Tips from our featured course
Ethics and Access: Personal Health Information (PHI) Study
Sensitivity to cultural and ethnic diversity is only part of the ethics associated with health information. In order for patients to engage in meaningful and informed self-determination they must be given access to their PHI in a way that is not fraught with unnecessary roadblocks.
For one year, in a study aptly called Open Notes, over 13,000 patients were allowed to have complete access to one part of their medical records, the notes that doctors wrote about them.
After a year, almost all the patients were enthusiastic about the Open Notes initiative, and surprisingly, so were the majority of doctors. All three hospitals in the study have elected to allow those patients who participated to continue to have access to their doctors' notes.
Letting Patients Read the Doctors Notes - The Open Notes Initiative
"On the one hand, we call this the 'new medicine', but we're also just giving patients what is already their right.
"It's as we say, nothing about me without me."
Tom Delbanco, M.D.
Co-author of the Open Notes Initiative
Primary care physician and Professor of Medicine
Harvard Medical School
[Ethics in Case Management, Module F, CM Ethics in Ambulatory and Community-Based Health]
"Globesity": A World-wide Pandemic
A recent article in the online publication Insurance Journal, March 13, 2017, sounds the alarm about global obesity and encourages governments, food producers, retailers, employers and insurance companies to combine their efforts to tackle the obesity crisis, engaging patients in a holistic approach that combines health incentives, taxes and education programs.
The Athena Forum course points out that Obesity Management is also co-morbidity management:
Strategies such as modifying dietary intake and physical activity may also impact on obesity-related co-morbidities or risk factors. Reducing body weight in overweight and obese patients helps reduce the risk of these co-morbidities from developing and helps in their management.
Weight management techniques need to take into account the needs of individual patients so they should:
- Be culturally sensitive
- Incorporate unique perspectives and characteristics
Treatment of overweight and obesity is to be taken seriously since it involves treating an individual's disease over the long term as well as making modifications to a way of life.
[Obesity Management, Module C, Treatments and Interventions in Obesity Care]