1 / 19

Patient Education

Patient Education. From Primary Orality to Virtual Orality. Trends in Patient Education. How disease causes and treatments are communicated to individuals Why certain methods evolved or were favored What the future is likely to look like. Early Medicine 400 A.D.

orli-lowery
Download Presentation

Patient Education

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Patient Education From Primary Orality to Virtual Orality

  2. Trends in Patient Education • How disease causes and treatments are communicated to individuals • Why certain methods evolved or were favored • What the future is likely to look like

  3. Early Medicine400 A.D. • As far back as Hippocrates medical care was reserved for the wealthy and the royal families. • Physician consultation was by correspondence. Only literate upper class men had access.

  4. Ong’s Orality • Most patient education was face-to-face, in the oral tradition described by Walter Ong. Sender Utterings Receiver Information Utterings Understanding

  5. Ties Between Theater and Medicine1500s • Common people got their health information from the stage, which served as the mass media of the times.

  6. Ties Between Theater and Medicine1600s • Religious Reformation --Theater was outlawed • Stage physicians became medicine show performers • Hired clowns, mimes and acrobats to draw in crowds

  7. Health in a bottle • Medicine show “doctors” began to make and sell their own medicines • Drug companies and print (flyer) advertising started with the medicine show in Europe

  8. The medicine show in America1700s • Why it was a perfect venue • Anti-British sentiments, all doctors in America were European • 2.5 million people, 400 physicians, no medical schools • Geographical constraints • Illiteracy • Few sources of entertainment

  9. How did we make it our own?1800s • Different herbs and traditions • Mystique of the Native Americans • Change of actors and material from British theater to Americana

  10. Medicine Show Spin-offs • Wild West Shows • Miss Annie Oakley • Buffalo Bill Cody • Wild Bill Hickock • Circus • P.T. Barnum • Proprietary Museums; stationary medicine shows

  11. Entertainment as Medicine or Medicine as Entertainment? Many famous actors and musicians came from the medicine show circuit • Bob Hope • Jack Benny • Mickey Rooney • Cesar Romera • Carmen Miranda • Jimmy Durante • Milton Berle • Minnie Pearl • Hank Williams • Red Skelton • Roy Acuff • Harry Houdini • George Burns • Buster Keaton • Gracie Allen • Lester Flatt

  12. Health in a book1880-1920 • New schools taught reading using Bible • Health seen as controllable by good or moral living • “Safe Counsel or Practical Eugenics” sells over 1 million copies

  13. “Golden Age” of the Physician1920-1960 • Scientific breakthroughs • High physician esteem • As medicine became more effective it became more expensive • Medicine as a luxury good • Patients paid their own way • Medical consumerism

  14. Education by advertisement: “Every man his own doctor”1940-present

  15. Where are we now?21st Century • Medical care and pharmaceuticals increasing in complexity • Direct to consumer drug marketing • Steadily decreasing health literacy rates • 49% of people have Functional Health Literacy (FHL) in the illiterate or marginally literate range

  16. Critical needs not addressed • Most vulnerable populations least able to understand medical information • Immigrants/Minorities • Poor/Homeless • Elderly • Those in rural areas

  17. What’s the plan? Is eMedicine the most effective means of reaching the greatest number of people? Private highway or public road? • Email advice • Online Rx • Appointment scheduling • Lab results • Research/education

  18. Is entertainment the answer? Is television today’s “virtual” orality? • Entertainment as medicine • 76% of study population took medical advice from the television • 40% choose TV as primary source; 36% chose physician • Advertisements as diagnostic tool • Do you suffer from heartburn more than x times a week?

  19. What does the past mean for the future? Patient education that is: • Entertaining • Personalized (medical information) • Patient driven • Free from • Reliance on literacy • Speaker privileged communication • Drug advertising • Bias • Delivery for patient

More Related