becoming an informed health care consumer

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Becoming an InformedBecoming an Informed

Health Care ConsumerHealth Care Consumer

Taking Charge of Your HealthTaking Charge of Your Health

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Informed ConsumerInformed Consumer

Learn about services & products that canLearn about services & products that can

influence your healthinfluence your health

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Sources of InformationSources of Information

Family & FriendsFamily & Friends

May be questionableMay be questionable

Pyramid sales of health productsPyramid sales of health products

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Advertisements & CommercialsAdvertisements & Commercials

TV, radio, newspapers, magazinesTV, radio, newspapers, magazines

Purpose is to sellPurpose is to sell

infomercialsinfomercials

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Labels & DirectionsLabels & Directions

Federal law requires that many consumer Federal law requires that many consumer 

labels contain specific informationlabels contain specific information

Prescription & info sheetPrescription & info sheet

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FolkloreFolklore

Validity & accuracy?Validity & accuracy?

Emotional supportEmotional support

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TestimonialsTestimonials

People often feel strongly about sharing infoPeople often feel strongly about sharing infothat has been beneficialthat has been beneficial

Sales pitchSales pitch

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Mass MediaMass Media

Health programming, lifestyle sections, healthHealth programming, lifestyle sections, health

care correspondents, health/fitness magazinescare correspondents, health/fitness magazines

Sometimes extensive, or brief or confusingSometimes extensive, or brief or confusing

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PractitionersPractitioners

Education enhances patient complianceEducation enhances patient compliance

Hospital as an education institutionHospital as an education institution

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The InternetThe Internet ±  ± Your New HealthYour New Health

SuperstoreSuperstore >60 million N. Americans explore the Internet>60 million N. Americans explore the Internet

for health related informationfor health related information

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Credibility of InformationCredibility of Information

1)Who does the site belong to?1)Who does the site belong to?

Who is responsible for the information?Who is responsible for the information?

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2) Is the information carefully referenced?2) Is the information carefully referenced?

Is it current?Is it current?

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3) Does the information appear to be biased?3) Does the information appear to be biased?

Is it more discrediting of others thanIs it more discrediting of others than

supportive of itself?supportive of itself?

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4) Are ³significant breakthroughs´ promised4) Are ³significant breakthroughs´ promised

Is the ³ultimate answer´ potentially extremistIs the ³ultimate answer´ potentially extremist

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Health Reference PublicationsHealth Reference Publications

Many households own or subscribe to suchMany households own or subscribe to such

 publications publications

The Johns Hopkins Medical Handbook;The Johns Hopkins Medical Handbook;

Physicians¶ Desk ReferencePhysicians¶ Desk Reference

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Reference LibrariesReference Libraries

Public & university librariesPublic & university libraries

Can access some through online servicesCan access some through online services

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Consumer Advocacy GroupsConsumer Advocacy Groups

Info is produced to aid consumer inInfo is produced to aid consumer in

recognizing questionable services & productsrecognizing questionable services & products

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A) Federal AgenciesA) Federal Agencies

Health CanadaHealth Canada

www.hcwww.hc--sc.gc.casc.gc.ca

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Consumer Association of CanadaConsumer Association of Canada

www.consumer.cawww.consumer.ca

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C) Professional OrganizationsC) Professional Organizations

Canadian Medical AssociationCanadian Medical Association

www.cma.cawww.cma.ca

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Voluntary Health AgenciesVoluntary Health Agencies

Volunteerism & traditional approach to healthVolunteerism & traditional approach to health

care are virtually inseparablecare are virtually inseparable

Eg¶s Canadian Cancer Society, Canadian RedEg¶s Canadian Cancer Society, Canadian Red

CrossCross

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Government AgenciesGovernment Agencies

Contribute to public awareness throughContribute to public awareness through

meetings & release of info to the mediameetings & release of info to the media

Eg Health Canada, Environment CanadaEg Health Canada, Environment Canada

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Qualified Health EducatorsQualified Health Educators

Work in a variety of settingsWork in a variety of settings

Patient educators; school health educatorsPatient educators; school health educators

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OsteopathyOsteopathy ±  ± combines allopathy w/ specificcombines allopathy w/ specific

attention to the postural mechanics of the bodyattention to the postural mechanics of the body

In Canada trained osteopathic professionalsIn Canada trained osteopathic professionals

don¶t receive legal recognitiondon¶t receive legal recognition

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Clinical ecologyClinical ecology

Orthomolecular therapyOrthomolecular therapy

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Cranial sacral therapyCranial sacral therapy

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Choosing a PhysicianChoosing a Physician

Questions to ask during & post initial visitQuestions to ask during & post initial visit

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ChiropracticChiropractic

Manual manipulation of the spine to correctManual manipulation of the spine to correct

misalignmentsmisalignments

Some studies say more effective thanSome studies say more effective than

conventional careconventional care

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Canadian Chiropractic Association federallyCanadian Chiropractic Association federally

chartered in 1953chartered in 1953

Recognized in all provinces & territoriesRecognized in all provinces & territories

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Massage TherapyMassage Therapy

8% of Canadians8% of Canadians

Can effect skeletal, muscular, cardiovascular,Can effect skeletal, muscular, cardiovascular,

lymphatic, nervous, respiratory, digestive,lymphatic, nervous, respiratory, digestive,

urinary systems & skin, stress, etcurinary systems & skin, stress, etc

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AromatherapyAromatherapy

Uses purest plant essenceUses purest plant essence

Molecules inhaled & absorbedMolecules inhaled & absorbed

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Deep tissue massageDeep tissue massage

Release chronic patterns of tensionRelease chronic patterns of tension

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LaStone TherapyLaStone Therapy

Hot or cold stones can be usedHot or cold stones can be used

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ReikiReiki ±  ± universal life energyuniversal life energy

Healing touch that conducts energy from giver Healing touch that conducts energy from giver to receiver to receiver 

Positive energy flowPositive energy flow

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RolfingRolfing

Focused on connective tissue of the body toFocused on connective tissue of the body toachieve structural changes in the client throughachieve structural changes in the client through

manipulating the fasciamanipulating the fascia

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ShiatsuShiatsu ±  ± finger pressurefinger pressure

Pressure is applied to meridian lines toPressure is applied to meridian lines to promote good health by stimulating ³ki´ promote good health by stimulating ³ki´

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Swedish & therapeutic massageSwedish & therapeutic massage

Five basic strokesFive basic strokes -- foundationfoundation

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AcupunctureAcupuncture

2% of Canadians2% of Canadians

Most familiar component of 3000 yr oldMost familiar component of 3000 yr old

Chinese medical systemChinese medical system

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ReflexologyReflexology

There are reflexes in the feet & hands whichThere are reflexes in the feet & hands which

correspond to every part of the bodycorrespond to every part of the body

# of studies suggest it can be significantly# of studies suggest it can be significantly

effectiveeffective

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HomeopathyHomeopathy

Uses infinitesimal doses of herbs, minerals,Uses infinitesimal doses of herbs, minerals,

 poisons to stimulate body¶s curative powers poisons to stimulate body¶s curative powers

Law of SimilarsLaw of Similars

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Said to cure hay fever, diarrhea, pain, etc.Said to cure hay fever, diarrhea, pain, etc.

One study re: vertigoOne study re: vertigo

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NaturopathyNaturopathy

When mind & body are in balance then body isWhen mind & body are in balance then body is

more apt to fight off diseasemore apt to fight off disease

Can incorporate a # of natural healingCan incorporate a # of natural healing

therapiestherapies

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HerbalismHerbalism

Possibly the world¶s oldest healing formPossibly the world¶s oldest healing form

St. John¶s wortSt. John¶s wort

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RestrictedRestricted--Practice HealthPractice Health--CareCare

ProvidersProviders

Other specialists who have advanced graduateOther specialists who have advanced graduate

level traininglevel training

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PodiatristsPodiatrists

Highly trained clinicians treating feetHighly trained clinicians treating feet

 Not aM

D but can treat a variety of conditions, Not aM

D but can treat a variety of conditions, perform surgery, prescribe medications, & perform surgery, prescribe medications, &

apply orthoticsapply orthotics

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4 yr undergrad prog4 yr undergrad prog

4 yrs in podiatric medical school4 yrs in podiatric medical school

Optional 1Optional 1--2 yr residency2 yr residency

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Licensed practical nurses (LP N)Licensed practical nurses (LP N)

1212--18 months of training in a hospital based18 months of training in a hospital based program program

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Allied Health Care ProfessionalsAllied Health Care Professionals

Responsible for highly technical services &Responsible for highly technical services &

 procedures procedures

Eg respiratory therapists, radiological techs,Eg respiratory therapists, radiological techs,

operating room techs, physical therapistsoperating room techs, physical therapists

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Self CareSelf Care

Individuals taking responsibility for healthIndividuals taking responsibility for health

Learning to assess own health status

Learning to assess own health status

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Benefits:Benefits:

1)lower health care costs1)lower health care costs

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2) be effective for particular conditions:2) be effective for particular conditions:

A) acute conditions with familiar symptomsA) acute conditions with familiar symptoms

Eg common cold & flue, nonallergic insectEg common cold & flue, nonallergic insect

 bites bites

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B) therapyB) therapy

Eg. Asthma, diabetes & hypertensionEg. Asthma, diabetes & hypertension

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Must be a skilled consumer Must be a skilled consumer 

A wide variety of equipment and programsA wide variety of equipment and programsavailableavailable

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Can obtain 20 yr patentCan obtain 20 yr patent

Health Canada must reviewHealth Canada must review

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Dietary SupplementsDietary Supplements

>60 million N. Americans using an array of >60 million N. Americans using an array of 

supplementssupplements

More people are trying to be preventive andMore people are trying to be preventive and

self self--prescribing prescribing