Transcript Chapter 10 - Academic Resources at Missouri Western

Chapter 10:
Health Communication
How Do Patients & Providers
Interact?
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Typical Patient-Provider Relational
Types:
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Machines-and-Mechanics
Children-Parents
Consumers
Partners
Patient-Provider
Communication
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There are pros and cons to the ways in
which patients and providers
communication but there are also
several variables that influence
interaction including:
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Age
Gender
Ethnicity
Education Level
Improving Communication &
Developing Effective Patient-Provider
Relationships
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7 Principles of Effective Pt-Provider
Relationships:
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Patient Stories
Patient Expertise
Provider Expertise
Physical and Psychosocial Connections
Emotions
Reciprocity
Roles and Expectations
Five Benefits of Effective PatientProvider Relationships
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Satisfaction
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Key elements that impact satisfaction include:
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Adherence to Treatments
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Four components influence adherence:
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Empathy
Perceived medical competence
Balancing psychosocial and biomedical needs
Continuity of patient-provider relationship
Role expectations expressed by both parties
Education
Establishing agreed expectations
Establishing treatment options
Expression of empathy and encouragement
Physical and Psychological Health
Malpractice Claims
Social Networks and Health
Communication
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Family and friends have profound
effects on health and lifestyle
decisions. Often behaviors are shared
and can positively or negatively impact
one’s health.
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When health crises are faced, one’s
social network also provides various
forms of social support
Types of Social Support
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Action-Facilitating Support
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Providing information or offering
instrumental support which is performing
tasks for others
Nurturing Support
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Helping people feel better about
themselves and their issues including
emotional and esteem support
Supportive Functions of Everyday
Communication
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Six supportive functions of everyday
relating and talk influence how/if
support is enacted when needed:
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Information
Perpetuation
Detection
Ventilation
Distraction
Regulation
Communication Privacy
Management Theory (Petronio, 2002)
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When people share private health
information with relational partners, they
must create and manage privacy
boundaries as a result.
Of particular interest are issues of:
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Self-disclosure
Ownership
Privacy boundaries
Permeability
Coordination
Boundary Turbulence
Additional Criteria that Impact
Privacy Rules
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5 criteria impact the development of
privacy rule and boundaries:
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Culture
Gender
Motivation
Context
Risks and Benefits
Media, Technology, and Health
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Entertainment Media
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News and Health Media
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TV, newspapers, magazines, and general health
programming provide information that is both
accurate and misleading
Lifestyles
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Portrayals of medicine, health, behaviors on
television shows, etc.
The promotion and portrayal of lifestyles in the media
can create both positive and negative perceptions of
health behaviors.
Advertising Medications
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Direct-to-consumer advertisement of medications
also has positive and negative impacts on health
perceptions, communication, and behavior.
Three Types of Direct-toConsumer Advertisements of
Medication
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Discussion of illness but no mention of
the name of the drug
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Mention of the name of drug but no
claims concerning its effectiveness
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Feature the name of the drug along
with its uses and benefits (most
common)
Health Communication & the Internet
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Searching for Information:
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80% of Internet users have searched for
health information online. Those most likely
to search are:
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Women
College Graduates
Younger than 65 yrs. Old
Coping and Support:
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A key function of the Internet is that it
provides additional ways to seek support
online through support groups, chat rooms,