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Communicating about Health : Current Issues and Perspectives

by
Edition:
3rd
ISBN13:

9780195380330

ISBN10:
0195380339
Format:
Paperback
Pub. Date:
8/17/2009
Publisher(s):
Oxford University Press

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Summary

The leading text in its market, Communicating About Health: Current Issues and Perspectives, Third Edition, provides a more far-reaching approach than any other health communication text. Written by Athena du Pre - an experienced researcher and noted scholar - the book offers an excellentbalance of theory and practice; research and pedagogy; coverage of patient/caregiver issues; and material on the current, historical, and philosophical backgrounds of communication in health care. Now in its third edition, this highly engaging text is more accessible than ever to students. It integrates many more real-life examples and case studies and also builds upon the previous editions' coverage of diversity, featuring new material on cultures and health systems within the U.S. andabroad. A brand-new chapter, "Public Health Crises and Health Care Reform" (Chapter 12), addresses timely concerns about modern health care. In addition, the third edition incorporates enhanced pedagogical features and new supplemental resources, including: * Career Opportunity boxes showcasing more than one hundred careers related to health communication and links to job listings and further information * Can You Guess? boxes challenging students to consider such questions as "Which state has the highest percentage of uninsured residents?" and "In which country do people have the longest life expectancy on earth?" * Instructor's Manual (available both in print and online at www.oup.com/us/dupre) featuring sample syllabi, test questions, class activities, and more An ideal combination of communication theory and practical advice, Communicating About Health, Third Edition, is designed for undergraduate and graduate courses in health communication, health promotions and campaigns, and public health. It is also an indispensable resource for readers looking toimprove their communication abilities in the health care field.

Author Biography


Athena du Pre is a Professor in the department of Communication Arts at the University of West Florida.

Table of Contents

Each Chapter ends with a Summary, Key Terms, Discussion Questions, and Answers to ""Can You Guess?"" boxes
Preface
Establishing A Context For Health Communication
Introduction
What is Health Communication?
Defining Communication
Process
Personal Goals
Interdependence
Sensitivity
Shared Meaning
Defining Health Communication
History of Health Communication
Medical Models
Biomedical Model
Biophysical Model
Importance of Health Communication
Emphasis on Efficiency
Prevention
Patient Empowerment
Global Health Needs and Intercultural Competence
Changing Populations
Technology
History and Current Issues
Medicine in Ancient Times
Imotep
Hippocrates
Medieval Religion and Health Care
Medical Spiritualism
Barber Surgeons
Science and Magic
End of an Era
Renaissance Philosophy and Health Care
Principle of Verification
Cartesian Dualism
Health Care in the New World
Health Conditions
Hippocrates' Influence
Women's Role
The Rise of Orthodox Medicine
Population Shifts
Germ Theory
Research and Technology
Campaign of Orthodox Medicine
Flexner Report
Decline of Sectarian Medicine
Twentieth Century Health Care
Specialization
Medicine and Free Enterprise
Putting the Brakes on Health Care Costs
Health and Wealth
Problems
Reform Efforts
Managed Care
Conventional Insurance
Health Maintenance Organization (HMO)
Preferred Provider Organization (PPO)
Point of Service (POS)
High Deductible Health Plan (HDHP)
Organizations' Perspective
Advantages
Incentive to Collaborate and Conserve
Affordability Goal
Wellness
Administrative Assistance
Patient Load
Disadvantages
Costs Still Prohibitive
Prevention Expectations Unrealized
Undertreatment
Restricted Options
Confidentiality at Risk
Bureaucratic Hassles
Managed Care Around the World
The Roles Of Patients And Caregivers
Patient-Caregiver Communication
Physician-Centered Communication
Assertive Behavior
Questions and Directives
Blocking
Patronizing Behavior
Power Difference
Criticism of Clinician-Centeredness
Collaborative Communication
Climate for Change
Motivational Interviewing
Communication Skill Builders: Cultivating Dialogue
Nonverbal Encouragement
Verbal Encouragement
Environmental Restructuring
Soothing Surroundings
Easy Communication with Loved Ones
Communication Technology: Telemedicine
A Doctor's Visit Telemedicine Style
Telemedicine in the Future
Telemedicine as Medical Outsourcing
Advantages to Consumers
Advantages for Caregivers
Disadvantages
Communication Skill Builders: Tips for Patients
Caregiver Perspective
Medical Socialization
Theory of Socialization
Selection
Curriculum
Science
Communication Training
Socialization Process
Loss of Identity
Privileged Status
Overwhelming Responsibilities
Withdrawal and Resentment
Effects of Socialization
Medical School Reform
Implications
Professional Influences on Caregivers
Time Constraints
Loss of Autonomy
Psychological Influences on Caregivers
Maturity
Self-Doubt
Satisfaction
Stress and Burnout
Causes
Emotions
Communication Deficits
Work Load
Other Factors
Effects
Healthy Strategies
Medical Mistakes
Why Mistakes Happen
What Happens After a Mistake?
Communication Skill Builder: Managing Medical Mistakes
From the Beginning
If an Error Does Occur
Communication Technology: Knowledge Coupling
Patient Perspective
Patient Socialization
Voice of Lifeworld
Feelings vs. Evidence
Specific vs. Diffuse
Patient Characteristics
Nature of the Illness
Patient Disposition
Communication Skills
Satisfaction
Attentiveness and Respect
Convenience
A Sense of Control
Genuine Warmth and Honesty
Cooperation and Consent
Reasons for Nonadherence
Caregivers' Investment
Informed Consent
Illness and Personal Identity
Reactions to Illness
Narratives
Diversity Among Patients
Status Differences
Misunderstandings
Health Literacy
Communication Skill Builders: Surmounting Status Barriers
Gender Differences
Sexual Orientation
Race
Different Care and Outcome
Explanations
Distrust
High Risk, Low Knowledge
Access
Patient-Caregiver Communication
Language Differences
Disabilities
Communication Skill Builders: Interacting with Persons Who Have Disabilities
Age
Children
Communication Skill Builders: Talking With Children About Illness
Older Adults
Effects of Ageism
Communication Patterns
Promising Options
Communication Technology and Older Adults
Communication Skill Builders: Reaching Marginalized Populations
Social And Cultural Issues
Social Support
Conceptual Overview
Coping
Crisis
Normalcy
Coping Strategies and Social Support
Action-Facilitating Support
Nurturing Support
Esteem Support
Communication Skill Builders: Supportive Listening
Emotional Support
Communication Skill Builders: Allowing Emotions
Social Network Support
Communication Skill Builders: Keeping Social Networks Healthy
Support Groups
Communication Technology: Virtual Communities
Transformative Experiences
Lay Caregiving
Lay Caregivers' New Role
Profile of the Lay Caregiver
Stress and Burnout
Caring for Caregivers
End-of-Life Communication
Life at All Costs
Death with Dignity
Slow Medicine
Advance-Care Directives
Communication Skill Builders: Delivering Bad News
Coping with Death
Oversupporting
Overhelping
Overinforming
Overempathizing
Cultural Conceptions of Health and Illness
Why Consider Culture?
A Profile of Cultures
Asian and Pacific Island
Hispanic
Arab
The Nature of Health and Illness
Health as Organic
Health as Harmony
Social Implications of Disease
Disease as Cure
Stigma of Disease
The Morality of Prevention
Victimization
Patient and Caregiver Roles
Mechanics and Machines
Parents and Children
Spiritualists and Believers
Providers and Consumers
Partners
Implications
Viagra: A Case Study in Health-Culture Overlap
Communication Skill Builders: Developing Cultural Competence
Communication In Health Organizations
Culture and Diversity in Health Organizations
Culture and Diversity in Health Organizations
Organizational Culture
Cultural Integration and Transformation
Advantages of Diversity
Historical Patterns of Acceptance
Female Physicians
Building Equity
Communication Styles
Minorities in Medicine
History
Current Representation
Diverse Types of Health Care
Nurses
Nursing Shortage
Hospitalists
Midlevel Providers
Allied Health Personnel
Retail Clinics
Holistic Care
Definitions
Popularity
Advantages
Drawbacks
Managing Conflict
Definitions
Conflict of Interest
Violent Conflict
Communication Skill Builders: Defusing Violent Situations
Nurses' Role Conflict
Communication Skill Builders: Integrating Diverse Employees
Leadership and Teamwork
Current Issues
Consolidation
Controversy over Specialty Hospitals
Efficiency
Marketing and Advertising
Consumerism
Staffing Shortages
Challenging the Bureaucracy
Hierarchies or Partnerships?
Advantages
Disadvantages
Opportunities to Change
Authority Rule or MultilevelInput?
Advantages
Disadvantages
Opportunities for Change
Specialized Jobs or Mission-Centered Expectations?
Advantages
Disadvantages
Opportunities for Change
Strictly by the Rules. . . or Not?
Advantages
Disadvantages
Opportunities for Change
Teamwork
Advantages
Difficulties and Drawbacks
Communication Skill Builders: Working on Teams
Crisis Management
Aiming for Service Excellence
Public Health: Media, Crisis, Policy Reform, And Health Promotion
Health Images in the Media
Advertising
Direct-to-Consumer Advertising (DCTA)
Advantages of DCTA
Disadvantages of DCTA
Communication Skill Builders: Evaluating Medical Claims
Nutrition
Obesity
Effects on Children
Activity Levels
Alcohol
Source of Knowledge
Glamorized Images
Body Images
Health Effects
Eternal Hope
News Coverage
Accuracy and Fairness
Sensationalism
Advantages of Health News
Communication Skill Builders: Presenting Health News
Communication Technology: Interactive Health Information
Advantages
Drawbacks
Communication Skill Builders: Using the Internet
Entertainment
Portrayals of Health-Related Behaviors
Mental Illness and Dementia
Disabilities
Sex
Violence
Portrays of Health Care Situations
Medical Miracles
Entertainment and Commercialism
Entertainment-Education and Programming
Impact of Persuasive Entertainment
Media Literacy
Teaching Media Literacy
Public Health Crises and Health Care Reform
What is Public Health?
Risk and Crisis Communication
Managing Perceptions
How Scared is Scared Enough?
In the Heat of the Moment
Case Studies: A Global Perspective
AIDS
SARS
Anthrax
Avian Flu
Wrapping It Up
Health Care Reform
Analyzing the Issues
Waste
Inequities and Oversights
Less Costs More
Out of Pocket, Out of Luck?
Hope
The American Model
Universal Coverage Models
Massachusetts and Vermont
Overview, Pros, and Cons
Single-Payer Model
Wrapping Up Talk About Universal Coverage
Planning Health Promotion Campaigns
Background on Health Campaigns
Motivating Factors
Exemplary Campaigns
Go to the Audience
Take Action
Measure Your Success
Encourage Social Support
Planning a Health Campaign
Step 1: Defining the Situation and Potential Benefits
Benefits
Current Situation
Diverse Motivations
Step 2: Analyzing and Segmenting the Audience
Data Collection
Segmenting the Audience
Audience as a Person
Young Audiences
Sensation-Seekers
Underinformed Audiences
Step 3: Establishing Campaign Objectives
Step 4: Selecting Channels of Communication
Channel Characteristics
Communication Technology: Using Computers to Narrowcast Messages
Multichannel Campaigns
Designing and Implementing Health Campaigns
Theories of Behaviors Change
Health Belief Model
Social Cognitive Theory
Embedded Behaviors Model
Theory of Reasoned Action
Transtheoretical Model
Wrapping it Up
Critical-Cultural Perspective
Designing and Implementing a Campaign
Step 5: Designing Campaign Messages
Choosing a Voice
Designing the Message
Step 6: Piloting and Implementing the Campaign
Step 7: Evaluating and Maintaining the Campaign
Evaluation
Maintenance
References
Credits
Author Index
Subject Index
Table of Contents provided by Publisher. All Rights Reserved.


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