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Health Behavior Research and Medical Training and Practice

A Social Context

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Handbook of Health Behavior Research IV

Abstract

The epidemiological profile of the United States has changed drastically over the last 70 years. The so-called “demographic transition” has been accomplished, with the shift from high birth and death rates to low birth and death rates. The population pyramid for this country has changed from the wide-based, sharp-peaked form characteristic of a rural, nonindustrialized country to the more nearly straight-sided, broad-topped form associated with industrialized, urbanized countries. This change in the shape of the population pyramid reflects a radical change in the demography and associated health concerns of the nation. The major health concerns of the United States are now chronic degenerative conditions, all of which have major behavioral components in their etiology, treatment, and prevention. Advances in medical behavioral research focused on these conditions are being applied to the current changes in the training of health care professionals in the United States. This chapter addresses the application of these advances in medical behavioral research both to the curricular reforms of health education and to the specific training of medical students for patient care.

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References

  • Ader, R. (1992). On the clinical relevance of psychoneuroimmunology, Clinical Immunology and Immunopathology, 64(1), 6–8.

    Article  PubMed  CAS  Google Scholar 

  • Ader, R., & Cohen, N. (1993). Psychoneuroimmunology: Conditioning and stress, Annual Review of Psychology, 44, 53–85.

    Article  PubMed  CAS  Google Scholar 

  • Agency for Health Care Policy and Research. (1993). New federal guidelines seek to help primary care providers recognize and treat depression. Hospital and Community Psychiatry, 44(6), 598.

    Google Scholar 

  • Anderson, M. B., Stillman, P. L., & Wang, Y. (1994). Growing use of standardized patients in teaching and evaluation in medical education, Teaching and Learning in Medicine, 6(1), 15–22.

    Article  Google Scholar 

  • Barefoot, J. C., Larsen, S., Von Der Lieth, L., & Schroll, M. (1995). Hostility, incidence of acute myocardial infarction, and mortality in a sample of older Danish men and women, American Journal of Epidemiology, 142(5), 477–484.

    PubMed  CAS  Google Scholar 

  • Bauer, S. M. (1994). Psychoneuroimmunology and cancer: An integrated review, Journal of Advanced Nursing, 19, 1114–1120.

    Article  PubMed  CAS  Google Scholar 

  • Becker, M. H. (Ed.). (1974). The health belief model and personal health behavior. San Francisco: Society for Public Health Education.

    Google Scholar 

  • Bedrick, A. (1990). The eighty-hour workweek. American Journal of Diseases of Children, 144, 857.

    PubMed  CAS  Google Scholar 

  • Bernstein, P., Tipping, J., Bercovitz, K., & Skinner, H. A. (1995). Shifting students and faculty to a PBL curriculum: Attitudes changed and lessons learned, Academic Medicine, 70(3), 245–247.

    Article  PubMed  CAS  Google Scholar 

  • Blendon, R. J., Knox, R. A., Brodie, M., Benson, J. M., & Chervinsky, G. (1994). Americans compare managed care, Medicare, and fee for service, Journal of American Health Policy, 4, 42–47.

    PubMed  CAS  Google Scholar 

  • Blumberg, P., & Mellis, L. P. (1985). Medical students’ attitudes toward the obese and morbidly obese, International Journal of Eating Disorders, 4(2), 169–175.

    Article  Google Scholar 

  • Boyd, K. M. (1994). Implications of HIV infection and AIDS for medical education, Medical Education, 28, 488–491.

    Article  PubMed  CAS  Google Scholar 

  • Califano, J. A., Jr. (1995). Radical surgery: What’s next for American’s health care. Carnegie Corporation Occasional Papers, New York: Carnegie Corp.

    Google Scholar 

  • Camp, D. L., Hollingsworth, M. A., Zaccaro, D. J., Cariaga-Lo, L. D., & Richards, B. F. (1994). Does a problem-based learning curriculum affect depression in medical students? Academic Medicine, 69(10), S25–S27.

    Article  PubMed  CAS  Google Scholar 

  • Carpman, J. R., & Grant, M. A. (1993). Design that cares: Planning health facilities for patients and visitors. Chicago: American Hospital Publishers.

    Google Scholar 

  • Cassell, J. (1991). Expected miracles: Surgeons at work. Philadelphia: Temple University Press.

    Google Scholar 

  • Chi-Lum, B. (1995). Putting more prevention into medical training, Journal of the American Medical Association, 273(18), 1402–1403.

    Article  PubMed  CAS  Google Scholar 

  • Collings, J. A. (1990). Epilepsy and well-being, Social Science and Medicine, 31(2), 165–170.

    Article  PubMed  CAS  Google Scholar 

  • Crimmins, T. (1993). Ethical issues in adult resuscitation, Annals of Emergency Medicine, 22, 229–235.

    Article  Google Scholar 

  • DiMatteo, M. R., & DiNicola, D. D. (1982). Achieving patient compliance: The psychology of the medical practitioner’s role, New York: Pergamon Press.

    Google Scholar 

  • Dodek, P. M., Huang, S., & Chan-Yan, C. (1994). A lecturing skills course for residents, Teaching and Learning in Medicine, 6(2), 124–127.

    Article  Google Scholar 

  • Dubos, R. (1965). Man adapting. New Haven, CT: Yale University Press.

    Google Scholar 

  • Elliott, S. J. (1995). Psychosocial stress, women and heart health: A critical review, Social Science and Medicine, 40(1), 105–115.

    Article  PubMed  CAS  Google Scholar 

  • Emanuel, E. J., & Dubler, N. N. (1995). Preserving the physician-patient relationship in the era of managed care, Journal of the American Medical Association, 273, 323–329.

    Article  PubMed  CAS  Google Scholar 

  • Fein, E. B. (1995). A report says medicaid plan would hurt AIDS care. The New York Times, Oct. 4, p. A15.

    Google Scholar 

  • Finerman, R., & Bennett, L. A. (1995). Guilt, blame and shame: Responsibility in health and sickness, Social Science and Medicine, 40(1), 1–3.

    Article  PubMed  CAS  Google Scholar 

  • Fishbein, H. (1993). Patient outcomes research and type II diabetes, Diabetes Care, 16(4), 656–657.

    PubMed  CAS  Google Scholar 

  • Fitzgerald, D., Milzman, D. P., & Sulmasy, D. P. (1995). Creating a dignified option: Ethical considerations in the formation of prehospital DNR protocol, American Journal of Emergency Medicine, 13(2), 223–228.

    Article  PubMed  CAS  Google Scholar 

  • Flexner, A. (1910). Medical education in the Untied States and Canada. Bulletin No. 4. New York: Carnegie Foundation for the Advancement of Teaching.

    Google Scholar 

  • Fox, R. C. (1988). Essays in medical sociology: Journeys into the field (2nd ed.) New Brunswick, NJ: Transaction Books.

    Google Scholar 

  • Friedman, C., Murphy, G. C., Smith, A. C., & Mattern, W. D. (1994). Exploratory study of an examination format for problem-based learning, Teaching and Learning in Medicine, 6(3), 194–198.

    Article  Google Scholar 

  • Furman, G., Ross, L. R., Galofre, A., Heaney, R. M., & Mootz, W. C. (1994). A standardized patient clinical examination to assess clinical performance of medical students in an ambulatory care clerkship, Teaching and Learning in Medicine, 6(3), 175–178.

    Article  Google Scholar 

  • Ginzberg, E. (Ed.). (1991). Health services research: Key to health policy. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Gochman, D. S. (Ed.). 1988. Health behavior: Emerging research perspectives. New York: Plenum Press.

    Google Scholar 

  • Gogorcena, M. A., Casajuana, C. M., & Jove, F. A. (1992). Accessibility to primary health care centers: Experience and evaluation of an appointment system program, Quality Assurance Health Care, 4(1), 33–41.

    CAS  Google Scholar 

  • Goleman, D. (1991). All too often, communicating is not a doctor’s strong point. The New York Times, Nov. 13, p. C1.

    Google Scholar 

  • Greenlick, M. R. (1992). Educating physicians for population-based clinical practice, Journal of the American Medical Association, 267(12), 1645–1648.

    Article  PubMed  CAS  Google Scholar 

  • Greenlick, M. R. (1995). Educating physicians for the twenty-first century, Academic Medicine, 70(3), 179–185.

    Article  PubMed  CAS  Google Scholar 

  • Hamann, B. P. (1994). Disease: Identification, prevention, and control. St. Louis, MO: C. V. Mosby.

    Google Scholar 

  • Hickey, M. E., Kalishman, S., Skipper, B. J., Mennin, S. P., & Samet, J. M. (1994). Impact of a teaching strategy for health of the public, Teaching and Learning in Medicine, 6(2), 108–113.

    Article  Google Scholar 

  • Hickson, G. B., Clayton, E. W., Githens, P. B., & Sloan, F. A. (1992). Factors that prompted families to file medical malpractice claims following perinatal injuries, Journal of the American Medical Association, 267(10), 1359–1363.

    Article  PubMed  CAS  Google Scholar 

  • Hillman, A. L., Pauly, M. V., & Kerstein, J. J. (1989). How do financial incentives affect physicians’ clinical decisions and the financial performance of health maintenance organizations? New England Journal of Medicine, 321, 86–92.

    Article  PubMed  CAS  Google Scholar 

  • Himmelstein, D. U., & Woolhandler, S. (1992). The national health program chartbook. Cambridge, MA: Center for National Health Program Studies.

    Google Scholar 

  • Hochbaum, G. M. (1958). Public participation in medical screening programs: A sociopsychological study. Public Health Service Publication 572. Washington, DC: U.S. Public Health Service.

    Google Scholar 

  • Husserl, F. (1993). Effective communication: A powerful risk management tool, Journal of the Louisiana State Medical Society, 145(1), 29–31.

    PubMed  CAS  Google Scholar 

  • Justice, B. (1994). Critical life events and the onset of illness, Comprehensive Therapy, 20(4), 232–238.

    PubMed  CAS  Google Scholar 

  • Kaplan, S., Greenfield, S., & Ware, J. E., Jr. (1989). Assessing the effects of physician-patient interactions on the outcomes of chronic disease. Medical Care, 27(3), S110–S127.

    Article  PubMed  CAS  Google Scholar 

  • Keefe, F. J., & Van Horn, Y. (1993). Cognitive-behavioral treatment of rheumatoid arthritis pain: Maintaining treatment gains, Arthritis Care Research, 6, 213–222.

    Article  CAS  Google Scholar 

  • Kleck, R. E., Ono, H., & Hastorf, A. H. (1966). The effects of physical deviance upon face-to-face interactions, Human Relations, 19, 425–436.

    Article  Google Scholar 

  • Knowles, J. H. (Ed.). (1977). Doing better and feeling worse: Health in the United States. New York: Norton.

    Google Scholar 

  • Koop, C. E. (1993, Oct. 15). Revitalizing primary care: A 10-point proposal. Hospital Practice, pp. 87-94.

    Google Scholar 

  • Kurtz, M. E., Johnson, S. M., Tomlinson, T., & Fiel, N.J. (1985). Teaching medical students the effects of values and stereotyping on the doctor/patient relationship, Social Science and Medicine, 21, 1043–1047.

    Article  PubMed  CAS  Google Scholar 

  • Landwirth, J. (1993). Ethical issues in pediatrie and neonatal resuscitation, Annals of Emergency Medicine, 22, 236–241.

    Article  Google Scholar 

  • Lee, P. (1993). Guidelines: Cataract surgery and beyond, Archives of Ophthalmology, 222(5), 597–598.

    Article  Google Scholar 

  • Lewis, C., & Carlisle, D. (1994). Continuing medical education about AIDS: A needs assessment, Western Journal of Medicine, 161(1), 34–38.

    PubMed  CAS  Google Scholar 

  • MacLaren, C. (1995, Summer). From the National Chair. Association of American Medical Colleges. GSA Reporter, 25(2), 1–2.

    Google Scholar 

  • McDaniel, J. S. (1992). Psychoimmunology: Implications for future research, Southern Medical Journal, 85(4), 388–396.

    Article  PubMed  CAS  Google Scholar 

  • McIntyre, K. M. (1992). Implementation of advance directives: For physicians, a legal dilemma becomes an ethical imperative, Archives of Internal Medicine, 152, 925–929.

    Article  PubMed  CAS  Google Scholar 

  • McLaughlin, C. P., & Kaluzny, A. D. (1994). Continuous quality improvement in health care. Gaithersburg, MD: Aspen.

    Google Scholar 

  • Mechanic, D. (1986). From advocacy to allocation: The evolving American health care system. New York: Free Press.

    Google Scholar 

  • Merrill, J. M., Camacho, Z., Laux, L. F., Lorimor, R., Thornby, J. I., & Vallbona, C. (1994). Uncertainties and ambiguities: Measuring how medical students cope, Medical Education, 28, 316–322.

    Article  PubMed  CAS  Google Scholar 

  • Moorhead, R. (1992). Communication skills training for general practice, Australian Family Physician, 21(4), 457–460.

    PubMed  CAS  Google Scholar 

  • Muller, J. H. (1992). Shades of blue: The negotiation of limited codes by medical residents, Social Science and Medicine, 34(8), 885–898.

    Article  PubMed  CAS  Google Scholar 

  • Ong, L. M. L., de Haes, J. C. J. M., Hoos, A. M., & Lammes, F. B. (1995). Doctor-patient communication: A review of the literature, Social Science and Medicine, 40(7), 903–918.

    Article  PubMed  CAS  Google Scholar 

  • Petersdorf, R. G. (1991). Regulation of residency training, Bulletin of the New York Academy of Medicine, 67(4), 330–337.

    PubMed  CAS  Google Scholar 

  • Petty, R. E., & Cacioppo, J. T. (1986). The elaboration likelihood model of persuasion. In L. Berkowitz (Ed.), Advances in experimental social psychology 19. New York: Academic Press.

    Google Scholar 

  • Post, S. G., Botkin, J. R., & Headrick, L. A. (1995). Medical students in a time of HIV: Education and the duty to treat, Medical Education, 29, 128–132.

    Article  PubMed  CAS  Google Scholar 

  • Pratt, L. V. (1978). Reshaping the consumer’s posture in health care. In E. B. Gallagher (Ed.), The doctor-patient relationship in the changing health scene (pp. 197–226).Department of Health, Education and Welfare Publication No. 78-183. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Richardson, S. A., Goodman, N., Hastorf, A. H., & Dornbusch, S. M. (1961). Cultural uniformity in reaction to physical disabilities, American Sociological Review, 26, 241–247.

    Article  Google Scholar 

  • Rogers, D. E. (1986). Where have we been? Where are we going? Daedalus, pp. 209-229.

    Google Scholar 

  • Rosenstock, I. M., 1974. Historical origins of the health belief model. Health Education Monographs, 2, 328–335.

    Google Scholar 

  • Rosenstock, I. M., Derryberry, M., & Carriger, B. K. (1959). Why people fail to seek poliomyelitis vaccination, Public Health Reports, 74, 98–103.

    Article  PubMed  CAS  Google Scholar 

  • Rusin, M. (1992). Communicating with families of rehabilitation patients about “Do Not Resuscitate” decisions, Archives of Physical Medicine and Rehabilitation, 73, 922–925.

    PubMed  CAS  Google Scholar 

  • Scarinci, I. C., McDonald-Haile, J., Bradley, L. A., & Richter, J. F. (1994). Altered pain perception and psychosocial features among women with gastrointestinal disorders and history of abuse: A preliminary model, American Journal of Medicine, 97, 108–118.

    Article  PubMed  CAS  Google Scholar 

  • Searle, M. (1981). Obsessive-compulsive behaviour in american medicine. Social Science and Medicine, 15E, 185–193.

    Google Scholar 

  • Sharaf, M. R., & Levinson, D. J. (1964). The quest for omnipotence in professional training, Psychiatry, 27(2), 135–149.

    PubMed  CAS  Google Scholar 

  • Shortell, S. M., Gillies, R. R., & Devers, K. J. (1995). Reinventing the American hospital, Milbank Quarterly, 73(2), 131–160.

    Article  PubMed  CAS  Google Scholar 

  • Sigrun-Heide, P., & Klauer, T. (1991). Subjective well-being in the face of critical life events: The case of successful copers. In G. Strack, M. Argyle, & N. Schwarz (Eds.), Subjective well-being—an interdisciplinary perspective (pp. 213–234). New York: Pergamon Press.

    Google Scholar 

  • Stelter, K., Elliott, B. A., & Bruno, C. A. (1992). Living will completion in older adults, Archives of Internal Medicine, 152, 954–959.

    Article  PubMed  CAS  Google Scholar 

  • Stoline, A. (1993). The new medical marketplace: A physician’s guide to the health care system in the 1990s (revised). Baltimore: Johns Hopkins University Press.

    Google Scholar 

  • Syme, L. S., & Berkman, L. F. (1994). Social class, susceptibility, and sickness. In P. Conrad & R. Kern (Eds.), The sociology of health and illness (4th ed.). (pp. 29–35). New York: St. Martin’s Press.

    Google Scholar 

  • Szasz, T. S., & Hollender, M. H. (1956). The basic models of the doctor-patient relationship, Archives of Internal Medicine, 97, 585–592.

    Article  PubMed  CAS  Google Scholar 

  • Taylor, W. C., & Moore, G. T. (1994). Health promotion and disease prevention: Integration into a medical school curriculum, Medical Education, 28, 481–487.

    Article  PubMed  CAS  Google Scholar 

  • Thorpe, K. (1990). House staff supervision and working hours: Implications of regulatory change in New York State, Journal of the American Medical Association, 263(25), 3177–3181.

    Article  PubMed  CAS  Google Scholar 

  • U.S. Department of Health and Human Services. (1990). Health, United States, 1989, DHHS Publication No. (PHS) 90-1232. (p. 174). Hyattsville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Walton, H. (Ed.). (1993). World summit on medical education: The changing medical profession. Edinburgh, August 8-12. Proceedings published by the World Federation for Medical Education.

    Google Scholar 

  • Wedding, D. (1995). Behavior and medicine (2nd ed.) St. Louis, MO: C. V. Mosby.

    Google Scholar 

  • Wennberg, J. E. (1991). Outcomes research, patient preference and the primary care doctor, Journal of the American Board of Family Practice, 4(5), 327–330.

    Google Scholar 

  • Werner, A. (1995). We are not telling our students the truth. ABSAME Member Report, Spring-Summer Issue, 1.

    Google Scholar 

  • Wiese, H.J. C., Wilson, J. F., Jones, R. A., & Neises, M. (1992). Obesity stigma reduction in medical students, International Journal of Obesity, 16, 859–868.

    PubMed  CAS  Google Scholar 

  • Wilkes, M. S., Slavin, S. J., & Usatine, R. (1994). Doctoring: A longitudinal generalist curriculum, Academic Medicine, 69(3), 191–193.

    Article  PubMed  CAS  Google Scholar 

  • Woolhandler, S., & Himmelstein, D. (1991). The deteriorating administrative efficiency of the U.S. health care system, New England Journal of Medicine, 324, 1253–1258.

    Article  PubMed  CAS  Google Scholar 

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Wiese, H.J.C., Gallagher, E.B. (1997). Health Behavior Research and Medical Training and Practice. In: Gochman, D.S. (eds) Handbook of Health Behavior Research IV. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0484-3_4

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