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From the origins of consumerism to the evolution or revolution associated with consumerism in healthcare, this book is a reflective depiction of the past, present, and future of healthcare as it empowers the consumer (patient). The Impact of Autonomy and Consumerism in Healthcare navigates the changing healthcare landscape, navigating some of these changes and what they mean, not only for healthcare delivery, but for providers, suppliers, and consumers. It comments on new healthcare developments, including the mushrooming urgent care centers and walk-in clinics, as well as such technological developments as patient portals in electronic medical records. The book reflects on the challenges of opening up the healthcare infrastructure to the consumer, while raising issues about cyber security, privacy, and litigation. The authors attempt to predict the future, just as many physicians reluctantly do for their patients, in a chapter aptly titled “Prognosis.” The book would not be complete without anecdotes and war stories from the authors’ experiences in the field, presenting surprises and contradictions in their practice of medicine across the USA as immigrant physicians. Hopefully these powerful stories will help untangle the healthcare juggernaut and move toward a more empowered consumer.
Over the last fifty years, British patients have been transformed into consumers. This book considers how and why the figure of the patient-consumer was brought into being, paying particular attention to the role played by patient organisations. Making the patient-consumer explores the development of patient-consumerism from the 1960s to 2010 in relation to seven key areas. Patient autonomy, representation, complaint, rights, information, voice and choice were all central to the making of the patient-consumer. These concepts were used initially by patient organisations, but by the 1990s the government had taken over as the main actor shaping ideas about patient-consumerism. This volume is the first empirical, historical account of a fundamental shift in modern British health policy and practice. The book will be of use to historians, public policy analysts and all those attempting to better understand the nature of contemporary healthcare.
Web technology is touted as the antidote to a multitude of healthcare woes: rising consumer dissatisfaction, increasing consumerism and ever-escalating healthcare costs. But for consumers to embrace e-health tools, health plans and employers must entice them with a healthy mix of autonomy and handholding. In this special report, "e-Health Initiatives: Driving Behavior Change and Fostering Consumerism," a panel of experts discusses state-of-the-art healthcare e-tools, strategies for engaging members to use them and the impact e-tools can have on consumer-driven plans. You'll hear from Kim Bellard, Vice President of eMarketing, Highmark Inc., and Erin Lenox, Associate, Hilb, Rogal and Hobbs, on strategies for harnessing the power of e-tools that enable consumers to collaborate in their own healthcare design. This 37-page report is based on the January 19, 2005 audio conference "Using Web Technologies in Consumer-Driven Healthcare" during which Bellard and Lenox described how healthcare organizations are utilizing the web in consumer-driven healthcare plans. You'll get details on: -The role of web applications in consumer-driven healthcare; -Evolving trends in consumerism; -Web tools that can assist consumers in behavior change; -The 10 key technological components of a healthcare web site; and -The e-health options from Highmark Inc. Table of Contents Using Web Technologies in Consumer-Driven Healthcare -Moving Toward Consumerism -Key Technological Components -Going from High-Tech to High-Touch -Evaluating the Credibility of Web-based Health Information -Examples of Online Tools -The Future of e-Health Initiatives -Build, Buy or Partner -Evolving TrendsIn Electronic World, Informed Consumers Drive Marketplace -Highmark?s Consumer-Centered Strategies -Breadth and Depth of Information Critical -Website Health Centers Target Specific Demographics -Provider Profiles Encourage Comparisons, Choices -Informing Consumers? Health Plan Choices -Increased Choice Improves Customer Satisfaction -Diverse Approaches Serve Diverse Needs -Spending, Savings Accounts on RiseQ&A: Ask the Experts -Strategy for Developing Web-based Tools -Rating Online Tools -BlueChoice Growth Predictions -Front-end Administration vs. Back-end Ease -Integrating with Pharmacy Benefits -Making the Move to e-Visits -Determining ROI -HIPAA's Impact on Web Self-Service Applications -Recommended e-Tools for Employers -Comparing Provider Pricing
Web technology is touted as the antidote to a multitude of healthcare woes: rising consumer dissatisfaction, increasing consumerism and ever-escalating healthcare costs. But for consumers to embrace e-health tools, health plans and employers must entice them with a healthy mix of autonomy and handholding. In this special report, "e-Health Initiatives: Driving Behavior Change and Fostering Consumerism," a panel of experts discusses state-of-the-art healthcare e-tools, strategies for engaging members to use them and the impact e-tools can have on consumer-driven plans. You'll hear from Kim Bellard, Vice President of eMarketing, Highmark Inc., and Erin Lenox, Associate, Hilb, Rogal and Hobbs, on strategies for harnessing the power of e-tools that enable consumers to collaborate in their own healthcare design. This 37-page report is based on the January 19, 2005 audio conference "Using Web Technologies in Consumer-Driven Healthcare" during which Bellard and Lenox described how healthcare organizations are utilizing the web in consumer-driven healthcare plans. You'll get details on: -The role of web applications in consumer-driven healthcare; -Evolving trends in consumerism; -Web tools that can assist consumers in behavior change; -The 10 key technological components of a healthcare web site; and -The e-health options from Highmark Inc. Table of Contents Using Web Technologies in Consumer-Driven Healthcare -Moving Toward Consumerism -Key Technological Components -Going from High-Tech to High-Touch -Evaluating the Credibility of Web-based Health Information -Examples of Online Tools -The Future of e-Health Initiatives -Build, Buy or Partner -Evolving TrendsIn Electronic World, Informed Consumers Drive Marketplace -Highmarks Consumer-Centered Strategies -Breadth and Depth of Information Critical -Website Health Centers Target Specific Demographics -Provider Profiles Encourage Comparisons, Choices -Informing Consumers Health Plan Choices -Increased Choice Improves Customer Satisfaction -Diverse Approaches Serve Diverse Needs -Spending, Savings Accounts on RiseQ&A: Ask the Experts -Strategy for Developing Web-based Tools -Rating Online Tools -BlueChoice Growth Predictions -Front-end Administration vs. Back-end Ease -Integrating with Pharmacy Benefits -Making the Move to e-Visits -Determining ROI -HIPAA's Impact on Web Self-Service Applications -Recommended e-Tools for Employers -Comparing Provider Pricing
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
This collection of original essays explores the social and relational dimensions of individual autonomy. Rejecting the feminist charge that autonomy is inherently masculinist, the contributors draw on feminist critiques of autonomy to challenge and enrich contemporary philosophical debates about agency, identity, and moral responsibility. The essays analyze the complex ways in which oppression can impair an agent's capacity for autonomy, and investigate connections, neglected by standard accounts, between autonomy and other aspects of the agent, including self-conception, self-worth, memory, and the imagination.
Doctors have long been regarded as figures of power by their patients. The doctor, who possesses mysterious and specialized skills, is in a position of authority over the patient -- an authority which is legitimized by the state through its restrictions on who can practise medicine. This book charts the rise of the consumerist movement in medicine. The movement is a challenge to the traditional doctor-patient role in that it questions the authority of the doctor to dispense cures and the duty of patients to accept those cures without question. The consumerist movement sees that there is a bargain being struck between patient and doctor, and that it is the right of the patient as buyer to question the claims of the doctor as seller. The authors attempt to gauge the size and strength of this movement through a national survey of health care consumers and of physicians. The causes and manifestations of the consumerist movement are reviewed, as are the reactions of doctors to it and its effect on the overall utilization of health care facilities. The book will be of immense value to those interested in changes in health care, and to professionals and administrators in health care services.
Physicians recognize the importance of patients' emotions in healing yet believe their own emotional responses represent lapses in objectivity. Patients complain that physicians are too detached. Halpern argues that by empathizing with patients, rather than detaching, physicians can best help them. Yet there is no consistent view of what, precisely, clinical empathy involves. This book challenges the traditional assumption that empathy is either purely intellectual or an expression of sympathy. Sympathy, according to many physicians, involves over-identifying with patients, threatening objectivity and respect for patient autonomy. How can doctors use empathy in diagnosing and treating patients rithout jeopardizing objectivity or projecting their values onto patients? Jodi Halpern, a psychiatrist, medical ethicist and philosopher, develops a groundbreaking account of emotional reasoning as the core of clinical empathy. She argues that empathy cannot be based on detached reasoning because it involves emotional skills, including associating with another person's images and spontaneously following another's mood shifts. Yet she argues that these emotional links need not lead to over-identifying with patients or other lapses in rationality but rather can inform medical judgement in ways that detached reasoning cannot. For reflective physicians and discerning patients, this book provides a road map for cultivating empathy in medical practice. For a more general audience, it addresses a basic human question: how can one person's emotions lead to an understanding of how another person is feeling?
The challenges to humanity posed by the digital future, the first detailed examination of the unprecedented form of power called "surveillance capitalism," and the quest by powerful corporations to predict and control our behavior. In this masterwork of original thinking and research, Shoshana Zuboff provides startling insights into the phenomenon that she has named surveillance capitalism. The stakes could not be higher: a global architecture of behavior modification threatens human nature in the twenty-first century just as industrial capitalism disfigured the natural world in the twentieth. Zuboff vividly brings to life the consequences as surveillance capitalism advances from Silicon Valley into every economic sector. Vast wealth and power are accumulated in ominous new "behavioral futures markets," where predictions about our behavior are bought and sold, and the production of goods and services is subordinated to a new "means of behavioral modification." The threat has shifted from a totalitarian Big Brother state to a ubiquitous digital architecture: a "Big Other" operating in the interests of surveillance capital. Here is the crucible of an unprecedented form of power marked by extreme concentrations of knowledge and free from democratic oversight. Zuboff's comprehensive and moving analysis lays bare the threats to twenty-first century society: a controlled "hive" of total connection that seduces with promises of total certainty for maximum profit -- at the expense of democracy, freedom, and our human future. With little resistance from law or society, surveillance capitalism is on the verge of dominating the social order and shaping the digital future -- if we let it.
On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.