'Non-compliance' as illness management: Hemodialysis patients' descriptions of adversarial patient-clinician interactions

► “Assembly line” treatment and disregard for patient knowledge contributed to hemodialysis patient-clinician tension. ► Patients distrusted clinicians who did not respect them as uniquely knowledgeable about their body, illness, and life. ► Patients viewed adversarial interactions with clinicians as an unfortunate but necessary feature of illness management.