The Patient as Agent of Health and Health Care: Autonomy in Patient-Centered Car

Description: The Patient as Agent of Health and Health Care by Mark Sullivan MD, PhD Estimated delivery 3-12 business days Format Hardcover Condition Brand New Description Proposals for patient-centered care for chronic illness have not understood or incorporated the capacity of patients to be active agents of health and health care. Patients can not only make treatment choices, but help define their clinical problem and its resolution. This book examines patient action as the principal path to health and an essential component of it. Publisher Description Patient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promotepatient autonomy, understood broadly as the patients overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, butclinicians dictating the nature of the clinical problem. The patients perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patients vital goals. Patientaction is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated strivingfor vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are notthe principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to healthservices. Author Biography Professor of Psychiatry and Behavioral Sciences; Adjunct Professor of Medical History and Ethics, University of Washington Details ISBN 0195386582 ISBN-13 9780195386585 Title The Patient as Agent of Health and Health Care Author Mark Sullivan MD, PhD Format Hardcover Year 2017 Pages 456 Publisher Oxford University Press Inc GE_Item_ID:142290668; About Us Grand Eagle Retail is the ideal place for all your shopping needs! With fast shipping, low prices, friendly service and over 1,000,000 in stock items - you're bound to find what you want, at a price you'll love! Shipping & Delivery Times Shipping is FREE to any address in USA. Please view eBay estimated delivery times at the top of the listing. Deliveries are made by either USPS or Courier. We are unable to deliver faster than stated. International deliveries will take 1-6 weeks. NOTE: We are unable to offer combined shipping for multiple items purchased. This is because our items are shipped from different locations. Returns If you wish to return an item, please consult our Returns Policy as below: Please contact Customer Services and request "Return Authorisation" before you send your item back to us. Unauthorised returns will not be accepted. Returns must be postmarked within 4 business days of authorisation and must be in resellable condition. Returns are shipped at the customer's risk. We cannot take responsibility for items which are lost or damaged in transit. For purchases where a shipping charge was paid, there will be no refund of the original shipping charge. Additional Questions If you have any questions please feel free to Contact Us. Categories Baby Books Electronics Fashion Games Health & Beauty Home, Garden & Pets Movies Music Sports & Outdoors Toys

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End Time: 2024-12-01T02:58:09.000Z

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