Download or read book Medicine in Denial written by Lawrence L. Weed and published by . This book was released on 2011-03-31 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Deep disorder pervades medical practice. Disguised in euphemisms like "clinical judgment" and "evidence-based medicine," disorder exists because medical practice lacks a true system of care. The missing system has two core elements: standards of care for managing clinical information, and electronic information tools designed to implement those standards. Electronic information tools are now widely discussed, but the necessary standards of care are still widely ignored. Because these two elements are external to the physician's mind, they address a root cause of disorder: dependence on the internal capacities of autonomous physicians-their personal knowledge, intellect, habits and judgment. In this dependence on the limited, idiosyncratic capacities of individuals, medical practice lags centuries behind the domains of science and commerce. Breaking that dependence is the subject of this book.Going back 400 years to the philosophy of Francis Bacon, and examining parallel ideas from 20th Century thinkers, this book illuminates the origin of medicine's disorder. The analysis is more than theoretical. It grew out of decades of development and clinical experience in finding a new approach to medical practice. Designed to create order and transparency, this new approach involves not only standards and tools but also institutional changes essential to building a true system of care. In the current non-system, physicians bear impossible burdens of performance, other practitioners are barred from sharing those burdens, patients do not participate effectively in their own care, the U.S. spends $2.5 trillion annually without clinical accounting standards, third parties manipulate the situation for their own advantage, and none of the stakeholders are accountable for their own behaviors.This book offers a clear blueprint for building a better system of care, a system that patients, practitioners and third parties could trust. A better system could make health care a source of hope for our economic future, rather than its greatest threat.
Download or read book Doctors in Denial written by Joel Lexchin, MD and published by James Lorimer & Company. This book was released on 2017-05-01 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: Doctors in Denial examines the relationship between the Canadian medical profession and the pharmaceutical industry, and explains how doctors have become dependents of the drug companies instead of champions of patients' health. Big Pharma plays a role in every aspect of doctors' work. These giant, wealthy multinationals influence how medical students are trained and receive information, how research is done in hospitals and universities, what is published in leading medical journals, what drugs are approved, and what patients expect when they go into their doctors' offices. But almost all doctors deny the influence and control the drug companies exert. In this book Dr. Lexchin urges the medical profession to make the changes needed to give priority to protecting and promoting patients' health and benefitting society, rather than enabling Big Pharma to dominate health care while raking in billions in profits from citizens and governments.
Download or read book Deceit and Denial written by Gerald Markowitz and published by Univ of California Press. This book was released on 2013-01-15 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environmental Health I Health Care Policy I History Of Medicine --
Download or read book Denial Management written by Pam Waymack and published by HC Pro, Inc.. This book was released on 2005 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Denial of Aging written by Muriel R. Gillick and published by Harvard University Press. This book was released on 2009-06-30 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: You’ve argued politics with your aunt since high school, but failing eyesight now prevents her from keeping current with the newspaper. Your mother fractured her hip last year and is confined to a wheelchair. Your father has Alzheimer’s and only occasionally recognizes you. Someday, as Muriel Gillick points out in this important yet unsettling book, you too will be old. And no matter what vitamin regimen you’re on now, you will likely one day find yourself sick or frail. How do you prepare? What will you need? With passion and compassion, Gillick chronicles the stories of elders who have struggled with housing options, with medical care decisions, and with finding meaning in life. Skillfully incorporating insights from medicine, health policy, and economics, she lays out action plans for individuals and for communities. In addition to doing all we can to maintain our health, we must vote and organize—for housing choices that consider autonomy as well as safety, for employment that utilizes the skills and wisdom of the elderly, and for better management of disability and chronic disease. Most provocatively, Gillick argues against desperate attempts to cure the incurable. Care should focus on quality of life, not whether it can be prolonged at any cost. “A good old age,” writes Gillick, “is within our grasp.” But we must reach in the right direction.
Download or read book Denial written by E. L. Edelstein and published by . This book was released on 2014-01-15 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Doctors in Denial written by Ronald W. Jones and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A first-hand account by one of the doctors who exposed the truth at National Women's Hospital. Jones sets the record straight with his personal story: a story of the unnecessary suffering of countless women, a story of professional arrogance and misplaced loyalties, and a story of doctors in denial of the truth.
Download or read book Distrust Fear and Science Denial in Medicine and Healthcare written by Markus Wolfensberger and published by Taylor & Francis. This book was released on 2024-10-15 with total page 157 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over recent decades, the decline of trust, mounting of fears, and increasing denial of science appear as a marked shift of societal attitudes towards many institutions and professionals. This book analyses these developments and looks at their role in medicine and healthcare, both in terms of the patient-physician relationship and for delivering high-quality healthcare, in order to establish why we need trust and what can be done to restore it. The book begins by offering a conceptual analysis and definition of trust, using a ‘pattern definition’ based upon typical features and common usage of the term, as well as the related concepts of hope, fear, and belief. It charts evidence for the decline of public trust in various professions, and then looks at the causes, as well as the accompanying growth of fear and the rejection of science. The study addresses possible options for restoring trust in medicine and healthcare, be it in individual physicians, in hospitals, or in managed care institutions. Written jointly by a medical doctor and an academic specialising in biomedical ethics, the book will be of interest to those working in the areas of biomedical ethics and law, medicine and healthcare, public health, philosophy, sociology, politics, and psychology.
Download or read book States of Denial written by Stanley Cohen and published by John Wiley & Sons. This book was released on 2013-08-29 with total page 573 pages. Available in PDF, EPUB and Kindle. Book excerpt: Blocking out, turning a blind eye, shutting off, not wanting to know, wearing blinkers, seeing what we want to see ... these are all expressions of 'denial'. Alcoholics who refuse to recognize their condition, people who brush aside suspicions of their partner's infidelity, the wife who doesn't notice that her husband is abusing their daughter - are supposedly 'in denial'. Governments deny their responsibility for atrocities, and plan them to achieve 'maximum deniability'. Truth Commissions try to overcome the suppression and denial of past horrors. Bystander nations deny their responsibility to intervene. Do these phenomena have anything in common? When we deny, are we aware of what we are doing or is this an unconscious defence mechanism to protect us from unwelcome truths? Can there be cultures of denial? How do organizations like Amnesty and Oxfam try to overcome the public's apparent indifference to distant suffering and cruelty? Is denial always so bad - or do we need positive illusions to retain our sanity? States of Denial is the first comprehensive study of both the personal and political ways in which uncomfortable realities are avoided and evaded. It ranges from clinical studies of depression, to media images of suffering, to explanations of the 'passive bystander' and 'compassion fatigue'. The book shows how organized atrocities - the Holocaust and other genocides, torture, and political massacres - are denied by perpetrators and by bystanders, those who stand by and do nothing.
Download or read book Denial written by Ajit Varki and published by Twelve. This book was released on 2013-06-04 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: The history of science abounds with momentous theories that disrupted conventional wisdom and yet were eventually proven true. Ajit Varki and Danny Brower's "Mind over Reality" theory is poised to be one such idea-a concept that runs counter to commonly-held notions about human evolution but that may hold the key to understanding why humans evolved as we did, leaving all other related species far behind. At a chance meeting in 2005, Brower, a geneticist, posed an unusual idea to Varki that he believed could explain the origins of human uniqueness among the world's species: Why is there no humanlike elephant or humanlike dolphin, despite millions of years of evolutionary opportunity? Why is it that humans alone can understand the minds of others? Haunted by their encounter, Varki tried years later to contact Brower only to discover that he had died unexpectedly. Inspired by an incomplete manuscript Brower left behind, Denial presents a radical new theory on the origins of our species. It was not, the authors argue, a biological leap that set humanity apart from other species, but a psychological one: namely, the uniquely human ability to deny reality in the face of inarguable evidence-including the willful ignorance of our own inevitable deaths. The awareness of our own mortality could have caused anxieties that resulted in our avoiding the risks of competing to procreate-an evolutionary dead-end. Humans therefore needed to evolve a mechanism for overcoming this hurdle: the denial of reality. As a consequence of this evolutionary quirk we now deny any aspects of reality that are not to our liking-we smoke cigarettes, eat unhealthy foods, and avoid exercise, knowing these habits are a prescription for an early death. And so what has worked to establish our species could be our undoing if we continue to deny the consequences of unrealistic approaches to everything from personal health to financial risk-taking to climate change. On the other hand reality-denial affords us many valuable attributes, such as optimism, confidence, and courage in the face of long odds. Presented in homage to Brower's original thinking, Denial offers a powerful warning about the dangers inherent in our remarkable ability to ignore reality-a gift that will either lead to our downfall, or continue to be our greatest asset.
Download or read book Desperation Medicine written by Ritchie C. Shoemaker and published by . This book was released on 2001 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Distrust Fear and Science Denial in Medicine and Healthcare written by Markus Wolfensberger and published by . This book was released on 2024 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book analyses the decline of trust, mounting of fears, and increasing denial of science and looks at their role in medicine and healthcare, both in terms of the patient-physician relationship and for delivering high-quality healthcare, in order to establish why we need trust and what can be done to restore it.
Download or read book Denying to the Grave written by Sara E. Gorman and published by Oxford University Press. This book was released on 2021-05-03 with total page 439 pages. Available in PDF, EPUB and Kindle. Book excerpt: With science denial as a rising danger to public health, Sara E. Gorman and Jack M. Gorman analyze society's resistance to scientific evidence relating to health and safety, and the tools to combat these tendencies. Why do some parents decide not to vaccinate their children? Why do some people keep guns at home, despite ample evidence that doing so increases the risk of a gun-related injury? And why do people use antibiotics for illnesses that antibiotics cannot possibly alleviate? When it comes to health, many people believe that science is wrong, that the evidence is incomplete, and that unidentified hazards lurk everywhere. In Denying to the Grave, Sara Gorman and Jack Gorman explore the psychology of health science denial. Using several examples as case studies, they propose six key principles that may lead people to reject "accepted" health-related wisdom: the charismatic leader; fear of complexity; confirmation bias; fear of corporate and government conspiracies; causality and filling the ignorance gap; and the nature of risk prediction. This fully updated and expanded new edition of Denying to the Grave reviews the most recent research on health science denial, offering a brand new chapter on how the contemporary "assault on science" waged by certain political administrations has eroded public trust in national health and science agencies, such as CDC, FDA, and EPA. Also new to this edition is a chapter investigating the relationship between health crises and misinformation, and what happens to science denial amidst a global public health crisis. Finally, the book proposes a novel approach to counteracting misinformation and improving our ability to understand and accept scientific consensus. In an era in which trust in science has become more important, and yet more elusive, than ever before, Denying to the Grave sheds light on why we often choose to ignore scientific evidence, pointing the way toward a new understanding of how science should be conveyed to the public in order to save lives with existing knowledge and technology.
Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Download or read book Improving Diagnosis in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2015-12-29 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Download or read book Dr Denial the Loss of American Health Care written by Marco Bussoni and published by . This book was released on 2019-04-02 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care is not a commodity. Health care should be a personal experience between a patient and their doctor. The outcome of healthcare should be to manage the patient's "dis-ease" and treat their illness. This ages old form of medicine is being challenged by the very system that was supposed to improve it, the system called "managed care". This book is not about "a doctor becomes a patient" but about the ongoing perpetuation of a myth - that managed care is "healthy" for anyone requiring care. The book explores the three pillars of medicine (the now gone concept of the doctor as omnipotent, the almost gone understanding of the doctor as being in charge of the institution(s) where they practice, and the crumbling pillar of the doctor as an artist, a conveyer of information that allows the patient to make their best health care decision). Through an analysis of our current health care delivery system, combined with personal and patient vignettes illuminating the illnesses of the system, the question that has yet to be raised yet is seminal is addressed: why given the now 20+-year implantation of managed care has no one asked whether this system has made financial (or patient care) sense? Meanwhile the patient knows that health care is worse today then pre-managed care, yet like lemmings have no way of changing the delivery of health care. Finally, in the time-honored fashion of a doctor curing an illness, the book offers insight in to ways to restore a healthy health care system.
Download or read book Ending Medicine s Chronic Dysfunction written by Lawrence L. Weed and published by Springer Nature. This book was released on 2022-06-01 with total page 177 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes an overlooked solution to a long-standing problem in health care. The problem is an informational supply chain that is unnecessarily dependent on the minds of doctors for assembling patient data and medical knowledge in clinical decision making. That supply chain function is more than the human mind can deliver. Yet, dependence on the mind is built into the traditional role of doctors, who are educated and licensed to rely heavily on personal knowledge and judgment. The culture of medicine has long been in denial of this problem, even now that health information technology is increasingly used, and even as artificial intelligence (AI) tools are emerging. AI will play an important role, but it is not a solution. The solution instead begins with traditional software techniques designed to integrate novel functionality for clinical decision support and electronic health record (EHR) tools. That functionality implements high standards of care for managing health information. This book describes that functionality in some detail. This description is intended in part to be a starting point for developers in the open source software community, who have an opportunity to begin developing an integrated, cloud-based version of the tools described, working with interested clinicians, patients, and others. The tools grew out of work beginning more than six decades ago, when this book’s lead author (deceased) originated problem lists and structured notes in medical records. The electronic tools he later developed led him to reconceive education and licensure for doctors and other health professionals, which are also part of the solution this book describes.
