China
Africa
Explore chapters and articles related to this topic
Health Coaching, Motivational Interviewing, and Behavior Change in Women's Health
Published in Michelle Tollefson, Nancy Eriksen, Neha Pathak, Improving Women's Health Across the Lifespan, 2021
Mark D. Faries, Alyssa Abreu, Sarah-Ann Keyes, Tasnim El Mezain, Jessica A. Matthews
Motivational interviewing (MI) is a collaborative communication style utilized to strengthen patients’ motivation and commitment to change.57 This patient-centered approach requires specific training on core skills and processes to facilitate behavior change. The core skills of MI are open-ended questions, affirmations, reflections, and summaries – commonly referred to as OARS. By asking patients open-ended questions, they are encouraged to think openly without persuasion on their genuine answer. Open-ended questions invite patients to provide thoughtful, narrative like-responses, while also maintaining autonomy over the direction of the conversation. Affirmations are statements that accentuate a patient’s strengths, intentions, or efforts. Affirmations also serve as an empathetic approach and encourage more positivity. Reflections convey empathy and interest, letting the patient know that the provider is actively listening and understanding her, while also helping to guide the conversation forward. Summaries provide a recap of what the patient has shared, and can also be utilized to transition from one topic to another within the encounter.
Making a success of the three-part consultation
Published in Roger Neighbour, Jamie Hynes, Helen Stokes-Lampard, Consulting in a Nutshell, 2020
Roger Neighbour, Jamie Hynes, Helen Stokes-Lampard
Not every consultation needs a summary to make the transition from Patient's to Doctor's part. Remember the big picture; the point of your data-gathering is to identify the right problem, i.e. to understand what this particular patient needs from the consultation. You are doing this by, first of all, getting the patient's account of the problem clear in your mind, and then supplementing it with whatever medically relevant information you need. It may be that the patient's agenda is so obvious, or so straightforward, that no summary is needed, and you can go ahead with your doctor-led questions without further ado. For example, a patient might say, ‘As you see, doctor, I've still got my leg in plaster, so I just need a certificate for another month.’ There is no point in trying to summarise this request; indeed, it would be hard to do so and you would sound foolish if you tried.
Equity in healthcare services
Published in Songül Çınaroğlu, Equity and Healthcare Reform in Developing Economies, 2020
The unification of the health financing system, including the Green Card scheme, to protect poor populations is a significant component of this reorganization process to decrease poverty and address consumer expectations. Clearly, the success of healthcare transition programs depends on incorporating patient expectations into the system and considering demographic and welfare state indicators (Meng et al., 2015). The degree of satisfaction with the healthcare services in Turkey increased from 39% in 2003 to 72.3% in 2015 (Ministry of Health, 2015). The Turkish populace view healthcare as the government’s most developed policy area (Agartan, 2015), and the successful healthcare reforms reflect the popularity of the Adalet ve Kalkınma Partisi (Onis, 2015). Despite the fact that healthcare is a dynamic area of research and pharmaceutical expenditures are costly, the distributional analysis of pharmaceutical expenditures in Turkey has not been analyzed extensively. To fill this void, we analyze the level of progressivity in the distribution of pharmaceutical expenditures, using Turkey as a case study.
Assessment of transition readiness to predict health care utilization during transition to adult care in sickle cell disease
Published in Expert Review of Hematology, 2022
Kristen E. Howell, Andrew M. Heitzer, Jennifer N. Longoria, Brian Potter, Winfred C. Wang, Sheila Anderson, Guolian Kang, Jane S. Hankins, Jerlym S. Porter
Monitoring adolescents’ self-management skills, disease knowledge, and executive functioning is important to detect any deficits that may need to be addressed before completing the transition to adult care. Our study demonstrates the importance of developing transition readiness assessments that predict care engagement and reflect self-efficacy of transition-aged patients with SCD. Additionally, our study highlights the limitations of transition readiness measures and the role of the broader healthcare system in facilitating successful transition. Although there may not be direct associations between the SMSC, rating of executive function, and clinical indicators of transition success, future studies should investigate associations between the SMSC, executive functioning and measures of self-management skills such as medication adherence, communication skills and appointment keeping.
Transition to adult services for young people suffering from life-limiting neurodevelopmental disabilities: A case series
Published in Progress in Palliative Care, 2022
Hon Wai Benjamin Cheng, Chak Ho Rever Li, K. Y. Yeung, Tracy Lee, Ka Po Chan, Wai Kei Vicky Chung, Dany Hsu, Oi Man Iman Chan, Ruby Chui, Ching Wah Man, Ka Wai Cheung, Cherry Wong, M. P. Wu, Chun Hung Red Chan
Previous studies have pointed out the inadequate service integration and coordination in the care for children and young adults with LLNDDs, particularly the fragmentation between child and adult providers.4 The gap between pediatric and adult health care has created a binary healthcare system, where young adults are often lost to care. This gap is also seen in medical education where providers are ill-equipped to address the unique needs of this population, as training is often directed by discrete adult-oriented or child-oriented programs.16 On one hand, pediatric providers may feel uncomfortable terminating relationships and ‘let go’, due to emotional attachment to the young person and family.17 On the other hand, there could be lack of available or appropriate and comparable adult services to provide child-centered care that promotes autonomy.18 Other factors that limit seamless transition include the lack of effective and evaluated model of transition,19 geographical issues,20 provider time constraints to address transition issues,21 and separation anxiety for patients and families in leaving trusted healthcare providers.22 Potential barriers that affect the transition to adult services for young people suffering from LLNDDs are summarized in Table 3.
The role of health anxiety in healthcare management transition and health-related quality of life in young adults with medical conditions
Published in Children's Health Care, 2022
Katherine A. Traino, Misty A.W. Hawkins, John M. Chaney, Larry L. Mullins
In sum, the present study aimed to examine the nature of the relationships between HA, transition readiness, and physical and mentalHRQoL among a sample of AYAs with a CMC. Results indicated that HA moderated the relationship between transition readiness and physical and mental HRQoL. Among those with low HA, greater transition readiness was associated with better HRQoL. The relationship between transition readiness and HRQoL was not significant for individuals with moderate to high HA groups. Taken together, these findings suggest that moderate to high HA may mitigate the ability of transition readiness and/or use of existing health care management skills among AYAs with a CMC to bolster HRQoL. This study is the first to our knowledge to examine these factors among a sample of non-clinical AYAs with HA. The study advances our understanding of health care transition and indicates areas for future research and health care transition program development.