Listening for What Matters: Avoiding Contextual Errors in Health Care


Product Details

Oxford University Press, USA
Publish Date
6.0 X 9.2 X 0.2 inches | 0.01 pounds

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About the Author

Saul Weiner, MD, and Alan Schwartz, PhD, at Jesse Brown VA Medical Center and the University of Illinois at Chicago College of Medicine, have spent the last ten years studying how well physicians personalize care to their patients. Their work involving undercover actors and audio recording by real
patients carrying concealed audio recorders has been published in Annals of Internal Medicine, JAMA - The Journal of the American Medical Association, BMJ Quality & Safety, The Joint Commission Journal of Quality and Patient Safety, and Medical Decision Making. They are also the founders and
principals of the Institute for Practice and Provider Performance Improvement, Inc., which brings these techniques from research into practice.


"In today's health-care-obsessed culture, Listening For What Matters is an absolute must read. ... Listening For What Matters ... is a truly unique and important book with a broad-brush reach: Consumers should read it to learn how to better communicate with their healthcare providers, while doctors should immediately review the Weiner-Schwartz "4C" guide-posts to learn how to hear what their patients just said." --Electric Review

"I encourage every physician from all disciplines to read this important book, Listening for What Matters: Avoiding Contextual Errors in Health Care." --Jathan & Heather

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Featured on The Student Doctor Network: Physician Features.

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"The concept of patient-centered medical care, originally a call for clinicians to attend to the psychosocial as well as biomedical needs particular to each patient, has since been co-opted as a marketing tool by the commercial enterprise that is American medicine. A 'patient-centered' practice now boasts evening hours and a good web site--but may or may not be attentive to the issues so critical to clinical practice that Weiner and Schwartz explore here. Their work on contextualized care reclaims this territory and redefines what it means to be patient-centered, with a robust and pragmatic model useful in teaching, practice, and in further research on physician behavior." --Raymond Curry, MD, FACP, Senior Associate Dean for Educational Affairs, University of Illinois College of Medicine, Charter Member, American Academy on Communication in Health Care

"Weiner and Schwartz take you behind the scenes in failed and successful patient/doctor interactions, as well as clinical trials and medical education classrooms. In the process, they illuminate the reasons for successful and unsuccessful patient/doctor interactions. This is a book that should be read by all patients who want to get the most from their interactions with their physicians. This is a book that should be read by all medical students, physicians, health care executives, and policy workers. There is something for everyone. This is a highly readable exploration of the patient/doctor relationship and how all involved parties can improve it." --Walter J McDonald MD, MACP, Emeritus CEO American College of Physicians

"This book should be required reading for anyone teaching medical students and residents. This groundbreaking book has the potential to incite a revolution in graduate medical education. The writers have scientifically demonstrated that many physicians are not skilled at interviewing patients with complex medical as well as psychosocial issues. We ignore the information shared in this valuable book at our own peril." --Michael R. Wasserman, M.D., Director, Nursing Home QIN-QIO, Health Services Advisory Group, Inc.

"This fascinating story summarizes decades of research by its authors, Dr. Saul J. Weiner and Dr. Alan Schwartz, into the importance of the 'patient's context' in prescribing care. Physicians who apply guidelines based on biomedical criteria without modification to fit the situational, demographic, cultural, and social dimensions of the individual patient are at risk of a serious medical error: prescribing 'the right treatment' to the 'wrong patient.' The book makes an important contribution to an understanding of the requirements for patient-centered care, one that emphasizes the importance of physician as well as patient engagement in diagnosing context and sorting out the treatments that the individual patient wants and needs." --John E. Wennberg, Peggy Y. Thomson Professor Emeritus, Evaluative Clinical Sciences & Founder, Director Emeritus of The Dartmouth Institute for Health Policy and Clinical Practice