CLP 4314 Chapter Notes - Chapter 9: Endorphins, Naturopathy, Irving Janis

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Individuals pay a standard monthly rate & then uses services as needed at no additional/cheaper cost: referred to as managed care. Network of doctors offers members a discounted rate. Done through hmos/companies allow you to visit any doctor/hospital outside the network for a price: refers typically needed for specialists. Patients privately contract with physicians for services & pay them for services rendered: was the standard for many years. Developed because patients no longer pay directly for services. What are factors that affect the quality of communication between patients & providers: doctors income depends on how many fellow doctors refer them. This system can produce high technical quality (fewer errors) at the cost of providing emotionally satisfying care for patients. Involves providing patients with information, discussing decisions regarding care, & consideration of psychosocial issues. They use too much jargon, lack feedback, & the depersonalization of care.

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