Managing women’s matter: a cross-cultural study of doctor-patient relationship in Pakistan and Malaysia

• Main Authors: Rehman, Adeela, Mohamad Diah, Nurazzura
• Format: Article
• Language: English
• Published: IIUM Press, International Islamic University Malaysia 2020
• Subjects: HQ1101 Women. Feminism; HM1106 Interpersonal relations. Social behavior; HM621 Culture; HM711 Groups and organizations; HM826 Social institutions
• Online Access: http://irep.iium.edu.my/86811/1/86811_Managing%20Women%E2%80%99s%20Matter.pdf; http://irep.iium.edu.my/86811/; https://journals.iium.edu.my/intdiscourse/index.php/id/article/view/1666/948
• Institution: Universiti Islam Antarabangsa Malaysia

Healthcare providers in the Muslim community take their profession as an obligation to serve the patients and community in humanistic way, that is described by the Islamic Law. The present study focuses on the doctorpatient relationship in two Muslim countries; Pakistan and Malaysia, to explore the ethical practices in the health profession. The study comprises of cross-sectional qualitative research design in which, in-depth interviews were conducted from female doctors and patients. Data was collected from female patients by visiting the clinics and hospitals for their concerns related to health. Sample of ten female patients and ten doctors (five from each country) were selected for the study. The findings highlighted the moderate relationship of doctors with patients and vice-versa. In Pakistan, majority of the doctors mentioned professional behaviors with the patients, as maternal healthcare is very sensitive and critical in nature. During their medical trainings, although they learnt professional ethics based on Islamic values and integrity however power of doctors over patients has been reported. Interestingly, most women who attended the menopause clinic in Malaysia accepted the doctor’s dominance, because doctors talk to them about their problems and the women tend to accept their expertise. In conclusion, doctors in Pakistan and Malaysia have tried their level best to follow the professional ethics to treat the patients well. Doctors and patients need to realize each others perimeter in a larger setup and try to establish reciprocal relationship with one another. ***************************************************************************** Penyedia penjagaan kesihatan dalam kalangan komuniti Muslim telah memandang profesion mereka sebagai satu kewajipan untuk berkhidmat kepada pesakit dan komuniti dengan cara yang humanistik sebagaimana dianjurkan oleh undang-undang Islam. Kajian ini memfokuskan hubungan antara doktor dan pesakit di dua negara Islam – Pakistan dan Malaysia dengan mengkaji amalan-amalan beretika dalam profesion kesihatan. Kajian keratan rentas kualitatif ini menggunakan kaedah temuramah dengan doktor dan pesakit wanita. Maklumat telah diambil daripada pesakit wanita yang hadir ke klinik dan hospital untuk tujuan berkenaan kesihatan. Seramai sepuluh pesakit wanita dan sepuluh orang doktor (lima bagi setiap negara) telah dipilih menyertai kajian ini. Dapatan kajian ini telah menunjukkan bahawa ada kaitan yang sederhana di antara doktor dan pesakit begitu juga sebaliknya. Di Pakistan, kebanyakkan doktor menyatakan keperluan untuk bersikap profesional dengan pesakit kerana penjagaan kesihatan wanita bentuknya amat sensitif dan kritikal. Pengaruh doktor ke atas pesakit telah dilaporkan dalam kajian ini walaupun ketika dalam latihan perubatan mereka telah mempelajari etika profesional berdasarkan nilai Islam dan integrti. Sebaliknya, kebanyakkan wanita yang melawat klinik menopaus di Malaysia menerima pengaruh doktor sebagai satu bentuk kepakaran dalam membicarakan masalah kesihatan mereka. Kesimpulannya, doktor-doktor di Pakistan dan Malaysia telah mencuba sehabis baik untuk menuruti etika profesional dalam merawat pesakit. Doktor dan pesakit seharusnya menyedari sempadan masing-masing dan cuba menjalin hubungan timbal balik antara satu sama lain.