Avoiding Overtreatment at the End of Life: Physician-Patient Communication and Truly Informed Consent
Barbara Noah has posted her new 65-page article in Pace Law Review: "Avoiding Overtreatment at the End of Life: Physician-Patient Communication and Truly Informed Consent."
This Article considers how best to ensure that patients have the tools to make informed choices about their care as they near death. Informed decision making can help reduce excessive end-of-life care and unnecessary suffering, and result in care that aligns with patients’ well-considered values and preferences. The many factors that contribute to dying patients receiving too much therapy and life-prolonging care include: the culture of denial of ...
Source: blog.bioethics.net - August 24, 2016 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care medical futility blog syndicated Source Type: blogs
How to Figure Out the Cost of Your Medical Care
Here is a link to an article from CBS News with some very practical advice on this thorny topic. I’m excited to say that some of our research on physician/patient communication was mentioned in the article. Enjoy it! If … Continue reading →
The post How to Figure Out the Cost of Your Medical Care appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - August 4, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care healthcare costs Peter Ubel syndicated Uncategorized Source Type: blogs
3 Types of Services Physicians Can Use to Build their Practice
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Source: ePharma Summit - July 21, 2016 Category: Pharmaceuticals Tags: HCPs health marketing IT Medical Billing Medical practices Pharma Physicians technology Source Type: blogs
8 Interaction Tips to Help Form a Bond With Clients
Most audiologists and SLPs navigate difficult conversations every day. Just last week, I met a man recently diagnosed with ALS who was finding it difficult to speak and even harder to swallow. Who knows what to say to that? I sure didn’t. Sadly, sometimes our clients don’t always leave our offices feeling that they’ve been fully heard when that’s exactly what they need most.
As a person who stutters, I know what it’s like not to be heard. It makes me want to make sure my clients never feel this way. Although listening skills are human (we all have them), truly excellent listening skills seem superhuman. ...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - July 14, 2016 Category: Speech Therapy Authors: Stephen Groner Tags: Audiology Speech-Language Pathology business patient-centered care Practice Management Source Type: blogs
Tips to improve your communication with patients
“We experienced an iatrogenic event that produced an untoward sequela, and while it is now quiescent, it may still recrudesce.”
No one likes to be given bad news, especially of disease. But first, you have to understand what it means. When it comes to communication of medical information, the way the message is delivered is often just as important as the information itself. Indeed, good communication is the backbone of every patient-provider relationship.
The roots of poor health care provider communication run deep, stemming from the origins of medicine itself. The earliest doctors were religious aut...
Source: Kevin, M.D. - Medical Weblog - July 3, 2016 Category: Journals (General) Authors: Michael Ho, MD Tags: Physician Surgery Source Type: blogs
Doctors Can’t Be Trusted to Tell Patients Whether They Should Receive Robotic Surgery
Patients often rely on physicians for information about their treatment alternatives. Unfortunately, that information is not always objective. Consider a man with early stage prostate cancer interested in surgical removal of his tumor, but uncertain whether it is better for … Continue reading →
The post Doctors Can’t Be Trusted to Tell Patients Whether They Should Receive Robotic Surgery appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 24, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Medical Decision Making Peter Ubel physician-patient communication prostate cancer shared decision making syndicated Uncategorized Source Type: blogs
Doctors Can ’t Be Trusted to Tell Patients Whether They Should Receive Robotic Surgery
Patients often rely on physicians for information about their treatment alternatives. Unfortunately, that information is not always objective. Consider a man with early stage prostate cancer interested in surgical removal of his tumor, but uncertain whether it is better for … Continue reading →
The post Doctors Can’t Be Trusted to Tell Patients Whether They Should Receive Robotic Surgery appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - June 24, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Medical Decision Making Peter Ubel physician-patient communication prostate cancer shared decision making syndicated Uncategorized Source Type: blogs
Shared decision making: How this oncologist did it right
Sometimes in my research on physician/patient communication, I come across a doctor who is so good with her patients, I have to share their bedside manner with you. The most recent example is a (to remain unnamed) oncologist in the northeastern United States who practically gave a primer on shared decision making when caring for a patient with metastatic cancer.
The patient (I’ll call her Jennifer Decker) had stage 4 breast cancer, which had metastasized to liver and bone, the latter leaving her with substantial pain. Worse yet, a PET scan she received a week before her clinical appointment showed that the cancer had pro...
Source: Kevin, M.D. - Medical Weblog - May 20, 2016 Category: Journals (General) Authors: Peter Ubel, MD Tags: Physician Cancer Source Type: blogs
HHS Issues Health Equity Final Rule
On May 13, the Office of Civil Rights (OCR) of the Department of Health and Human Services (HHS) issued a final rule implementing section 1557 of the Affordable Care Act. The rule finalizes a proposed version issued in September of 2015, analyzed in this blog at that time. The final rule was accompanied by a press release, summary, and series of fact sheets.
Section 1557 of the ACA provides that an individual shall not, on the basis of race, color, national origin, sex, age, or disability, be
excluded from participation in,
denied the benefits of, or
subjected to discrimination under
any health program or activity of whi...
Source: Health Affairs Blog - May 14, 2016 Category: Health Management Authors: Timothy Jost Tags: Equity and Disparities Featured Following the ACA Insurance and Coverage Medicaid and CHIP Medicare age discrimination disability discrimination health equity national origin discrimination racial discrimination sex discrimination Source Type: blogs
Communication is key in health care. But what exactly is it?
Contributors on this site regularly recommend improved doctor-patient communication. Indeed, that’s one reason I’m a devoted reader. But we need to articulate exactly what “communication” is.
When I ask colleagues about that word, they usually define it as what they say to patients. I can’t argue with that. Yes, we need to express ourselves clearly and simply. But communication includes much more.
The occasional complaints I hear from patients about their care are never about medicine’s high-tech presence. Instead, they’re uniformly about deficiencies in communication, actually healthcare’s ...
Source: Kevin, M.D. - Medical Weblog - May 5, 2016 Category: Journals (General) Authors: Jeff Kane, MD Tags: Physician Primary care Source Type: blogs
Here’s How a Great Doctor Helps Her Patient Make a Cost-Conscious Treatment Decision
Sometimes in my research on physician/patient communication, I come across a doctor who is so good with her patients, I have to share their bedside manner with you. The most recent example is a (to remain unnamed) oncologist in the … Continue reading →
The post Here’s How a Great Doctor Helps Her Patient Make a Cost-Conscious Treatment Decision appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 29, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Doctor patient communication financial toxicity healthcare costs Medical Decision Making Peter Ubel syndicated Source Type: blogs
Reducing Healthcare Waste: Don’t Expect Patients To Take The Lead
Lena Wright’s best friend was hunched over like a character from a French novel, with spinal bones so thin they would fracture with a fit of sneezing. Determined to avoid that fate, Wright (a pseudonym) asked her primary care doctor … Continue reading →
The post Reducing Healthcare Waste: Don’t Expect Patients To Take The Lead appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 25, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Doctor patient communication healthcare costs Medical Decision Making Peter Ubel syndicated Uncategorized Source Type: blogs
Health Affairs Briefing: Patients’ And Consumers’ Use Of Evidence
The health policy literature is filled with references to providers, but patients are all too often left out of the conversation regarding how to best meet their needs. Growing attention to patient-centered care – with the attendant need for a better understanding of patient goals, better methods for engaging patients in their care, and better measures of outcomes that have meaning for patients – recognizes the moral and practical need to view patients as the center of the health care system.
WHEN:
Thursday, April 7, 2016
9:00 a.m. – 1:00 p.m.
WHERE:
W Hotel Washington
515 15th Street, NW
Washington, DC (...
Source: Health Affairs Blog - March 24, 2016 Category: Health Management Authors: Lucy Larner Tags: Elsewhere@ Health Affairs events patient uses of evidence Source Type: blogs
Meaningful use creates meaningless strife
One of the biggest topics today in the health care field is that of meaningful use. Meaningful use is defined as using certified electronic health record (EHR) technology to improve quality, safety, efficiency, and reduce health disparities. The promise is that meaningful use will help improve patient and provider communication and increase care coordination while maintaining the privacy and confidentiality of patients.
However, serious questions are emerging about whether this is actually occurring with the implementation of a variety of new policies and procedures. In my own practice as a psychologist, instances ro...
Source: Kevin, M.D. - Medical Weblog - March 23, 2016 Category: Journals (General) Authors: Jim Schroeder, PhD Tags: Tech Health IT Source Type: blogs
The Wrong Way To React When Terminally Ill Patients Cry
Just three weeks earlier, she had noticed something strange about one of her breasts. An irregular shape. Her daughter brought her to the doctor, and soon the patient, I’ll call her Amanda, was diagnosed with breast cancer, stage “to be … Continue reading →
The post The Wrong Way To React When Terminally Ill Patients Cry appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - March 18, 2016 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care cancer Doctor patient communication Medical Decision Making Peter Ubel shared decision making syndicated Uncategorized Source Type: blogs
