (1989). Psychosocial effectiveness of antenatal and postnatal care. In S. Robinson & A. Thomason (Eds.), Research in midwifery/childbirth care (Vol. 1, pp. 89-114). London: Croom Helm.
76.
Putnam, S. M. , Stiles, W. B., Jacob, M. C., & James, S. A. (1985). Patient exposition and physician explanation in initial medical interviews and outcomes of clinic visits. Medical Care, 23, 74-83.
77.
Roberts, H. (1985). The patient patients: Women and their doctors. London: Pandora.
78.
Roberts, H. (1992). Introduction: Women's health matters. In H. Roberts (Ed.), Women's health matters (pp. 1-10). London: Routledge & Kegan Paul.
79.
Römkens, R. (1989). Geweld tegen vrouwen in heteroseksuele relaties. Een landelijk onderzoek naar de omvang, de aard, de gevolgen en de achtergronden [Violence against women in heterosexual relationships. A national examination of the content, nature, and backgrounds]. Amsterdam: University of Amsterdam.
80.
Roter, D. L. (1977). Patient participation in the patient-provider interaction: The effects of patient question-asking on the quality of interaction, satisfaction and compliance. Health Education Monographs, 5, 281-330.
81.
Roter, D. L. (1984). Patient question asking in physician-patient interaction. Health Psychology, 3, 395-409.
82.
Roter, D. L. (1989). Which facets of communication have strong effects on outcome—a meta-analysis. In M. Stewart & D. Roter (Eds.), Communicating with medical patients (pp. 183-196). Newbury Park, CA: Sage.
83.
Roter, D. L. (1991). The influence of patient characteristics on communication between the doctor and the patient. Huisarts en Wetenschap, 34, 295-301.
84.
Roter, D. L. , Hall, J., & Katz, N. (1988). Patient-physician communication. A description summary of the literature. Patient Education and Counseling, 12, 99-119.
85.
Roter, D. , Lipkin, M., & Korsgaard, A. (1991). Sex differences in patients' and physicians' communication during primary care medical visits. Medical Care, 29, 1083-1093.
86.
Scanzoni, J. H. (1975). Sex roles, life styles and child bearing. New York: Free Press.
87.
Stewart, M. A. (1984). What is a successful doctor-patient interview? A study of interactions and outcomes. Social Science and Medicine, 19, 167-175.
88.
Stiles, W. B. , Putnam, S. M., Wolf, M. H., & Sherman, A. J. (1979). Interaction exchange structure and patient satisfaction with medical interviews. Medical Care, 17, 667-681.
89.
Stimson, G. V. (1976). General practitioners: Trouble and types of patients. In M. Stacey (Ed.), The sociology of the NHS (Sociological Review Monograph No. 22, pp. 114-149). Keele: University of Keele.
90.
Stimson, G. V. , & Webb, B. (1975). Going to see the doctor: The consultation process in general practice. London: Routledge & Kegan Paul.
91.
Strong, P. (1979). The ceremonial order of the clinic: Parents, doctors and medical bureaucracies. London: Routledge & Kegan Paul.
92.
Svarstad, B. (1974). The doctor-patient encounter. An observational study of communication and outcome. Madison: University of Wisconsin.
93.
Tabak, E. R. (1988). Encouraging patient question-asking: A clinical trial. Patient Education and Counseling, 12, 37-49.
94.
Tannen, D. (1990). You just don't understand. Women and men in conversation. New York: Ballantine.
95.
Ten Have, P. (1987). Sequenties en formuleringen. Aspecten van de interactionele organisatie van huisarts-spreekuur gesprekken [Sequences and formulations. Aspects of the interactional organization of conversations during general practitioners' office hours]. Unpublished doctoral dissertation, University of Amsterdam, Amsterdam.
96.
Ten Have, P. (1991). Vorm en inhoud van spreekuurgesprekken [Nature and content of conversations during medical office hours]. Huisarts en Wetenschap, 34, 330-333.
97.
Todd, A. D. (1984). The prescription of contraception: Negotiations between doctors and patients. Discourse Processes, 7, 171-200.
98.
Todd, A. D. (1989). Intimate adversaries: Cultural conflict between doctors and women patients. Philadelphia: University of Philadelphia Press.
99.
Tones, K. , Tilford, S., & Robinson, Y. (1990). Health education: Effectiveness and efficiency. London: Chapman & Hall.
100.
Treichler, P. , Frankel, R., Kramarae, C., Zoppi, C., & Beckman, H. (1984). Problems and problems: Power relationships in a medical encounter. In C. Kramarae (Ed.), Language and power (pp. 62-88). Beverly Hills, CA: Sage.
101.
Tuckett, D. , Boulton, M., Olson, C., & Williams, A. (1985). Meetings between experts. An approach to sharing ideas in medical consultations. London: Tavistock.
102.
Van der Velden, J. , De Bakker, D., Claessens, A.A.M.C., & Schellens, F. G. (1991). Nationale studie naar ziekten en verrichtingen in de huisartspraktijk. Basisrapport III: Morbiditeit in de huisartsenpraktijk [National study on diseases and activities in general practice. Basic study III: Morbidity in general practice]. Utrecht: Dutch Institute for Primary Health Care.
103.
Van Mens-Verhulst, J. (1988). Modelontwikkeling voor vrouwenhulpverlening. Op weg naar het land symmetria [Development of a model for assistance to women. On the way to “symmetry” country]. Utrecht, the Netherlands: University of Utrecht.
104.
Wallen, J. , Waitzkin, H., & Stoeckle, J. D. (1979). Physician stereotypes about female health and illness: A study of patient's sex and the informative process during medical interviews. Women and Health, 4, 135-146.
105.
Weijts, W. , Widdershoven, G., & Kok, G. (1991). Anxiety-scenarios in gynecological consultations. Patient Education and Counseling, 18, 149-163.
106.
Weijts, W. , Widdershoven, G., Kok, G., & Tomlow, P. (1993). Patients' information-seeking actions and physicians' response in gynecological consultations. Qualitative health research, 3, 398-429.
107.
West, C. (1984). Routine complications. Troubles with talk between doctors and patients. Bloomington: Indiana University Press.
108.
Winefield, H. R. , & Murrell, T.G.C. (1991). Speech patterns and satisfaction in diagnostic and prescriptive stages of general practice consultations. British Journal of Medical Psychology, 64, 103-115.
109.
Wodak, R. (1981). Women relate, men report: Sex differences in language behavior in a therapeutic group. Journal of Pragmatics, 5, 261-285.
110.
Wolinsky, F. D. (1988). The sociology of health. Principles, practitioners and issues. Belmont, CA: Wadsworth.
