Patient-Centered Communication
Adherence
Mass Media
mHealth
Intro
100
1. Responding to emotions 2. Managing uncertainty 3. Making decisions 4. Enabling patient self management 5. Fostering the relationship 6. Exchanging information
What are the 6 functions of patient centered communication
100
approx. 125,000 deaths
What is the number of deaths attributed to non adherence?
100
- Planned _health campaigns _ embedded messages - Unplanned _ health in entertainment media _ health in news media
What are the two main categories of health in mass media?
100
diverse application of wireless and mobile technologies designed to improve health research, healthcare services, and health outcomes
What is mHealth?
100
in 1900 life expectancy was 47.3 years in 2011 life expectancy was 77 years
What are the changes in life expectancy in the US?
200
1. Ask the patient 2. Ask the doctor 3. Analyze the visit
What is measuring patient centered communication
200
20% of prescriptions
What is the number of prescriptions that are never filled in the first place?
200
- Gain frame: flossing your teeth daily removes particles of food in the mouth, avoiding bacteria, which promotes good breath -Loss frame: if you do not floss your teeth daily, particles of food remain in the mouth, collecting bacteria, which causes bad breath
What is the difference between gain frame and loss frame?
200
90% of Americans have a cell phone 58% of Americans have a smart phone 30% of Americans have e-readers 40% of Americans have tablets
What was as of January 2014?
200
infant mortality changes in disease and death - 1900-- infectious disease - Now-- heart disease, cancer, respiratory disease (chronic diseases)
What are the contributions to life expectancy changes?
300
- Active process - Sources of Health info -- health professionals -- interpersonal sources -- mass media -- internet -- print - survey data
What is health information seeking
300
1. Ask practitioner 2. Ask the patient 3. Ask other people 4. Monitor medication usage 5. Examine biomedical evidence 6. Use combination of all procedures
What are the six basic methods of measuring adherence?
300
An analysis of three seasons (2004-2006) of top-10 shows reported nearly _6_ out of 10 episodes had at least one health-related story line.
What are health in entertainment statistics?
300
133 hours, 49 minutes spent watching live TV 34 hours, 17 minutes spent using browser/apps on a smartphone 24 hours, 3 minutes spent using internet on a computer
What are the results of the post-PC age?
300
branch of psychology which studies how psychological and social factors influence physical health - biopsychosocial approach - relatively new field-- recognized by the American Psychological Association as a sub-field in 1978
What is health psychology?
400
- doctors are extremely busy - doctors aren't well trained in communication - doctors don't like to give up authority in order to be more patient oriented
what are the challenges to patient-centered communication?
400
1. do you ever forget to take your medication? 2. Are you careless at times about taking your medication? 3. When you feel better, do you sometimes forget to take your medication? 4. Sometimes when you feel worse after your medication, do you stop taking it?
What are the questions on the morisky score?
400
direct: individual -change intentions - change behaviors indirect: society - increase conversations - change social norms (influence policy)
What are the effects of planned health in the media? (direct and indirect)
400
- only as good as the people it is connected to - need to think about the cultural and professional context the technology is being implemented
Why is technology the easy part?
400
$3 trillion $9,255 per person 17.4% of GDP
What is the amount the US spends on healthcare each year?
500
- internet - email - electronic medical records (EMRs) - online ratings - direct to consumer advertising
What are emerging issues with patient-centered communication?
500
- personal characteristics - economic factors - social support
What are the three things in one's environment that contribute to adherence or lack there of?
500
confusing headlines in the media cause viewers to have conflicting ideas of how they feel about serious health topics like cancer
conflicting messages= confusion
500
“Of the 100,000 plus mobile health applications available for smartphones, very few have been downloaded even 500 times. More than two thirds of people who downloaded one have stopped using it."
Health apps downloaded
500
people who have chronic diseases to tend to require more expensive and more extensive medical treatments for a longer period of time
What are the causes of escalating costs of medical care?
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