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Qualitative Health Research, Vol. 15, No. 6, 791-806 (2005)
DOI: 10.1177/1049732305276752

HIV-Positive Patients and the Doctor-Patient Relationship: Perspectives From the Margins

Liza McCoy

University of Calgary, Alberta, Canada

The doctor-patient relationship and the medical consultation are important resources for the health work of people living with chronic illness. In this article, the author examines physician-based outpatient health care from the standpoint of women and men who live with HIV in conditions of economic and social marginality. She draws on focus group and interview conversations with 79 HIV-positive individuals in southern Ontario. Using the approach of institutional ethnography, she offers a close reading of patients’ descriptions of what they consider good doctoring. Areas of best practice that enhance access to health care examined here include doctors’ interactional styles, ways of providing treatment options and treatment information, and ways of addressing the specific needs and life circumstances of patients living in poverty and social marginality.

Key Words: doctor-patient relationship • HIV • social marginality • institutional ethnography


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This article has been cited by other articles:


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C. Varga and H. Brookes
Factors Influencing Teen Mothers' Enrollment and Participation in Prevention of Mother-to-Child HIV Transmission Services in Limpopo Province, South Africa
Qual Health Res, June 1, 2008; 18(6): 786 - 802.
[Abstract] [PDF]

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L. Campero, C. Herrera, T. Kendall, and M. Caballero
Bridging the Gap Between Antiretroviral Access and Adherence in Mexico
Qual Health Res, May 1, 2007; 17(5): 599 - 611.
[Abstract] [PDF]