Communication in Health Organizations

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  • Format: Paperback
  • Copyright: 2011-11-07
  • Publisher: Polity Pr

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Communication in Health Organizations explores the communication processes, issues, and concepts that constitute health care organizing, specifically focusing on the interactions in organizational contexts that influence the lives of patients, health professionals, and other members of health institutions. This book integrates scholarship from communication, medicine, nursing, public health, and allied health to provide a comprehensive review of the research literature. This book uses a systems approach of organizations and communication to enhance reader understanding of the discursive complexities and contingences present in health settings. You will gain greater familiarity with how health institutions function communicatively, and why the people who work in health professions interact as they do. The text also provides you with multiple opportunities to analyze communication occurring in organizational contexts and apply communication skills to personal experiences. This knowledge may improve your own communication as a patient, employee, or consumer. Further, by understanding and applying book concepts, you can enhance communication in health organizations and, ultimately, benefit health care delivery. Communication in Health Organizations offers students, researchers, and health practitioners with a unique multi-disciplinary perspective that invites stimulating reflection, discussion, and application of communication issues affecting today's health system.

Author Biography

Julie Apker is Associate Professor of Communication at Western Michigan University.

Table of Contents

List of Figures and Tablesp. xii
Acknowledgmentsp. xiv
Introductionp. 1
Definitional Issuesp. 2
Systems Principles and Evolutionp. 3
Systems Approach in Organizational Communicationp. 4
Systems Conceptsp. 5
Chapter-by-Chapter Summaryp. 11
Pedagogical Featuresp. 13
Summaryp. 13
Landscape of Healthcare Deliveryp. 15
A Systems Perspective on the Healthcare Environmentp. 16
Economic Contingenciesp. 16
Social and Demographic Contingenciesp. 19
Box 1.1: Communication in Practice: Adapting Successfully to Health System Contingenciesp. 22
Models of Health and Illnessp. 23
Biomedical and Biopsychosocial Modelsp. 34
Relationship-Centered Care Modelp. 25
Health Organization Contextsp. 27
Healthcare Provider Organizationsp. 27
Box 1.2: Communication in Practice: Improving Communication Using a Relationship-Centered Approachp. 28
Public Health Organizationsp. 31
Forms of Health Organizingp. 32
Fee-for-Service and Managed Carep. 33
Box 1.3: A Patient's Experience in the Healthcare Landscapep. 34
Communication in the Managed Care Erap. 37
Box 1.4: Ripped from the Headlines: Practicing Medicine in the Managed Care Erap. 39
Chapter Summaryp. 42
Organizational Assimilationp. 43
Professions Overview: Trends and Occupationsp. 44
A Systems Perspective on Organizational Assimilationp. 48
Conceptualizations of Organizational Assimilationp. 49
Assimilation of Health Professionalsp. 53
Assimilation of Medical Professionalsp. 54
Box 2.1: Communication in Practice: Building Communication Competence in the Formal Medical Curriculump. 56
Box 2.2: Ripped from the Headlines: Lessons Learned from the Hidden Curriculump. 59
Assimilation of Nonmedical Professionalsp. 61
Role Communicationp. 63
Role Development and Negotiationp. 63
Box 2.3: Communication in Practice: "Best Practice" Role Communication in Health Organizationsp. 66
Role Performances and Role Dialecticsp. 67
Chapter Summaryp. 69
Identity and Powerp. 71
A Systems Perspective on Identity and Identificationp. 72
Identificationp. 74
Identification Messages and Targetsp. 74
Box 3.1: Ripped from the Headlines: Identifying with Profession and Team in Health Social Workp. 77
Negotiating Identificationsp. 81
Box 3.2: Communication in Practice: Constructing Professional Identity in Healthcarep. 83
A Systems Perspective on Powerp. 85
Power in Health Organizationsp. 87
Knowledge Power and Disciplinary Powerp. 87
Power and Controlp. 89
Box 3.3: Communication in Practice: Communicating Powerfully with Othersp. 90
Power and Ideologyp. 94
Chapter Summaryp. 96
Stress, Burnout, and Social Supportp. 98
A Systems Perspective on Stress and Burnoutp. 99
Sources of Stress in Health Organizationsp. 100
Role Stressorsp. 100
Box 4.1: Ripped from the Headlines: "Good Grief:" Stress and Social Support in Nursingp. 103
Emotional Labor Stressorsp. 105
Organizational Stressorsp. 108
Burnout in the Health Professionsp. 111
Burnout Dimensionsp. 111
Box 4.2: Communication in Practice: Recognizing the Signs of Burnoutp. 113
Costs of Burnoutp. 114
A Systems Perspective on Social Supportp. 116
Characteristics and Sources of Social Supportp. 116
Box 4.3: Communication in Practice: Individual and Organizational Coping Strategiesp. 120
Social Support Functions and Dysfunctionsp. 121
Chapter Summaryp. 122
Change and Leadershipp. 124
A Systems Perspective on Changep. 125
Understanding Organizational Changep. 126
Models of Organizational Changep. 126
Forms of Health Organization Changep. 127
Managing Planned Changep. 127
Reactions to Changep. 130
Change Communication Processesp. 132
Box 5.1: Communication in Practice: Making Innovation an Organizational Realityp. 133
A Systems Perspective on Leadershipp. 136
Leadership Challenges and Theoretical Approachesp. 137
Leadership Challengesp. 138
Box 5.2: Communication in Practice: Leading through Cross-Cultural Respectp. 139
Leadership Approachesp. 142
Box 5.3: Ripped from the Headlines: Leading the Global Movement to End Breast Cancerp. 145
Leaders' Communication Competenciesp. 147
Chapter Summaryp. 150
Health Teamsp. 151
A Systems Perspective on Health Teamsp. 152
Health Teams Overviewp. 153
Types of Health Teams and Qualities of Clinical Teamsp. 153
Teamwork and Health Team Effectivenessp. 157
Team Communication Processesp. 157
Synergistic Communicationp. 158
Box 6.1: Communication in Practice: Consensus Decision-Making in Health Teamsp. 162
Conflict Communicationp. 163
Cultural Diversity in Health Teamsp. 165
Profession/Specializationp. 166
Gender and Race/Ethnicityp. 167
Box 6.2: Communication in Practice: How to Get Along in Diverse Health Teamsp. 168
Culturally Competent Communication in Health Teamsp. 170
Attributes of Cultural Competence and Benefits to Health Teamsp. 171
Medical Interpreter-Team Communicationp. 172
Box 6.3: Ripped from the Headlines: Connecting Public Health Teams with Communitiesp. 176
Chapter Summaryp. 177
Health Organization Qualityp. 179
A Systems Perspective on Qualityp. 180
Quality and Health Organization Culturep. 183
Organizational Culture Levelsp. 183
Organizational Culture Contributions to Quality Performancep. 185
Box 7.1: Communication in Practice: Developing Culture to Optimize Qualityp. 187
Communication and Qualityp. 189
Safetyp. 189
Box 7.2: Ripped from the Headlines: Enhancing Patient Safety Through Teamworkp. 193
Patient-Centered Carep. 196
Box 7.3: Communication in Practice: Speaking in Plain Languagep. 204
Chapter Summaryp. 205
Health Communication Technologiesp. 206
A Systems Perspective on Health Communication Technologiesp. 207
E-health Communicationp. 209
Telemedicinep. 210
Electronic Health Recordsp. 212
Box 8.1: Ripped from the Headlines: Going Paperless at Kaiser Permanentep. 213
Email and Health Organization Websitesp. 215
E-health: Transforming Health Organizationsp. 216
Changes in Communication Contextsp. 218
Box 8.2: Communication in Practice: Using Email in Patient-Physician Interactionsp. 220
Changes in Communication Processesp. 221
Changes in Communication Relationshipsp. 223
Health Communication Technologies and the Globalization of Public Healthp. 226
Global HCT Improvementsp. 226
Box 8.3p. 230
Global HCT Implementation Issuesp. 231
Chapter Summaryp. 234
Referencesp. 234
Indexp. 266
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