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Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders.

Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders. Research Abstract Details 

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  • Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders. Abstract Text:

    robert klitzmanRobert Klitzman,jonathan weissJonathan Weiss,

    OBJECTIVE: To examine issues concerning doctor's disclosures of their illness to their patients. METHODS: We interviewed 50 health care providers who had serious illnesses concerning their experiences with disclosures of their illness to patients. RESULTS: With regard to their diagnoses, these doctors struggled with whether, when, how and what to tell patients. These issues were prominent, and had broader implications for doctor-patient communication and interactions among doctors with HIV, but arose among doctors with other diagnoses as well. Particularly with HIV, questions emerged concerning whether to: tell patients without being asked, respond only if asked, tell the truth, lie or misrepresent the information. Patients appeared to face dilemmas of whether to ask about a doctor's diagnosis, and whether they had a right to know. Some patients hesitated to ask or felt ambivalent about knowing, as the illness could threaten the doctor-patient relationship. At times, patients learned of a doctor's illness only after the latter had died. Disclosures could strengthen or skew the doctor-patient relationship. We present a model and framework--concerning the complexities of these communications--that can be useful in exploring other key aspects of doctor-patient interactions. CONCLUSION: These data raise larger questions of what information patients should be told about physicians. Medical education needs to address these issues better. PRACTICE IMPLICATIONS: Physicians should realize that patients may be anxious about these concerns, and may view the pros and cons of physicians' disclosures of illness differently than do these physicians themselves.

    Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders. Publishing Authors By Initials

    r klitzmanR Klitzman,j weissJ Weiss,

    For similar behavior and behavior mechanisms: psychology, social: interpersonal relations: trust research abstracts see: behavior and behavior mechanisms: psychology, social: interpersonal relations: trust research

    PUBMED ID PMID:

    MEDLINE DATE:

    Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Patient education and counseling

    VOLUME: 64

    Page Numbers: 277-84

    Journal Abbreviation:

    ISSN: 0738-3991

    DAY: 24

    MONTH: 07

    YEAR: 2006

    Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 8406280

    Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders. Keywords Mesh Terms:

    KEYWORDS: Trust

    MESH TERMS: psychology

    Chemical & Substance for Abstract: Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders. Information

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    Grant and Affiliation Information for Disclosures of illness by doctors to their patients: a qualitative study of doctors with HIV and other serious disorders.

    AFFILIATION: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY 10032, USA. rlk2@columbia.edu

    Country: Ireland

    AGENCY: United States NIMH

    GRANT: K08-MH-1420-01

    ACRONYM: MH

    MEDLINETA: Patient Educ Couns

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