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Exam 1 Notes

Exam 1 Notes - Why Patients and Providers Behave the Way...

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January 29, 2008 Why Patients and Providers Behave the Way They Do (pages 5-6) Talcott Parson – 1951 Ill individuals in western developed nations demonstrate predictable behaviors Sick role is “an integral part of the socio-cultural definition of health and illness” People who are ill believe they are not solely responsible for their condition and it is not within their power to get well By virtue of their diminished function, people who are ill are exempt from normal personal and social obligations in proportion to the severity of their illness Illness is undesirable, so people who are sick are expected to take appropriate action and enlist the aid of others in getting well People who are sick are obliged to obtain competent assistance with the treatment and advice received Both healthcare providers and consumers are encouraging significant patient participation in decisions Indexes of Health and Disease (pages 6-7) Health – a state of complete physical, mental, and social well-being and not merely the absence of disease (1958 World Health Organization) Definition is subjective and determined clinically by the converse-whether individual physical, physiologic, and lab test values fall within or outside of normal parameters How stat data has grown since the late 60’s o Government began analyzing information obtained from Medicare and Medicaid claims o Computerized hospital and insurance data allowed the retrieval and exploration of he files of clinical info o Improvement in the collection, analysis, and reporting of vital statistics and communicable and malignant diseases by federal and state governments Data shows common trends among developed countries o Birth rates have fallen o Life expectancies have lengthened, and older people make up an increasing proportion of total population o Percentage of disabled or dependent individuals has grown as the health care professionals have improved to their capacity to rescue moribund individuals In the US alone, these have declined: o Infant and maternal mortality International indication of social and healthcare improvement o Differences between inner city and suburban neighborhoods are significant January 31, 2008 Health risk – a probability of an adverse outcome or a factor that raises the probability
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Unsafe sex, unsafe medical practice, under/overweight, smoking, substance abuse, pollution, dehydration Top 10 Preventable Health Risks in the World According to the World Health Organization Childhood and maternal underweight Unsafe sex High blood pressure Tobacco consumption Alcohol consumption Unsafe water, sanitation, hygiene High cholesterol Indoor smoke from solid fuels Iron deficiency Overweight/obesity Health – Steadman’s Medical Dictionary: the state of the organism when it functions optimally without evidence of disease or abnormality Webster’s New Collegiate Dictionary: the condition of being sound in body, mind
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Exam 1 Notes - Why Patients and Providers Behave the Way...

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