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Random H+S (Patient centred care (Cultural Sensibility (Own bias and…
Random H+S
Patient centred care
Distal: community, geography, media,culture
Finding common ground- Nature of problems, goals of treatment, priorities
Proximal factors: family, financial, education, employment
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Explores main reason for visit, concerns and need for info
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Cultural Sensibility
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Professional, respectful etc
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Self-treatment
Illness Behaviour: Perception and actions of of different people (gender, age, culture, class)
Pluralism: Co-existence of different medical traditions (acupuncture, homeopathy)
Symptom Iceberg: Most treatment is self in community so HCPs only see a small proportion of symptoms
Lay Referral: family, friends, pharmacy, internet
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Why see/not see Dr?
Triggers
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Interference with work, social and physical acitvities
Barriers
Staff attitude, availability, time, location, cost, past exp.
Perception and evaluation of illness #
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