Unequal Treatment

Unequal Treatment PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030908265X
Category : Medical
Languages : en
Pages : 781

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Book Description
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Unequal Treatment

Unequal Treatment PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030908265X
Category : Medical
Languages : en
Pages : 781

Get Book Here

Book Description
Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Dying in America

Dying in America PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309303133
Category : Medical
Languages : en
Pages : 470

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Book Description
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Patient-Centered Medicine

Patient-Centered Medicine PDF Author: Moira Stewart
Publisher: CRC Press
ISBN: 1909368032
Category : Medical
Languages : en
Pages : 310

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Book Description
This long awaited Third Edition fully illuminates the patient-centered model of medicine, continuing to provide the foundation for the Patient-Centered Care series. It redefines the principles underpinning the patient-centered method using four major components - clarifying its evolution and consequent development - to bring the reader fully up-to-

Doctors Talking with Patients/Patients Talking with Doctors

Doctors Talking with Patients/Patients Talking with Doctors PDF Author: Debra Roter
Publisher: Praeger
ISBN: 0275990141
Category : Health & Fitness
Languages : en
Pages : 0

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Book Description
The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. This updated edition of a widely popular book sets out specific principles and recommendations for improving doctor-patient communications. It describes the process of communication, analyzes social and psychological factors that color doctor-patient exchanges, and details changes that can benefit both parties. Medical visits are often less effective and satisfying than they would be if doctors and patients better understood the communication most needed for attainment of mutual health goals. The verbal and nonverbal exchanges that take place between doctor and patient affect both participants, and can result in a range of positive or negative psychological reactions-including comfort, alarm, irritation, or resolve. Talk, on both verbal and non-verbal levels, is shown by extensive research to have far-reaching impact. This updated edition of a widely popular book helps us understand this vital issue, and facilitate communications that will mean more effective medical care and happier, healthier consumers. Roter and Hall set out specific principles and recommendations for improving doctor-patient relationships. They describe the process of communication, analyze social and psychological factors that color doctor-patient exchanges, and detail changes that can benefit both parties. Here are needed encouragement and principles of action vital to doctors and patients alike. far-reaching impact.

Race, Ethnicity, and Language Data

Race, Ethnicity, and Language Data PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309140129
Category : Medical
Languages : en
Pages : 286

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Book Description
The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement.

Communication in Medical Care

Communication in Medical Care PDF Author: John Heritage
Publisher: Cambridge University Press
ISBN: 1139455400
Category : Language Arts & Disciplines
Languages : en
Pages : 445

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Book Description
This 2006 volume provides a comprehensive discussion of communication between doctors and patients in primary care consultations. It brings together a team of leading contributors from the fields of linguistics, sociology and medicine to describe each phase of the primary care consultation, identifying the distinctive tasks, goals and activities that make up each phase of primary care as social interaction. Using conversation analysis techniques, the authors analyze the sequential unfolding of a visit, and describe the dilemmas and conflicts faced by physicians and patients as they work through each of these activities. The result is a view of the medical encounter that takes the perspective of both physicians and patients in a way that is both rigorous and humane. Clear and comprehensive, this book will be essential reading for students and researchers in sociolinguistics, communication studies, sociology, and medicine.

Doctor-patient Interaction

Doctor-patient Interaction PDF Author: Walburga Von Raffler-Engel
Publisher: John Benjamins Publishing
ISBN: 9027250111
Category : Language Arts & Disciplines
Languages : en
Pages : 333

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Book Description
This volume covers many of the ways of speaking that create problems between doctor and patient. The questions under consideration in the present book are the following: How is the doctor-patient interaction structured in a particular culture? What takes place during the process? What causes misunderstandings, lack of cooperation and even total non-compliance? What is the outcome of the interaction and how does the patient benefit from it? Finally, and this is the ultimate purpose of this book: How can the interaction be improved so that an optimum outcome is assured for the patient with maximum satisfaction to the physician?

The Spirit Catches You and You Fall Down

The Spirit Catches You and You Fall Down PDF Author: Anne Fadiman
Publisher: Macmillan
ISBN: 0374533407
Category : Family & Relationships
Languages : en
Pages : 370

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Book Description
Winner of the National Book Critics Circle Award for Nonfiction, this brilliantly reported and beautifully crafted book explores the clash between a medical center in California and a Laotian refugee family over their care of a child.

Through the Patient's Eyes

Through the Patient's Eyes PDF Author: Margaret Gerteis
Publisher: John Wiley & Sons
ISBN: 0787962201
Category : Medical
Languages : en
Pages : 374

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Book Description
Sponsored by the Picker/Commonwealth Program for Patient-Centered Care In this comprehensive, research-based look at the experiences and needs of patients, the authors explore models of care that can make hospitalization more humane. Through the Patient's Eyes provides insights into why some hospitals are more patient-centered than others; how physicians can become more involved in patient-centered quality efforts; and how patient-centered quality can be integrated into health care policy, standards, and regulations. The authors show how, by bringing the patient's perspective to the design and delivery of health services, providers can improve their ability to meet patient's needs and enhance the quality of care.

The Oxford Handbook of Health Communication, Behavior Change, and Treatment Adherence

The Oxford Handbook of Health Communication, Behavior Change, and Treatment Adherence PDF Author: Leslie R. Martin
Publisher: Oxford University Press
ISBN: 0199795835
Category : Health & Fitness
Languages : en
Pages : 536

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Book Description
This edited volume brings together top-notch scientists and practitioners to illustrate intersections between health communication, behavior change, and treatment adherence.