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13 Cards in this Set
- Front
- Back
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What factors affect use of health services?
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Age - old people, babies more likely Gender - women more likely SES - high = more likely to be able to take time off work |
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What are benefits of going to doctor more freqeuntly? |
Have better relationship/rapport - easier to make contact when need to later on. |
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What factors are involved in symptom recognition?
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Age -
Cultural Differences - some places are less willing to address gentials with others Situational factors - if busy, don't have time Individual personality differences - e.g. neuroticism Mood - if feeling good, less liekly to remember symptoms ass dangerous |
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What factors are involved in symptom interpretation?
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Prior experience - expectations - seriousness of symptoms - more likely to seek help in case of pain - lay referral network - internet - can create confounds for doctors as people try to match their symptoms to what they read about |
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Treatment delay is ______
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the delay between recognition of symptoms and treatment. |
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What kinds of treatment delay are there? |
Appraisal delay - time it takes to recognize a symptom is serious Illness delay - time between recogniziziing symptomis serious and deciding to seek treatmnet Behavioral delay - between deciding to seek treatment and doing so Medical delay - between making appointment and seeing doc |
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Describe issues in Treatment adherence.
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Highest for cancer, painful disorders, GI stuff, etc.
Lowest for diabetes, pulmonary disorders, sleep disorders. |
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What factors affect treatment nonadherence? |
- pain
-perceived seriousness - visibility of symptoms - complexity of treatment - age -mental health |
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Creative non-adherence is ________
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Modifying a prescribed treatment regimen based on patient beliefs/private theories. e.g. taking only 1 pill out of prescribed 8 |
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Treatment adherence - antibiotic example |
Many people do not finish antibiotic regimen (which are also being overprescribed) - often because they feel better. This permits bacterium to develop resistance, leading to superbugs. Examples in Canada include E.Coli, gonorhhea, salmonella. |
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What are some issues in patient/provider communication?
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- jargon - may be used to keep patient from asking questions, to keep from having patient discover that provider is uncertain about problem - not listening - study showed 18s average before provider interrupted patient, only 23% of time did patient finish explanation - baby talk - may forestall quesitons - |
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Other issues in patient/provider communication
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Study showed that 1/3 of patients could not repeat their diagnosis within minutes of hearing it.
Anxiety may impair comprehension. |
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Attitudes towards symptoms differ:
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Patients focus on pain - embarassmment may lead patient to give faulty cues about health history, practices - e.g. homosexuality |
