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Biomedical subjects

V M Christie

Publications and source records attributed to V M Christie.

3 recordsLinked to original sources

[When physicians become ill. Difficult choices].

39 Norwegian physicians have been interviewed and another 49 have either written down or dictated the history of their illness. In this article we focus on the doctors' dilemmas during the various stages of their illness. The general trend is to postpone seeking help, and to try to deny or hide, from themselves and others, the fact that they are seriously ill. The reasons for this are discussed. Some have difficulty in abandoning the role of doctor for that of patient; while others, who would prefer to be just a patient, are often not allowed this. Often, the doctor's doctor also experiences a conflict of roles. These dilemmas can tell us something of general interest about the role of the patient, the role of the doctor, and the patient/doctor relationship in society.

Adult↗

A dialogue between practitioners of alternative (traditional) medicine and modern (western) medicine in Norway.

This paper tells about a 'dialogue group', consisting of alternative and modern health practitioners, that was started in Norway in 1989, how it works and what has been achieved up to now. WHO has strongly advocated promotion of cooperation between traditional and modern health practitioners. In Botswana, where one of the general practitioners in the group has practiced, 'United Health Committees' have been established aiming at creating a dialogue between the different types of health professionals. In industrialized countries little seems to have been done so far. Many patients in Norway, as in many other countries, consult ordinary doctors as well as alternative practitioners. In Norway, members of these two professions almost never meet, other than as opponents. They receive information about each other mostly through discontented patients who have been unsuccessfully treated by the other part. In this way practitioners get an insufficient and biased report of one another's practices, as well as an unrealistic and distorted picture. If patients know that both parts respect one another, then most of them dare to tell that they use both types of practitioners. Otherwise many patients conceal this.

Acupuncture Therapy↗

[The extended self-care concept. Use of practitioners of alternative medicine and layman control of health services regarded as self-care].

Research and discussions on self-care have been concentrated mainly on what happens before the patient decides to see a doctor. Attention could just as well be given to the forms of self-care used while the patient is under medical treatment, and perhaps even more to what self-care is used after the treatment has ended. Data from the Health Survey of 1985 indicate that patients who have seen a practitioner who practises alternative medicine are more likely to use a suitable form of self-care afterwards. This is supported by an interview survey of 150 patients who had visited such practitioners. The patients' attempts to influence the health system have to be regarded as a form of self-care. Many patients' organizations also function as centers which provide information about the quality of the practitioners. The extended health concept gives more authority to health personnel, the extended self-care concept gives more authority to the patients.

Attitude↗