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Author: Hyeyoung Oh Nelson
Publisher: Stanford University Press
ISBN: 1503633489
Category : Medical
Languages : en
Pages : 241
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Book Description
An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only vessels for medical care—they are businesses, educational institutions, and complex bureaucracies with intricate codes of etiquette that dictate how each staff member should approach situations with patients. In Conflicted Care, Hyeyoung Oh Nelson provides an in-depth look at the decision-making processes of physicians at a large, prestigious academic medical center—that she calls Pacific Medical Center—and finds that more often than not patient wellbeing is only one of several factors governing day-to-day decisions. The steps physicians take reveal a kind of hidden curriculum of the medical world, one that is guided by status and hierarchy, bureaucracy, norms for consulting with third-parties, regulations for interactions with patients, and medical uncertainty. While at an institutional and individual level patient care continues to be integral to everything the physicians do, they are forced to reconcile that vow with these other, often-conflicting internal logics. Harm, Nelson argues, is thus built into the practice of medicine in the United States. This harm can take the form of unnecessary treatments and consultations or inadequate treatment for pain to motivate specialist intervention that would otherwise be resisted. These and other practices have the overall consequence of significantly driving up inpatient care costs, which then results in patients forgoing needed, ongoing treatment once they receive their medical bills. Drawing on a deep ethnography of physicians in the Internal Medicine Service unit, Nelson offers a sharp assessment of current policies aimed at alleviating medical costs and explains why they are ineffective. She concludes by offering novel policy and practice recommendations for health care practitioners, policy makers, and healthcare institutions.
Author: Hyeyoung Oh Nelson
Publisher: Stanford University Press
ISBN: 1503633489
Category : Medical
Languages : en
Pages : 241
Get Book Here
Book Description
An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only vessels for medical care—they are businesses, educational institutions, and complex bureaucracies with intricate codes of etiquette that dictate how each staff member should approach situations with patients. In Conflicted Care, Hyeyoung Oh Nelson provides an in-depth look at the decision-making processes of physicians at a large, prestigious academic medical center—that she calls Pacific Medical Center—and finds that more often than not patient wellbeing is only one of several factors governing day-to-day decisions. The steps physicians take reveal a kind of hidden curriculum of the medical world, one that is guided by status and hierarchy, bureaucracy, norms for consulting with third-parties, regulations for interactions with patients, and medical uncertainty. While at an institutional and individual level patient care continues to be integral to everything the physicians do, they are forced to reconcile that vow with these other, often-conflicting internal logics. Harm, Nelson argues, is thus built into the practice of medicine in the United States. This harm can take the form of unnecessary treatments and consultations or inadequate treatment for pain to motivate specialist intervention that would otherwise be resisted. These and other practices have the overall consequence of significantly driving up inpatient care costs, which then results in patients forgoing needed, ongoing treatment once they receive their medical bills. Drawing on a deep ethnography of physicians in the Internal Medicine Service unit, Nelson offers a sharp assessment of current policies aimed at alleviating medical costs and explains why they are ineffective. She concludes by offering novel policy and practice recommendations for health care practitioners, policy makers, and healthcare institutions.
Author: Ester Carolina Apesoa-Varano
Publisher: Vanderbilt University Press
ISBN: 0826502954
Category : Medical
Languages : en
Pages : 252
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Book Description
Anyone who has spent time in a hospital as a patient or family member of a patient hopes that those who attend to us or our loved ones are at their professional best and that they care for us in ways that console us and preserve our dignity. This book takes an intimate look at how health care practitioners struggle to live up to their professional and caring ideals through (or during?) twelve-hour shifts on the hospital floor. From 3,200 hours of participant-observation and 500 hours of follow-up interviews with twenty-one doctors, thirty registered nurses, twenty-one respiratory therapists, twenty medical social workers, and eighteen occupational, physical, and speech therapists, the authors create a complex picture of the workplace conflicts that different types of health care practitioners face. Though all these groups espouse caring ideals, professional interests and a curative orientation dominate in patient care and interoccupational relations. Because emotive caring is not supported by the organization of health care in the hospital, it becomes an individual virtue that overworked staff find hard to perform, and it takes on an ideological form that obscures the status hierarchy among practitioners. Conflicts between practitioners rest upon the ranking of each group's knowledge base. They manifest in efforts to work as a team or set limits on practitioner responsibilities and in differing views on unionization.
Author: Tara Klena Barthel
Publisher: Hendrickson Publishers
ISBN: 1619708728
Category : Religion
Languages : en
Pages : 177
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Book Description
Discover practical advice on resolving conflicts and dealing with crises within the church---and learn how to turn each situation into an opportunity for grace. In this hope-filled book, experts Barthel and Edling take you through the Acts 15 model of approaching dissension in order to provide a clear, godly way forward to redemptive reconciliation. 204 pages, softcover from Hendrickson.
Author: Anthony P. Glascock
Publisher: IOS Press
ISBN: 1614991448
Category : Computers
Languages : en
Pages : 216
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Book Description
Telehomecare systems have been in existence, in one form or another, for at least a decade. At the outset, the concept seemed to promise both a solution to controlling rising healthcare costs and a means of delivering the improved care which would enable the elderly to stay in their own homes for longer but although it received enthusiastic support from governments and care professionals, as well as the commercial sector, adoption within a given community has not yet been achieved, and overall success has been limited at best.This book addresses the question of why, despite the investment of so much time, money and effort, telehomecare is
Author: Premilla D'Cruz
Publisher: SAGE
ISBN: 9780761932338
Category : Medical
Languages : en
Pages : 226
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Book Description
This book vividly describes family care in HIV/AIDS through the lived experiences of caregivers and care receivers. It contributes to our knowledge not only because of the contemporary relevance of family caregiving, but also because of its focus on HIV/AIDS which, being a relatively new disease, is little understood yet poses unique challenges due to its stigmatising, long-drawn, debilitating and terminal nature. Based on a study conducted in Mumbai, Family Care in HIV/AIDS captures the lived experiences of 10 caregivers and seven care receivers belonging to diverse socio-economic groups and traditional as well as non-traditional family settings. Overall, the book provides valuable insights into a range of important issues related to caregiving in family settings while identifying areas for intervention and further research. In addition, it overcomes many gaps identified in the substantive area of family care by Western researchers.
Author: Allen Barbour
Publisher: Stanford University Press
ISBN: 9780804731539
Category : Medical
Languages : en
Pages : 428
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Book Description
An experienced and compassionate physician questions the prevailing medical model of patient care?that every illness has a physical cause that can be identified and treated medically?and argues for the necessity of taking the psychological and social situation of the patient into account in the process of diagnosis and treatment.
Author: Patricia Benner
Publisher: SAGE Publications
ISBN: 1452221022
Category : Medical
Languages : en
Pages : 404
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Book Description
Patricia Benner's introduction to phenomenology develops the reader's understanding of the strategies and processes involved in this innovative approach to nursing. The author discusses the relationship between theory and practice, considers the possibility of a science of caring from a feminist perspective, introduces interpretive phenomenology to the study of natural groups such as families, and suggests a basis for developing nursing ethics that is true to the caring and healing practices of the nursing profession.
Author: Volker Franke
Publisher:
ISBN:
Category : Conflict management
Languages : en
Pages : 424
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Book Description
The authors examine the utility of the U.S. Government's whole-of-government (WoG) approach for responding to the challenging security demands of operations in Iraq and Afghanistan. They specifically discuss the strategic objectives of interagency cooperation particularly in the areas of peacebuilding and conflict management. Discussions range from the conceptual to the practical, with a focus on the challenges and desirability of interagency cooperation in international interventions. The book shares experiences and expertise on the need for and the future of an American grand strategy in an era characterized by increasingly complex security challenges and shrinking budgets. All authors agree that taking the status quo for granted is a major obstacle to developing a successful grand strategy and that government, military, international and nongovernmental organizations, and the private sector are all called upon to contribute their best talents and efforts to joint global peace and security activities. Included are viewpoints from academia, the military, government agencies, nongovernmental organizations, and industry. Despite the broad range of viewpoints, a number of overarching themes and tentative agreements emerged.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309145449
Category : Medical
Languages : en
Pages : 436
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Book Description
Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.
Author: Nancy Grant Harrington
Publisher: Taylor & Francis
ISBN: 1000917592
Category : Medical
Languages : en
Pages : 442
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Book Description
This thoroughly revised second edition covers the major areas of research, theory, and practical application in health communication. This textbook takes an in-depth approach to health communication by analyzing and critically evaluating research conducted across multiple paradigmatic perspectives and focusing on translational application of research findings. Using the story of the Montgomery family, a biracial, multigenerational family, and their health experiences as a case study, chapters explore topics including patient–provider communication, health communication in the media, ethical issues, and public health crises. New chapters cover the potential for communication to address discrimination in healthcare settings, health information seeking, social support and caregiving, and the relationship between health and environmental communication. Chapters offer pedagogical features that will prove useful to students and instructors of health communication, such as summary boxes, theory tables, suggestions for in-class activities, discussion questions, and lists of additional resources. Developed for use in advanced undergraduate and master’s level health communication and public health courses, this text represents the breadth and depth of health communication theory and research as it exists today. Online resources for instructors including additional theory tables, PowerPoint slides, test questions and assignments, sample syllabi, and lists of additional resources are available at https://www.routledge.com/9781032100470.
