The article analyses and describes the patient-provider relationship as a multidimensional state. The basic problem is whether it is possible to develop a classification system for the patient-provider relationship that does not merely describe interaction in a one-sided and narrow manner but aims at a dynamic and sufficiently extensive description that also takes the outcomes into consideration. The article also aims at showing that the principles of the interactive relationship are similar from one professional group to another. The analysis is based on the literature. The patient-provider relationship is classified as a three-dimensional state. The characteristics, basic actions and direct, indirect and long-term outcomes of each dimension are described. The basic principles of the patient-provider relationship have remained unchanged during the past 30 years; nor have there been any fundamental changes in their description. The concept and classification system serves both scientific research and the clinical development of the patient-provider relationship.
DonabedianA, (1966). Evaluating the quality of medical care. Milbank Mem Fund Q44(2): 166–203.
2.
BloomSWWilsonRN, (1979). Patient-Practitioner Relationships. In: FreemanHEReederLG, (Eds). Handbook of medical sociology. Prentice-Hall Inc.New Jersey, pp. 275–296.
3.
ParsonsT, (1952). The Social Systems. Free Press. New York, p. 439.
4.
BloomSW, (1963). The doctor and his patient. A sociological interpretation. Russel Sage Foundation. New York, p. 7.
5.
SzazcTSHollenderMH, (1956). A Contribution to the Philosophy of Medicine. The Basic Models of the Doctor-Patient Relationship. Archives of Internal Medicine97: 585–592.
6.
LorberJ, (1975). Good Patients and Problem Patients. Conformity and Deviance in a General Hospital. Journal of Health and Social Behaviour16: 213–225.
7.
CoserRL, (1952). Life in the Ward. Michigan State University. East Lansing. Michigan, pp. 22–31.
8.
BloomSWWilsonRN, (1979). Op. cit., p. 278.
9.
WilsonTP, (1970). Conceptions of Interaction and Forms of Sociological Explanation. American Sociological Review35: 678–709.
10.
RogersKR, (1961). A way of being. Hongton Miffling Co. Boston, pp. 39–58.
11.
UjhelyGB, (1968). Determinants of the nurse-patient relationship. Springer Publishing Co.New York, pp. 3–74.
12.
LikeRZyzanskiSJ, (1987). Patient satisfaction with the clinical encounter. Social Science of Medicine24(4): 351–357.
13.
PendletonDSchofieldTTatePHavelockP, (1984). The Consultation. An Approach to Learning and Teaching, Oxford General Practice Series 6, pp. 32–33.
14.
BalintM, (1980). The doctor's therapeutic function. Lancet5 (June): 1177–1180.
15.
RogersKR, (1961). Op. cit., p. 39.
16.
SzaszTSHollenderMH, (1956). Op. cit., 578.
17.
WilliamsonJA, (1981). Mutual interaction. A model for nursing practice. Nursing Outlook29(2): 104–107.
18.
BalintM, (1964). The Doctor, his Patient and the Illness. Pitman Medical, pp. 1–40, 216, 230–251.
19.
FentonMV, (1987). Development of the Scale of Humanistic Nursing Research36(2): 82–87.
20.
SartoriG, (1984). Social science concepts. A systematic analysis. Sage Publications. London, pp. 9–64.
21.
WalkerLOAvantKC, (1983). Strategies for theory construction in nursing. Appleton-Century-Crofts. Norwalk, pp. 16–39.
22.
BerelsonB, (1952). Content analysis in communication research. Free Press Publishers. Illinois, pp. 15–53, 114–146.
23.
JantschE, (1975). Design for evolution. Self-Organisation and Planning in the Life of Human Systems. Braziller. New York, pp. 81–185.
24.
SarvimäkiA, (1988). Knowledge of interactive practice disciplines. Research Bulletin 68. Department of Education. University of Helsinki, pp. 205–220.
25.
BerelsonB, (1952). Op. cit., pp. 169–174.
26.
ParsonsT, (1952). Op. cit., pp. 429–450.
27.
SzaszTSHollenderM H, (1956). Op. cit., pp. 585–592.
28.
FreidsonE, (1961). Patient's views of medical practice. Russell Sage Foundation. New York, pp. 9–15.
29.
CoserRL, (1962). Op. cit., pp. 3–8, 30–72.
30.
Bloom. (1963). Op. cit., pp. 7–10, 52–120.
31.
HallL, (1963). A center for nursing. Nursing Outlook11: 805–806.
32.
HallL, (1964). What is it?Canadian Nurse60: 150–154.
33.
BalintM, (1964). Op. cit., pp. 1–40, 216, 230–251.
34.
RosenstockIM, (1966). Why people use health services. The Milbank Memorial Fund Quarterly. Health Services Research I, XLIV (3): 94–127.
35.
KatzEGurevitchMPeledTDanetB, (1967). Doctor-patient exchanges: A diagnostic approach to organizations and professions. Human Relations22: 309–324.
36.
DavisMS, (1968). Variations in patients' compliance with doctors' advice: An empirical analysis of patterns of communication. American Journal Public Health58: 274–288.
37.
KorschBMGozziEKFrancisV, (1968). Gaps in doctor-patient communications: Doctor-patient interaction and patient satisfaction. Pediatrics42: 855–869.
Ben-SiraZ, (1976). The function of the professional's affective behaviour in client satisfaction: A revised approach to social interaction theory. Journal of Health and Social Behaviour17: 3–11.
41.
Ben-SiraZ, (1980). Affective and instrumental components in the physician-patient relationship: An additional dimension of interaction theory. Journal of Health Social Behaviour21: 170–180.
42.
RoterDL, (1977). Patient participation in the patient-provider interaction: The effects of patient question-asking on the quality of interaction, satisfaction and compliance. Health Education Monography5: 281–315.
43.
MitchellPH, (1977). Concepts basic to nursing. Second edition. McCrow-Hall, New York.
44.
CartwrightAAndersonR, (1981). General practice revisited. A second study of patients and their doctors. Tavistock Publications. London, pp. 127–173.
45.
Hirstiö-SnellmanP, (1981). Viestintä ja hoidon tuloksellisuus. Menetelmäkokeilu terveydenhuollon hoitotapahtuman laadun arvioimiseksi (Communication and effectiveness of care). Helsingin yliopisto. Sosiaalipolitiikan laitoksen tutkimuksia5.
46.
WilliamsonJA, (1981). Mutual interaction. A model of nursing practice. Nursing Outlook29 (2): 104–107.
47.
PendletonDSchofieldTTatePHavelockP, (1984). The consultation. An approach to learning and teaching. Oxford General Practice Series 6.
48.
KukkolaS, (1985). Sairaanhoitajan rooli poliklinikalla (The nurse's role in an outpatient department). Laudaturtyö, Helsingin yliopiston sosiologian laitos. Helsinki.
49.
KivinenOLehtonenKVismanenA, (1985). Sairaanhoitajan työ: Tutkimus sairaanhoitajan, erikoissairaanhoitajan ja apuhoitajan am-mattiin kuuluvista tehtävistä (The nurse's work: Survey of the tasks relating to the professions of a nurse, specialist nurse and assistant nurse). Turun yliopisto, sosiologian tutkimuksia 112. Turku.
50.
Fenton (1986). Op. cit., pp. 82–87.
51.
MatthewDASledgeWHLiebermanPB, (1987). Evaluation of intern performance by medical inpatients. American Journal of Medicine83 (5): 936–944.
52.
Like. (1987). Op. cit., pp. 351–357.
53.
HallJARoterDLKatzNR, (1987). Task versus socioemotional behaviours in physicians. Medical Care25(5): 399–412.
54.
RoterDLHallJAKatzNR, (1987). Relations between physicians' behaviours and analogue patients' satisfaction, recall and impressions. Medical Care25(5): 437–450.
55.
SihvonenM, (1988). Potilaiden ja hoitajien näkemys tavoitteista ja keinoista psykiatrisessa sairaanhoidossa. (Patients' and nurses' views on goals and methods in psychiatric nursing). Helsingin yliopisto. Yleislääketieteen laitos. Julkaisusarja 5.
56.
KukkolaS, (1989). The patient-practitioner relationship. An analysis of the content of and factors associated with the patient-practitioner relationship. Pro gradu dissertation. Department of General Practice and Primary Health Care. University of Helsinki.
