By Brian Brown

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Mauss, M. (1990) The Gift: Forms and Functions of Exchange in Archaic Societies. London: Routledge. , Polychronis, A. and Melchiorri, C. (2002) Critical advances in the evaluation and development of clinical care, Journal of Evaluation in Clinical Practice, 8: 87–102. Mizrahi, T. (1984) Coping with patients, Social Problems, 32: 156–65. National Audit Office (2005) A Safer Place for Patients: Learning to Improve Patient Safety. London: Stationery Office. Oakley, A. (2000) Experiments in Knowing: Gender and Method in the Social Sciences.

G. and Watt, P. (1999) Randomized cross-over study of patient held records in oncology and palliative care, Lancet, 353: 558–9. J. (2003) Practice-based evidence: towards collaborative and transgressive research, Sociology, 37(1): 81–102. J. E. (2002) Cancer patients’ interpretations of verbal expressions when given information about ending cancer treatment, Palliative Medicine, 16: 323–30. , Charles, C. and Whelan, T. (1998) The physician–patient encounter: the physician as a perfect agent for the patient versus the informed treatment decision-making model, Social Science and Medicine, 47: 347–54.

Indeed, some of the gynaecologists involved in the study perceived the patients as influential too, especially those who were more apt to describe the social effects of the symptoms, to catastrophize, and specifically to request a hysterectomy. As the authors conclude, this may merely be a part of the process and a good deal of influence may take place of which the physician is not fully aware. Clients who have imbued themselves with the milieu and spirit of health care can perhaps develop such an expertise that they are able to ensure that things turn out to their advantage.

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Evidence-based Health Communication. by Brian Brown
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