An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai

Bibliographic Details
Main Author:	Patel, Raakhee Navin
Language:	English
Published:	Case Western Reserve University School of Graduate Studies / OhioLINK 2021
Subjects:	Asian Studies Behavioral Sciences Communication Cultural Anthropology Ecology Ethics Ethnic Studies Families and Family Life Foreign Language Gender Gender Studies Gynecology Health Health Care Health Care Management Health Sciences Mass Media Mass Communications Medical Ethics Medicine Minority and Ethnic Groups Obstetrics Personal Relationships Regional Studies Social Research Social Structure Sociolinguistics South Asian Studies Technology Womens Studies Personality doctor patient communication relationship biomedicine India Mumbai globalization healthscape identity ethnography expectations medical record negotiation pregnancy infertility clinical encounter healthcare hospital medicine hierarchy
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=case1619705858186443

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-case16197058581864432021-08-03T07:17:18Z An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai Patel, Raakhee Navin Asian Studies Behavioral Sciences Communication Cultural Anthropology Ecology Ethics Ethnic Studies Families and Family Life Foreign Language Gender Gender Studies Gynecology Health Health Care Health Care Management Health Sciences Mass Media Mass Communications Medical Ethics Medicine Minority and Ethnic Groups Obstetrics Personal Relationships Regional Studies Social Research Social Structure Sociolinguistics South Asian Studies Technology Womens Studies Personality doctor patient communication relationship biomedicine India Mumbai globalization healthscape identity ethnography expectations medical record negotiation pregnancy infertility clinical encounter healthcare hospital medicine hierarchy The processes of globalization — characterized by global flows of people, technologies, capital, images, and information that shape people’s imagined worlds — continue to spur the growth of megacities and the concomitant health dilemmas therein. As globalization shapes both the practice and the idea of medicine and healthscapes, this transformation is translated into shifting desires, expectations, and identities for both physicians and patients in the clinical encounter — the focal points of this study. This dissertation project utilizes an ethnographic design (semi-structured interviews, participant observations, and archival research) over a 19-month period in Mumbai, India to examine the following question: How does the clinical encounter unfold in relation to the doctor-patient interaction to construct expectations? This study takes the following two premises: 1) A thick ethnographic description of the clinical encounter is fundamentally linked to the bi-directional shaping of local, global and micro, macro ideologies. 2) Biomedicine (its practitioners, its seekers, its associated clinical encounters, and its institutions) is a prominent focal point on which the concepts of identity and globalization pivot in Indian society. Therefore, this study of the doctor-patient interaction is framed to serve as a microscopic observation of macroscopic globalization forces. I interviewed physicians and patients and observed their clinical interactions at 3 Obstetrics/Gynecology clinical sites in Mumbai: a private clinic, a semi-private hospital, and a municipal hospital. Based on data collected from 603 participants, the most pertinent aspects of identity in the micro-level clinical encounter in Mumbai involve the following: age, gender, sex, social status, educational level, language, profession, ethnicity, and lifeworlds. Additionally, I provide data on how the emerging themes of physician synergy, ritual, medical record, and traditional remedies illustrate salient aspects of the Indian variant of Biomedicine. Furthermore, my findings suggest that the macro-level forces of Mumbai culture, healthscapes, hierarchy, globalization, and political economy of medicine directly impact the Mumbai healthcare context and its clinical encounters. This dissertation provides insights into how Biomedicine, a global force, is enacted in the local Indian context and illuminates pathways for doctors and patients in other clinical contexts to promote successful communication. 2021-06-21 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1619705858186443 http://rave.ohiolink.edu/etdc/view?acc_num=case1619705858186443 restricted--full text unavailable until 2023-05-30 This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection	NDLTD
language	English
sources	NDLTD
topic	Asian Studies Behavioral Sciences Communication Cultural Anthropology Ecology Ethics Ethnic Studies Families and Family Life Foreign Language Gender Gender Studies Gynecology Health Health Care Health Care Management Health Sciences Mass Media Mass Communications Medical Ethics Medicine Minority and Ethnic Groups Obstetrics Personal Relationships Regional Studies Social Research Social Structure Sociolinguistics South Asian Studies Technology Womens Studies Personality doctor patient communication relationship biomedicine India Mumbai globalization healthscape identity ethnography expectations medical record negotiation pregnancy infertility clinical encounter healthcare hospital medicine hierarchy
spellingShingle	Asian Studies Behavioral Sciences Communication Cultural Anthropology Ecology Ethics Ethnic Studies Families and Family Life Foreign Language Gender Gender Studies Gynecology Health Health Care Health Care Management Health Sciences Mass Media Mass Communications Medical Ethics Medicine Minority and Ethnic Groups Obstetrics Personal Relationships Regional Studies Social Research Social Structure Sociolinguistics South Asian Studies Technology Womens Studies Personality doctor patient communication relationship biomedicine India Mumbai globalization healthscape identity ethnography expectations medical record negotiation pregnancy infertility clinical encounter healthcare hospital medicine hierarchy Patel, Raakhee Navin An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai
author	Patel, Raakhee Navin
author_facet	Patel, Raakhee Navin
author_sort	Patel, Raakhee Navin
title	An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai
title_short	An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai
title_full	An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai
title_fullStr	An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai
title_full_unstemmed	An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai
title_sort	ethnographic study of doctor-patient communication within biomedicine and its indian variant in mumbai
publisher	Case Western Reserve University School of Graduate Studies / OhioLINK
publishDate	2021
url	http://rave.ohiolink.edu/etdc/view?acc_num=case1619705858186443
work_keys_str_mv	AT patelraakheenavin anethnographicstudyofdoctorpatientcommunicationwithinbiomedicineanditsindianvariantinmumbai AT patelraakheenavin ethnographicstudyofdoctorpatientcommunicationwithinbiomedicineanditsindianvariantinmumbai
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An Ethnographic Study of Doctor-Patient Communication within Biomedicine and Its Indian Variant in Mumbai

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