Concordance In Medical Consultations

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Concordance in Medical Consultations

Author : Kristian Pollock
Publisher : CRC Press
ISBN 13 : 1315357321
Total Pages : 336 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Concordance in Medical Consultations by : Kristian Pollock

Download or read book Concordance in Medical Consultations written by Kristian Pollock and published by CRC Press. This book was released on 2018-10-08 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: The capacity of professional medicine to resist change - and also concordance - is impressive, but perplexing. It is one of the issues I seek to address in this book. I suggest that a preoccupation with trying to change the relationship between the professional-patient dyad has deflected attention from the extent to which such relations are embedded in, and constrained by, wider administrative and organisational structures, especially as these relate to the operation of professional hierarchies and interprofessional deference and allegiances. Barriers to change also result from the inertia of a system which has evolved a highly stylised etiquette as an adaptive mechanism to contain the difficulties and tensions intrinsic to the medical consultation. Its therapeutic purpose and potential are often subordinate to the goal of achieving success as a social encounter. The principles of concordance are deeply challenging to traditional professional roles and status. However, medicine has always displayed an ability to block change through tactics of appropriation and incorporation. Professionals have often shown particular difficulty giving up their monopoly of 'expertise' and in acknowledging the legitimacy of the patient perspective. Although the term 'concordance' has become quite widely used, its meaning is usually subverted by its employment as a synonym for 'compliance', albeit 'informed' compliance. A slightly more sophisticated version values professional elicitation of the patient perspective in order to more accurately tailor information as a means of overcoming the unhelpful m/sconceptions that impede compliance. The original emphasis on the consultation as a negotiated exchange, in which the professional has something of value to learn from the patient, has largely been lost. The rhetoric of modernity and change provides an effective mask for inertia and conservatism. Preface.

Concordance

Author : Christine Bond
Publisher :
ISBN 13 :
Total Pages : 216 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Concordance by : Christine Bond

Download or read book Concordance written by Christine Bond and published by . This book was released on 2004 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: Persuading patients to take their prescribed medicines has long been regarded as problematic, and this non-compliance often has serious and wide reaching outcomes. Concordance is a new way of looking at the processes within the consultation, and allowing the patients agenda to be taken into account when coming to a management decision. This new book not only provides a concise overview of the area but describes its implications for practice. Written by a multidisciplinary team, no other publication on concordance has the depth and breadth of coverage. It will be of interest to all healthcare professionals, academics and students with an interest in this emerging area.

The Intersystem Model

Author : Margaret M. Conger
Publisher : SAGE
ISBN 13 : 9780803955592
Total Pages : 316 pages
Book Rating : 4.9/5 (555 download)

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Book Synopsis The Intersystem Model by : Margaret M. Conger

Download or read book The Intersystem Model written by Margaret M. Conger and published by SAGE. This book was released on 1997-02-03 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book introduces the reader to one of the most provocative conceptual models in nursing today. It breaks new ground not only in its presentation of the Intersystem Model but also in its in-depth treatment of the spiritual subsytem as an intrinsic part of the biological-psychosocial-spiritual triad. The contributors provide case examples and concrete tools that will allow readers to apply the model and incorporate it into their personal and conceptual framework of practice.

Unequal Treatment

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Patient-Centered Prescribing

Author : Jon Dowell
Publisher : CRC Press
ISBN 13 : 1315344777
Total Pages : 342 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Patient-Centered Prescribing by : Jon Dowell

Download or read book Patient-Centered Prescribing written by Jon Dowell and published by CRC Press. This book was released on 2018-04-19 with total page 342 pages. Available in PDF, EPUB and Kindle. Book excerpt: Series Editors: Moira Stewart, Judith Belle Brown and Thomas R Freeman Half of all prescribed medicines are used in a sub-optimal manner and clinicians struggle to find ways of improving the situation. There is a move towards greater partnership with patients, but concordance (shared decision making between patients and healthcare professionals) is a growing challenge for the profession. This practical book offers numerous real life case studies to demonstrate the way the patient-centered model, combined with other behavioural models, can result in a logical approach to prescribing for difficult clients, including 'non-compliant' and other challenging patients. Patient-Centered Prescribing fully considers the very complex nature of the issues at hand, ethical questions, time restrictions and financial matters, to produce a realistic analysis of the difficulties to be overcome in achieving better practice. This book is ideal for doctors, nurses and pharmacists, and postgraduate students of medicine, pharmacy and nursing. It is also of great interest to medical educators, particularly those teaching primary care and communication skills, and to everyone involved in developing doctor-patient partnerships.

Telemedicine in Dermatology

Author : H. Peter Soyer
Publisher : Springer Science & Business Media
ISBN 13 : 3642208010
Total Pages : 192 pages
Book Rating : 4.6/5 (422 download)

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Book Synopsis Telemedicine in Dermatology by : H. Peter Soyer

Download or read book Telemedicine in Dermatology written by H. Peter Soyer and published by Springer Science & Business Media. This book was released on 2011-12-08 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by leading teledermatologists and telemedicine experts, this hands-on guide addresses the practical needs of the many emerging teledermatology services worldwide. It covers the medical and technical prerequisites for such services as well as the photographic imaging essentials. It also illustrates the performance of teledermatology by means of clinical examples, discusses teledermatology in underdeveloped countries, and presents specialized methods of teledermatology. The impact of telemedicine on the doctor-patient relationship is explored, and the advantages that accrue from improving access to expert knowledge are explained. In addition, quality assurance, legal assumptions, economic aspects, and the future horizons of such health care services are all considered. A comprehensive appendix provides information on training opportunities, sample protocols, consent forms, information sheets, references, and relevant web links.

When doctors and patients talk

Author : Martin Fischer
Publisher : The Health Foundation
ISBN 13 : 1906461414
Total Pages : 60 pages
Book Rating : 4.9/5 (64 download)

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Book Synopsis When doctors and patients talk by : Martin Fischer

Download or read book When doctors and patients talk written by Martin Fischer and published by The Health Foundation. This book was released on 2012 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Meetings Between Experts

Author : David Tuckett
Publisher : Tavistock Publications
ISBN 13 :
Total Pages : 312 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Meetings Between Experts by : David Tuckett

Download or read book Meetings Between Experts written by David Tuckett and published by Tavistock Publications. This book was released on 1985 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt:

What Patients Say, What Doctors Hear

Author : Danielle Ofri, MD
Publisher : Beacon Press
ISBN 13 : 0807062642
Total Pages : 250 pages
Book Rating : 4.8/5 (7 download)

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Book Synopsis What Patients Say, What Doctors Hear by : Danielle Ofri, MD

Download or read book What Patients Say, What Doctors Hear written by Danielle Ofri, MD and published by Beacon Press. This book was released on 2017-02-07 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Can refocusing conversations between doctors and their patients lead to better health? Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn’t have to be. Through the powerfully resonant human stories that Dr. Ofri’s writing is renowned for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Dr. Ofri reveals how better communication can lead to better health for all of us.

Inpatient Dermatology

Author : Misha Rosenbach
Publisher : Springer
ISBN 13 : 3319184490
Total Pages : 373 pages
Book Rating : 4.3/5 (191 download)

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Book Synopsis Inpatient Dermatology by : Misha Rosenbach

Download or read book Inpatient Dermatology written by Misha Rosenbach and published by Springer. This book was released on 2018-11-03 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inpatient Dermatology is a concise and portable resource that synthesizes the most essential material to help physicians with recognition, differential diagnosis, work-up, and treatment of dermatologic issues in the hospitalized patient. Complete with hundreds of clinical and pathologic images, this volume is both an inpatient dermatology atlas and a practical guide to day-one, initial work-up, and management plan for common and rare skin diseases that occur in the inpatient setting. Each chapter is a bulleted, easy-to-read reference that focuses on one specific inpatient dermatologic condition, with carefully curated clinical photographs and corresponding histopathologic images to aid readers in developing clinical-pathologic correlation for the dermatologic diseases encountered in the hospital. Before each subsection the editors share diagnostic pearls, explaining their approach to these challenging conditions. This book is structured to be useful to physicians, residents, and medical students. It spans dermatology, emergency medicine, internal medicine, infectious disease, and rheumatology. Inpatient Dermatology is the go-to guide for hospital-based skin diseases, making even the most complex inpatient dermatologic issues approachable and understandable for any clinician.

Health Professions Education

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030913319X
Total Pages : 191 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Professions Education by : Institute of Medicine

Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

Finding What Works in Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309164257
Total Pages : 267 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Finding What Works in Health Care by : Institute of Medicine

Download or read book Finding What Works in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2011-07-20 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.

The Healthcare Imperative

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309144337
Total Pages : 852 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Healthcare Imperative by : Institute of Medicine

Download or read book The Healthcare Imperative written by Institute of Medicine and published by National Academies Press. This book was released on 2011-01-17 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.

Clinical Communication in Medicine

Author : Jo Brown
Publisher : John Wiley & Sons
ISBN 13 : 1118728246
Total Pages : 292 pages
Book Rating : 4.1/5 (187 download)

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Book Synopsis Clinical Communication in Medicine by : Jo Brown

Download or read book Clinical Communication in Medicine written by Jo Brown and published by John Wiley & Sons. This book was released on 2016-01-19 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Highly Commended at the British Medical Association Book Awards 2016 Clinical Communication in Medicine brings together the theories, models and evidence that underpin effective healthcare communication in one accessible volume. Endorsed and developed by members of the UK Council of Clinical Communication in Undergraduate Medical Education, it traces the subject to its primary disciplinary origins, looking at how it is practised, taught and learned today, as well as considering future directions. Focusing on three key areas – the doctor-patient relationship, core components of clinical communication, and effective teaching and assessment – Clinical Communication in Medicine enhances the understanding of effective communication. It links theory to teaching, so principles and practice are clearly understood. Clinical Communication in Medicine is a new and definitive guide for professionals involved in the education of medical undergraduate students and postgraduate trainees, as well as experienced and junior clinicians, researchers, teachers, students, and policy makers.

Professional Practice in Paramedic, Emergency and Urgent Care

Author : Valerie Nixon
Publisher : John Wiley & Sons
ISBN 13 : 1118488229
Total Pages : 240 pages
Book Rating : 4.1/5 (184 download)

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Book Synopsis Professional Practice in Paramedic, Emergency and Urgent Care by : Valerie Nixon

Download or read book Professional Practice in Paramedic, Emergency and Urgent Care written by Valerie Nixon and published by John Wiley & Sons. This book was released on 2013-04-17 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professional Practice in Paramedic, Emergency and Urgent Care explores a range of contemporary relevant topics fundamental to professional practice. Written for both pre- and post-registration paramedic students, it is also ideal for existing practitioners looking to develop their CPD skills as well as nursing and other health professionals working in emergency and urgent care settings. Each chapter includes examples, practical exercises and clinical scenarios, helping the reader relate theory to practice and develop critical thinking skills Covers not only acute patient management but also a range of additional topics to provide a holistic approach to out-of-hospital care Completion of the material in the book can be used as evidence in professional portfolios as required by the Health and Care Professions Council Professional Practice in Paramedic, Emergency and Urgent Care is a comprehensive, theoretical underpinning to professional practice at all levels of paramedic and out-of-hospital care.

A Healthcare Solution

Author : Mark A. Vonderembse
Publisher : CRC Press
ISBN 13 : 1315350750
Total Pages : 297 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis A Healthcare Solution by : Mark A. Vonderembse

Download or read book A Healthcare Solution written by Mark A. Vonderembse and published by CRC Press. This book was released on 2016-10-14 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evidence is undeniable. By any measure, the US spends more on healthcare than any other country in the world, yet its health outcomes as measure by longevity are in the bottom half among developed countries, and its health-related quality of life has remained constant or declined since 1998. In addition to high costs and lower than expected outcomes, the healthcare delivery system is plagues by treatment delays as it can take weeks to see a specialist, and many people have limited or no access to care. Part of the challenge is that the healthcare delivery system is a large, complex, and sophisticated value creation chain. Successfully changing this highly interconnected system is difficult and time consuming because the underlying problems are hard to comprehend, the root causes are many, the solution is unclear, and the relationships among problems, causes, and solution are multifaceted. To address these issues, the book carefully explains the underlying problems, examines their root causes using information, data, and logic, and presents a comprehensive and integrated solution that addresses these causes. These three steps are the methodological backbone of this book. A solution depends on understanding and applying the principles of patient-centered care (PCC) and resource management. PCC puts patients, supported by their primary care physicians, back in the role as decision makers and depends on patients being responsible for their health including making good life-style choices. After all, the best way to reduce healthcare costs and increase quality of life is to improve our health and wellness and as a result need less care. In addition, health insurance must be rethought and redesigned so it is less likely to lead to overuse. For many people with health insurance, the out-of-pocket cost of healthcare are small, so healthcare decision making is often biased toward consumption. Effective resource management means that healthcare providers must do a better job of acquiring and using resources in order to provide care quickly, productively, and correctly. This means improving healthcare strategy and management, accelerating the use of information technology, making drug costs affordable and fair, reducing the incidence of malpractice, and rebuilding the provider network. In addition, implementation is difficult because there are many participants in the healthcare delivery value chain, such as physicians, nurses, and medical technicians, as well as many provider organizations, such as hospitals, clinics, physician offices, and labs. Further up the value chain there are pharmaceutical companies, equipment providers, and other suppliers. These participants have diverse and sometimes conflicting goals, but each must be willing to accept change and work in a coordinated manner to improve healthcare. To overcome these problems, strong national leadership is needed to get the attention and support from the people and organizations involved in healthcare and to make the comprehensive changes that will lower healthcare costs, improve healthcare quality, eliminate delays, increase access, and enhance patient satisfaction.

Advanced Consulting in Family Medicine

Author : Peter Worrall
Publisher : CRC Press
ISBN 13 : 1315357925
Total Pages : 271 pages
Book Rating : 4.3/5 (153 download)

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Book Synopsis Advanced Consulting in Family Medicine by : Peter Worrall

Download or read book Advanced Consulting in Family Medicine written by Peter Worrall and published by CRC Press. This book was released on 2018-04-19 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: What distinguishes the consulting of experienced family doctors from their newly qualified colleagues? The question is often frustratingly hard answer clearly or objectively: unlike many professions, family doctors face a dearth of clear expectations of what constitutes advanced practice, a lack of defined standards against which to evaluate it, and an absence of expertise-related professional training in which to develop it post-certification. The model of consultation excellence outlined in this book illustrates in practical terms how advanced consulting can be nurtured. It avoids tantalising value judgement such as 'excellence'. Instead, it describes behaviours in terms that can be observed day to day, providing a detailed picture of what constitutes advanced consulting behaviour, how family doctors can be helped to acquire these higher levels of expertise, and how changes in behaviour can be identified and evaluated. "Advanced Consulting in Family Medicine" is written in handbook form for easy access and use, and provides a vital vision of higher order family doctor consulting.