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Background All patients regardless of sex, ethnicity or social status should be provided health services according to their needs. However, both national and international studies suggest that there may be differences in quality of health care on the basis of ethnicity and that this may be due to structural, organizational and clinical barriers. Mission On behalf of South-Eastern Norway Regional Health Authority we collected, critically assessed and summarised the effect of interventions to improve the quality of health services for ethnic minorities. We focused on the effect of interventions aimed at health professionals and health organisations. Main findings1. Different kinds of educational interventions and electronic reminders to health care providers may under certain circumstances have a small effect on health professionals' practice and minority patients' health outcomes. The quality of the evidence varied from very low to low, but findings are supported by other extensive research on this type of initiatives in other contexts.2. The quality of available evidence is insufficient to determine whether the use of remote interpretation compared to traditional interpretation leads to better communication, whether ethnic matching of client and therapist affects the patient's understanding, symptom status or belief in the usefulness of therapeutic strategies and whether supportive interventions in the form of increased staff resources influence health outcomes for minority patients.
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Background All patients regardless of sex, ethnicity or social status should be provided health services according to their needs. However, both national and international studies suggest that there may be differences in quality of health care on the basis of ethnicity and that this may be due to structural, organizational and clinical barriers. Mission On behalf of South-Eastern Norway Regional Health Authority we collected, critically assessed and summarised the effect of interventions to improve the quality of health services for ethnic minorities. We focused on the effect of interventions aimed at health professionals and health organisations. Main findings1. Different kinds of educational interventions and electronic reminders to health care providers may under certain circumstances have a small effect on health professionals' practice and minority patients' health outcomes. The quality of the evidence varied from very low to low, but findings are supported by other extensive research on this type of initiatives in other contexts.2. The quality of available evidence is insufficient to determine whether the use of remote interpretation compared to traditional interpretation leads to better communication, whether ethnic matching of client and therapist affects the patient's understanding, symptom status or belief in the usefulness of therapeutic strategies and whether supportive interventions in the form of increased staff resources influence health outcomes for minority patients.
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In der Arzt-Patient-Beziehung begegnen sich nicht nur zwei Personen, sondern mindestens vier Aspekte: Der Arzt ist als handelnder aufgespalten in die Rolle des Arztes und des Mediziners, der Patient ist der Kranke und der Träger einer Krankheit. Mit den Möglichkeiten der heutigen komplexen technologischen Medizin hat sich das Gewicht immer mehr in Richtung der Interaktion von Mediziner und Krankheitsträger verschoben. Mit Hilfe von High-Tech verwandelt sich der Patient in einen Gegenstand von medizinischen Begrifflichkeiten, die das Handeln des Arztes bestimmen. Ärzte, Therapeuten, Philosophen, Forscher, Medizinhistoriker- und Journalisten beschreiben in diesem unterhaltsamen und leicht verständlichen Buch die Geschichte, die problematische Gegenwart und die mögliche Zukunft des Verhältnisses von Arzt und Patient. Sie geben Antwort auf Fragen wie: Wie menschlich ist die Medizin? Was ist der Anfang, was das Ende des menschlichen Lebens? Werden wir immer kränker? Wie viel Medizin verträgt der Mensch? Wie kann ich mir selbst helfen? Nutzt homöopathische Therapie? Oder: Warum helfen Placebos?
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Population aging --- Physician services utilization --- Medical care
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Paternalism --- Physician-Patient Relations --- Philosophy, Medical --- Ethics, Medical
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Au commencement de chaque séance de psychanalyse se trouve… la salle d'attente. C'est un fait, tous les psychanalystes en ont une. Même s'il ne s'agit que d'un recoin derrière un paravent, pourvu d'un siège unique, conçu pour une attente éclair d'un seul analysant, la salle d'attente participe incontestablement du dispositif de la cure. Chacun s'y confronte d'emblée à la question cruciale : « Qu'est-ce que tu attends ? ». A travers de courtes séquences écrites à la première personne, prises sur le vif du quotidien, l'auteur réussit à cerner au plus juste l'expérience et la pratique de la psychanalyse. De celle qui arrive toujours en retard à celui qui apprécie d'y arrêter sa course, en passant par ceux qui y déchargent leur agressivité, leur agitation, ou anticipent la séance qui va venir, elle montre, dans autant de portraits que de chapitres, comment les menus événements de la salle d'attente (bruit dans la cour, changement du décor, arrivée inopinée d'un autre patient, etc.) sont articulés à la subjectivité de chacun et renvoient au transfert établi avec l'analyste.
Expectation (Psychology) --- Waiting rooms --- Physician and patient. --- Psychological aspects.
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There is growing acknowledgement of the importance of interpersonal and communication skills in the training of future physicians. Effective diagnostic and clinical management skills require competency in observing, listening, communicating, problem-solving and negotiating. In addition, the physician needs human relationship skills. It is apparent that a systematic curriculum is needed to teach these clinical skills to medical students and trainees and this handbook provides a practical guide. Each chapter in this book discusses one of the clinical skills in depth. A unique feature of this boo
Physician and patient. --- Interpersonal relations. --- Clinical competence --- Caring. --- Social medicine.
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The doctor-patient relationship is fraught with risk. Patients may be at risk from a doctor who misuses their position of authority, or is unclear where the appropriate boundaries lie. Doctors risk disciplinary or criminal proceedings when this happens. This book aims to address these risks, to assist clinicians in their daily relationships with patients, and to improve patient safety. The authors examine the ethical principles and how these may be taught; prevalence of abuse; regulation and sanctions; management and governance; remediation; and the roles of the different organisations that may be involved, such as the General Medical Council and medical protection societies. This is a practical guide to help clinicians avoid boundary violations and improve patient safety.
Physician and patient. --- Defensive medicine. --- Physicians --- Malpractice. --- Professional ethics.
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