Browsing by Subject "health care professionals"

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    THE FACTORS OF AN INDIANA BACKGROUND THAT INFLUENCE PRACTICE LOCATION CHOICE OF RESIDENCY AND FELLOWSHIP GRADUATES
    (Office of the Vice Chancellor for Research, 2012-04-13) Natividad, Diana May; Brandt, Amy J.; Kochhar, Komal; Zollinger, Terrell W.
    A shortage and unequal distribution of health care professionals in Indiana is increasingly restricting access to quality medical care for Indiana residents. There is a limited amount of research on the factors that predominate when residency and fellowship graduates choose their practice location. This pro-ject looks at the different factors affecting graduates’ choices of practice lo-cation, while specifically focusing on the connection of hometown, high school, college, and medical school locations to their decisions to practice in Indiana. Surveys were completed by 264 of the 383 graduating residents and fellows of the graduate medical education programs at Indiana Universi-ty School of Medicine during the exit interview process, yielding a response rate of 69%. The graduates responded to questions concerning demographic characteristics, assessment of their training, plans after graduation, intended practice location, and reasons for choosing their practice location. The larg-est contributor to choosing to practice in Indiana was graduating from a medical school in Indiana (80.6%). Having an Indiana hometown was the least contributing factor (76.1%), but the combination of hometown and medical school was the highest contributing factor (82.1%) to choosing to practice in Indiana. The top three reasons to stay in Indiana given by re-spondents who graduated from an Indiana medical school were “met my professional needs or preferences” (88.0%), “liked the people” (86.0%), and “met my personal needs or preferences” (76.0%). Also, factors concerning the needs of their spouse and family were only moderately important. This project’s data may assist admission committees when choosing graduates for their residency programs. By admitting more graduates who have deeper connections to Indiana, the number of health professionals in Indiana may increase, thus allowing more of Indiana’s residents to have access to quality health care.
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    A Research Agenda for Communication Between Health Care Professionals and Patients Living With Serious Illness
    (AMA, 2017-09) Tulsky, James A.; Beach, Mary Catherine; Butow, Phyllis N.; Hickman, Susan E.; Mack, Jennifer W.; Morrison, R. Sean; Street, Richard L., Jr.; Sudore, Rebecca L.; White, Douglas B.; Pollak, Kathryn I.; School of Nursing
    Importance Poor communication by health care professionals contributes to physical and psychological suffering in patients living with serious illness. Patients may not fully understand their illness, prognosis, and treatment options or may not receive medical care consistent with their goals. Despite considerable research exploring the role of communication in this setting, many questions remain, and a clear agenda for communication research is lacking. Observations Through a consensus conference and subsequent activities, we reviewed the state of the science, identified key evidence gaps in understanding the impact of communication on patient outcomes, and created an agenda for future research. We considered 7 broad topics: shared decision making, advance care planning, communication training, measuring communication, communication about prognosis, emotion and serious illness communication, and cultural issues. We identified 5 areas in which further research could substantially move the field forward and help enhance patient care: measurement and methodology, including how to determine communication quality; mechanisms of communication, such as identifying the specific clinician behaviors that patients experience as both honest and compassionate, or the role of bias in the clinical encounter; alternative approaches to advance care planning that focus on the quality of serious illness communication and not simply completion of forms; teaching and disseminating communication skills; and approaches, such as economic incentives and other clinician motivators, to change communication behavior. Conclusions Our findings highlight the urgent need to improve quality of communication between health care professionals and patients living with serious illness through a broad range of research that covers communication skills, tools, patient education, and models of care.