Hope and the Medical Encounter

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Shame and humiliation in the medical encounter.

Patients are at high risk for experiencing shame and humiliation in any medical encounter. This is because they commonly perceive diseases as defects, inadequacies, or shortcomings; while the visit to the hospital and the doctor's office requires physical and psychological exposure. Patients respond to the suffering of shame and humiliation by avoiding the physician, withholding information, co...

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Hope and hype: predicting the impact of electronic medical records.

The current fascination with electronic medical records (EMRs) is not new. For decades, vendors have capitalized on this enthusiasm. But hospitals and clinics have ended up with little to show for their large outlays. Indeed, computing at a typical hospital has not gotten much beyond what was available twenty-five years ago. The RAND analysis continues the tradition of hope and hype. Unfortunat...

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Abuse history: is it really important in the medical encounter?

The negative effects of a history of severe abuse as a child are becoming increasingly well known to the physician and, in the adult survivor, include both mental health and physical sequelae. Intervention for emotional and psychologic consequences can include a mental health referral. Awareness of physical sequelae can aid the physician in diagnosis and intervention. However, the impact of sev...

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Physician Perspectives on Religiously Related Conflict in the Medical Encounter

Results: Conflict introduced by religion is common and occurs in 3 types of settings: (1) those in which religious doctrines directly conflict with medical recommendations, (2) those that involve an area in which there is extensive controversy within the broader society, and (3) settings of relative medical uncertainty in which patients “choose faith over medicine.” In response to such conflict...

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[Patient-centeredness of medical students during a real patient encounter and a standardized patient encounter on the clinical performance examination].

PURPOSE Patient-centered care is one of the most important factors of high-quality medical care. Medical educators have been increasingly interested in education for patient-centered care. This study was conducted to guide such education by assessing the patient-centeredness of medical students in a real patient encounter and a standardized patient encounter on the clinical performance examinat...

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ژورنال

عنوان ژورنال: Mayo Clinic Proceedings

سال: 2000

ISSN: 0025-6196

DOI: 10.4065/75.7.765