Lecture 7 Flashcards
Using Health Services
Malingering
lying, saying you are sick to get secondary gains
steps to using health care services
- Perception - detecting or perceiving symptoms
- Interpretation - interpret symptoms as potentially threatening
- Decision - decide that medical attention or health care is needed
Stages of delay
Things that may hold people back from using health care
- Appraisal - time that it takes before you interpret it as a problem
- Illness - time you live with the illness before you decide to use health services
- Utilization - the time between when you decide you should see health services and when you actually see them
The ‘worried well’
Those who are unnecessarily anxious about their health in the absence of a related diagnosis. These ppl tend to misuse health services
Lay referral Network
Before people decide to seek medical attention for their symptoms, they typically get advice from friends, relatives or co-workers who may: help interpret a symptom, give advice about seeking care, recommend a remedy, recommend talking to someone else
What groups report difficulties accessing health care services?
Women
LGBTQIA+
Indigenous ppl
Immigrants
Low income canadians
Those reporting poor health
How is gender related to health services use?
Both women and gender non-conforming people report more difficulties accessing and using health services
Misgendering and its impacts
Misgendering occurs when a person is addressed or describing using language that does not match their gender identity
Within the health care system this can significantly affect the mental health of trans and nonbinary individuals and limit future engagement with the health care system
How are indigenous people affected when it comes to health care?
Language and culture have been cited as key barriers
Lack of transportation and childcare services; lack of services in the area
What barriers to accessing health care do ppl with disabilities face?
They persist many incorrect assumptions about health care needs
Ppl with disabilities often are excluded from health care initiatives
What are some things the patient can do that may be problematic or impede communication?
Wait too long to see a doctor
Be a passive consumer, not listen
Insist procedures are unnecessary
Express too much concern
Describe symptoms inaccurately
Omit or falsify information
Insist on procedures or medications that are unnecessary
Fail to follow recommendations
Monitors and how to motivate them
More concerned and worried about the issue and are seeking information
To motivate them you need to provide messages that include detailed information about risks and strategies
Some things the practitioner can do that may be problematic
Not listen, ignore
Focus on only the first problem mentioned
Ask only yes or no questions
Depersonalize patient
Use too much medical jargon
Use baby talk
Blunters and how to motivate them
Overwhelmed by threatening information
To motivate them, keep messages short, succinct, non-threatening and in simple terms
Patient Centred Communication
Care providers try to see the problem and treatment as the patient does, and in doing so enlist the patient’s cooperation
