PATIENTS THINK THAT DOCTORS STAND IN THE WAY OF THEIR RECEIVING THE BEST TREATMENT AND CARE
A 400-page report, What do patients think of doctors?, published in early-March 2011 by UK research organisation PatientView, finds that over half (53% of the 2,500 respondent patient groups think patients believe doctors are standing in the way of their receipt of the correct diagnosis, treatment and and/or support—and are making patients ‘fight the system’ to obtain the care they need.
The situation is at its worst in five countries—Canada, Germany, Italy, New Zealand and the UK—where 60% or more of patient groups say that health professionals need to improve their relationships with patients by not making patients fight the system for their medical needs. 70% of patient groups representing the interests of patients with gastrointestinal problems, 60% representing the interests of patients with multiple sclerosis, and 60% rare diseases, feel that health professionals need to stop forcing patients to ‘fight the system’ to get the care they need.
Poor doctor-patient relationships have a negative effect on patient health
What do patients think of doctors?
focuses on the current state of doctor-patient relationships, and offers numerous insights into how they can be improved. The report finds that less than a third of groups representing patients believe GPs and consultants remain traditional and patriarchal in their attitudes to patients. On the other hand, only 15% believe that doctors treat patients as equals (and act on that belief —the rest believe that the situation varies from doctor to doctor, or that doctors may intend to take a partnering role, but fail to live up to it. Relationships between doctors and patients are undoubtedly in need of considerable improvement, especially in some of the less well-performing countries. The state of doctor-patient relations has an important bearing on how well patients respond to treatment. In the report, patient groups are quoted as saying that poor doctor-patient relationships prevent patients from coming forward for medical treatment and care—even when treatment and care is needed.
Doctors need to listen more to the patient
When asked what single intervention would most improve doctor-patient relationships, the groups cite “enhancing the communication-and-understanding skills of the healthcare professional” as their main choice, second only to “the provision of treatment and care that improves quality of life”. In Australia, Italy, New Zealand and the UK, improving doctors’ communication-and-understanding skills is ranked first, as the most important way of improving doctor-patient relations. Groups representing the interests of patients with cancer and HIV/AIDS also see such a development as the favoured way of improving doctor-patient relations among the patients in their disease specialties.
About the survey
What do patients think of doctors?
is based on the results of a November 2010 PatientView survey of 2,500 patient groups from around the world. The survey asked the respondent groups what they think of current doctor-patient relationships, and how they believe those relationships might be improved.
The report covers most subject areas in which patients would like doctor-patient relations to be improved, including:
l
Access to health professionals
l
Access and choice during diagnosis and treatment
l
Patient information provided by health professionals
l
Doctor-patient communication
l
Gaining patient trust
l
Respecting patients’ valuable time
l
Accountability of health professionals
l
Improving prevention practices
l
Which single action do patients want from government and payers to improve doctor-patient relationships?
l
Which pharmaceutical companies are having a positive effect on doctor-patient relationships?
l
Why pharma can have a negative impact on doctor-patient relationships.
The report analyses doctor-patient relations in 11 countries and one region of the world: Australia [
number of completed responses = 60
]; Canada [
138
]; Eastern Europe [
105
]; France [
80
]; Germany [
100
]; Italy [
110
]; the Netherlands [
30
]; New Zealand [
55
]; Spain [
80
]; Sweden [
56
]; the UK [
566
]; and the USA [
292
]. Doctor-patient relations are also analysed for the following 12 specialties: cancer
[160
]; diabetes [
55
]; gastro-intestinal [
40
]; heart and circulatory conditions [
70
]; HIV/AIDS [
72
]; mental health [
170
]; multiple sclerosis [
35
]; neurological [
195
]; Parkinson’s disease [
30
]; rare diseases [
70
]; respiratory [
35
]; and rheumatological conditions [
55
]
.
INPATIENT NEUROLOGY – Northwest Valley - Phoenix Metro area. Discover for yourself the benefits of working with the support of Banner Health and having access to the latest technology, a multitude of yearlong outdoor activity options, from cycling to boating to golf, to simply sitting and enjoying some of Mother Nature’s most astounding creations. When it comes to a variety of lifestyle and leisure choices like this, you just can't beat Arizona.
Banner Arizona Medical Clinic (BAMC is a highly respected multispecialty clinic in the northwest valley of Phoenix with 135 physicians that joined forces with Banner Health in 2007, one of the country’s largest nonprofit hospital systems. The Neurologist hired will join five other neurologists in a practice affiliated with two large Banner Health hospitals in Sun City and Sun City West. This employed position will function in both the inpatient and outpatient arena. The group utilizes a Neurology Hospitalist model where they cover one of the facilities for a week, and all have developed busy outpatient practices they serve during their weeks outside the Hospital. The group has partnered with a large private practice group to share the Hospital coverage rotations. The neurologists in this multi-specialty group provide the various modalities and services such as EEG and electrodiagnostic studies. Each outpatient setting has a CT and MRI, and noninvasive vascular laboratory. BAMC is also linked to the Banner Sun Health Research Institute. The practice utilizes state-of-the-art EMR which improves continuity and communication. Expertise in stroke management is a plus.
Work schedule is M-F, 8a-5p. No Weekends, nights, or call. We offer a competitive salary and productivity plan and attractive benefits including medical, pharmacy, dental, vision and life insurance options, generous paid time off, CME, flexible spending accounts, as well as a 401K and 457B plan.
For more information about these and other Neurology practice opportunities with Banner Health, please send your CV to: Physician Recruitment, at: BannerAZDocs@BannerHealth.com or fax to: (602 -747-3800. Phone: 866-585-5418. Visit our website at: www.bannerdocs.com EOE. Not a J-1 Opportunity.
Warnings that some prescription drugs cause violent thoughts
Tuesday, March 06, 2012
When it comes to cocaine, crystal meth or LSD, there is no difficulty believing a drug could drive a person to commit a crime.
However, in the case of prescription drugs, the drug is always innocent and the person guilty, a psychiatrist has said.
David Healy, an Irish-born professor based in the UK, has been an expert witness in homicide and suicide trials involving psychotropic drugs. He believes selectove serotonin re-uptake inhibitor (SSRIs anti-depressants can cause a delirium that leads to violent behaviour.
"They can also cause entirely normal people to start thinking aggressively and have violent thoughts they had never had before, as they did to some drug trial volunteers in Leeds in the 1980s.
"And they can switch off anxiety so that someone coldly starts to plan something they would be too scared to do ordinarily — so there can be pre-meditation. The problems can happen within 48 hours, or build up over two to three weeks, as in Shane Clancy’s case."
Prof Healy gave expert evidence at the inquest of Mr Clancy, who killed a man before taking his own life.
This view is strongly disputed by the College of Psychiatry of Ireland, which maintains there is no evidence anti-depressants can cause harm.
Laura Geller.
Before your makeup artist works her magic, cleanse your skin with a mildly exfoliating but gentle cleanser and follow up with a tinted anti-blemish cream, such as
Guerlain's Creme Camphrea, suggests Lindsay Neeley, Assistant Director of Spa Operations at Guerlain Spa at the Waldorf Astoria Orlando. Adding, "The salicylic acid in the cream will go to work eliminating your blemish while the mild tint helps conceal and blends smoothly under makeup."
As for makeup, Geller recommends first using a
primer to even out your skin's texture as much as possible. Next, apply concealer on and around the blemish, making sure to blend in the concealer and finish by setting with a translucent powder.
Jergens. You can also use cool tea bags, which contain tannins that will help reduce swelling.
If your bridal suite doesn't have cucumbers or tea bags you can also use a teaspoon, says Dr. Amy Wechsler, a dermatologist and Dermatology Advisor for
YouBeauty.com. Soak one in ice water and then nestle the back onto your lower eyelids and push gently for 5 to 10 minutes. And since puffy eyes can be caused by a high salt diet or alcohol, try to cut out both the week of your wedding.
For extra help try these eye creams from
MAC for instant puffy-eye relief.
Jergens Soothing Aloe Relief Lotion to soothe your skin.
foundation under your eyes, along the lash line, to conceal them, Geller says. "Foundation is less opaque than concealer, so you'll receive more uniform coverage instead of the lighter, raccoon eyes you would get with concealer."
Check to see how much coverage your foundation provides, if you need more, you can always add concealer on top.
Linsey Snyder Wachalter, owner and makeup artist with
Facetime Beauty, suggests lightly exfoliating the area so there is no rough skin on the top layer. Then pop a little concealer on it and if the cold sore is directly on the lip, go for a dark berry lip color or deep red—like these from
Lancome—to cover it up as much as possible.
For allergic reactions the day of your wedding, use the hydrocortisone cream and then cover up redness by canceling it out entirely. "The opposite of red is green, so apply green tinted concealer on the red area," says makeup artist Linsey Snyder Wachalter. The combination will create a flesh-toned hue.
"A good quality tinted moisturizer naturally has green/yellow undertones and also provides moisture to dry skin;
Laura Mercier has a terrific one and is a great option to take red out and quench thirsty skin," she adds.
"If a few drops doesn't do the trick, you may have a very common allergy to blue/green toned eye makeup," Snyder Wachalter says. "Try using a
light colored eye makeup which tends to be less irritating to the skin and eyes."
silicone-based primer. "Use moisturizer first, wait a few moments for it to set in, and then apply the primer. Once the primer is set, you can go one step further and use a tinted moisturizer for a foundation."
And to prevent dry skin, Dr. Wechsler advises to cut down on exfoliating and avoid scrubbing your skin.
As a bride you're probably working out to get your body in shape,
eating healthy, and following a skincare regimen so you're a
glowing bride on your big day. But sometimes, no matter how hard we try, a blemish or other skincare emergency pops up.
No comments:
Post a Comment