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Summary
The leading text in its market, Communicating About Health: Current Issues and Perspectives, Third Edition, provides a more far-reaching approach than any other health communication text. Written by Athena du Pre - an experienced researcher and noted scholar - the book offers an excellentbalance of theory and practice; research and pedagogy; coverage of patient/caregiver issues; and material on the current, historical, and philosophical backgrounds of communication in health care. Now in its third edition, this highly engaging text is more accessible than ever to students. It integrates many more real-life examples and case studies and also builds upon the previous editions' coverage of diversity, featuring new material on cultures and health systems within the U.S. andabroad. A brand-new chapter, "Public Health Crises and Health Care Reform" (Chapter 12), addresses timely concerns about modern health care. In addition, the third edition incorporates enhanced pedagogical features and new supplemental resources, including: * Career Opportunity boxes showcasing more than one hundred careers related to health communication and links to job listings and further information * Can You Guess? boxes challenging students to consider such questions as "Which state has the highest percentage of uninsured residents?" and "In which country do people have the longest life expectancy on earth?" * Instructor's Manual (available both in print and online at www.oup.com/us/dupre) featuring sample syllabi, test questions, class activities, and more An ideal combination of communication theory and practical advice, Communicating About Health, Third Edition, is designed for undergraduate and graduate courses in health communication, health promotions and campaigns, and public health. It is also an indispensable resource for readers looking toimprove their communication abilities in the health care field.

Table of Contents
Table of Contents Each Chapter ends with a Summary, Key Terms, Discussion Questions, and Answers to "Can You Guess?" boxes Preface PART I: ESTABLISHING A CONTEXT FOR HEALTH COMMUNICATION CHAPTER 1: Introduction What is Health Communication? Defining Communication Process Personal Goals Interdependence Sensitivity Shared Meaning Defining Health Communication History of Health Communication Medical Models Biomedical Model Biophysical Model Importance of Health Communication Emphasis on Efficiency Prevention Patient Empowerment Global Health Needs and Intercultural Competence Changing Populations Technology CHAPTER 2: History and Current Issues Medicine in Ancient Times Imotep Hippocrates Medieval Religion and Health Care Medical Spiritualism Barber Surgeons Science and Magic End of an Era Renaissance Philosophy and Health Care Principle of Verification Cartesian Dualism Health Care in the New World Health Conditions Hippocrates' Influence Women's Role The Rise of Orthodox Medicine Population Shifts Germ Theory Research and Technology Campaign of Orthodox Medicine Flexner Report Decline of Sectarian Medicine Twentieth Century Health Care Specialization Medicine and Free Enterprise Putting the Brakes on Health Care Costs Health and Wealth Problems Reform Efforts Managed Care Conventional Insurance Health Maintenance Organization (HMO) Preferred Provider Organization (PPO) Point of Service (POS) High Deductible Health Plan (HDHP) Organizations' Perspective Advantages - Incentive to Collaborate and Conserve - Affordability Goal - Wellness - Administrative Assistance - Patient Load Disadvantages - Costs Still Prohibitive - Prevention Expectations Unrealized - Undertreatment - Restricted Options - Confidentiality at Risk - Bureaucratic Hassles Managed Care Around the World PART II: THE ROLES OF PATIENTS AND CAREGIVERS CHAPTER 3: Patient-Caregiver Communication Physician-Centered Communication Assertive Behavior Questions and Directives Blocking Patronizing Behavior Power Difference Criticism of Clinician-Centeredness Collaborative Communication Climate for Change Motivational Interviewing Communication Skill Builders: Cultivating Dialogue - Nonverbal Encouragement - Verbal Encouragement Environmental Restructuring Soothing Surroundings Easy Communication with Loved Ones Communication Technology: Telemedicine A Doctor's Visit Telemedicine Style Telemedicine in the Future Telemedicine as Medical Outsourcing Advantages to Consumers Advantages for Caregivers Disadvantages Communication Skill Builders: Tips for Patients CHAPTER 4: Caregiver Perspective Medical Socialization Theory of Socialization Selection Curriculum - Science - Communication Training Socialization Process - Loss of Identity - Privileged Status - Overwhelming Responsibilities - Withdrawal and Resentment Effects of Socialization Medical School Reform Implications Professional Influences on Caregivers Time Constraints Loss of Autonomy Psychological Influences on Caregivers Maturity Self-Doubt Satisfaction Stress and Burnout Causes - Emotions - Communication Deficits - Work Load - Other Factors Effects - Healthy Strategies Medical Mistakes Why Mistakes Happen What Happens After a Mistake? Communication Skill Builder: Managing Medical Mistakes - From the Beginning - If an Error Does Occur Communication Technology: Knowledge Coupling CHAPTER 5: Patient Perspective Patient Socialization Voice of Lifeworld - Feelings vs. Evidence - Specific vs. Diffuse Patient Characteristics Nature of the Illness Patient Disposition Communication Skills Satisfaction Attentiveness and Respect Convenience A Sense of Control Genuine Warmth and Honesty Cooperation and Consent Reasons for Nonadherence Caregivers' Investment Informed Consent Illness and Personal Identity Reactions to Illness Narratives CHAPTER 6: Diversity Among Patients Status Differences Misunderstandings Health Literacy Communication Skill Builders: Surmounting Status Barriers Gender Differences Sexual Orientation Race Different Care and Outcome Explanations - Distrust - High Risk, Low Knowledge - Access - Patient-Caregiver Communication Language Differences Disabilities Communication Skill Builders: Interacting with Persons Who Have Disabilities Age Children - Communication Skill Builders: Talking With Children About Illness Older Adults - Effects of Ageism - Communication Patterns - Promising Options - Communication Technology and Older Adults Communication Skill Builders: Reaching Marginalized Populations PART III: SOCIAL AND CULTURAL ISSUES CHAPTER 7: Social Support Conceptual Overview Coping Crisis Normalcy Coping Strategies and Social Support Action-Facilitating Support Nurturing Support Esteem Support Communication Skill Builders: Supportive Listening Emotional Support Communication Skill Builders: Allowing Emotions Social Network Support Communication Skill Builders: Keeping Social Networks Healthy Support Groups Communication Technology: Virtual Communities Transformative Experiences Lay Caregiving Lay Caregivers' New Role Profile of the Lay Caregiver Stress and Burnout Caring for Caregivers End-of-Life Communication Life at All Costs Death with Dignity Slow Medicine Advance-Care Directives Communication Skill Builders: Delivering Bad News Coping with Death Oversupporting Overhelping Overinforming Overempathizing CHAPTER 8: Cultural Conceptions of Health and Illness Why Consider Culture? A Profile of Cultures Asian and Pacific Island Hispanic Arab The Nature of Health and Illness Health as Organic Health as Harmony Social Implications of Disease Disease as Cure Stigma of Disease The Morality of Prevention Victimization Patient and Caregiver Roles Mechanics and Machines Parents and Children Spiritualists and Believers Providers and Consumers Partners Implications Viagra: A Case Study in Health-Culture Overlap Communication Skill Builders: Developing Cultural Competence PART IV: COMMUNICATION IN HEALTH ORGANIZATIONS CHAPTER 9: Culture and Diversity in Health Organizations Culture and Diversity in Health Organizations Organizational Culture Cultural Integration and Transformation Advantages of Diversity Historical Patterns of Acceptance Female Physicians - Building Equity - Communication Styles Minorities in Medicine - History - Current Representation Diverse Types of Health Care Nurses - Nursing Shortage Hospitalists Midlevel Providers Allied Health Personnel Retail Clinics Holistic Care Definitions Popularity Advantages Drawbacks Managing Conflict Definitions Conflict of Interest Violent Conflict - Communication Skill Builders: Defusing Violent Situations Nurses' Role Conflict Communication Skill Builders: Integrating Diverse Employees CHAPTER 10: Leadership and Teamwork Current Issues Consolidation Controversy over Specialty Hospitals Efficiency Marketing and Advertising Consumerism Staffing Shortages Challenging the Bureaucracy Hierarchies or Partnerships? - Advantages - Disadvantages - Opportunities to Change Authority Rule or Multilevel Input? - Advantages - Disadvantages - Opportunities for Change Specialized Jobs or Mission-Centered Expectations? - Advantages - Disadvantages - Opportunities for Change Strictly by the Rules. . . or Not? - Advantages - Disadvantages - Opportunities for Change Teamwork - Advantages - Difficulties and Drawbacks - Communication Skill Builders: Working on Teams Crisis Management Aiming for Service Excellence PART V: PUBLIC HEALTH: MEDIA, CRISIS, POLICY REFORM, AND HEALTH PROMOTION CHAPTER 11: Health Images in the Media Advertising Direct-to-Consumer Advertising (DCTA) - Advantages of DCTA - Disadvantages of DCTA - Communication Skill Builders: Evaluating Medical Claims Nutrition - Obesity - Effects on Children - Activity Levels Alcohol - Source of Knowledge - Glamorized Images Body Images - Health Effects - Eternal Hope News Coverage Accuracy and Fairness Sensationalism Advantages of Health News Communication Skill Builders: Presenting Health News Communication Technology: Interactive Health Information - Advantages - Drawbacks Communication Skill Builders: Using the Internet Entertainment Portrayals of Health-Related Behaviors - Mental Illness and Dementia - Disabilities - Sex - Violence Portrays of Health Care Situations - Medical Miracles - Entertainment and Commercialism Entertainment-Education and Programming Impact of Persuasive Entertainment Media Literacy Teaching Media Literacy CHAPTER 12: Public Health Crises and Health Care Reform What is Public Health? Risk and Crisis Communication Managing Perceptions How Scared is Scared Enough? In the Heat of the Moment Case Studies: A Global Perspective AIDS SARS Anthrax Avian Flu Wrapping It Up Health Care Reform Analyzing the Issues - Waste - Inequities and Oversights - Less Costs More - Out of Pocket, Out of Luck? - Hope The American Model Universal Coverage Models - Massachusetts and Vermont - Overview, Pros, and Cons Single-Payer Model Wrapping Up Talk About Universal Coverage CHAPTER 13: Planning Health Promotion Campaigns Background on Health Campaigns Motivating Factors Exemplary Campaigns - Go to the Audience - Take Action - Measure Your Success - Encourage Social Support Planning a Health Campaign Step 1: Defining the Situation and Potential Benefits - Benefits - Current Situation - Diverse Motivations Step 2: Analyzing and Segmenting the Audience - Data Collection - Segmenting the Audience - Audience as a Person - Young Audiences - Sensation-Seekers - Underinformed Audiences Step 3: Establishing Campaign Objectives Step 4: Selecting Channels of Communication - Channel Characteristics - Communication Technology: Using Computers to Narrowcast Messages - Multichannel Campaigns CHAPTER 14: Designing and Implementing Health Campaigns Theories of Behaviors Change Health Belief Model Social Cognitive Theory Embedded Behaviors Model Theory of Reasoned Action Transtheoretical Model Wrapping it Up Critical-Cultural Perspective Designing and Implementing a Campaign Step 5: Designing Campaign Messages - Choosing a Voice - Designing the Message Step 6: Piloting and Implementing the Campaign Step 7: Evaluating and Maintaining the Campaign - Evaluation - Maintenance References Credits Author Index Subject Index


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