Communication refers to a process of passing information from one person to another. Therefore, communication acts as a means of connection between people and places. Proper communication between the physician and patients serves as a key to prevention, diagnosis, and treatment. This is because the process of communication between patients and physicians can be an intimidating process. The quality of communication displayed between the physician-patient relationship has a direct impact on patients health outcome hence it must be taken into account in healthcare delivery system.
Explain how miscommunication in physician-patient interaction might impact recovery of a patient. Justify your answer.
For a successful medication to be provided by the physician, there must be an effective form of communication between the two parties that are involved (patient and physician). In this case, the term success implies that both the patient and the physician have developed a form of partnership and the patient is also aware of the his/her condition and is also able to ascertain different methods that can be used to attain the goals of treatment. There are various model that have been developed to enable healthcare providers in developing key approaches that can be used to improve their communication abilities with their patients. These models lays their goals on improving the quality of health of the person. and do not necessarily require any significant increased investment in the length of their encounter. When these approaches have been used effectively, they tend to improve the patients’ satisfaction and permits the physicians to demonstrate empathy and concern for other human beings. Therefore, learning of communication skills helps in building of trust, promoting healing processes, and improving patients health outcomes.
Physicians are urged to apply some patient-focused communication skills as they encounter their patients directly. Some of these skills include: sitting down and their patients during their encounters, trying to understand the patient as an individual rather than a disease, showing some respect to the patient, listening to the patient attentively and creating partnership, eliciting the patients concern and calming his/her fears, answering the patients questions honestly, informing the patient about treatment options that will be used and the course of care that is to be taken, involvement of the patients in decisions concerning their medical care processes, and demonstrating sensitivity to patients’ cultural and ethnic diversity. Therefore as the clock ticks, what matters a lot is the quality rather than quantity of physician-patient communication. Patients always measures the physicians quality by how well the physicians listen, makes valid judgment about their complaints and how they acknowledge their concerns. The physicians’ quality is also measured by how thoroughly they explain the diagnosis and offering treatment options and the extent to which they involves their patients to decisions concerning their care provision.
The problems of communication between patients and physicians are major causes of inadequate treatment provision, excessive pain, and eventually death of these patients. Ohtaki, Ohtaki & Fetters (2002) asserts that physician-patient interaction is critical for trust building. From the fact that trust serves as a cornerstone for the exchange of information and negotiation of mutual expectations, a patient’s level of trust to the physician is positively correlated with his/her health outcome. In this case, miscommunication between physician-patient relationship include unbalanced form of communication, incongruent social values/social factors, and mismatched sociolinguistic applications (Ohtaki, Ohtaki, & Fetters, 2002). Miscommunication in physician-patient interaction can impact negatively on patient’s recovery in the following ways: poor communication can make the physician to provide treatment to the patients for a condition that is different from the actual health conditions that they are actually facing which may inhibit the patient from recovering from the actual condition that they have. Miscommunication may also make a physician to think that a patient may need less treatment than actually he/she do, which could also negatively impact the recovery of that patient. In addition, miscommunication can arise at the time when medical interpreters interprets languages differently rather than modifying it accurately to convey the significance of the intended message.
According to you, which are the two most critical examples of miscommunication between physicians and female patients according to Sue Fisher (1984)?
Two critical examples of miscommunication that exist between physicians and the female patients as pointed out by Sue Fisher (1984) are those that reflect on the social and political environments. As revealed by Cassell (1985), his grandmother went to see a doctor since she had developed a melanoma on her face. When she asked a question, the physician slapped her on the face. This type of communication can also occur in other fashions. For example, The Happy Feminist 2011 portrays certain doctor-patient miscommunication. The article reveals that a young female student received a call from a physician about her Pap smear saying that it was a level 4 cervical dysplasia. The physician did not explain to the patient therefore, the woman understood that it was just a stage of cancer development. Later on the patient discovered this information from her friends who had experienced similar conditions. Since the two examples seems to be very close, they both demonstrate how male physicians back women into corners since they do not involve them in decision making or even share some important information with them.
What are Eric Cassell’s (1985) criteria for effective communication? Justify your answers with appropriate research and reasoning.
Cassell’s (1985) criteria for an effective physician-patient communication lies within the art and science of communication. Cassell points out that for an effective diagnosis and treatment of a particular disease, the physicians should listen to the patient, understand and analyze his/ her language when describing the form of illness. Therefore, as a good scientist, the physician has a duty to understand why the person experiences the described illness and how he/she feels about the same. Medicine is also an art and a science. For this reason, Cassell explores that any physician who fails to introduce themselves and ask the patients to share their illness stories will definitely miss valuable opportunities to learn and discover the most useful methods of treatment. This will in turn lead to a better forms of relationship, diagnostic, and treatment. Therefore, if the physician engages fully into this practice, he/she will be in a position to know what should be done and how t encourage certain behaviors.
What do you understand by the term “managed care”? What is the influence of managed care in regulating the medical profession?
Managed care describes a variety of techniques that are intended to reduce the cost of providing the patients with benefits of health and at the same time improving the quality of care. for organizations that apply those techniques. Managed care is intended to reduce the unnecessary health care costs . Such mechanisms that are used include economic incentives to physicians and patients for selecting less costly forms of care, programs that are used to review the medical necessities of specific services, increased cost sharing among the beneficiaries, controls on in-patients admissions and increased lengths of stay, selective contracting with health care providers, and the intensive management of high-cost health care cases. The managed care provision has had a greater influence in regulating medical profession in the following ways: the served professional needs at the expense of patients. This is because the professional organization oversight, health outcome, and behaviors attracted scrutiny. Managed care cost has also done the opposite of what it was intended for. This is from the fact that health care has become more costly and fragmented. most physicians under this system have also utilized the most costly ineffective interventions instead of the lesser or more effective interventions.
Describe the term “Docs-in-a-Box” and its relationship to cost containment and managed care. Justify your answers with appropriate research and reasoning
According to Cockerham, 2010, Docs-in-a-box reflected both the corporatization and de-professionalization of physicians. Yet, the docs-in-the-box were also placed at the center of a system in which they increasingly lost autonomy, patients granted them less authority and trust. As a result of this, the physicians within these managed systems became dissatisfied (Cockerham 2010). The docs-in-the-box alternately attracted another stakeholder, the pharmaceutical companies promoting off-label uses for numerous drugs. Because of this, docs-in-the-box and their associative managed care organizations benefitted from pharmaceutical company samples and there was limited needs to prescribe other medicines. After all, most illnesses were successfully managed by these sample prescriptions and their off-label uses. This, of course, increased the managed care organizational profits because the docs-in-the-box saw a greater number of persons, prescribed “x” medicines and often utilized the samples provided.
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