Search Results (3)

Introduction: Family medicine physicians take care of a diverse population of patients with a variety of acute and chronic diseases. These patients include family, friends, and acquaintances who may ask for direct medical care or help in accessing healthcare products and services within or outside of officially approved procedures. This is ethically challenging due to an ambiguous medical code of ethics, but it is commonly accepted as normal behavior by society. The aim of this study was to explore family medicine physicians’ perspectives regarding the benefits, difficulties, and ethics of responding to medical care requests and/or favors from family, relatives, friends, and acquaintances and to make recommendations. Methods: The study sample consisted of junior and senior family medicine physicians working in primary healthcare centers affiliated with the Ministry of Health in Saudi Arabia. In-depth semi-structured interviews were conducted to collect data. Using social exchange theory, this qualitative study explores how family medicine physicians perceive and handle requests for medical favors from family members and others. Results: Semi-structured interviews were conducted with 19 family medicine physicians (six focus groups) with clinical experience ranging from 3 to 20 years. The data analysis identified three themes: perceived benefits and costs of cultural and social connectedness, shortcomings in patient management and healthcare systems, and recommendations to address challenges between physicians and patients who are relatives. Discussion and Conclusions: This study shows that treating others outside of normal access to healthcare services presents several ethical, moral, and professional challenges. Therefore, policy adaptation requires understanding this intricate dilemma and improving laws, system regulations, and guidelines for physicians and community members to improve access to care, reduce system abuse, empower providers, and enhance community awareness and compliance. Full article

Tourism development provides a unique context for studying guanxi in acquaintance society in rural areas in China. Taking the case of Moon village from the perspective of guanxi, this study conducted a qualitative study to analyze the structural characteristics of the semi-acquaintance society in the tourism context. A buffer guanxi circle develops when strangers immerse themselves into an acquaintance-based society through social interaction, where affection and reasoning define the boundary, guanxi and the interests on which the social consensus is based, as well as the elite and collective actions vitalizing the community. These findings on how the semi-acquaintance society contributes to guanxi imply a co-governance structure for informal relations in governance in community-based rural tourism. Full article

In the context of urban expansion and regeneration, development-induced resettlement has had inevitable impacts on place attachment and residential satisfaction of residents. However, insufficient attention has been paid to the social-psychological performances of both attachment and satisfaction, and the possible influences of the former on the latter. Such deficiency also emerges when considering different resettlement patterns in peripheral urban China. This study conducted a semi-structural survey on two neighborhoods affected by the construction of Higher Mega Education Center (HEMC) in Guangzhou with different resettlement patterns. Based on multidimensional measurement, residents in relocated subsidized housing expressed higher attachment and satisfaction through the remaining social bonding as ‘acquaintance society’ than those in in-situ urban villages relying on self-identified clan-kinship and stable reciprocity. Hukou status is found to be fundamental in building attachment and life fulfillment, especially for the urban villages with plural population structure. Significances are found in the impacts of place dependence, social bonding and place identification on residential satisfaction in in-situ neighborhoods while only social bonding was found to be significant in the relocated ‘enclave’ one. However, deeper integration with affective connections are insufficient for both. The findings generally indicate that positive outcomes are also achieved for self-regeneration after resettlement. Full article