Is increased emphasis on holistic health care there

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Unformatted text preview: es self-help. self-help. Emphasizes natural, low tech interventions. Acupuncture, massage, dance therapy, etc. Note that holistic trend encourages more Note emotional contact between patient and provider and more sharing of responsibility (more egalitarian). (more Provider Behaviors that Contribute to Faulty Provider Communication Communication Not listening Use of jargon Use may be used to keep patient from asking too many may questions, or impress. questions, Baby talk Baby Due to under estimating patient’s ability to Due understand. understand. Nonperson treatment May be used intentionally to keep patient quiet May during treatment or unintentionally when patient seen as object during the exam. seen May provide emotional protection for provider. Stereotypes of patients Research shows that physicians give less information, are Research less supportive, and demonstrate less proficient clinical performance with Black and Latino patients than White patients. Same with low income patients vs. higher income patients. Same race/ethnicity sometimes lead to higher patient Same satisfaction. Also, similarity on other dimensions may be more important – such as values, worldview, etc. more Male physicians’ stereotypes of women Male patients also found to influence interaction. patients Also some gender differences in physicians. Also Women physicians: Women Longer visits Ask more questions Make more positive comments Show more nonverbal support (eg. smiling, Show nodding) nodding) Physicians prefer healthier patients to sicker Physicians ones. ones. Physicians may give more cursory exams to Physicians patients with mental health problems – anxiety, depression. anxiety, Patients also contribute to faulty Patients communication. communication. Neurotic patients present an exaggerated picture of their symptoms – so physician can not accurately diagnose. not Anxiety makes it difficult to focus attention Anxiety and process incoming information and retain it. it. Anxiety often high during physician visits. Some patients are unable to understand even Some unable simple information about their case. simple Lower education, language differences Older patients may experience a decline in Older ability to discuss symptoms and understand physician provided information. physician Especially if illness is new and patient has not Especially experienced it before (not chronic). experienced Patients and physicians may differ in what is Patients emphasized which may cause misunderstandings. misunderstandings. Patients put a lot of attention on pain and Patients interference with activities. interference Physicians put emphasis on underlying Physicians problem. problem. Patients may be embarrassed about health Patients history and therefore not report important information (smoke, used illegal drugs, had an abortion). abortion). Patients may fear asking questions. Think physician does not want info since no Think question was asked. question Think they will not get...
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This note was uploaded on 09/19/2013 for the course ITM 201 taught by Professor Kerryguilliams during the Fall '11 term at Saint Louis University-Main Campus.

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