What is the definition of physician-centered communication? - Answers health professionals do
most of the talking, choose conversational topics
What are the characteristics of physician-centered communication? - Answers assertiveness,
knowledge, and power
planetree model - Answers model of health care with a more humanistic approach to health
care; nonprofit; named after hippocrates tree
What is a doorknob disclosure? - Answers an uncomfortable, painful, or embarrassing revelation
offered at the end of a meeting or conversation, usually by someone who's about to exit
What is blocking? - Answers steering away from subjects - topic shifts or questions
Why do people block? - Answers to avoid emotional disclosures and control the situation
What is collaborative communication? - Answers the preferred form of communication, neither
patient or care-giver centered, there is more dialogue from both sides
voice of lifeworld - Answers concerned with health and illness as they related to everyday
experiences, the script most people are familiar with and use
voice of medicine - Answers physician "talk", scientific
Why do patients not always follow medical advice? (reasons for non-adherence) - Answers 1.
medical recommendations may be impossible or impractical
2. patients may not agree with assessment or advice
3. perceive no effect from treatment or symptoms stop
4. unpleasant side effects
What do patients want? - Answers - attentiveness and respect
- convenience
- sense of control
- genuine warm and honesty
informed consent - Answers - patients must be fully aware of known treatment risks, benefits,
and options
- patients must be deemed capable of understanding such information and making responsible
decisions
, Why is informed consent important? - Answers people have children, some people have mental
disabilities; also syphilis study gone wrong
Under informed consent, are medical professionals responsible for making sure patients
understand the treatment information provided to them? - Answers yes
What was the Tuskegee syphilis study? - Answers studied 600 men who tested positive for
syphilis, did not tell them their illness, when penicillin was discovered they did not offer it to
them, many died
What are the four ethical principles of medicine? - Answers 1. respect for autonomy
2. non-maleficence
3. beneficence
4. justice
What does socialization mean? - Answers process of learning how to behave appropriately
within a community, explicit vs. implicit rules, voice of medicine
stress - Answers physical and psychological responses to overwhelming stimuli, major
contributor to burnout
burnout - Answers combination of factors, emotional exhaustion - feeling drained; no motivation,
no compassion, depersonalization, reduced sense of personal accomplishment
What is the number one reason for medical mistakes? - Answers communication - poor
communication between staff, sloppy handwriting, etc.
health disparities - Answers differences in the quality of care received by minorities and non-
minorities who have equal access to care AND when there are no differences between these
groups in their preferences or needs for treatment
health inequalities - Answers avoidable gaps in health or health determinants between
segments of the population
- race/ethnicity
- income
- education
- sex/gender
- geographic location
health literacy - Answers the degree to which individuals have the capacity to obtain, process,