Listening for What Matters: Avoiding Contextual Errors in Health Care

Paperback | January 14, 2016

bySaul Weiner, Alan Schwartz

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Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care.The result is measurably harmful to individuals and costly to society. Listening for What Matters: Avoiding Contextual Errors in Health Care covers ten years of empirical research based on hundreds of recorded doctor visits by patients and undercover actors alike, which revealed a widespread disregard of patients' individual circumstances and needs resulting ininappropriate care. These medical errors have been largely undocumented and unaddressed by the American healthcare system. This book tells the stories of patients whose care was compromised by inattention to individual context, and introduces novel methods for assessing the magnitude of the problem. It describes how these errors, termed "contextual errors," can be minimized through changes in how doctors are trained,how medicine is practiced and quality measured, and in the ways patients assert their needs during visits. The aim of this book is to open a dialog between patients, physicians, policy makers, and medical educators, about a serious quality problem that has been overlooked and understudied.

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Effective health care requires physicians tailor care to patients' individual life contexts, including their financial situation, social support, competing responsibilities, and cognitive abilities. Physicians, however, are poorly prepared to consider patients' lives when planning their care.The result is measurably harmful to individu...

Saul Weiner, MD, and Alan Schwartz, PhD, at Jesse Brown VA Medical Center and the University of Illinois at Chicago College of Medicine, have spent the last ten years studying how well physicians personalize care to their patients. Their work involving undercover actors and audio recording by real patients carrying concealed audio reco...
Format:PaperbackDimensions:224 pages, 9.25 × 6.12 × 0.68 inPublished:January 14, 2016Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0190228997

ISBN - 13:9780190228996

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Table of Contents

Introduction1. Observing the Problem2. Measuring the Problem3. The Problem is Everywhere4. What We Hear that Physicians Don't5. Causes6. Better Teaching, Better Doctors7. Is lasting Change Possible?8. What We Can't Measure that Matters9. Bringing Context Back into CareNotesBibliography