The Patient as Agent of Health and Health Care: Autonomy in Patient-Centered Care for Chronic Conditions

Sullivan MD PhD, Mark

ISBN 10: 0195386582 ISBN 13: 9780195386585

Published by Oxford University Press, 2017

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Examines patient action as the principal path to health and an essential component of it.

About the Author: Professor of Psychiatry and Behavioral Sciences; Adjunct Professor of Medical History and Ethics, University of Washington

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Bibliographic Details

Title: The Patient as Agent of Health and Health ...
Publisher: Oxford University Press
Publication Date: 2017
Binding: Hardcover
Condition: New

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The Patient as Agent of Health and Health Care: Autonomy in Patient-Centered Care for Chronic Conditions

Sullivan MD PhD, Mark

Published by Oxford University Press, 2017

ISBN 10: 0195386582 ISBN 13: 9780195386585

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Patient As Agent of Health and Health Care

Sullivan, Mark D.

Published by Oxford University Press, 2017

ISBN 10: 0195386582 ISBN 13: 9780195386585

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The Patient as Agent of Health and Health Care

Sullivan MD, PhD, Mark

Published by Oxford University Press, USA, 2017

ISBN 10: 0195386582 ISBN 13: 9780195386585

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Patient As Agent of Health and Health Care

Sullivan, Mark D.

Published by Oxford University Press, 2017

ISBN 10: 0195386582 ISBN 13: 9780195386585

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The Patient as Agent of Health and Health Care (Hardcover)

Mark Sullivan MD, PhD

Published by Oxford University Press Inc, New York, 2017

ISBN 10: 0195386582 ISBN 13: 9780195386585

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Hardcover. Condition: new. Hardcover. 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 patient's 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 patient's 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. 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. This item is printed on demand. Shipping may be from our UK warehouse or from our Australian or US warehouses, depending on stock availability. Seller Inventory # 9780195386585

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