西医指南

Ray Moynihan, Melissa Sweet – Ten Questions You Must Ask Your Doctor:
How to Safeguard Your Health and Make Better Decisions about Drugs, Tests and Treatments
Allen & Unwin | 2008 | ISBN: 1741751454 | Pages: 256 | PDF | 5.37 MB

For anyone interested in finding out how to get the right care, and avoid useless and dangerous treatments, this practical and informative book outlines the ten key questions that anyone interacting with health care professionals of any type should understand. Daily the world is rocked by scandals about the side effects of drugs, the dangers of unprofessional doctors, and the risks of overcrowded and dysfunctional hospitals. Despite the life-saving technologies, the wonder drugs and miracle cures, much is wrong with modern medicine. There is little doubt that a dose of healthy scepticism is just what the doctor ordered. With clarity, simplicity and compelling examples, Ten Questions You Must Ask Your Doctor will empower you and your loved ones to ask the right questions, to find the best care and to avoid treatments that may not be best for you. Full of helpful tips about how to become a better informed patient, this is a book that belongs on every family bookshelf. Asking questions is good for your health.
http://www.book4doc.com/12286

Prescribing under Pressure: Parent-Physician Conversations and Antibiotics
Publisher: Oxford University Press | ISBN: 0195311159 | edition 2007 | PDF | pages 232 | 0,92 mb

Antibiotics will soon no longer be able to cure common illnesses such as strep throat, sinusitis and middle ear infections as they have done for the last 60 years. Antibiotic-resistant bacteria are increasing at a much faster rate than new antibiotics to treat them are being developed. The prescription of antibiotics for viral illnesses is a key cause of increasing bacterial resistance. Despite this fact, many children continue to receive antibiotics unnecessarily for the treatment of viral upper respiratory tract infections. Why do American physicians continue to prescribe inappropriately given the high social stakes of this action? The answer appears to lie in the fundamentally social nature of medical practice: physicians do not prescribe as the result of a clinical algorithm but prescribe in the context of a conversation with a parent and a child. Thus, physicians have a classic social dilemma which pits individual parents and children against a greater social good.
This book examines parent-physician conversations in detail, showing how parents put pressure on doctors in largely covert ways, for instance in specific communication practices for explaining why they have brought their child to the doctor or answering a history-taking question. This book also shows how physicians yield to this seemingly subtle pressure evidencing that apparently small differences in wording have important consequences for diagnosis and treatment recommendations. Following parents use of these interactional practices, physicians are more likely to make concessions, alter their diagnosis or alter their treatment recommendation. This book also shows how small changes in the way physicians present their findings and recommendations can decrease parent pressure for antibiotics. This book carefully documents the important and observable link between micro social interaction and macro public health domains.
http://www.book4doc.com/41486