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Quality of interaction between primary health-care providers and patients with type 2 diabetes in Muscat, Oman /Abdulhadi, Nadia M. N. January 2007 (has links)
Lic.-avh. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 2 uppsatser.
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Medical students' learning of the consultation and the patient-doctor relationship /Wahlqvist, Mats, January 2007 (has links)
Diss. (sammanfattning) Göteborg : Göteborgs universitet, 2007. / Härtill 4 uppsatser.
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Violence against women : effects on health status and inquiry preferences /Grupp, Elizabeth A. January 1996 (has links)
Thesis (M.S.)--University of Missouri--Columbia, 1996. / "May 1996." Typescript. Includes bibliographical references (l. 61-73). Also available on the Internet.
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Use of comfort measures in nurse-midwife and physician managed labors a comparison study : a research project submitted in partial fulfillment ... /Baker, Irene Taylor. January 1990 (has links)
Thesis (M.S.)--University of Michigan, 1990. / eContent provider-neutral record in process. Description based on print version record.
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A comparison of breastfeeding practices of clients of midwives and physicians at the University of Michigan a research report submitted in partial fulfillment ... for the degree of Masters in Science (Parent-Child Nursing) ... /Richards, Diana E. January 1992 (has links)
Thesis (M.S.)--University of Michigan, 1992.
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A comparative study of insulin and non-insulin dependent diabetics on measures of therapeutic relationship, self-disclosure and disease controlGetting, Ila Jean. January 1982 (has links)
Thesis (M.S.)--University of Wisconsin--Madison, 1982. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 61-66).
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How do physicians perceive and respond to low income patients?Saleh, Rania. January 1900 (has links)
Thesis (M.Sc.). / Written for the Faculty of Dentistry, [Dept. of Dental Sciences]. Title from title page of PDF (viewed 2009/07/08). Includes bibliographical references.
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A comparison of breastfeeding practices of clients of midwives and physicians at the University of Michigan a research report submitted in partial fulfillment ... for the degree of Masters in Science (Parent-Child Nursing) ... /Richards, Diana E. January 1992 (has links)
Thesis (M.S.)--University of Michigan, 1992.
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O ensino da comunicação na graduação em medicina: uma abordagem / Learning communications skills im medical school: a approachRossi, Pedro Santo [UNIFESP] January 2004 (has links) (PDF)
Made available in DSpace on 2015-12-06T23:05:18Z (GMT). No. of bitstreams: 0
Previous issue date: 2004 / A partir da importância atribuída à comunicação na relação médico-paciente com fator de boa adesão ao tratamento, surgiu o interesse em saber quando e como s contempla o ensino/aprendizagem de comunicação nos cursos de graduação em medicina. As recomendações sobre o desenvolvimento da competência "comunicação" preconizadas nas novas Diretrizes Curriculares Nacionais acrescentam uma justificava a mais para a pesquisa. Delimitado o campo da pesquisa, revisada a literatura e optado pelo referencial metodológico da pesquisa qualitativa, foram entrevistados doze egressos de cursos de medicina que estavam iniciando residência em Clínica Médica e nove professores, coordenadores de ensino de cursos de graduação em medicina. A análise da entrevistas, feita sob o olhar fenomenológico, privilegia o vivido. Aparece uma grande diversidade de concepções sobre o que seja a comunicação, contudo das falas dos entrevistadores emergem categorias de análise que mostram, em essência, uma tendência para considerar a competência comunicação como uma habilidade instrumental para se conseguir tirar informações e se fazer entender no procedimento médico. A temporalidade (o quando) também apresenta uma gama de possibilidades, distribuída entre as matérias iniciais e as atividades finais do curso. A forma (o como) de ensino/aprendizagem se distribui entre disciplinas básicas e atividades práticas. Em essência, o aprendizado se revela como produto da vivência pessoal ao longo do curso e da experiência na prática junto ao paciente. / The importance attributed to communication in the physician-patient relations as a
factor of satisfactory adherence to treatment has spurred an interest in determining when
and how the teaching/learning of communication in undergraduate medical courses should
be contemplated. The recommendations on the development of the “communication”
competence, advocated in the new National Curricular Guidelines, are one more reason
to justify this study. Once the field of investigation was outlined, the literature reviewed
and a choice of the qualitative research methodological criterion made, interviews were
conducted with twelve graduates from the medical schools who were starting residency in
Medical Practice and nine teachers who acted as area coordinators for undergraduate
medical programs. The analysis of the interviews, made from a phenomenologic
perspective, favors the experience lived. A broad range of concepts came up on what
communication is, but, on the other hand, a number of analysis categories arose from the
interviewees’ statements which show, in essence, a trend to consider communication
competence as an instrumental skill to obtain information and make oneself understood
in the medical procedure. Temporality (when) also points to a number of possibilities,
spread out between the early disciplines and the final activities of the course. The form
(how) of teaching/learning is distributed between basic disciplines and practical activities.
Fundamentally, learning comes out as a product of personal experience throughout the
course and of the practical experience with the patient. / BV UNIFESP: Teses e dissertações
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Retrospective analysis of ethics consultations at the Boston Medical CenterNaito, Tatsuhiko 12 March 2016 (has links)
OBJECTIVE: The vast majority of physicians frequently faces ethical dilemmas and feels overwhelmed as a result. Those at Boston Medical Center are no exception. Various studies show more adept handling of ethical issues can improve the quality of care and patient safety by reducing moral distress of physicians and fostering better patient-physician relationship. The method of Preventive Ethics, which actively identifies recurrent themes and underlying systematic issues among ethics consultations, is more effective than the traditional, case-by-case approach in reducing the number of ethical conflicts. The purpose of this study is to identify common themes prompting ethics consultations and any hotspots among recurrent ethical dilemmas at Boston Medical Center by using the Armstrong Clinical Ethics Coding System.
METHODS: A total of 32 ethics consultations handled by the BMC Ethics Committee between October 2010 and April 2013 were reviewed. Each consultation was coded using the Armstrong Clinical Ethics Coding System. The data was analyzed to identify the types of ethical dilemma that are most prevalent at BMC. The consultations involving the most frequently occurring issues were evaluated further to expose common themes among these cases and potential underlying systematic failures.
RESULT: "Clinical Candidacy or Risk / Benefit Analysis" (6.25%), "Concern About Decision Maker Choices" (14.6%) and "Futility / Inappropriate or Nonbeneficial Treatment" (13.5%) were the most prevalent types of ethical issues at BMC. Not only are these three frequently occurring, they also have a very high tendency to occur simultaneously. Further analysis of consultations involving these three issues revealed that at BMC, there are frequent instances of conflict, in which family members serving as healthcare proxies disagreed with physicians in deciding the best interest of patients with severe ailments, ultimately precipitating ethics consultations.
DISCUSSION: Comparison with similar retrospective studies previously carried out at other institutions suggests that consultation involving the issue of futility may be more frequently occurring at BMC, which might be coming from unique systematic problems. Several interventions such as improved policies or educational training in physician-family communication should be considered.
CONCLUSION: According to the principles of Preventive Ethics, the issue of physician-healthcare proxy conflict regarding patient futility should be issue to be addressed at BMC. The Armstrong Clinical Ethics Coding System can serve as a much needed standard documentation format for ethics consultations, which would open up the possibility of more detailed future studies
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