Doctor and HIV-POSITIVE Women: Practice of Interaction
Social Work and social anthropology Saratov state technical university Saratov, Russia
Epidemic HIV/AIDS carries global character, but at study of questions connected to interaction of the doctor and the patient, the regional specificity is most clearly traced. Practice of interaction of the doctor and HIV-POSITIVE women were studied in Saratov. The research of doctor&HIV-POSITIVE women interactions took place in Saratov. The uniqueness of the data practice is adaptation of tactics of communication doctor and patient under needs of the man with the certain diagnosis. Such adaptation of tactics helps to receive the certain rights and freedom, in particular, to overcome an inequality in access to medical services. There is a daily knowledge of interaction of the doctor and woman with HIV that is the basis of ways of relations ?improvement?: illegal payment, gifts, reference to the doctors on acquaintance, forming-up of the confidential relations. The market of medical services in representations at researched group to be reduced to two segments: the not specialized medical establishments - "usual" (polyclinic, hospital, maternity home) and AIDS-CENTRE. Similar differentiation automatically to be transferred to the relation and perception of the medical employees. The given division of medical services comprises not only institutional attributes, but also derivates the whole spectrum practices of interaction of the doctor and patient. The analysis practices in the not specialized clinics and AIDS-CENTRE has allowed to reveal following practices. For the not specialized clinics are characteristic of practice Not specialized clinics are characterized by practices of: 1) escaping organizational rules and development of social networks with "the necessary" doctor; 2) open conflict; 3) partnership relations. Each several practice has certain models of interaction and the concept of medical services' "quality". The practice of the relations at the AIDS-CENTRE represents patient-centred model of medical system. The basis of this practice is not the national headpiece, but the partnership relations between the doctor and woman with HIV.