Intro to Health Communication - Midterm

the study and use of communication strategies to inform and influence individual and community decisions that enhance health

Health Communication

Belief that germs make you ill (all illnesses have a specific physical and biological cause)

Biomedical Theory

Society passes the job of "mothering" from one generation of women to the next (women are primary caretakers, so they pass it on to daughters)

Maternal/Reproductive Theory

Confirming patient identity, insurance eligibility, clinical documentation accuracy before providing care or submitting claims

Principles of Verification

Mind and body are two completely different things

Cartesian Dualism

Obamacare - makes health insurance more affordable and accesible

Affordable Care Act

Federal health insurance program for primarily for people 65+

Medicare

Joint federal and state program for people with limited income and resources

Medicaid

Doctors, hospitals, and other healthcare providers are paid a separate fee for each individual test, visit, or procedure they perform

Fee-for-service

Company that contracts with doctors to keep everything in house (limits to specific network)

Health Maintenence Organization (HMO)

Providers receive a fixed, predetermined amount per patient for a defined period, regardless of how many services the patient uses

Capitation

You can see whoever you want

Preffered Provider Organization (PPO)

Medical practices/products not part of standard medicine (massage, essential oils, hypnotherapy)

Complementary and Alternative Medicine

The degree to which individuals understand medical terminology

Health Literacy

10-year public health agenda to improve disease prevention and and promote health

Healthy People 2020

Medical care providing relief and better quality of life for patients with serious illnesses

Palliative Care

Specialized, technical language used by healthcare workers

Voice of Medicine

Parent-like (doctor or clinician acts as an expert parent figure who knows what is best)

Paternalistic

Treats healthcare as a market where patients act as consumers seeking transparency, convenience, and control over their medical decisions

Consumerist

Explains how and why people decide to share or hide private health information and nonvisible conditions

Disclosure Decision Making Model

Partnership approach

Collaborative Medical Communication

Patient makes decisions, while doctor confirms and gives opinions

Models of Collaborative Interpretation

Medical errors, patient safety breakdowns, and compromised continuity of care

Communication Outcomes of Concern to Providers

A clinical encounter involving three key participants - patient, family caregiver or supporter, and healthcare professional

Triads

The ability to recognize, understand, and share the thoughts, emotions, and experiences of another person

Empathy

Emotional exhaustion, depersonalization, reduced sense of personal accomplishment

Burnout

Patient’s own perspective of their illness based on their everyday life, feelings, and personal relationships (how will the illness effect them on a daily basis)

Voice of Lifeworld

Active listening, empathy, clear language without medical terminology

Patient Communication Training

The false idea that a compliant patient must remain completely passive, silent, and unquestioning

The Myth of the Good Patient

What makes you, you

Personal Identity

Ethnicity, college student, union worker (many different kinds)

Social Identity

An illness that establishes another identity (breast cancer survivor)

Tertiary Identity

Feeling of not letting the illness stop them from being the best they can be

Supernormal Identity

They are not the same as the always have been

Restored Self

Accept that they do have some limitations, cannot do everything they could do, start to accept they are changing

Contingent Personal Identity

“New self” transformed incorporating their former identity meshed with their current limitations

Salvaged Self

Supernormal identity, restored self, contingent personal identity, salvaged self

Charmaz’s Four Stages

Uses storytelling instead of dry facts to shape people's health attitudes, beliefs, and behaviors

Narrative Theory

Behavior that communicates to an individual that they are valued and cared for by others

Social Support

The process of managing stressful situations

Coping

The belief that you can do what is required to affect change

Self Efficacy

Event which exceeds a person’s normal coping ability

Crisis

Instrument support - tasks, doing favors for others (Ex. you help someone who just had surgery)

Action-Facilitating

Esteem support - making the person feel valued and competent

Nurturing Support

Companionship regardless of crisis status

Social Network Support

Calms, reassures, informs, encourages

Pros of support groups:

Creating an environment of hostility: us vs them mentality

Cons of support groups:

How individuals make decisions to reveal or conceal private information

Communication boundary management theory

A set of beliefs, rules, and practices that are shared by a group of people

Culture

Belief that your culture is better than another

Ethnocentrism

Physical body working without disease

Organic

Health as a state of complete physical, mental, and social equilibrium

Harmony

Health is a person's growing self-awareness and ability to find meaning in life, even when they are sick or facing a crisis

Theory of Health as Expanded Consciousness

Person's overall health and mind are shaped by three interconnected factors: biological (body and genetics), psychological (thoughts and emotions), and social (family and environment)

Biopsychosocial Perspective

Negative label or stereotype

Stigma