The Patient As Agent Of Health And Health Care

Author : Mark Daniel Sullivan
Publisher : Oxford University Press
Page : 457 pages
File Size : 46,7 Mb
Release : 2017
Category : Health & Fitness
ISBN : 9780195386585

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The Patient as Agent of Health and Health Care by Mark Daniel Sullivan Pdf

Patient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.

Author : Mark Daniel Sullivan
Publisher : Unknown
Page : 128 pages
File Size : 47,5 Mb
Release : 2017
Category : Electronic
ISBN : 0190651334

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The Patient as Agent of Health and Healthcare by Mark Daniel Sullivan Pdf

Author : Richard Grol,Michel Wensing,Martin Eccles,David Davis
Publisher : John Wiley & Sons
Page : 525 pages
File Size : 55,5 Mb
Release : 2013-03-18
Category : Medical
ISBN : 9781118525999

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Improving Patient Care by Richard Grol,Michel Wensing,Martin Eccles,David Davis Pdf

As innovations are constantly being developed within health care, it can be difficult both to select appropriate new practices and technologies and to successfully adopt them within complex organizations. It is necessary to understand the consequences of introducing change, how to best implement new procedures and techniques, how to evaluate success and to improve the quality of patient care. This comprehensive guide allows you to do just that. Improving Patient Care, 2nd edition provides a structure for professionals and change agents to implement better practices in health care. It helps health professionals, managers, policy makers and researchers to assess new techniques and select and implement change in their organizations. This new edition includes recent evidence and further coverage on patient safety and patient centred strategies for change. Written by an international expert author team, Improving Patient Care is an established standard text for postgraduate students of health policy, health services and health management. The strong author team are global professors involved in managing research and development in the field of quality improvement, evidence-based practice and guidelines, quality assessment and indicators to improve patient outcomes through receiving appropriate healthcare.

Author : Stephen Buetow
Publisher : Routledge
Page : 174 pages
File Size : 51,8 Mb
Release : 2016-06-10
Category : Medical
ISBN : 9781317591542

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Person-centred Health Care by Stephen Buetow Pdf

Person-centred health care is increasingly endorsed as a key element of high-quality care, yet, in practice, it often means patient-centred health care. This book scrutinizes the principle of primacy of patient welfare, which, although deeply embedded in health professionalism, is long overdue for critical analysis and debate. It appears incontestable because patients have greater immediate health needs than clinicians and the patient-clinician encounter is often recognized as a moral enterprise as well as a service contract. However, Buetow argues that the implication that clinician welfare is secondary can harm clinicians, patients and health system performance. Revaluing participants in health care as moral equals, this book advocates an ethic of virtue to respect the clinician as a whole person whose self-care and care from patients can benefit both parties, because their moral interests intertwine and warrant equal consideration. It then considers how to move from values including moral equality in health care to practice for people in their particular situations. Developing a genuinely inclusive concept of person-centred care – accepting clinicians as moral equals – it also facilitates the coalescence of patient-centred care and evidence-based health care. This reflective and provocative work develops a constructive alternative to the taken-for-granted principle of primacy of patient welfare. It is of interest to students and academics in the health and caring sciences, philosophy, ethics, medical humanities and health management.

Author : E.E. Shelp
Publisher : Springer Science & Business Media
Page : 279 pages
File Size : 54,5 Mb
Release : 2012-12-06
Category : Medical
ISBN : 9789400977693

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Beneficence and Health Care by E.E. Shelp Pdf

The meaning and application of the principle of beneficence to issues in health care is rarely clear or certain. Although the principle is frequently employed to justify a variety of actions and inactions, very little has been done from a conceptual point of view to test its relevance to these behaviors or to explore its relationship to other moral principles that also might be called upon to guide or justify conduct. Perhaps more than any other, the principle of benef icence seems particularly appropriate to contexts of health care in which two or more parties interact from positions of relative strength and weakness, advantage and need, to pursue some perceived goal. It is among those moral principles that Tom L. Beauchamp and James F. Childress selected in their textbook on bioethics as applicable to biomedicine in general and relevant to a range of specific issues ([1], pp. 135-167). More narrowly, The National Commission for the Protection of Human Subjects of Biomedical and Behav ioral Research identified beneficence as among those moral principles that have particular relevance to the conduct of research involving humans (2). Thus, the principle of beneficence is seen as pertinent to the routine delivery of health care, the discovery of new therapies, and the rationale of public policies related to health care.

Author : Linda Farber Post,Jeffrey Blustein
Publisher : JHU Press
Page : 489 pages
File Size : 50,6 Mb
Release : 2021-11-23
Category : Medical
ISBN : 9781421442358

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Handbook for Health Care Ethics Committees by Linda Farber Post,Jeffrey Blustein Pdf

How can dedicated health care ethics committees increase their effectiveness and demonstrate their value as essential moral resources for their organizations? Among the most effective and increasingly valued resources in the health care decision-making process is the institutional ethics committee. The Joint Commission (TJC) accredits and certifies more than 19,000 health care organizations in the United States, including hospitals, nursing homes, and home care agencies. As a condition of accreditation, TJC requires health care organizations to have available a standing multidisciplinary ethics committee, composed of physicians, nurses, attorneys, ethicists, administrators, and interested lay citizens. Many of these committees are well meaning but may lack the information, experience, skills, and formal background in bioethics needed to effectively address the range and complexity of the ethical issues that arise in clinical and organizational settings. Handbook for Health Care Ethics Committees was conceived in 2007 to address the myriad responsibilities assumed by ethics committees. Using sample cases and accessible language, Linda Farber Post and Jeffrey Blustein explored applied bioethics, including informed consent and refusal, decision making and decisional capacity, truth telling, care at the beginning and end of life, palliation, justice in and access to health care services, and organizational ethics. In the third edition, Post and Blustein have thoroughly updated and reorganized the content and expanded the scope of the material, with special attention to changes in the health care landscape since the second edition was published in 2015. They also focus on communication between and among patients, care providers, and families, the demands of professionalism, the essential role that ethics committees can and should play, and how their effectiveness and value can be assessed. An entirely new chapter examines research ethics. The book also addresses the challenging ethical issues raised by the ongoing COVID-19 pandemic. This guide remains an essential resource for all health care ethics committee and their members.

Author : Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit
Publisher : National Academies Press
Page : 191 pages
File Size : 41,5 Mb
Release : 2003-07-01
Category : Medical
ISBN : 9780309133197

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Health Professions Education by Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit Pdf

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.

Author : Rebecca Schiff,Helle Møller
Publisher : University of Toronto Press
Page : 451 pages
File Size : 48,6 Mb
Release : 2021-09-15
Category : Health & Fitness
ISBN : 9781487514617

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Health and Health Care in Northern Canada by Rebecca Schiff,Helle Møller Pdf

Accounting for almost two-thirds of the country’s land mass, northern Canada is a vast region, host to rich natural resources and a diverse cultural heritage shared across Indigenous and non-Indigenous residents. In this book, the authors analyse health and health care in northern Canada from a perspective that acknowledges the unique strengths, resilience, and innovation of northerners, while also addressing the challenges aggravated by contemporary manifestations of colonialism. Old and new forms of colonial programs and policies continue to create health and health care disparities in the North. Written by individuals who live in and study the region, Health and Health Care in Northern Canada utilizes case studies, interviews, photographs, and more, to highlight the lived experiences of northerners and the primary health issues that they face. In order to maintain resilience, improve the positive outcomes of health determinants, and diminish negative stereotypes, we must ensure that northerners – and their cultures, values, strengths, and leadership – are at the centre of the ongoing work to achieve social justice and health equity.

Author : Thomas Nys,Yvonne Denier,Toon Vandevelde
Publisher : Peeters Publishers
Page : 196 pages
File Size : 47,5 Mb
Release : 2007
Category : Autonomy (Psychology).
ISBN : 9042918802

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Autonomy & Paternalism by Thomas Nys,Yvonne Denier,Toon Vandevelde Pdf

In recent years, the triumph of autonomy has made paternalist interventions increasingly problematic. The value of a patient's right to self-determination and the practice of informed consent are considered supremely important in present-day health care ethics. In general, the idea of 'doctor knows best' has become more and more suspicious. This has left us with a situation in which paternalist medicine seems difficult to reconcile with respect for patient autonomy. This book offers a thorough reflection on the relationship between autonomy and paternalism, and argues that, from both theoretical and practical angles, the tension between these concepts is not as acute as it might seem. In long-term care, psychiatry, and care for the severely handicapped, the principle of respect for autonomy is particularly ill-suited. This, however, does not mean that such respect is totally irrelevant, but that it should take a different shape. Good care in those cases requires us to transcend the sharp dichotomy between autonomy and paternalism. In Autonomy and Paternalism: Reflections on the Theory and Practice of Health Care various acclaimed authors present their views on this interesting and extremely relevant debate.

Author : Ronda Hughes
Publisher : Department of Health and Human Services
Page : 592 pages
File Size : 54,6 Mb
Release : 2008
Category : Medical
ISBN : IOWA:31858055672798

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Patient Safety and Quality by Ronda Hughes Pdf

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Author : Sara Montagna,Pedro Henriques Abreu,Sylvain Giroux,Michael Ignaz Schumacher
Publisher : Springer
Page : 155 pages
File Size : 44,7 Mb
Release : 2017-11-27
Category : Computers
ISBN : 9783319708874

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Agents and Multi-Agent Systems for Health Care by Sara Montagna,Pedro Henriques Abreu,Sylvain Giroux,Michael Ignaz Schumacher Pdf

This book contains revised and extended selected papers from two workshops: the 10th International Workshop on Agents Applied in Health Care, A2HC 2017, held at the 16th International Conference on Autonomous Agents and Multiagent Systems, AAMAS 2017, held in São Paulo, Brazil, in May 2017, and the International Workshop on Agents and Multi-Agent Systems for AAL and e-Health, A-HEALTH 2017, held at the 15th International Conference on Practical Applications of Agents and Multi-Agent Systems, PAAMS 2017, in Porto, Portugal, in June 2017. The 9 revised full papers were carefully reviewed and selected from 16 submissions. They feature current research topics such as personalised health systems for remote and autonomous tele-assistance, communication and co-operation between distributed intelligent agents to manage patient care, information agents that retrieve medical information from distributed repositories, intelligent and distributed data mining, and multi-agent systems that assist the doctors in the tasks of monitoring, decision support and diagnosis.

Author : Institute of Medicine,Committee on Implications of For-Profit Enterprise in Health Care
Publisher : National Academies Press
Page : 580 pages
File Size : 47,8 Mb
Release : 1986-01-01
Category : Medical
ISBN : 9780309036436

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For-Profit Enterprise in Health Care by Institute of Medicine,Committee on Implications of For-Profit Enterprise in Health Care Pdf

"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

Author : David D. Luxton
Publisher : Academic Press
Page : 308 pages
File Size : 52,7 Mb
Release : 2015-09-10
Category : Psychology
ISBN : 9780128007921

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Artificial Intelligence in Behavioral and Mental Health Care by David D. Luxton Pdf

Artificial Intelligence in Behavioral and Mental Health Care summarizes recent advances in artificial intelligence as it applies to mental health clinical practice. Each chapter provides a technical description of the advance, review of application in clinical practice, and empirical data on clinical efficacy. In addition, each chapter includes a discussion of practical issues in clinical settings, ethical considerations, and limitations of use. The book encompasses AI based advances in decision-making, in assessment and treatment, in providing education to clients, robot assisted task completion, and the use of AI for research and data gathering. This book will be of use to mental health practitioners interested in learning about, or incorporating AI advances into their practice and for researchers interested in a comprehensive review of these advances in one source. Summarizes AI advances for use in mental health practice Includes advances in AI based decision-making and consultation Describes AI applications for assessment and treatment Details AI advances in robots for clinical settings Provides empirical data on clinical efficacy Explores practical issues of use in clinical settings

Author : Antonio Moreno,John L. Nealon
Publisher : Birkhäuser
Page : 210 pages
File Size : 45,9 Mb
Release : 2012-12-06
Category : Business & Economics
ISBN : 9783034879767

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Applications of Software Agent Technology in the Health Care Domain by Antonio Moreno,John L. Nealon Pdf

This volume contains a collection of papers that provides a unique, novel and up-to-date overview of how software agents technology is being applied in very diverse problems in health care, ranging from community care to management of organ transplants. It also provides an introductory survey that highlights the main issues to be taken into account when deploying agents in the health care area. The intended audience includes graduate and postgraduate students specializing in artificial intelligence and researchers interested in the application of new technologies.

Author : Institute of Medicine,Board on Health Care Services,Board on Health Sciences Policy,Committee on Health Research and the Privacy of Health Information: The HIPAA Privacy Rule
Publisher : National Academies Press
Page : 334 pages
File Size : 41,5 Mb
Release : 2009-03-24
Category : Computers
ISBN : 9780309124997

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Beyond the HIPAA Privacy Rule by Institute of Medicine,Board on Health Care Services,Board on Health Sciences Policy,Committee on Health Research and the Privacy of Health Information: The HIPAA Privacy Rule Pdf

In the realm of health care, privacy protections are needed to preserve patients' dignity and prevent possible harms. Ten years ago, to address these concerns as well as set guidelines for ethical health research, Congress called for a set of federal standards now known as the HIPAA Privacy Rule. In its 2009 report, Beyond the HIPAA Privacy Rule: Enhancing Privacy, Improving Health Through Research, the Institute of Medicine's Committee on Health Research and the Privacy of Health Information concludes that the HIPAA Privacy Rule does not protect privacy as well as it should, and that it impedes important health research.