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October birds : a novel about pandemic influenza, infection control, and first responders
En route to a conference, a physician from Jakarta boards a plane to the US. He does not know he is the index patient for the next global influenza pandemic. From this catalyst, thousands of people will get sick, hundreds of people will die. October Birds follows the healthcare and emergency management responders in the town of Dalton, Texas as they cope with the unfolding pandemic. Dr. Eliza Gordon, Chief Epidemiologist for the city struggles to control the outbreak and be a mother. Infectious disease specialist Dr. Ben Cromwell tries to maintain control of the increasing numbers of patients at Memorial Hospital, while Memorial's infection control specialist fights to limit the spread of the disease to the healthcare workers and the other patients. Dalton's emergency manager copes with an ever increasing logistical nightmare, and the incident commander tries to hold everything together. Meanwhile a currendera in the town searches for a cure. October Birds is grounded in real-life public health practice, sociological research, and emergency management. It is a/r/tographical research, sociological inquiry within the science/art intersection. October Birds is more than a story it is also a sociological theory of community-level response to health threats. This novel can be read as a supplementary text in a number of disciplines, including sociology, nursing, public health, health studies, emergency management, and psychology, and can be used in qualitative research methods courses as an example of arts-based research.
Book
The Psychiatric Interview
Focusing on the practical skills needed to establish rapport with patients and gain valuable clinical insights,The Psychiatric Interview, 5th Edition, offers a practical, concise approach to improving interviewing skills.Noted psychiatrist and award-winning mental health journalist Dr.Daniel J.
eBook
The doctor stories
This collection of thirteen doctor stories, six poems on medical matters, and a selection from The Autobiography \"can help many others take a knowing look at the medical profession.\"
Book
Internal or External Word-of-Mouth Single Platform in China?
(1) Background: Word-of-mouth (WOM) can influence patients’ choice of doctors in online medical services (OMSs). Previous studies have explored the relationship between internal WOM in online healthcare communities (OHCs) and patients’ choice of doctors. There is a lack of research on external WOM and position ranking in OMSs. (2) Methods: We develop an empirical model based on the data of 4435 doctors from a leading online healthcare community in China. We discuss the influence of internal and external WOM on patients’ choice of doctors in OMSs, exploring the interaction between internal and external WOM and the moderation of doctor position ranking. (3) Results: Both internal and external WOM had a positive impact on patients’ choice of doctors; there was a significant positive interaction between internal and third-party generated WOM, but the interaction between internal and relative-generated WOM, and the interaction between internal and doctor-generated WOM were both nonsignificant. The position ranking of doctors significantly enhanced the impact of internal WOM, whereas it weakened the impact of doctor recommendations on patients’ choice of doctors. (4) The results emphasize the importance of the research on external WOM in OMSs, and suggest that the moderation of internal WOM may be related to the credibility and accessibility of external WOM, and the impact of doctor position ranking can be explained by information search costs.
Journal Article
Communication skills training for physicians improves health literacy and medical outcomes among patients with hypertension: a randomized controlled trial
Background
Improving the training of physicians about communication skills and patient health literacy (HL) is a major priority that remains an open question. We aimed to examine the effectiveness of communication skills training for physicians on the hypertension outcomes and the health literacy skills, self-efficacy and medication adherence in patients with uncontrolled blood pressure (BP).
Methods
A randomized, controlled trial method was conducted on 240 hypertensive patients and 35 physicians presenting to healthcare clinics in the Mashhad, Iran, from 2013 to 2014. Using stratified blocking with block sizes of 4 and 6, eligible patients with uncontrolled blood pressure were randomly allocated to the intervention and control groups. Physicians in the intervention group received educational training over 3 sessions of Focus –Group Discussion and 2 workshops. The control group received the routine care. The primary outcome was a reduction in systolic and diastolic BP from baseline to 6 months. The secondary outcome was promoting HL skills in hypertensive patients. Data were analyzed using the regression model and bivariate tests.
Results
After the physician communication training, there was a significant improvement in physicians-patient communication skills, hypertension outcomes, medication adherence, and self-efficacy among the patients being managed by the physicians receiving training, compared to the control group.
Conclusion
The educational intervention leads to better BP control; it may have been sufficient training of physicians change to impact counseling, HL and self-efficacy and adherence. The quality of physician-patient communication is an important modifiable element of medical communication that may influences health outcomes in hypertensive Iranian patients.
Trial registration
Iranian Registry of Clinical Trials (IRCT),
IRCT20160710028863N24
. Registered April 4, 2018 [retrospectively registered].
Journal Article