EBOOK: Trust Matters in Health Care

EBOOK: Trust Matters in Health Care

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  • Author: Michael Calnan
  • Publisher: McGraw-Hill Education (UK)
  • ISBN: 0335236383
  • Category : Medical
  • Languages : en
  • Pages : 224

Does trust still matter in health care and who does it matter to? Have trust relations changed in the 'New' NHS? What does trust mean to patients, clinicians and managers? In the NHS trust has traditionally played an important part in the relationships between its three key actors: the state, health care practitioners and patients. However, in recent years the environments in which these relationships operate have been subject to considerable change as the NHS has been modernised. Patients are now expected to play a more active role, both in self-managing their illness and in choice of care provider and clinicians are expected to work in teams and in partnership with managers. This unique book explores the importance of trust, how it is lost and won and the extent to which trust relationships in health care may have changed. The book combines theoretical and empirical analysis, while also examining the role of policy. Calnan and Rowe analyse data collected from interviews with patients, health care professionals and managers in primary care and acute care settings. Among the issues covered are: The importance of trust to their relationships What constitutes high and low trust behaviour The changing nature of trust relations between patients, clinicians and managers How trust can be built and sustained How interpersonal trust affects institutional trust Trust Matters in Health Care is key reading for policy makers, health care professionals and managers in the public and private sector, and a useful resource for educators and students within health and social care and management studies.


The Trust Crisis in Healthcare

The Trust Crisis in Healthcare

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  • Author: David A. Shore
  • Publisher: Oxford University Press, USA
  • ISBN: 0195176367
  • Category : Medical
  • Languages : en
  • Pages : 236

This is a comprehensive survey of the causes and consequences of declining trust in healthcare, and provides suggestions for its restoration. The authors identify the elements of trust in the environment of modern healthcare, and analyse the sources of mistrust in key areas of medicine.


Habermas, Critical Theory and Health

Habermas, Critical Theory and Health

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  • Author: Graham Scambler
  • Publisher: Routledge
  • ISBN: 1136285776
  • Category : Medical
  • Languages : en
  • Pages : 221

The first book to apply Habermas's ideas to health Applies the latest social theory to health and illness The contributors offer innovative approaches to the most central topics in medical sociology


Health Professionals and Trust

Health Professionals and Trust

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  • Author: Mark Henaghan
  • Publisher: Routledge
  • ISBN: 1136621067
  • Category : Business & Economics
  • Languages : en
  • Pages : 157

Over the past twenty years there has been a shift in medical law and practise to increasingly distrust the judgement of health professionals. This book will look comparatively at a number of countries, showing through analysis of case law, legislation and protocols produced by hospitals, how the shift from trust to lack of trust has happened.


Health Professionals and Trust

Health Professionals and Trust

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  • Author: Mark Henaghan
  • Publisher: Routledge
  • ISBN: 1136621059
  • Category : Health & Fitness
  • Languages : en
  • Pages : 169

An ever increasing number of codes of conduct, disciplinary bodies, ethics committees and bureaucratic policies now prescribe how health professionals and health researchers relate to their patients. In this book, Mark Henaghan argues that the result of this trend towards heightened regulation has been to undermine the traditional dynamic of trust in health professionals and to diminish reliance upon their professional judgement, whilst simultaneously failing to trust patients to make decisions about their own care. This book examines the issue of health professionals and trust comparatively in a number of countries including the USA, Canada, Australia, New Zealand and the UK. The book draws upon historical analysis of legislation, case law, disciplinary proceedings reports, articles in medical and law journals and protocols produced by management teams in hospitals, to illustrate the ways in which there has been a discernable shift away from trust in healthcare professionals. Henaghan argues that this erosion of trust has the potential to dehumanise the unique relationship that has traditionally existed between healthcare professionals and their patients, thereby running the risk of turning healthcare into a mechanistic enterprise controlled by a ‘management processes' rather than a humanistic relationship governed by trust and judgement. This book is an invaluable resource for students and scholars of medical law and medical sociology, public policy-makers and a range of associated professionals, from health service managers to medical science and clinical researchers.


Clinical Practice Guidelines We Can Trust

Clinical Practice Guidelines We Can Trust

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  • Author: Institute of Medicine
  • Publisher: National Academies Press
  • ISBN: 030921646X
  • Category : Medical
  • Languages : en
  • Pages : 217

Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.


Trust in Medicine

Trust in Medicine

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  • Author: Markus Wolfensberger
  • Publisher: Cambridge University Press
  • ISBN: 110848719X
  • Category : Law
  • Languages : en
  • Pages : 271

Examines trust, its definition, value, and decline from the perspective of a physician and a medical ethicist.


Understanding Medical Professionalism

Understanding Medical Professionalism

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  • Author: American Board of Internal Medicine Foundation
  • Publisher: McGraw Hill Professional
  • ISBN: 0071807446
  • Category : Medical
  • Languages : en
  • Pages : 337

A groundbreaking text on how to deliver the highest quality patient care through professionalism in daily medical practice Five Star Doody’s Review: “This is an outstanding book for all clinicians and professors, indeed for everyone in medicine to help mentor and self-police the medical profession.” "Understanding Medical Professionalism is a 'must-have' for all involved in the healing arts. The book demystifies professionalism, bringing it from a philosophical, mystical concept to a practical everyday set of behaviors. The twelve chapters, in a uniform way, provide wonderful, real-life stories that illustrate the challenges faced by practitioners, describe ways to deal with those challenges, and help develop the personal and institutional skills necessary to provide excellent and compassionate care." -- Carlos A. Pellegrini, MD, FACS, FRCSI (Hon.), The Henry N. Harkins Professor and Chair, Department of Surgery, University of Washington "Insightful, practical, and authoritative. Building on their own research and that of others, Levinson et al. offer a comprehensive discussion of medical professionalism from the refreshing perspective of behavioral skills and an enabling healthcare system. Understanding Medical Professionalism has fundamentally reframed the professionalism debate and will likely remain the definitive work in this field for quite some time." -- David G. Nichols, MD, President and CEO, The American Board of Pediatrics "The authors' ambitious goal of providing a framework for the continuum of physician development of professional behaviors, from student through expert senior clinician, has been met. Students will find the text modular and instructive; residents will benefit from the reinforcement of positive professional behaviors and explication of strategies to excel in this competency; educational program directors will find the framework and tools for assessment and strategies for remediation enriching; and the expert professional will find subtle opportunities to grow to mastership of this most important physician competency." -- Thomas J. Nasca, MD, MACP, Chief Executive Officer, Accreditation Council for Graduate Medical Education, Professor of Medicine, Jefferson Medical College "The authors offer a framework and an approach to medical professionalism that enable us to understand it, teach it, and incorporate it into our day-to-day lives as health professionals. It is a much needed addition to our armamentarium as we work to align the education of health professionals with the needs and expectations of the society we serve." -- George E. Thibault, MD, President, Josiah Macy Jr. Foundation


Health Professions Education

Health Professions Education

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  • Author: Institute of Medicine
  • Publisher: National Academies Press
  • ISBN: 030913319X
  • Category : Medical
  • Languages : en
  • Pages : 191

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.


Re-Engaging in Trust

Re-Engaging in Trust

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  • Author: Jan Berger
  • Publisher:
  • ISBN: 9781977238719
  • Category :
  • Languages : en
  • Pages : 376

The U.S. healthcare system exists in a trust crisis. Without trust, the United States Healthcare system is doomed to mediocrity. Although healthcare is the most personal of interactions, the U.S. healthcare system is grounded in a business model based on a win-lose paradigm. Unfortunately, recent events both in society at large and within the healthcare industry have created negative trust resets(TM) that has only magnified the problem. Healthcare is unique in that it personally impacts every individual in the United States; whether being employed in the industry, an influencer such as media or government or a utilizer of healthcare services. If we are to address the challenges of access, cost and quality of healthcare we have to do more than alter payment and organizational models. We have to address the elephant in the room; trust. It will require a conscious behavior change by each stakeholder to improve trust across the system.