126 research outputs found
Harmful communication behaviors in cancer care:A systematic review of patients and family caregivers perspectives
ObjectiveIssues regarding clinician communication remain an important source of complaints within healthcare. This systematic review aims to determine cancer patients' and their family caregivers' views on which clinicians' communication behaviors can harm (i.e. eliciting negative feelings/consequences for patients/family caregivers).MethodsWe searched for all types of peer-reviewed studies that determined adult (â„18 years) cancer patients' and/or family caregivers' perspectives on which clinicians' communication behaviors can harm in several databases (PubMed, Embase, Web of Science, Cochrane Library, Emcare, PsycINFO and Academic Search Premier), supplemented by expert-consultation. Studies were screened using the Artificial intelligence screening tool of ASReview and data was analyzed using Thematic Analysis. To assess the quality of the studies the Qualsyst critical appraisal tool was used.ResultsA total of 47 studies were included. Four main themes of harmful communication behaviors were identified: (1) Lack of tailored information provision (e.g. giving too little or too much/specific information) (2) Lack of tailored decision making (ranging from; patient exclusion, to the patients' responsibility, and/or haste) (3) Lack of feeling seen and heard (seen as a disease, not as a human being; not listened to concerns and emotions) (4) Lack of feeling held and remembered (forgotten agreements; lack of care continuity).ConclusionsOur results reveal an overview of patients' and family caregivers' perspectives on which clinicians' communication behaviors can harm. Harm could be prevented when information and decision involvement are tailored and patients' and family caregivers' needs to feel seen, heard, held and remembered are met
Risk-adjusted capitation: recent experiences in The Netherlands
The market-oriented health care reforms taking place in the Netherlands
show a clear resemblance to the proposals for managed competition in U.S.
health care. In both countries good risk adjustment mechanisms that
prevent cream skimming--that is, that prevent plans from selecting the
best health risks--are critical to the success of the reforms. In this
paper we present an overview of the Dutch reforms and of our research
concerning risk-adjusted capitation payments. Although we are optimistic
about the technical possibilities for solving the problem of cream
skimming, the implementation of good risk-adjusted capitation is a
long-term challenge
A passive Stokes flow rectifier for Newtonian fluids
Non-linear effects of the Navier-Stokes equations disappear under the Stokes
regime of Newtonian fluid flows disallowing the fluid flow rectification. Here
we show mathematically and experimentally that passive flow rectification of
Newtonian fluids is obtainable under the Stokes regime of both compressible and
incompressible flows by introducing nonlinearity into the otherwise linear
Stokes equations. Asymmetric flow resistances arise in shallow nozzle/diffuser
microchannels with deformable ceiling, in which the fluid flow is governed by a
non-linear coupled fluid-solid mechanics equation. Fluid flow rectification has
been demonstrated for low-Reynolds-number flows (Re ~ O(0.001)-O(1)) of common
Newtonian fluids such as air, water, and alcohol. This mechanism can pave the
way for regulating the low-Reynolds-number fluid flows with potential
applications in precise low-flow-rate micropumps, drug delivery systems, etc
Addressing challenges in information-provision: a qualitative study among oncologists and women with advanced breast cancer
Health and self-regulatio
Explaining placebo effects in an online survey study: does âPavlovâ ring a bell?
Development Psychopathology in context: clinical setting
Possible alleviation of symptoms and side effects through cliniciansâ nocebo information and empathy in an experimental video vignette study.
Health and self-regulatio
Explicit prognostic disclosure to Asian women with breast cancer: A randomized scripted video-vignette study
Health and self-regulatio
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