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	<title>Comments on: After 40 Years, Patients Still Crave Attention and Respect</title>
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	<link>http://healthin30.com/2009/05/after-40-years-patients-still-crave-attention-and-respect/</link>
	<description>Always Speak. Ask. Know!</description>
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		<title>By: How To Get The Most Out Of Your Doctor Visit - Better Health</title>
		<link>http://healthin30.com/2009/05/after-40-years-patients-still-crave-attention-and-respect/comment-page-1/#comment-499</link>
		<dc:creator>How To Get The Most Out Of Your Doctor Visit - Better Health</dc:creator>
		<pubDate>Tue, 09 Feb 2010 16:00:12 +0000</pubDate>
		<guid isPermaLink="false">http://healthin30.com/?p=1572#comment-499</guid>
		<description>[...] value face-to-face connection with their doctor (and other health care professionals) and the amount of time with your doctor will [...]</description>
		<content:encoded><![CDATA[<p>[...] value face-to-face connection with their doctor (and other health care professionals) and the amount of time with your doctor will [...]</p>
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		<title>By: Maryalice Jordan-Marsh</title>
		<link>http://healthin30.com/2009/05/after-40-years-patients-still-crave-attention-and-respect/comment-page-1/#comment-134</link>
		<dc:creator>Maryalice Jordan-Marsh</dc:creator>
		<pubDate>Mon, 18 May 2009 23:19:11 +0000</pubDate>
		<guid isPermaLink="false">http://healthin30.com/?p=1572#comment-134</guid>
		<description>Paying attention to the two sides of the provider (DNP, MD, NP, etc.) relationship is as important as the two sides in any relationship.  This discussion is very important as we all have had little coaching on etiquette now that the Internet and digital social networking have entered the equation.  Is it polite for the health care professional to suggest an online group? a health info website?  to require visiting a decision-making support website before the next visit? to suggest a serious/health game after a diagnosis that is complex?


How do clients/patients bring Internet based information to the interaction in a respectful, time efficient manner?


I propose that we conceptualize health habitats (Jordan-Marsh, 2008) where all of the players recognize the complexity of sustaining or regaining health in a sometimes hostile world.  Many physicians are building &quot;medical home&quot; arrangements to coordinate their services. This new and appealing concept is an important step forward, but it is only one niche and implies a central focus on medicine (rather than a team with patient at the center of a transdisciplinary network) and is a static place.  If we reconceptualize health as occurring in a habitat, it will be more obvious that our environment, human interactions, social capital, health capital, spiritual resources and economic capital all matter--they can be symbiotic, sychophantic or downright harmful.  An ecological perspective could turn around the &#039;mess&quot; we are in.  Digital resources can be partnered with human resources for smart homes, medical homes, and full utilization of pre-Internet knowledge and tools.</description>
		<content:encoded><![CDATA[<p>Paying attention to the two sides of the provider (DNP, MD, NP, etc.) relationship is as important as the two sides in any relationship.  This discussion is very important as we all have had little coaching on etiquette now that the Internet and digital social networking have entered the equation.  Is it polite for the health care professional to suggest an online group? a health info website?  to require visiting a decision-making support website before the next visit? to suggest a serious/health game after a diagnosis that is complex?</p>
<p>How do clients/patients bring Internet based information to the interaction in a respectful, time efficient manner?</p>
<p>I propose that we conceptualize health habitats (Jordan-Marsh, 2008) where all of the players recognize the complexity of sustaining or regaining health in a sometimes hostile world.  Many physicians are building &#8220;medical home&#8221; arrangements to coordinate their services. This new and appealing concept is an important step forward, but it is only one niche and implies a central focus on medicine (rather than a team with patient at the center of a transdisciplinary network) and is a static place.  If we reconceptualize health as occurring in a habitat, it will be more obvious that our environment, human interactions, social capital, health capital, spiritual resources and economic capital all matter&#8211;they can be symbiotic, sychophantic or downright harmful.  An ecological perspective could turn around the &#8216;mess&#8221; we are in.  Digital resources can be partnered with human resources for smart homes, medical homes, and full utilization of pre-Internet knowledge and tools.</p>
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		<title>By: Barbara Ficarra</title>
		<link>http://healthin30.com/2009/05/after-40-years-patients-still-crave-attention-and-respect/comment-page-1/#comment-114</link>
		<dc:creator>Barbara Ficarra</dc:creator>
		<pubDate>Tue, 12 May 2009 23:18:44 +0000</pubDate>
		<guid isPermaLink="false">http://healthin30.com/?p=1572#comment-114</guid>
		<description>Hi Julie, Thanks so much for your comments.  It is interesting to see that issues facing the doctor/patient relationship today were very much part of the past.   I also chuckled at the part where there was resentment towards the doctors salaries!  It was enjoyable to read a piece dated from 1966.  Thanks again.
Best,
Barbara</description>
		<content:encoded><![CDATA[<p>Hi Julie, Thanks so much for your comments.  It is interesting to see that issues facing the doctor/patient relationship today were very much part of the past.   I also chuckled at the part where there was resentment towards the doctors salaries!  It was enjoyable to read a piece dated from 1966.  Thanks again.<br />
Best,<br />
Barbara</p>
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		<title>By: Julie Rosen</title>
		<link>http://healthin30.com/2009/05/after-40-years-patients-still-crave-attention-and-respect/comment-page-1/#comment-112</link>
		<dc:creator>Julie Rosen</dc:creator>
		<pubDate>Tue, 12 May 2009 17:50:50 +0000</pubDate>
		<guid isPermaLink="false">http://healthin30.com/?p=1572#comment-112</guid>
		<description>Hi Barbara,

Fascinating.  I blog about compassionate health care at http://www.everydayhealth.com/blog/schwartz-center-bedside-manner/, so I found the TIME story/essay particularly intriguing.  While we often blame managed care for the demise of the patient-doctor relationship, the roots of the problem are much older, as the piece shows. Although the essay seems almost quaint to readers today, so many of the issues it raises are still with us.  I chuckled at the section about resentment towards doctors&#039; high salary.  The average doctor in 1966, as the piece points out, earned $28,380!</description>
		<content:encoded><![CDATA[<p>Hi Barbara,</p>
<p>Fascinating.  I blog about compassionate health care at <a href="http://www.everydayhealth.com/blog/schwartz-center-bedside-manner/" rel="nofollow">http://www.everydayhealth.com/blog/schwartz-center-bedside-manner/</a>, so I found the TIME story/essay particularly intriguing.  While we often blame managed care for the demise of the patient-doctor relationship, the roots of the problem are much older, as the piece shows. Although the essay seems almost quaint to readers today, so many of the issues it raises are still with us.  I chuckled at the section about resentment towards doctors&#8217; high salary.  The average doctor in 1966, as the piece points out, earned $28,380!</p>
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		<title>By: Barbara Ficarra</title>
		<link>http://healthin30.com/2009/05/after-40-years-patients-still-crave-attention-and-respect/comment-page-1/#comment-105</link>
		<dc:creator>Barbara Ficarra</dc:creator>
		<pubDate>Thu, 07 May 2009 21:23:39 +0000</pubDate>
		<guid isPermaLink="false">http://healthin30.com/?p=1572#comment-105</guid>
		<description>Hi Dr V. Thanks!  I agree with you.  Despite the autonomy they crave they want a relationship.  Thanks for posting on your delicious page too.
Best,
Barbara</description>
		<content:encoded><![CDATA[<p>Hi Dr V. Thanks!  I agree with you.  Despite the autonomy they crave they want a relationship.  Thanks for posting on your delicious page too.<br />
Best,<br />
Barbara</p>
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		<title>By: DrV</title>
		<link>http://healthin30.com/2009/05/after-40-years-patients-still-crave-attention-and-respect/comment-page-1/#comment-104</link>
		<dc:creator>DrV</dc:creator>
		<pubDate>Thu, 07 May 2009 03:28:35 +0000</pubDate>
		<guid isPermaLink="false">http://healthin30.com/?p=1572#comment-104</guid>
		<description>Excellent post.  Patients are in a tricky spot.  They want independence and autonomy but they also need a relationship with a clinician.  It will be interesting to see how this is all reconciled.  Gonna post this one to my delicious page</description>
		<content:encoded><![CDATA[<p>Excellent post.  Patients are in a tricky spot.  They want independence and autonomy but they also need a relationship with a clinician.  It will be interesting to see how this is all reconciled.  Gonna post this one to my delicious page</p>
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