Space, structure and social dynamics within the clinical setting: Two case studies of assisted reproduction in Mexico City

Drawing on the concept of therapeutic environments and comparing two case studies, this paper explores the interaction between the spatial factors of the clinical setting, the structural elements of the health system, and the specific treatment requirements of assisted reproduction in order to see t...

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Bibliographic Details
Published in:Health & place 2011-01, Vol.17 (1), p.166-174
Main Author: González-Santos, Sandra P.
Format: Article
Language:English
Subjects:
Access to health care
Accessibility
Assisted reproduction
Clinics
Delivery of Health Care - organization & administration
Doctor-patient relationship
Doctor-Patient relationships
Environment
Facility Design and Construction
Female
Geographic Atrophy
Health Care Services
Health Facility Environment
Health technology assessment
Humans
Interpersonal Relations
Male
Medical treatment
Mexico
Mexico City, Mexico
Organizational Case Studies
Patients
Patient–physician relationship
Physician-Patient Relations
Practitioner Patient Relationship
Privacy
Private and public healthcare services
Reproductive health
Reproductive Techniques, Assisted
Self Help Groups
Social Dynamics
Spatial analysis
Support groups
Therapeutic environments
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Summary:Drawing on the concept of therapeutic environments and comparing two case studies, this paper explores the interaction between the spatial factors of the clinical setting, the structural elements of the health system, and the specific treatment requirements of assisted reproduction in order to see the type and degree of privacy and accessibility, as well as the particular social dynamics (i.e. patient–physician and among patients) fostered in two Mexico City fertility clinics. Both cases suggest that certain types of therapeutic environments encourage the formation of spontaneous support groups while others favour the patient–physician relationship.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2010.09.013