Health Communication Flashcards
Shared understanding of a meaning
Communication
Health communication
The way we seek, inform, influence, process and share health information
Theories of medicine
Biomedical and biopsychosocial model
In this model the body = machine
Biomedical
Pros of biomedical model
Efficient
Definite
Cons of biomedical model
Marginalized feelings
It states that physical health is influenced by thoughts and emotions
Biopsychosocial model
Unique factors with doctor patient communication
Power difference
Transactional communication
Approaches in health communication
Physician centered
Patient centered
Characteristics of physician centered approach of communication
He does most of the talking
Time constraints
Blocking
Patronizing behavior
Characteristics of physician centered approach of communication element: time constraints
Short questions
Lots of patients
Characteristics of physician centered approach of communication element:blocking
Steering away from complaints and emotional support
Characteristics of physician centered approach of communication element: patronizing behavior
Power inequality
Withholding info
Treat patients as inferior
Pros of physician centered approach
Efficient in short run
Doctors hugely engaged
Cons of physician centered approach
Risk of burnout in long run
, promotes passive attitude towards health from patients
Approach in which doctor and patient see each other as peers
Patient centered approach
CSA
Clinical skills assessment, test for doctor’s proficiency at patient centered care
Characteristics of medical disclosure
Dyadic
Interdependent
Emotionally charged
Tension between privacy and desire to be know
Factors related to withholding info (patients)
Concern about confidentiality Uninviting doctor Cultural difference Personal issues Perceived social stigma
Factors related to withholding info (doctor)
Social status (higher get more info) Paternalism
Reasons to refuse prognosis knowledge
Cultural influence
Personality traits
Coping styles
Blunting
Monitoring
Blunting coping style
Try to distract and shut off. Prefer uncertainty
Monitoring coping style
Info seeker, planners
Theories of uncertainty
Reduction
Management
Reduction theory of uncertainty
Reduced uncertainty leads to relieved anxiety
Management theory of uncertainty
Sometimes we want to maintain or increase uncertainty
Most difficult topics to discuss for doctors
End of active treatment, begging of palliative
Recurrence
No resucitate
Most difficult task to do for doctors
Being honest but hopeful
Deal with emotions
Spending the right amount of time
Benefits of doctors process of socialization
Status
Money
Satisfaction