SCHOOL OF HUMANITIES AND SOCIAL SCIENCES DEPARTMENT OF SOCIAL DEVELOPMENT STUDIES
AN EXPLORATORY STUDY OF THE MICRO SOCIAL INTERACTIVE DYNAMICS OF DOCTOR-PATIENT RELATIONSHP: A CASE OF CHIKUNI MISSION HOSPITAL IN MONZE.
By Nasilele NASILELE Sociological Research Project May 2012
When one decides to undertake university education they must be prepared to sacrifice so much of their time, energies and resources in order to focus on the demands of school-life. It is particularly difficult if one has a family of their own since it implies a long absence from them. This report is therefore dedicated to my wife (Christabel), my son (Brian Nasilele), and my two daughters (Isabel Lerato Nasilele and Faith Tumelo Nasilele). In particular the report is dedicated to my youngest daughter- Isabel Lerato Nasilele- who was born at the time when I started my degree programme at the University of Zambia. It meant that I had to miss the opportunity of witnessing her grow and being there to see her take the first stride. To my family, Iam greatly indebted and I thank them a million times for the sacrifice they made towards my university education.
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I declare that this report is my own intellectual work and that all sources that have been used or quoted are indicated and acknowledged by way of complete references.
Signature:.............................................................................................. Name of student: NASILELE NASILELE Date: 6th June, 2012
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It is always a mammoth task to recall and thank every person for their contributions. The same applies in this situation as many people assisted in one way or the other in the writing of both the proposal and finally the report. It is not by design that if any omission of these people is noticed for without their contribution this piece of work would not have been a success. I would like, in particular, to express my sincere gratitude to firstly the following people for their advice and guidance provided to me during the writing of both the proposal and finally the report: Mr. R. Kalinda, the course coordinator, and Mr. Jason Mwanza, who was my supervisor, and whose burning passion for research changed my life significantly. I thank him for his sacrifice and counsel provided to me even if it meant putting on hold some his own work. Finally, let me take this opportunity to thank Mr. Kaliza Nyoni for having provided printing facilities and internet services for both my proposal and report drafts.
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ABTRACT Good doctor-patient communication offers patients tangible benefits. Many studies have found significant positive associations between doctors’ communication skills and patients’ satisfaction. A systematic review of studies conducted in the past four decades has confirmed that good doctor-patient communication makes a difference not only in patient satisfaction but in patient outcomes including resolution of chronic headaches, changes in emotional states, lower blood sugar values in diabetics, improved blood pressure readings in hypertensive patients, and other important health indicators. To get as much data as possible, this study used questionnaires and interview guides. Questionnaires were administered to patients at the outpatients department. In addition interview guides were administered to doctors and also extended to the patients. Most patients indicated that what they did not want in the first encounter were doctors who talked more about themselves and wasted patients’ time, opting to be less cooperative with doctors who didn’t greet patients by way of a hand shake. Doctors who greeted patients by name and offered a hand shake were more likely to have their treatments plans and advice followed by patients. Patients also complained of unequal treatment as some of their colleagues...