Emotional and Interpersonal Dimensions of Health Services

by Dube, Laurette; Ferland, Guylaine; Moskowitz, D. S.

• ISBN13: 9780773525610
• ISBN10: 0773525610
• Format: Hardcover
• Copyright: 2004-06-01
• Publisher: McGill Queens Univ

Summary

While technological and biomedical breakthroughs have provided a remarkable array of tests, equipment, drugs, and procedures for diagnosing and treating acute diseases, modern medicine and professional health practices have not taken the same strides in the more human aspects of care.Emotional and Interpersonal Dimensions of Health Servicesconsiders ways modern health care practices could benefit from paying more attention to the "science of care."Contributors examine the degree to which the provision of health care is influenced by characteristics of the health service organization, such as the administrative structure and the human resources available. They demonstrate that job satisfaction and conditions play an important role in shaping the quality and effectiveness of care and discuss the emotional support health care providers need to avoid long-term exhaustion and ensure well being. The contributors identify qualities of the client-provider interaction that lead to positive health care outcomes, such as providing information, responding to patient concerns, facilitating interactions with the health care system, and encouraging participation in personal health care and offer examples of innovative conceptual and analytical approaches to better health care practices. Contributors include Heather Boon (University of Toronto), Laurette Dubé, Carole A. Estabrooks (University of Alberta), Guylaine Ferland, Arlie Russell Hochschild (University of California, Berkley), Diane M. Irvine Doran (University of Toronto), Terrence Montague (Merck Frosst Canada), D.S. Moskowitz, Richard W.J. Neufeld (University of Western Ontario), Gilbert Pinard (McGill University), Debra L. Roter (John Hopkins Blooomberg School of Public Health), Dana Gelb Safran (New England Medical Center), and Krista K. Trobst (York University).

Table of Contents

INTRODUCTION
1 Integrating the Art and Science of Care into the Everyday Delivery of Health Services: Challenges for Research and Practice	3	(9)
Laurette Dubé, Guylaine Ferland, and D.S. Moskowitz
PART ONE THE ART OF CARE, ORGANIZATIONAL CONSTRAINTS, AND PATIENT AND PROVIDER OUTCOMES
2 Measuring the Quality of the Primary Care Relationship	12	(33)
Dana Gelb Safran
3 The Emotional and Interpersonal Dimensions of Health Care and Their Impact on Organizational and Clinical Outcomes: Building an Integrative, Action-Oriented Research Agenda	45	(10)
Carole A. Estabrooks
4 Measuring and Monitoring Patient Outcomes	55	(12)
Diane M. Irvine Doran
PART TWO THE SCIENCE OF CARE: FOCUS ON EMOTIONAL PROCESSES
5 Behind Every Great Caregiver: The Emotional Labour in Health Care	67	(6)
Arlie Russell Hochschild
6 Patient Emotions in a Clinical Context: Coping with Anxiety and Depression and Other Negative Emotions	73	(11)
Gilbert Pinard
7 Patient Emotions and the "Engineering" of Provider Responses for More Effective Care	84	(14)
Laurette Dubé
PART THREE THE SCIENCE OF CARE: FOCUS ON INTERPERSONAL PROCESSES
8 Interpersonal Process in the Patient-Physician Relationship	98	(7)
Debra L. Roter
9 Patient-Practitioner Communication in Conventional and Complementary Medicine Contexts	105	(10)
Heather Boon
10 An Interpersonal Social Support Approach to Understanding the Patient-Practitioner Relationship	115	(15)
Krista K. Trobst
PART FOUR CHALLENGES IN INTEGRATING THE ART AND SCIENCE OF CARE INTO HEALTH RESEARCH AND PRACTICE
11 Dynamic Conceptions of Dimensions in the Interpersonal Domain	130	(8)
D.S. Moskowitz
12 Methodological Challenges to Capturing Dynamical Aspects of Health Care Acquisition	138	(13)
Lawrence R. Levy, Richard W.J. Neufeld, and Weiguang Yao
13 Outcomes in Health Care: Motivation, Measures, and Drivers at the Population Level	151	(12)
Terrence Montague
REFERENCES	163	(24)
CONTRIBUTORS	187