Physician's Inform on Hysterectomy
Chu-Hui Chang(Institute of Public Health, College of Public Health, National Taiwan University)、Yow-Hwey Hu (Institute of Health and Welfare Plolicy, College of Medicine, National Yang-Ming University)、Chueh Chang(Institute of Public Health, College of Public Health, National Taiwan University)
The purpose of this study was to explore the content of physician’s inform on hysterectomy when women with non-cancer diagnoses faced the surgical decision-making. The data was collected from a medical center located at an urban area. We used multimethod to triangulate two sources of data: women’s questionnaire guided interview and key informants interview. Major findings are as follow: (1) since the physician-patient encounter was doctor-centered, the physician had an asymmetrical power-advantage over the patient; (2) the information provided by the physician was biased, rather beneficial than risky; (3) the physician’s attitude toward hysterectomy was “uterus useless” and “preventing cancer”; (4) the physician manipulated the information while women making the surgical decision to control the power of decision making; (5) the patient adhered to the physician’s regiment irrationally. It is recommend that women’s informed right should be improved through policy reform, hospital management, building of women’s health network and the changes of Medical education.
hysterectomy, physician inform, multimethod, women's health