Treatment FAQ

when a physician understands the treatment options better than the patient,

by Mattie Johnson Published 2 years ago Updated 2 years ago
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What information should a physician provide about treatment options?

When a physician understands the treatment options better than the patient, a. this is an example of risk and uncertainty. b. this is an example of asymmetric information. c. this is an example of positive economics. d. this is an example of normative economics. 9. Insurance makes transactions complex because a. it adds parties to medical transactions. b.

Do patients understand your treatment plans?

Aug 14, 2020 · Patient understanding of their medical management plan helps enhance outcomes by improving compliance with treatment plans. Furthermore, the patient’s knowledge of their plan helps open up a line of communication with their physician to better help tailor a plan that best suits the patient’s physical, emotional, social, and economic states . Examining …

How can patients'views about treatment options be valued?

INTRODUCTION. Healthcare providers’ understanding of their patients’ healthcare beliefs, values, and preferences is an important feature of patient-centered care. 1–3 There are several reasons why this understanding is essential. First, a key supported principle about health behavior systems is that a patient’s beliefs about health (e.g., cause of disease, controllability of an …

How can doctors better understand patients'preferences?

Sep 06, 2003 · For patients' views about treatment options to be valued and necessary, there must be a partnership between doctor and patient, but establishing one requires both time and certain skills. ... “It's difficult to generalise about what role patients prefer in treatment decisions”—Doctors may have a poor understanding of their patients ...

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What are the top 3 responses that healthcare providers identified as relatively more important for understanding their patients’ health beliefs and values?

The top 3 responses that healthcare providers identified as relatively more important for understanding their patients’ health beliefs and values were education, trust, and culture . Educating patients was perceived as having the greatest impact and also as the easiest method to implement for understanding patients’ health beliefs and values by these healthcare providers.

How do healthcare providers perceive their patients' beliefs?

For instance, healthcare providers perceived that patients’ illness had lesser meaning to them, when in fact patients exemplified greater meaning of their illness and was significantly different compared to healthcare providers’ perceptions. In addition, healthcare providers perceived that patients desired less of a partnership with them and instead, patients had a significantly greater preference for partnership with their healthcare providers. These findings are consistent with other studies suggesting that healthcare providers may perceive the quality of their interactions with patients differently than do patients.24, 33–35

Why do patients and healthcare providers listen and communicate with each other?

When patients and healthcare providers listen and communicate with each other, they are likely to develop a shared understanding that may improve future decision making and quality of care patients receive.

What is NGT in healthcare?

To further examine healthcare providers’ perceptions of their patients’ health beliefs and values compared to actual, the Nominal Group Technique (NGT), a qualitative method of data collection was employed.32Prior to conducting NGT sessions, the investigative team articulated the specific question which was pilot tested with those providing and receiving healthcare within a similar medical facility to ensure that it would capture the responses intended.

Why is it important to understand patient beliefs?

First, a key supported principle about health behavior systems is that a patient’s beliefs about health (e.g., cause of disease, controllability of an illness, value of different treatments) predicts health behaviors such as medication adherence, use of healthcare services, and lifestyle choices. 4–6Acquiring a better awareness of a patient’s health beliefs may help healthcare providers identify gaps between their own and the patient’s understanding of his or her health situation.7Consequently, this may lead to treatment choices more acceptable to the patient’s expectations and needs.8Second, healthcare providers’ skill at perceiving and understanding patients’ beliefs is also an important aspect of compassion,9, 10which equates to perceptions of higher quality care and more effective communication.11, 12Lastly, research has shown that patient satisfaction, commitment to treatment, and perceived outcomes of care are greater when the healthcare provider and patient achieve a shared understanding on issues such as the patient’s role in decision making, the meaning of diagnostic information, and the treatment plan.13–17

What are the three themes of healthcare?

The three qualitative themes most important for understanding patients’ health beliefs and values as perceived by healthcare providers were education, trust, and culture . Educating patients was perceived as having the greatest impact and also the easiest method to implement to foster providers’ understanding, with at least one patient focus group in agreement of same. Likewise, three themes were derived from patients’ perspectives as relatively more important in understanding providers’ beliefs and values; bidirectional communication, comprehensive treatment, and discipline. Overwhelmingly, bidirectional communication was perceived as a critical factor as having the greatest impact and may also be easiest to implement according to these patients.

What instrument assesses six domains of patients and healthcare providers’ illness descriptions along with structured focus groups?

Using the CONNECT instrument28which assesses six domains of patients’ and healthcare providers’ illness descriptions along with structured focus groups, this study investigated healthcare providers’ perceptions of their patients’ health beliefs and values as compared to patients’ actual beliefs, and examined if communication relationships maybe improved as a result of healthcare providers’ understanding of their patients’ illness from their perspective. Several findings were revealed and may have important implications for patient-centered medical clinics and future research.

Is health insurance positive economics?

A 2017 study showing that the proportion of people with health insurance is higher among people with higher income. is an example of positive economics. A study arguing that the United States should adopt a single-payer health system. is an example of normative economics. Compared to Canada, France, Germany, Switzerland, and the United Kingdom, ...

Is C. a management concern?

C. is not something managers need to worry about.

Does multidisciplinary management for heart failure save lives?

B. multidisciplinary management for heart failure does not save lives.

Why do doctors need to understand patients' preferences?

To improve the quality of care they provide , doctors should understand their patients' preferences. However, this raises many challenges for doctors. Practical concerns include time pressures and difficulties in eliciting preferences from patients who may be hesitant to make treatment decisions. These are compounded by a deficit of appropriate information to support patients' decisions. Doctors may not have the appropriate interpersonal skills, particularly for communicating risk. Medical uncertainty, deficiencies in individual doctors' knowledge, and the highly variable ability of patients to understand and remember clinical information mean that risk communication is often inadequate to support patients in making informed decisions.

Why is it important for health professionals to involve patients in treatment decisions?

Health professionals are increasingly encouraged to involve patients in treatment decisions, recognising patients as experts with a unique knowledge of their own health and their preferences for treatments, health states, and outcomes.1,2Increased patient involvement, a result of various sociopolitical changes,w1is an important part of quality improvement since it has been associated with improved health outcomes3w1-w9and enables doctors to be more accountable to the public.

Why do patients need to be given technical information that is clear and unbiased?

Patients must be given technical information that is clear and unbiased to ensure that their preferences are based on fact and not misconception.

What is the Foundation for Informed Medical Decision Making?

Foundation for Informed Medical Decision Making (www.fimdm.org/). US group that, as a result of concerns about variations in medical intervention rates, encourages patients to play a greater role in choosing treatments. Produces web based and video decision aids

What are the two components of treatment decisions?

Although some patients may not wish to make the final choice of treatment, many would prefer more information.w12-w14Deber suggested there may be two components of treatment decisions—problem solving (“identifying the one right answer”) and decision making (“selecting the most desired bundle of outcomes”) —and hypothesised that, whereas patients may prefer doctors to perform the problem solving component (which requires clinical expertise), patients would want to be involved in decision making.13This was supported in a survey of patients undergoing angiography.w15

What are practical concerns?

Practical concerns include the extra time needed and the difficulties in eliciting patients' preferences, exacerbated by limited appropriate information to support patient involvement

Is a shared decision acceptable for both patient and doctor?

In many cases a shared decision that is acceptable for both patient and doctor will arise from discussion, but sometimes this is more problematic.

How much does a deductible cost for health care?

Amount you pay for health care services before your health insurance begins to pay. How it works: If your plan's deductible is $1,500, you'll pay 100 percent of eligible health care expenses until the bills total $1,500. Coinsurance. Which is a percentage of the medical charge that you pay out of pocket.

Is it bad to focus on incremental costs?

a. Focusing on incremental costs is a bad idea for managers

Does Target have pharmacies?

Quite a few years ago Target installed and operated pharmacies in most of their stores. Recently, they sold the pharmacies to CVS, which now operates the pharmacies in Target stores. One explanation for this is that Target experienced

Is the proportion of people with health insurance higher among people with higher income?

A 2007 study showing that the proportion of people with health insurance is higher among people with higher income

Should a decision maker use subjective probability?

A decision maker should use subjective probability rather than objective probability

How to communicate with patients?

Physicians must encourage open communication with patients. All patients—not just those with limited health literacy—can benefit from clear communication practices. When conveying information verbally, physicians and staff should communicate in key points, avoiding excessive information; most patients will not remember more than three messages. It is important to speak slowly and avoid medical jargon. Use analogies for common things—a patient might better understand joint problems if joints are compared with hinges. Reading handouts with the patient, highlighting and circling important parts, and encouraging the patient to ask questions are also helpful tools.6

How does communication affect health care?

Communication barriers often go undetected in health care settings and can have serious effects on the health and safety of patients. Limited literacy skills are one of the strongest predictors of poor health outcomes for patients.1,2Studies have shown that when patients have low reading fluency, they know less about their chronic diseases, they are worse at managing their care,3and they are less likely to take preventive measures for their health.4However, patients do not need to have limited literacy skills to have low health literacy. The Institute of Medicine defines health literacy as “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.”5

What are the consequences of lack of health literacy?

Individuals with limited health literacy are at risk for error and poor health outcomes. They have trouble understanding medication instructions, appointment reminder forms, informed consent, discharge instructions, and health education materials. This leads to lack of adherence to medication regimens; missed primary care appointments, laboratory tests, and referral appointments; and lack of proper health self-management. Such actions may appear to be noncompliance but may instead be the result of limited health literacy. Patients with limited health literacy often end up back in a physician's office with more serious conditions or, worse, in the Emergency Department (ED). Low health literacy costs the US health care system up to $73 billion annually.8

What is limited health literacy?

Limited health literacy is a hidden epidemic. It can affect health status, health outcomes, health care use, and health costs.6The entire health care system relies on the assumption that patients can understand complex written and spoken information. Patients are expected to navigate a complex medical system and then manage more and more of their often complex care at home. If they do not understand health information, they cannot take necessary actions for their health or make appropriate health decisions.

Why is it important to explain to patients?

It doesn’t matter how brilliant our treatment plan is if our patients do not understand it. We all want to feel like we’re making a difference in our patients’ lives. Yet it’s hard for our patients to do what we recommend if they don’t understand.

Why do patients say they understand everything even when they don't?

Patients will also say they understand everything even when they do not because they fear appearing uneducated.

How do I assess my patients' understanding?

I assess my patients’ understanding by asking them to explain the concept in their own words.

What is everything we say and do?

Editor’s note: “Everything We Say and Do” is an informational series developed by SHM’s Patient Experience Committee to provide readers with thoughtful and actionable communication tactics that have great potential to positively impact patients’ experience of care. Each article will focus on how the contributor applies one or more of the “key communication” tactics in practice to maintain provider accountability for “everything we say and do that affects our patients’ thoughts, feelings, and well-being.”

Why do we use the teach back method?

The teach-back method allows you to better assess your patients’ understanding of their medical problems. It allows you to uncover and clarify any misunderstandings your patients may have about the plan. It also helps you to engage in a more collaborative relationship with your patients.

What information should a physician provide?

A physician should provide information about the treatments options that are available and the potential risks that are associated with each treatment options.

What information should be provided prior to consenting to a recommended treatment?

Describe what information the patient should be provided prior to consenting to a recommended treatment. 1. The nature of the patient's illness or injury. 2. The name of the proposed procedure or treatment. 3. The purpose of the proposed treatment. 4. The risks and probable consequences of the proposed treatment.

Why is it important to have a decision making capacity?

A patient's decisions making capacity helps the patient in determining whether he would be able to give consent for the medical procedures. Consent from a patient becomes important as without consent from the patient, the physician would not be able to operate the patient.

What is consent in medical terms?

Consent is an agreement made by a person who possesses the ability of mind to make a good choice for him-self or herself and in the process allowing something to be done on him-self or her-self. Consent can take the form of either express consent or implied consent. A person who gives consent for a treatment has the right to withdraw the consent later on. A patient who is told about the treatment process and the risks and alternatives that are available might gibe him consent without pondering too much on all the possible consequences. An individual has the right to withdraw consent at any stage of the treatment.

Why is it important to have the ability to make decisions?

In case a physician does performs operations on the patient and due to that operation an injury is caused to the patient, then the physician would be held liable for the injury. The physician would be held liable as the operation was conducted without the consent of the patient and on the basis of own discretion of the patient. Thus, ability to make decisions which includes whether to give consent for medical treatment becomes important as operation without taking consent ay result in lawsuits from the patients.

What is the role of professional ethics in healthcare?

Describe how various codes of professional ethics address a patient's right to informed consent and self-determination . The codes of professional ethics play a vital role to the patient's right to informed consent and self-determination. It is the duty of the healthcare professionals to disclose the benefits, risks and costs ...

What is the purpose of a written consent form?

bc of the function of a written consent form is to preserve evidence of informed consent, that nature of the treatment, the risks, benefits, and consequences involved should be incorporated into the consent form. Discuss informed consent and how it applies the patient's right to self-determination.

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