Improving Medical Outcomes: The Psychology of Doctor-Patient Visits - Tapa dura

Jessica Leavitt (member, California Board of Vocational Nursing & Psychiatric Technicians) and Fred Leavitt (psychology, California State Univ.; Evaluating Scientific Research) outline the psychological aspects of doctor-patient relationships and how they affect medical care. While aimed mostly at health-care providers and medical students, the book is accessible to consumers and can be a source of valuable information. It covers major areas of doctor-patient communication, including interpretation of medical information, decision making and bias, medical diagnosis and reducing diagnostic errors, prescribing drugs, the placebo effect, complementary and alternative medicine, and patient social-connectedness. The Leavitts show some of the pitfalls in communicating effectively with patients, making diagnostic decisions, interpreting medical information, and prescribing medication. Throughout, they alert physicians to these hazards and offer tips to help avoid them. Each chapter also concludes with a short list of tips for the patient. VERDICT Recommended for health-care providers, medical students, and doctors-this may be a source of interest to general readers with upcoming doctor's appointments. * Library Journal * Jessica and Fred Leavitt's book, Improving Medical Outcomes, is an ambitious and far-reaching effort to suggest ways of delivering better health outcomes in a wide variety of areas....The Leavitts... identify physicians as well as patients as their target audience....Meticulously researched....Improving Medical Outcomes offers a pragmatic and useful approach for physicians as well as patients interested in doing exactly what its title proposes. Implementing even some of its suggestions will likely have this effect and, by extension, will likely increase the value of care provided, benefiting not only individuals but society as well. * JAMA: The Journal of the American Medical Association * In a succinct organized fashion the authors aim to improve medical outcomes by highlighting common errors made by clinicians and offering solutions. . . .I loved this book! This well-written, well-researched book will be required reading for my faculty development fellows. I believe it truly will improve medical outcomes for your patients and for your learners' patients. * Family Medicine * Improving Medical Outcomes will open your eyes to a side of medicine that's seldom revealed. This isn't about the science of medicine, it's about the art, and the art of healing. Providing unique insights on the underlying psychology of how doctors think and patients react, the Leavitts take a fresh and revealing look at the doctor-patient relationship, the nuances and pitfalls of medical diagnosis, pharma, and non-traditional approaches to health and illness. Extensively researched and clearly presented, this book is rich reading for medical professionals and patients alike. -- Mark L. Graber, M.D., Professor of Medicine, SUNY Stony Brook, NY Every day, more and more research shows that effective physician-patient communication is essential to patients' health care outcomes. As Improving Medical Outcomes makes clear, the open exchange of information in the medical visit, patient participation in their medical decisions, and physician-patient trust are essential to effective health maintenance and disease management. This book shows that physicians and other health professionals can learn effective strategies for communicating and managing the process of decision making and the role of expectations and psychological factors in healing. -- M. Robin DiMatteo, Ph.D., distinguished professor of psychology, University of California, Riverside, and author of Health Behavior Change and Treatment I found this book an excellent guide for all those health professionals who believe that the sick must be both cured and cared for. This old dichotomy, which dates back to the very origin of medicine and psychology, is here addressed with a variety of approaches which range from classical psychology to biomedical sciences. I think everyone should follow the authors' suggestions. -- Fabrizio Benedetti, University of Turin Medical School; National Institute of Neuroscience, Turin, Italy This highly readable book aims at making patients smarter on a highly relevant range of health issues, including placebo effects, therapy outcomes, and the art of diagnostic thinking. A great resource for bolstering patient-doctor interaction. -- Gerd Gigerenzer, director, Max Planck Institute for Human Development, Berlin This is an excellent book addressing a wide array of important psychological factors that can make medical science work or fail when applied to real-life patients. The intricacies of patient-doctor communication, expectations, errors and biases, misinterpretations, conflicts of interest, marketing, and placebos, to name only a few of the major players, often get ignored by both medical textbooks and medical practice, despite their pivotal influence on patient outcomes. The authors make a most welcome contribution towards a better understanding of this very complex field. -- John P.A. Ioannidis, M.D., DSc, Stanford University

The ability of doctors to properly diagnose and treat patients is often colored by non-specific factors that can affect outcomes in profound ways. Communication between doctors and patients is key, but often what is left unsaid is just as important, and messages from outside sources such as medical journals, drug companies, and other patients can affect how a doctor treats any one patient at any one time. This book outlines the non-specific factors that come into play when doctors and patients interact, how both doctors and patients can overcome these messages to focus in on the health of the person sitting on the table, and how psychological factors in both the doctor and the patient can affect medical outcomes. Anyone hoping to improve the medical care they give or the medical care they get will find in these pages strategies for improving those results.