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Effective Health Care Requires Physicians Tailor Care To Patients' Individual Life Contexts, Including Their Financial Situation, Social Support, Competing Responsibilities, And Cognitive Abilities. Physicians, However, Are Poorly Prepared To Consider Patients' Lives When Planning Their Care. The Result Is Measurably Harmful To Individuals And Costly To Society. Listening For What Matters: Avoiding Contextual Errors In Health Care Covers Ten Years Of Empirical Research Based On Hundreds Of Recorded Doctor Visits By Patients And Undercover Actors Alike, Which Revealed A Widespread Disregard Of Patients' Individual Circumstances And Needs Resulting In Inappropriate Care. These Medical Errors Have Been Largely Undocumented And Unaddressed By The American Healthcare System. This Book Tells The Stories Of Patients Whose Care Was Compromised By Inattention To Individual Context, And Introduces Novel Methods For Assessing The Magnitude Of The Problem. It Describes How These Errors, Termed Contextual Errors, Can Be Minimized Through Changes In How Doctors Are Trained, How Medicine Is Practiced And Quality Measured, And In The Ways Patients Assert Their Needs During Visits. The Aim Of This Book Is To Open A Dialog Between Patients, Physicians, Policy Makers, And Medical Educators, About A Serious Quality Problem That Has Been Overlooked And Understudied.
This book investigates the prevalence and impact of contextual errors in medical practice, where physicians fail to account for a patient's individual life circumstances when developing treatment plans. Authors Alan Schwartz and Saul J. Weiner, both experts in medical education and health services research, utilize a decade of empirical data to demonstrate how ignoring factors like financial constraints and social support leads to suboptimal health outcomes. They argue that the current healthcare system lacks the necessary mechanisms to identify and mitigate these errors, proposing a structural shift in training and clinical interaction to improve quality of care.
What You Will Find
Scope Limits
Medical professionals and health policy experts frequently cite this work as a critical examination of the often-overlooked human element in clinical decision-making. Readers note that the prose is accessible to both practitioners and patients, providing a clear framework for addressing systemic failures in patient-centered care.
Page Count:
272
Publication Date:
2015-01-01
Publisher:
Oxford University Press
ISBN-10:
0190229004
ISBN-13:
9780190229009
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