1.

Record Nr.

UNINA9910786504303321

Autore

Rosen Dennis <1967->

Titolo

Vital conversations : improving communication between doctors and patients / / Dennis Rosen ; cover design, Mary Ann Smith

Pubbl/distr/stampa

New York ; ; Chichester, England : , : Columbia University Press, , 2014

©2014

ISBN

0-231-53804-9

Descrizione fisica

1 online resource (265 p.)

Disciplina

610.69/6

Soggetti

Physician and patient

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Includes index.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Front matter -- CONTENTS -- Acknowledgments -- Author's Note -- 1. BETTER OUTCOMES, LOWER COSTS -- 2. ONE SIZE DOES NOT FIT ALL -- 3. WHEN WORLDS COLLIDE -- 4. DISEASE, ILLNESS, AND SICKNESS -- 5. BODY AND SOUL -- 6. RECONCILING DIFFERENT WORLDVIEWS -- 7. MAKING IT STICK -- 8. PUTTING IT ALL TOGETHER -- Notes -- Index

Sommario/riassunto

The health-care system in the United States is by far the most expensive in the world, yet its outcomes are decidedly mediocre in comparison with those of other countries. Poor communication between doctors and patients, Dennis Rosen argues, is at the heart of this disparity, a pervasive problem that damages the well-being of the patient and the integrity of the health-care system and society. Drawing upon research in biomedicine, sociology, and anthropology and integrating personal stories from his medical practice in three different countries (and as a patient), Rosen shows how important good communication between physicians and patients is to high-quality-and less-expensive-care. Without it, treatment adherence and preventive services decline, and the rates of medical complications, hospital readmissions, and unnecessary testing and procedures rise. Rosen illustrates the consequences of these problems from both the caregiver and patient perspectives and explores the socioeconomic and cultural factors that cause important information to be literally lost in translation. He concludes with a prescriptive chapter aimed at building the cultural competencies and communication skills necessary for



higher-quality, less-expensive care, making it more satisfying for all involved.