By Kendra Stanton
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First, it is a breach in the disease-focused medical modelcontraceptive needs do not usually raise questions of illness. This breach clarifies the model under investigation. The imperfect fit between contraception and medical assumptions highlights rough edges. Second, women go to their doctors today in the wake of the women's movement and the so-called sexual revolution to seek help with their sexuality as well as with the explosive decisions of whether or not to have babies. Women run up against a medical system that is not organized around these questions but instead focuses on the technical and the diseased to the exclusion of the social context and on the individual to the exclusion of the familial Page 5 or interactive.
Patients feel that doctors should make them better all of the time. Great expectations become easily thwarted. To doctors, patients often seem an erratic, unpredictable group who increasingly demand what doctors cannot give and often ignore what is prescribed. As Hilfiker so aptly describes, each patient presents the risk of medical mistake or misjudgment, leading to psychological stress and possibly high costs in money and reputation in the law courts. The idealized version envisioned by earlier sociologists such as Talcott Parsons of the powerful, detached, godlike doctor who knows best, curing the passive patient, who turns all decision making over to higher authority, is outdated.
In this book I also look at medical relationships, but the focus changes. My primary interest is the patientparticularly when the patient is a woman. Page 3 Health care is a series of relationships among people, technologies, historical influences, and societal trends. In this book data are brought to bear on the doctor-patient relationship and what patients report they need and receive from their medical care. Whether a brief encounter between strangers in a clinic or hospital emergency room, rotational visits with interns and residents in a teaching hospital, annual checkups with the family physician in private practice, or the more customer-oriented treatment given in the newer corporate hospital, health care at its core is a face-to-face, person-to-person interaction.