The Experts below are selected from a list of 334464 Experts worldwide ranked by ideXlab platform
Richard L. Street - One of the best experts on this subject based on the ideXlab platform.
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how does communication heal pathways linking clinician patient communication to Health Outcomes
Patient Education and Counseling, 2009Co-Authors: Richard L. Street, Neeraj K. Arora, Gregory Makoul, R EpsteinAbstract:OBJECTIVE: Although prior research indicates that features of clinician-patient communication can predict Health Outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences Health Outcomes via a more indirect route. Proximal Outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate Outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect Health and well-being. Seven pathways through which communication can lead to better Health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. CONCLUSION: Future research should hypothesize pathways connecting communication to Health Outcomes and select measures specific to that pathway. PRACTICE IMPLICATIONS: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate Outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved Health.
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How does communication heal? Pathways linking clinician-patient communication to Health Outcomes
Patient Education and Counseling, 2009Co-Authors: Richard L. Street, Neeraj K. Arora, Gregory Makoul, Ronald M. EpsteinAbstract:Objective: Although prior research indicates that features of clinician-patient communication can predict Health Outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences Health Outcomes via a more indirect route. Proximal Outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate Outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect Health and well-being. Seven pathways through which communication can lead to better Health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. Conclusion: Future research should hypothesize pathways connecting communication to Health Outcomes and select measures specific to that pathway. Practice implications: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate Outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved Health. © 2008 Elsevier Ireland Ltd.
Dan Werb - One of the best experts on this subject based on the ideXlab platform.
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Health Outcomes associated with methamphetamine use among young people a systematic review
Addiction, 2010Co-Authors: Brandon D L Marshall, Dan WerbAbstract:Objectives Methamphetamine (MA) use among young people is of significant social, economic and public Health concern to affected communities and policy makers. While responses have focused upon various perceived severe harms of MA use, effective public Health interventions require a strong scientific evidence base. Methods We conducted a systematic review to identify scientific studies investigating Health Outcomes associated with MA use among young people aged 10-24 years. The International Classification of Diseases (ICD-10) was used to categorize Outcomes and determine the level of evidence for each series of harms. Results We identified 47 eligible studies for review. Consistent associations were observed between MA use and several mental Health Outcomes, including depression, suicidal ideation and psychosis. Suicide and overdose appear to be significant sources of morbidity and mortality among young MA users. Evidence for a strong association between MA use and increased risk of human immunodeficiency virus (HIV) and other sexually transmitted infections is equivocal. Finally, we identified only weak evidence of an association between MA use and dental diseases among young people. Conclusions Available evidence indicates a consistent relationship between MA use and mental Health Outcomes (e.g. depression, psychosis) and an increased risk of mortality due to suicide and overdose. We found insufficient evidence of an association between MA use and other previously cited harms, including infectious diseases and dental Outcomes. As such, future research of higher methodological quality is required to further investigate possible associations. Current interventions should focus attention upon MA-related Health Outcomes for which sound scientific evidence is available. Language: en
R Epstein - One of the best experts on this subject based on the ideXlab platform.
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how does communication heal pathways linking clinician patient communication to Health Outcomes
Patient Education and Counseling, 2009Co-Authors: Richard L. Street, Neeraj K. Arora, Gregory Makoul, R EpsteinAbstract:OBJECTIVE: Although prior research indicates that features of clinician-patient communication can predict Health Outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences Health Outcomes via a more indirect route. Proximal Outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate Outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect Health and well-being. Seven pathways through which communication can lead to better Health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. CONCLUSION: Future research should hypothesize pathways connecting communication to Health Outcomes and select measures specific to that pathway. PRACTICE IMPLICATIONS: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate Outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved Health.
Ronald M. Epstein - One of the best experts on this subject based on the ideXlab platform.
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How does communication heal? Pathways linking clinician-patient communication to Health Outcomes
Patient Education and Counseling, 2009Co-Authors: Richard L. Street, Neeraj K. Arora, Gregory Makoul, Ronald M. EpsteinAbstract:Objective: Although prior research indicates that features of clinician-patient communication can predict Health Outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences Health Outcomes via a more indirect route. Proximal Outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate Outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect Health and well-being. Seven pathways through which communication can lead to better Health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. Conclusion: Future research should hypothesize pathways connecting communication to Health Outcomes and select measures specific to that pathway. Practice implications: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate Outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved Health. © 2008 Elsevier Ireland Ltd.
Neeraj K. Arora - One of the best experts on this subject based on the ideXlab platform.
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how does communication heal pathways linking clinician patient communication to Health Outcomes
Patient Education and Counseling, 2009Co-Authors: Richard L. Street, Neeraj K. Arora, Gregory Makoul, R EpsteinAbstract:OBJECTIVE: Although prior research indicates that features of clinician-patient communication can predict Health Outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences Health Outcomes via a more indirect route. Proximal Outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate Outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect Health and well-being. Seven pathways through which communication can lead to better Health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. CONCLUSION: Future research should hypothesize pathways connecting communication to Health Outcomes and select measures specific to that pathway. PRACTICE IMPLICATIONS: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate Outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved Health.
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How does communication heal? Pathways linking clinician-patient communication to Health Outcomes
Patient Education and Counseling, 2009Co-Authors: Richard L. Street, Neeraj K. Arora, Gregory Makoul, Ronald M. EpsteinAbstract:Objective: Although prior research indicates that features of clinician-patient communication can predict Health Outcomes weeks and months after the consultation, the mechanisms accounting for these findings are poorly understood. While talk itself can be therapeutic (e.g., lessening the patient's anxiety, providing comfort), more often clinician-patient communication influences Health Outcomes via a more indirect route. Proximal Outcomes of the interaction include patient understanding, trust, and clinician-patient agreement. These affect intermediate Outcomes (e.g., increased adherence, better self-care skills) which, in turn, affect Health and well-being. Seven pathways through which communication can lead to better Health include increased access to care, greater patient knowledge and shared understanding, higher quality medical decisions, enhanced therapeutic alliances, increased social support, patient agency and empowerment, and better management of emotions. Conclusion: Future research should hypothesize pathways connecting communication to Health Outcomes and select measures specific to that pathway. Practice implications: Clinicians and patients should maximize the therapeutic effects of communication by explicitly orienting communication to achieve intermediate Outcomes (e.g., trust, mutual understanding, adherence, social support, self-efficacy) associated with improved Health. © 2008 Elsevier Ireland Ltd.
