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Medical Language for Modern Health Care, Second Edition, uses Contextual Learning Theory to introduce medical terminology within a healthcare environment. Chapters are broken into lessons that introduce and define terminology through the context of A & P, pathology, and clinical and diagnostic procedures/tests. Each 2-page spread covers one topic at a time, offering contextual content, a Word Analysis and Definition Table, and exercises all in one place. Word Analysis and Definition Tables provide a color-coded guide to word parts and combining forms, as well as definitions and pronunciations. With unfolding patient case studies and documentation, students are introduced to various roles in the healthcare environment, illustrating the real-life application of medical terminology in modern health care while facilitating active learning. Now available with LearnSmart: Medical Terminology and Connect, students and instructors can access all their course materials in one place. Connect provides market-leading content, a proven course architecture, and unmatched flexibility to help students apply the principles in the textbook. LearnSmart is the only individualized, diagnostic study tool that creates a specific learning plan for each student, adapting as they progress through content.
Book Synopsis Medical Language for Modern Health Care by : David Allan
Download or read book Medical Language for Modern Health Care written by David Allan and published by McGraw-Hill Education. This book was released on 2010-01-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical Language for Modern Health Care, Second Edition, uses Contextual Learning Theory to introduce medical terminology within a healthcare environment. Chapters are broken into lessons that introduce and define terminology through the context of A & P, pathology, and clinical and diagnostic procedures/tests. Each 2-page spread covers one topic at a time, offering contextual content, a Word Analysis and Definition Table, and exercises all in one place. Word Analysis and Definition Tables provide a color-coded guide to word parts and combining forms, as well as definitions and pronunciations. With unfolding patient case studies and documentation, students are introduced to various roles in the healthcare environment, illustrating the real-life application of medical terminology in modern health care while facilitating active learning. Now available with LearnSmart: Medical Terminology and Connect, students and instructors can access all their course materials in one place. Connect provides market-leading content, a proven course architecture, and unmatched flexibility to help students apply the principles in the textbook. LearnSmart is the only individualized, diagnostic study tool that creates a specific learning plan for each student, adapting as they progress through content.
While many fields such as e-learning, business, and marketing have taken advantage of the potential of gamification, the healthcare domain has just started to exploit this emerging trend, still in an ad-hoc fashion. Despite the huge potential of applying gamification on several topics of healthcare, there are scarce theoretical studies regarding methodologies, techniques, specifications, and frameworks. These applications must be examined further as they can be used to solve major healthcare-related challenges such as care plan maintenance, medication adherence, phobias treatment, or patient education. Handbook of Research on Solving Modern Healthcare Challenges With Gamification aims to share new approaches and methodologies to build e-health solutions using gamification and identifies new trends on this topic from pedagogical strategies to technological approaches. This book serves as a collection of knowledge that builds the theoretical foundations that can be helpful in creating sustainable e-health solutions in the future. While covering topics such as augmented and virtual reality, ethical issues in gamification, e-learning, telehealth services, and digital applications, this book is essential for research scholars, healthcare/computer science teachers and students pursuing healthcare/computer science-related subjects, enterprise developers, practitioners, researchers, academicians, and students interested in the latest developments and research solving healthcare challenges with modern e-health solutions using gamification.
Book Synopsis Handbook of Research on Solving Modern Healthcare Challenges With Gamification by : Alexandre Peixoto de Queirós, Ricardo
Download or read book Handbook of Research on Solving Modern Healthcare Challenges With Gamification written by Alexandre Peixoto de Queirós, Ricardo and published by IGI Global. This book was released on 2021-01-22 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt: While many fields such as e-learning, business, and marketing have taken advantage of the potential of gamification, the healthcare domain has just started to exploit this emerging trend, still in an ad-hoc fashion. Despite the huge potential of applying gamification on several topics of healthcare, there are scarce theoretical studies regarding methodologies, techniques, specifications, and frameworks. These applications must be examined further as they can be used to solve major healthcare-related challenges such as care plan maintenance, medication adherence, phobias treatment, or patient education. Handbook of Research on Solving Modern Healthcare Challenges With Gamification aims to share new approaches and methodologies to build e-health solutions using gamification and identifies new trends on this topic from pedagogical strategies to technological approaches. This book serves as a collection of knowledge that builds the theoretical foundations that can be helpful in creating sustainable e-health solutions in the future. While covering topics such as augmented and virtual reality, ethical issues in gamification, e-learning, telehealth services, and digital applications, this book is essential for research scholars, healthcare/computer science teachers and students pursuing healthcare/computer science-related subjects, enterprise developers, practitioners, researchers, academicians, and students interested in the latest developments and research solving healthcare challenges with modern e-health solutions using gamification.
Book Synopsis HEALING PEOPLE, NOT PATIENTS by : JONATHAN. WEINKLE
Download or read book HEALING PEOPLE, NOT PATIENTS written by JONATHAN. WEINKLE and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Why healthcare finance? -- From the laboratory to the patient -- Present value relations -- Evaluating business opportunities -- Valuing bonds -- Valuing stocks -- Portfolio management and the cost of capital -- Therapeutic development and clinical trials -- Decision trees and real options -- Monte Carlo simulation -- Healthcare analytics -- Biotech venture capital -- Securitizing biomedical assets -- Pricing, value, and ethics -- Epilogue : a case study pf royalty pharma.
Book Synopsis Healthcare Finance by : Andrew W. Lo
Download or read book Healthcare Finance written by Andrew W. Lo and published by Princeton University Press. This book was released on 2022-11-15 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Why healthcare finance? -- From the laboratory to the patient -- Present value relations -- Evaluating business opportunities -- Valuing bonds -- Valuing stocks -- Portfolio management and the cost of capital -- Therapeutic development and clinical trials -- Decision trees and real options -- Monte Carlo simulation -- Healthcare analytics -- Biotech venture capital -- Securitizing biomedical assets -- Pricing, value, and ethics -- Epilogue : a case study pf royalty pharma.
Her earache, sore throat, and chest congestion were just not getting better. With no appointments available to see Dr. Be Well until late next day, Ms Runouta Patience decides it's off to QuickFix retail medical clinic to get feeling well again. After being treated with decongestants and an antibiotic, a week later she arrives at Dr. Be Well's office for a follow-up visit, where the receptionist hands her a clipboard with endless forms to complete before seeing the doctor. She is also asked if she wishes to join Dr. Be Well's new accountable care organization-an ACO. What? Wasn't she already his patient? Finally after almost getting writer's cramp, she is taken to a room, where in walks Dr. Guess Who, ANP-C, ACNS-BC, DNP. At first, Runouta Patience is disturbed that Dr. Be Well is unavailable. But Dr. Guess Who is kind, professional in her demeanor, extremely thorough, and even tests her understanding of the asthma recommendations that she makes. Leaving the office, Rinaouta Patience writes out a check for her office visit co-payment and upon arriving home downloads an app onto her smartphone that will allow her to send peak airflow rates to her doctor to help manage her asthma. Some weeks later, however, her condition again deteriorates and she must go to the local emergency room, where she receives a breathing treatment and is admitted to hospital. Expecting to see Dr. Be Well, she is again surprised as in comes young Dr. Hyam Here, the hospitalist on duty who will care for her for at least the next forty-eight hours while she is hospitalized. Through simulated patient scenarios such as these, the reader is introduced to many of the milestones that have occurred in healthcare delivery. Problems currently faced are discussed and potential solutions provided. Advance Praise for "Modern Healthcare Delivery..." "Dr. Zema has authored a most comprehensive tome on our U. S. healthcare delivery system. His observations and citations are cogent and wise, well serving all who wish to gain a greater understanding and appreciation of our current challenges and reasonable/responsible solutions going forward. This is a must read for all interested in a complete awareness of our current healthcare dilemma." -Thomas E. Price MD 23rd Cabinet Secretary of Health and Human Services (HHS) "American medicine is desperately in need of change. This brilliant, coherent, and most readable book is a must read for those seeking solutions, both members of the medical profession and the interested lay public." - Sidney Alexander MD, FACC Chairman Emeritus, Division of Cardiology Lahey Hospital and Medical Center "From the well-chosen book and chapter titles to the researched and documented details, this work is insightful, engaging, balanced, and thought-provoking - an excellent point of departure for those seeking a better understanding of the workings of healthcare and those with interest and influence in healthcare reform." - Holly Gadd, PhD, RN, APRN, FNP-BC Dean & Professor, School of Nursing Southern Adventist University "No other book encompasses such a comprehensive assessment of our healthcare delivery system, providing history, criticism and potential solutions to this, our greatest domestic endeavor - a valuable read for the lay audience, students and advanced clinical professionals alike. Bravo!"
Book Synopsis Modern Healthcare Delivery, Deliverance or Debacle by : Michael J. Zema MD
Download or read book Modern Healthcare Delivery, Deliverance or Debacle written by Michael J. Zema MD and published by Fulton Books, Inc.. This book was released on 2021-03-22 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: Her earache, sore throat, and chest congestion were just not getting better. With no appointments available to see Dr. Be Well until late next day, Ms Runouta Patience decides it's off to QuickFix retail medical clinic to get feeling well again. After being treated with decongestants and an antibiotic, a week later she arrives at Dr. Be Well's office for a follow-up visit, where the receptionist hands her a clipboard with endless forms to complete before seeing the doctor. She is also asked if she wishes to join Dr. Be Well's new accountable care organization-an ACO. What? Wasn't she already his patient? Finally after almost getting writer's cramp, she is taken to a room, where in walks Dr. Guess Who, ANP-C, ACNS-BC, DNP. At first, Runouta Patience is disturbed that Dr. Be Well is unavailable. But Dr. Guess Who is kind, professional in her demeanor, extremely thorough, and even tests her understanding of the asthma recommendations that she makes. Leaving the office, Rinaouta Patience writes out a check for her office visit co-payment and upon arriving home downloads an app onto her smartphone that will allow her to send peak airflow rates to her doctor to help manage her asthma. Some weeks later, however, her condition again deteriorates and she must go to the local emergency room, where she receives a breathing treatment and is admitted to hospital. Expecting to see Dr. Be Well, she is again surprised as in comes young Dr. Hyam Here, the hospitalist on duty who will care for her for at least the next forty-eight hours while she is hospitalized. Through simulated patient scenarios such as these, the reader is introduced to many of the milestones that have occurred in healthcare delivery. Problems currently faced are discussed and potential solutions provided. Advance Praise for "Modern Healthcare Delivery..." "Dr. Zema has authored a most comprehensive tome on our U. S. healthcare delivery system. His observations and citations are cogent and wise, well serving all who wish to gain a greater understanding and appreciation of our current challenges and reasonable/responsible solutions going forward. This is a must read for all interested in a complete awareness of our current healthcare dilemma." -Thomas E. Price MD 23rd Cabinet Secretary of Health and Human Services (HHS) "American medicine is desperately in need of change. This brilliant, coherent, and most readable book is a must read for those seeking solutions, both members of the medical profession and the interested lay public." - Sidney Alexander MD, FACC Chairman Emeritus, Division of Cardiology Lahey Hospital and Medical Center "From the well-chosen book and chapter titles to the researched and documented details, this work is insightful, engaging, balanced, and thought-provoking - an excellent point of departure for those seeking a better understanding of the workings of healthcare and those with interest and influence in healthcare reform." - Holly Gadd, PhD, RN, APRN, FNP-BC Dean & Professor, School of Nursing Southern Adventist University "No other book encompasses such a comprehensive assessment of our healthcare delivery system, providing history, criticism and potential solutions to this, our greatest domestic endeavor - a valuable read for the lay audience, students and advanced clinical professionals alike. Bravo!"
The Culture Cure delivers the essential DNA required to break free of the status quo environment that continues to dominate the American healthcare industry. It begins with the understanding of fundamental organizational core values that lay the foundation for excellence in culture, quality, finance, and governance, known as the trees of transcendence. The Culture Cure is the medicine that can ultimately elevate the standing of the United States' healthcare system ranking among top healthcare systems, no longer trailing behind other developed countries in world. This book provides the reader with nine foundational values that transform a healthcare organization, outfitting it to succeed in the modern environment of high accountability and value-based medicine. Plagued by traditional leadership paradigms, the healthcare industry continues to deliver status quo results. Transformational thinking must dominate by embracing the values that have been vetted over 25 years in healthcare settings that are described in The Culture Cure. Transformational cultures deliver excellence, innovation, and best practices that are not afraid to own, manage, create, and develop high reliable organizations of transcendence. Delivering a systemic and collegial leadership approach to continuous improvement breathes new life into healthcare to address the chronic pain associated with underperformance. With the heated debate over America's healthcare reform and recent crises in our government-run healthcare system, transformation has become imperative. Transformation is never simple, particularly in an industry that has been described by many leadership experts as one of the most complex industries to lead. There is a public call for healthcare leaders to initiate wide-scale transformation from our traditional healthcare culture into one that innovates to meet today's challenges. The availability of evidence-based information mandates industry transformation. But for most leaders the question still remains, how? How do we transition from our traditional environment to create a foundational culture that will proactively sustain the winds of change, and create a high reliable organization? To begin this journey it requires acknowledging the most important asset in any healthcare entity, which is the employees. Developing the best colleagues, the best leaders, and the best culture leads to achieving an environment of sustainable success. The Culture Cure is about placing the oxygen mask on the employees, before securing it on the patient. Employees can not give what they do not have. Quality of care, financial sustainability, and healthcare excellence will follow when employees function in a culture that fosters personal development, positive influence, and a trusting empowerment. Author Pamela M. Tripp, has lived her passion for healthcare excellence over the past 35 years, serving as a healthcare educator, senior leader, and turnaround Chief Executive Officer. Implementing the tenets of The Culture Cure has secured national and international service excellence and quality of care awards and most recently the distinction of being the first federally qualified community health center system in the nation to receive the First Milestone Malcolm Baldrige: Governors Quest for Excellence recognition.
Book Synopsis The Culture Cure by : Pamela M. Tripp
Download or read book The Culture Cure written by Pamela M. Tripp and published by Createspace Independent Publishing Platform. This book was released on 2016-08-11 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Culture Cure delivers the essential DNA required to break free of the status quo environment that continues to dominate the American healthcare industry. It begins with the understanding of fundamental organizational core values that lay the foundation for excellence in culture, quality, finance, and governance, known as the trees of transcendence. The Culture Cure is the medicine that can ultimately elevate the standing of the United States' healthcare system ranking among top healthcare systems, no longer trailing behind other developed countries in world. This book provides the reader with nine foundational values that transform a healthcare organization, outfitting it to succeed in the modern environment of high accountability and value-based medicine. Plagued by traditional leadership paradigms, the healthcare industry continues to deliver status quo results. Transformational thinking must dominate by embracing the values that have been vetted over 25 years in healthcare settings that are described in The Culture Cure. Transformational cultures deliver excellence, innovation, and best practices that are not afraid to own, manage, create, and develop high reliable organizations of transcendence. Delivering a systemic and collegial leadership approach to continuous improvement breathes new life into healthcare to address the chronic pain associated with underperformance. With the heated debate over America's healthcare reform and recent crises in our government-run healthcare system, transformation has become imperative. Transformation is never simple, particularly in an industry that has been described by many leadership experts as one of the most complex industries to lead. There is a public call for healthcare leaders to initiate wide-scale transformation from our traditional healthcare culture into one that innovates to meet today's challenges. The availability of evidence-based information mandates industry transformation. But for most leaders the question still remains, how? How do we transition from our traditional environment to create a foundational culture that will proactively sustain the winds of change, and create a high reliable organization? To begin this journey it requires acknowledging the most important asset in any healthcare entity, which is the employees. Developing the best colleagues, the best leaders, and the best culture leads to achieving an environment of sustainable success. The Culture Cure is about placing the oxygen mask on the employees, before securing it on the patient. Employees can not give what they do not have. Quality of care, financial sustainability, and healthcare excellence will follow when employees function in a culture that fosters personal development, positive influence, and a trusting empowerment. Author Pamela M. Tripp, has lived her passion for healthcare excellence over the past 35 years, serving as a healthcare educator, senior leader, and turnaround Chief Executive Officer. Implementing the tenets of The Culture Cure has secured national and international service excellence and quality of care awards and most recently the distinction of being the first federally qualified community health center system in the nation to receive the First Milestone Malcolm Baldrige: Governors Quest for Excellence recognition.
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Book Synopsis Health Professions Education by : Institute of Medicine
Download or read book Health Professions Education written by Institute of Medicine and published by National Academies Press. This book was released on 2003-07-01 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Until now, research has given us only a limited understanding of how managers actually make sense of and apply management knowledge; how networks of interaction amongst managers help or hinder processes of knowledge diffusion and the sharing of best practice; and how these processes are all influenced both by the organisations in which managers act and by the professional communities of practice they belong to. Managing Modern Healthcare fills these important gaps in our understanding by drawing upon an in-depth study of management networks and practice in three healthcare organisations in the UK. It draws from the primary research a number of important and grounded lessons about how management networks develop and influence the spread of management knowledge and practice; how management training and development relates to the needs of managers facing challenging conditions; and how those conditions are themselves shaping the nature of management in healthcare. This book reveals how managers in practice are responding to the many contemporary challenges facing healthcare (and the NHS in particular) and how they are able or not to effectively exploit sources of knowledge, learning and best practice through the networks of practice they engage in to improve healthcare delivery and healthcare organisational performance. Managing Modern Healthcare makes a number of important theoretical contributions as well as practical recommendations. The theoretical and empirical contributions the book makes relate to wider work on networks and networking, management knowledge, situated learning/communities of practice, professionalization/professional identity and healthcare management more generally. The practical contribution comes in the form of recommendations for healthcare management practitioners and policy makers that are intended to impact upon and help enhance healthcare management delivery and performance.
Book Synopsis Managing Modern Healthcare by : Mike Bresnen
Download or read book Managing Modern Healthcare written by Mike Bresnen and published by Taylor & Francis. This book was released on 2017-02-10 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until now, research has given us only a limited understanding of how managers actually make sense of and apply management knowledge; how networks of interaction amongst managers help or hinder processes of knowledge diffusion and the sharing of best practice; and how these processes are all influenced both by the organisations in which managers act and by the professional communities of practice they belong to. Managing Modern Healthcare fills these important gaps in our understanding by drawing upon an in-depth study of management networks and practice in three healthcare organisations in the UK. It draws from the primary research a number of important and grounded lessons about how management networks develop and influence the spread of management knowledge and practice; how management training and development relates to the needs of managers facing challenging conditions; and how those conditions are themselves shaping the nature of management in healthcare. This book reveals how managers in practice are responding to the many contemporary challenges facing healthcare (and the NHS in particular) and how they are able or not to effectively exploit sources of knowledge, learning and best practice through the networks of practice they engage in to improve healthcare delivery and healthcare organisational performance. Managing Modern Healthcare makes a number of important theoretical contributions as well as practical recommendations. The theoretical and empirical contributions the book makes relate to wider work on networks and networking, management knowledge, situated learning/communities of practice, professionalization/professional identity and healthcare management more generally. The practical contribution comes in the form of recommendations for healthcare management practitioners and policy makers that are intended to impact upon and help enhance healthcare management delivery and performance.
This book provides perspectives on how the US health care system evolved, why it faces the challenges that it does, and why reform is so difficult to achieve. It tackles issues including tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests and medical errors.
Book Synopsis Policy Challenges in Modern Health Care by : David Mechanic
Download or read book Policy Challenges in Modern Health Care written by David Mechanic and published by Rutgers University Press. This book was released on 2005 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides perspectives on how the US health care system evolved, why it faces the challenges that it does, and why reform is so difficult to achieve. It tackles issues including tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests and medical errors.
The American health care system is terminally ill. It is astonishingly expensive, remarkably variable in quality, and incapable of stemming the rising tide of chronic illness in our population. Yet, the majority of Americans believe it is the best system in the world and cling to the belief that, far from ailing, it delivers care superior to those of countries across the globe. The system has obliged us by providing an elaborate set of myths and misconceptions about American health care that significantly shape our beliefs. These myths keep us blissfully ignorant about the true quality, safety, and value of the care we receive. This ignorance has a price: it leads us to draw erroneous conclusions about our conditions, fail to properly evaluate potential treatment options, and rarely question our providers’ competency. The Myths of Modern Medicine looks at the real issues contributing to the dysfunction of our healthcare system and how these issues affect the care we receive. The book, based upon John Leifer’s 30 years of immersion in the healthcare industry, challenges some of our most commonly held misperceptions about this vitally important industry. Leifer strips away the elaborately constructed myths that conceal the ugly underbelly of healthcare and lays bare the truth about an industry that serves special interest groups far better than it serves its patients. A survival guide for anyone entering the healthcare system, this timely work helps consumers better research provider competency; ask the right questions to evaluate potential treatment options; and communicate the information that will help yield the right treatment decisions. Several studies have shown patients today have only about a 50 percent chance of getting the generally accepted best treatment for their conditions. This book helps consumers increase these odds with step-by-step directions on how to interact more productively with their doctors and become true partners in making what may be the most crucial decisions of their lives.
Book Synopsis The Myths of Modern Medicine by : John Leifer
Download or read book The Myths of Modern Medicine written by John Leifer and published by Rowman & Littlefield. This book was released on 2014-09-11 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: The American health care system is terminally ill. It is astonishingly expensive, remarkably variable in quality, and incapable of stemming the rising tide of chronic illness in our population. Yet, the majority of Americans believe it is the best system in the world and cling to the belief that, far from ailing, it delivers care superior to those of countries across the globe. The system has obliged us by providing an elaborate set of myths and misconceptions about American health care that significantly shape our beliefs. These myths keep us blissfully ignorant about the true quality, safety, and value of the care we receive. This ignorance has a price: it leads us to draw erroneous conclusions about our conditions, fail to properly evaluate potential treatment options, and rarely question our providers’ competency. The Myths of Modern Medicine looks at the real issues contributing to the dysfunction of our healthcare system and how these issues affect the care we receive. The book, based upon John Leifer’s 30 years of immersion in the healthcare industry, challenges some of our most commonly held misperceptions about this vitally important industry. Leifer strips away the elaborately constructed myths that conceal the ugly underbelly of healthcare and lays bare the truth about an industry that serves special interest groups far better than it serves its patients. A survival guide for anyone entering the healthcare system, this timely work helps consumers better research provider competency; ask the right questions to evaluate potential treatment options; and communicate the information that will help yield the right treatment decisions. Several studies have shown patients today have only about a 50 percent chance of getting the generally accepted best treatment for their conditions. This book helps consumers increase these odds with step-by-step directions on how to interact more productively with their doctors and become true partners in making what may be the most crucial decisions of their lives.
