Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
29 Cards in this Set
- Front
- Back
|
challenges to the healthcare system
|
-aging population
-cultural diversity -traditional vs new approaches to healthcare -changing health insurance and managed care -funding for healthcare research |
|
|
aging population
|
-people are living longer with health problems
-there are chronic conditions and large costs for care |
|
|
cultural diversity
|
-different cultures have different perceptions of heath and life styles
-culture is associated with health disparities |
|
|
traditional vs. new approaches to health care
|
-homeopathic approaches are gaining popularity
-palliative care is used to reduce pain, not prolong life |
|
|
funding for healthcare research
|
-money for research is being diverted to the war and terrorism and both are costly
-debate whether research should be publicly or privately funded -is it societys responsibility to cure all diseases and conditions? |
|
|
changes in health insurance and managed care
|
-health insurances and services are rising in cost
-there is a high provider turnover -cost and quality debate |
|
|
health communication researchers are interested in....
|
-the role new technologies play in disseminating health info
-facilitating relationships among people who share similar health conditions -improving conditions between patients and providers |
|
|
communication accommodation theory
|
speakers from different social groups adjust and modify verbal and nonverbal communication to accommodate each other
-2 types: convergence and divergence |
|
|
convergence
|
emphasizing similarities between ourselves and another person
|
|
|
divergence
|
emphasizing differences between ourselves and another person
|
|
|
hospice
|
-goal is to provide a dignified comfortable death for the terminally ill and to care for the patient and family together
-provides patients with ways to cope with death emotionally, psychosocially, and spiritually -also provides services to families -program is designed for people with less than 6 months left of life |
|
|
how patients learn about the healthcare system
|
-mass media, family, friends, and previous experiences
-most important sources are friends and family -patients trust them and are the closest with them -after receiving multiple opinions about the best care the patient can choose healthcare for themselves -turning to people you trust is the best option due to some mistrust in the healthcare system |
|
|
medicare
|
-federally funded and government operated insurance insurance system for senior citizens and permanently disabled
-does not cover 100% of healthcare issues -intended to make healthcare more affordable but people still struggle to afford it -there are issues with sustainability cause people are living longer and benefits must be reduced to keep the program going |
|
|
medicaid
|
-state operated program that receives matching funding from the federal gov
-safety net for those under the poverty line -aspects include housing, food, fuel -program varies from state to state -people abuse the program and are on it for long periods of time but its designed as a short term program |
|
|
impact of new technologies on healthcare
|
-advances in technology have affected how we communicate within the healthcare system
-not everyone has access to technology or the skills to use it -how well we communicate words/data will impact our health status and life expectancy |
|
|
health status
|
-the measurement of the health for a given population using a variety of indices, including morbidity, mortality and available health resources
-determined to a very large extent by education and income -education provides opportunity for enhanced income which increases likelihood of improved health status |
|
|
effects of communication between providers and patients
|
-communication can lead to successful outcomes and improved quality of life
-or create major problems for both providers and patients -many patients feel their physician doesnt listen to many of their concerns -can affect health, outcomes, medical errors, and malpractice suits |
|
|
challenges providers face in healthcare delivery
|
-rising costs of healthcare and competition
-impact of managed care on provider patient communication -financial and organizational arrangement for provision of healthcare services -traditionally place financial restrictions on types of procedures, medications, diagnostic tests, and treatments -patients and providers often feel frustrated with managed care decisions |
|
|
provider perceptions of patients and communication
|
-communicating with patients can be a complex process
-what is relevant depends on who you ask -full disclosure vs right to know about lifestyle, health, etc. -children often lack the ability to provide accurate info -older adults may have cognitive impairment preventing full disclosure -general perceptions and assessing patient cues |
|
|
assessing patient cues
|
physicians rely on both verbal and nonverbal cues
-social cues such as race, gender, age and physical cues like obesity influence physician info provided and treatment options -attitude cues such as good patient or complainer/arguer -selective perception-tendency to perceive info in ways that are consistent with past experiences |
|
|
patient perspective on healthcare
|
-patients learn about healthcare from a variety of sources- mass media, family, friends, previous experiences
- providers communicate much differently based upon age, gender, status and ethnicity -social construction of reality- our perception of reality about health and health situations is shaped by our day to day interactions |
|
|
paternalistic view
|
the role of the patient is to obey and cooperate
-the provider is dominant |
|
|
consumeristic view
|
patient takes a more active role when communicating with the provider
|
|
|
patient uncertainty
|
-less of a knowledge level of medicine than physician
-contradictory info about disease from media, family and friends -uncertainty of healthcare system -lack of technical language -issue of potential mistakes by healthcare providers -stress of gathering info when coping with an illness |
|
|
problematic integration theory
|
-used to assess methods of educating and communicating with patients facing a variety of chronic or life threatening conditions
-communicating process people facing illness use to manage health info in order to deal with uncertainty |
|
|
patient needs
|
-need for provider to validate their health concern
-reduce fear over possible cause of symptoms -people often suffer in silence cause they are too fearful symptoms may underline a serious condition -need for provider to demonstrate concern, support, reassurance and interpersonal warmth |
|
|
patient centered communication
|
-focus on the whole person in the context of their psychological and social circumstances
-promotes healthcare based on individual patients unique characteristics, conditions, and circumstances -offer a holistic approach -address patient concerns completely -dont be afraid to ask have I answered all of your questions and met all your needs today |
|
|
outcomes of patient-provider communication
|
-satisfaction with healthcare
-may lead to better compliance -adherence to treatment -willing to try recommendations -stronger adherences to treatments and protocols -physical and phsycological health outcomes -reduced patient anxiety and psychological distress -reduced reports of pain/symptoms and increased ability to function normally |
|
|
communcation and medical malpractice lawsuits
|
-rise and cost of medical malpractice litigation is a serious problem facing the us healthcare system
-cost assosciated with medical malpractice are passed to consumers in premiums -malpractice insurance is extremely expensive for physicians -provider patient communication problems may increase risk of medical malpractice litigation patients report problems such as: -feelings being ignored by physician -inadequate explanation of diagnosis or treatment -being hurried by the physician |
