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Patients as Policy Actors offers groundbreaking accounts of one of the health field's most important developments of the last fifty years--the rise of more consciously patient-centered care and policymaking. The authors in this volume illustrate, from multiple disciplinary perspectives, the unexpected ways that patients can matter as both agents and objects of health care policy yet nonetheless too often remain silent, silenced, misrepresented, or ignored. The volume concludes with a unique epilogue outlining principles for more effectively integrating patient perspectives into a pluralistic conception of policy-making. With the recent enactment of the Patient Protection and Affordable Care Act, patients' and consumers' roles in American health care require more than ever the careful analysis and attention exemplified by this innovative volume.

Table of Contents

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  1. Title Page, Copyright
  2. pp. i-vi
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  1. Contents
  2. pp. vii-ix
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  1. Introduction: Patients as Policy Actors
  2. pp. 1-16
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  1. Part I: Voices of the Silent
  2. pp. 17-20
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  1. Chapter 1. Solitary Advocates: The Severely Brain Injured and Their Surrogates
  2. pp. 21-42
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  1. Chapter 2. Physician-Patient Communication in the Care of Vulnerable Populations: The Patient’s Voice in Interpersonal Policy
  2. pp. 43-59
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  1. Chapter 3. Is It Time to Push Yet?: The Challenges to Advocacy in U.S. Childbirth
  2. pp. 60-82
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  1. Chapter 4. A Pound of Flesh: Patient Legal Action for Human Research Protections in the Biotech Age
  2. pp. 83-108
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  1. Part II: From Individual to Collective
  2. pp. 109-112
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  1. Chapter 5. From Outsiders to Insiders: The Consumer-Survivor Movement and Its Impact on U.S. Mental Health Policy
  2. pp. 113-131
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  1. Chapter 6. “Don’t Scream Alone”: The Health Care Activism of Poor Americans in the 1970s
  2. pp. 132-147
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  1. Chapter 7. The Canary in Gemeinschaft: Using the Public Voice of Patients to Enhance Health System Performance
  2. pp. 148-176
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  1. Chapter 8. Patient Appeals as Policy Disputes: Individual and Collective Action in Managed Care
  2. pp. 177-192
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  1. Part III: How Patients Matter
  2. pp. 193-196
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  1. Chapter 9. The Power of Us: A New Approach to Advocacy for Rare Cancers
  2. pp. 197-214
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  1. Chapter 10. Patients and the Rise of the Nurse-Practitioner Profession
  2. pp. 215-230
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  1. Chapter 11. A House on Fire: Newborn Screening, Parents’ Advocacy, and the Discourse of Urgency
  2. pp. 231-256
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  1. Chapter 12. Measuring Success: Scientific, Institutional, and Cultural Effects of Patient Advocacy
  2. pp. 257-277
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  1. Epilogue: Principles for Engaging Patients in U.S. Health Care and Policy
  2. pp. 278-292
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  1. Notes on Contributors
  2. pp. 293-296
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  1. Index
  2. pp. 297-310
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