Literature DB >> 9352166

For doctors' eyes only: medical records in two Israeli hospitals.

M Weiss1.   

Abstract

"Scientific" and "craft" representations of medical diagnosis can be regarded as complementary discursive systems used by physicians in order to legitimate and monopolize their professional power. This paper examines the medical record as a context for the interplay of these two discourses. During interviews conducted with 78 Israeli physicians, 94% have refused to give patients access to their medical records. This refusal is discussed vis-à-vis a reading of the actual contents of medical records, which are shown to contain many errors, inconsistencies and ambiguities. The paper concludes by offering an alternative, anthropological model for medical records as fieldnotes.

Entities:  

Keywords:  Empirical Approach; Professional Patient Relationship

Mesh:

Year:  1997        PMID: 9352166     DOI: 10.1023/a:1005340430217

Source DB:  PubMed          Journal:  Cult Med Psychiatry        ISSN: 0165-005X


  11 in total

1.  The hospital: a human rights wasteland.

Authors:  George J Annas
Journal:  Civ Liberties Rev       Date:  1974

2.  The reasoning of the strongest: the polemics of skill and science in medical diagnosis.

Authors:  W Anderson
Journal:  Soc Stud Sci       Date:  1992-11       Impact factor: 3.885

3.  The clinical record in medicine. Part 2: Reforming content and purpose.

Authors:  S J Reiser
Journal:  Ann Intern Med       Date:  1991-06-01       Impact factor: 25.391

4.  Our patients have access to their medical records.

Authors:  A P Bird; M T Walji
Journal:  Br Med J (Clin Res Ed)       Date:  1986-03-01

5.  Whose data are they anyway?

Authors:  D Metcalfe
Journal:  Br Med J (Clin Res Ed)       Date:  1986-03-01

6.  Clinical sense and clinical science.

Authors:  D Armstrong
Journal:  Soc Sci Med       Date:  1977-09       Impact factor: 4.634

7.  Doctors, nurses, and clinical records.

Authors:  C A Nathanson; M H Becker
Journal:  Med Care       Date:  1973 May-Jun       Impact factor: 2.983

8.  The misinformation era: the fall of the medical record.

Authors:  J F Burnum
Journal:  Ann Intern Med       Date:  1989-03-15       Impact factor: 25.391

9.  Embodying illness, embodying cancer.

Authors:  D R Gordon
Journal:  Cult Med Psychiatry       Date:  1990-06

10.  Bedside manners: paradoxes of physician behavior in grand rounds.

Authors:  M Weiss
Journal:  Cult Med Psychiatry       Date:  1993-06
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