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Your search keyword '"Epstein, Ronald M."' showing total 25 results
Start Over Author "Epstein, Ronald M." Journal patient education and counseling
25 results on '"Epstein, Ronald M."'

2. Older adults with advanced cancer are selective in sharing and seeking information with social networks

Author

Kehoe, Lee, primary, Sanapala, Chandrika, additional, DiGiovanni, Grace, additional, Yousefi-Nooraie, Reza, additional, Yilmaz, Sule, additional, Bauer, Jessica, additional, Loh, Kah Poh, additional, Norton, Sally, additional, Duberstein, Paul, additional, Kamen, Charles, additional, Gilmore, Nikesha, additional, Gudina, Abdi, additional, Kleckner, Amber, additional, Mohile, Supriya, additional, and Epstein, Ronald M., additional

Published
2022
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11. Three questions that patients can ask to improve the quality of information physicians give about treatment options: A cross-over trial

Author

Shepherd, Heather L., primary, Barratt, Alexandra, additional, Trevena, Lyndal J., additional, McGeechan, Kevin, additional, Carey, Karen, additional, Epstein, Ronald M., additional, Butow, Phyllis N., additional, Del Mar, Chris B., additional, Entwistle, Vikki, additional, and Tattersall, Martin H.N., additional

Published
2011
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24. "Speaking-for" and "speaking-as": pseudo-surrogacy in physician-patient-companion medical encounters about advanced cancer.

Author

Mazer BL, Cameron RA, DeLuca JM, Mohile SG, and Epstein RM

Subjects
Adolescent, Adult, Aged, Caregivers psychology, Female, Humans, Male, Middle Aged, Neoplasms psychology, Patient Participation, Physicians, Primary Health Care organization & administration, Qualitative Research, Referral and Consultation organization & administration, Tape Recording, Young Adult, Communication, Friends, Geriatric Assessment methods, Office Visits, Physician-Patient Relations, Professional-Family Relations
Abstract

Objective: To examine using audio-recorded encounters the extent and process of companion participation when discussing treatment choices and prognosis in the context of a life-limiting cancer diagnosis., Methods: Qualitative analysis of transcribed outpatient visits between 17 oncologists, 49 patients with advanced cancer, and 34 companions., Results: 46 qualifying companion statements were collected from a total of 28 conversations about treatment choices or prognosis. We identified a range of companion positions, from "pseudo-surrogacy" (companion speaking as if the patient were not able to speak for himself), "hearsay", "conflation of thoughts", "co-experiencing", "observation as an outsider", and "facilitation". Statements made by companions were infrequently directly validated by the patient., Conclusion: Companions often spoke on behalf of patients during discussions of prognosis and treatment choices, even when the patient was present and capable of speaking on his or her own behalf., Practice Implications: The conversational role of companions as well as whether the physician checks with the patient can determine whether a companion facilitates or inhibits patient autonomy and involvement. Physicians can reduce ambiguity and encourage patient participation by being aware of when and how companions may speak on behalf of patients and by corroborating the companion's statement with the patient., (Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.)

Published
2014
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25. Relational barriers to depression help-seeking in primary care.

Author

Kravitz RL, Paterniti DA, Epstein RM, Rochlen AB, Bell RA, Cipri C, Fernandez y Garcia E, Feldman MD, and Duberstein P

Subjects
Clinical Competence, Depression drug therapy, Focus Groups, Health Knowledge, Attitudes, Practice, Humans, Mental Health, Patient Preference statistics & numerical data, Psychometrics, Qualitative Research, Trust, Depression psychology, Patient Preference psychology, Physician-Patient Relations, Primary Health Care, Social Perception
Abstract

Objective: To identify attitudinal and interpersonal barriers to depression care-seeking and disclosure in primary care and in so doing, evaluate the primary care paradigm for depression care in the United States., Methods: Fifteen qualitative focus group interviews in three cities. Study participants were English-speaking men and women aged 25-64 with first-hand knowledge of depression. Transcripts were analyzed iteratively for recurring themes., Results: Participants expressed reservations about the ability of primary care physicians (PCPs) to meet their mental health needs. Specific barriers included problems with PCP competence and openness as well as patient-physician trust. While many reflected positively on their primary care experiences, some doubted PCPs' knowledge of mental health disorders and believed mental health concerns fell outside the bounds of primary care. Low-income participants in particular shared stories about the essentiality, and ultimate fragility, of patient-PCP trust., Conclusion: Patients with depression may be deterred from care-seeking or disclosure by relational barriers including perceptions of PCPs' mental health-related capabilities and interests., Practice Implications: PCPs should continue to develop their depression management skills while supporting vigorous efforts to inform the public that primary care is a safe and appropriate venue for treatment of common mental health conditions., (Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.)

Published
2011
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