NAVIGATING THE HEALTH CARE SYSTEM

A RESOURCE GUIDE FOR CONSUMERS

Healthnet: Connecticut Consumer Health Information Network
Lyman Maynard Stowe Library
University of Connecticut Health Center
Farmington, Connnecticut

Evaluating PhysiciansEvaluating HospitalsCommunicating With Your DoctorManaged Care PlansUnderstanding MedicareObtaining Health InsuranceOrganizations That May HelpHospital Care InformationLong Term CareInformation On Your DiagnosisEnd Of Life DecisionsPrivacy RightsSpecial Needs
This Guide is intended to assist patients and their families who are selecting health care providers and insurance coverage and want to gather background information to help them in the decision-making process.

The Guide includes Internet websites as well as print resources. Although advertisements may appear on some websites in the Guide, the University of Connecticut Health Center Library makes no recommendations for these products or services nor endorses them.

Some especially informative books which are out of print are included. They may be available at your public library or your library may be able to borrow them from other libraries through the Interlibrary Loan system. Connecticut residents may also borrow books from other public libraries within the state with their own town library card.

Each book citation includes the book's unique International Standard Book Number (ISBN), which identifies the book and is helpful when ordering a specific title.

Since this resource guide is a publication of Healthnet: Connecticut Consumer Health Information Network,a program of the Lyman Maynard Stowe Library, University of Connecticut Health Center, its focus is on Connecticut resources when they are available. National resources are represented as well.

 EVALUATING HEALTH CARE PROVIDERS


BOOKS

America's Top Doctors. A Castle Connolly Guide. Castle Connolly Medical Ltd, 2007. 7th edition. (ISBN 1-883769-79-5 )

The physicians listed were selected by peer nomination. The book is intended to focus on doctors with specialized clinical skills, not necessarily those with prominent administrative titles. Listings are organized by specialties and subspecialties of the American Board of Medical Specialties, and then by geographic region of the country. Includes an index by more specific "special expertise," as well as an alphabetical list by doctors' names.

 Directory of Physicians in the United States.  American Medical Association, annual. 4 vol.

Brief biographical information on U.S. physicians, whether or not the physician is board-certified. Includes medical school attended, primary and secondary specialty, year of licensure, and type of practice. Internet access is available at AMA Physician Select/On-Line Doctor Finder .

Folio’s medical directory of Connecticut and Rhode Island. Annual. Folio Associates. Folio Associates Inc., 297 North Street, Suite 212, Hyannis MA 02601-5130. phone: 800/223-2233.

Alphabetical listings of physicians by name, town, and specialty. Includes medical education, address and phone number, and languages spoken.

Consumers' Guide to Top Doctors. Center for the Study of Services, 2002. (ISBN 1-888124-13-X paperback)

Prepared by a nonprofit consumer organization in Washington, D.C., this book lists more than 15,000 specialists and primary care physicians in more than fifty U.S. metropolitan areas, including the Fairfield, New Haven, and Hartford county areas of Connecticut. Physicians were selected for inclusion by other doctors using a peer recommendation method. Includes brief information about each physician, including address, medical school and year of graduation, fields of board certification if applicable.

The official ABMS compendium of certified medical specialists. Annual. American Board of Medical Specialties. 1007 Church Street, Suite 404, Evanston, IL 60201-5913. 4 volumes.

A guide to physicians who have been awarded certification by one of 24 national specialty boards. Name and geographic indexes. Includes details on places and dates of internships and residencies as well as medical school attended. Confirmation of certification may also be obtained by phone by calling 1-866-ASK-ABMS or on the Internet at American Board of Medical Specialties. Select "Is Your Doctor Certified?" Free registration is required for searching this area of the website.

 WEBSITES

 AMA Physician Select/On-Line Doctor Finder

The American Medical Association’s Internet directory listing credentials of M.D.’s and osteopathic physicians. Searchable by physician name or specialty.

 American Board of Medical Specialties

A website of the American Board of Medical Specialties that allows the Internet user to search for information on board-certified physicians online. The website explains the criteria for certification. To confirm a physician's certification status, click on "Is Your Doctor Certified?" Searchers are required to register at no charge. One searching area verifies board certification when searched by physician’s name. Verification is also available through the ABMS toll-free telephone service by calling 1-866-ASK-ABMS (275-2267) and in the multi-volume print form of the Directory.

 Connecticut Licensing Info Center

State of Connecticut Department of Public Health licensing requirements for health-related professions--acupuncturists, dentists, physicians, etc. This website also allows users to verify the license status of Connecticut health professionals by typing the name of a doctor, dentist, or other health care provider in the License Verification area of the web page. Select "License Verification." The verification area of the website is updated each business day.

Connecticut Bureau of Regulatory Services

Connecticut Bureau of Regulatory Services quarterly online report of disciplinary actions against health practitioners in Connecticut. ("Regulatory Action Report") Requires Adobe Acrobat Reader on computer for online display. Earlier quarterly reports also on Bureau's website. Reports can be viewed and downloaded. Updated monthly.

Connecticut Physician Profiles

In accordance with Connecticut Public Act 99-284, the Department of Public Health publishes Connecticut physician profiles on the Internet. The profiles include physicians' biographical and educational background information, board certifications, medical malpractice history, and hospital disciplinary actions in all states.

National Association for Home Care

Website includes information for consumers, including an online brochure entitled, "How to Choose a Home Care Provider." The brochure discusses types of home care service, payment responsibility, solving problems that may arise, patients rights. The Connecticut Association for Home Care provides a searchable database of Connecticut home health care agencies on its website.
 

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EVALUATING HOSPITALS

BOOKS

 American Hospital Association guide to the health care field. Annual. American Hospital Association. Published by Health Forum, an American Hospital Association Company. One North Franklin Street, Chicago, IL. 60606-3421. (800) 242-2626.

Directory of hospitals in the U.S. arranged by state. Information includes name, address, telephone number, services provided, specialties, certification.

Consumers' guide to hospitals. Editors of Consumers' Checkbook Magazine. Center for the Study of Services, 2002. 357 p. (ISBN 1-888124-12-1). 5th edition expected late 2008.

Hospital-by-hospital rating of 4,500 acute care hospitals in the United States with information on how doctors rate the hospitals, inspector ratings, death rates and complication rates. An online version is available for a fee at the  Consumers' Checkbook website.

 WEBSITES

 American Hospital Directory

Commercial website with hospital financial data, statistics on medical services provided, as well as basic directory information.

 Best Hospitals

Rankings of hospitals published annually by U.S. News and World Report magazine.

 Hospital Compare

A nationwide hospital comparison tool published by the federal government's Centers for Medicare and Medicaid Services. Select hospitals for comparison by location or hospital name. Comparisons are based on quality measures for treatment of heart attack, heart failure, pneumonia, and surgical infection prevention. Results appear in a bar chart comparing the scores of the hospitals selected. The chart also includes the comparable average score for all hospitals in the U.S. and in the selected state.

 Hospital Connect

Hospital Finder feature of the website of the American Hospital Association and other related organizations. Search by location or hospital name.

Joint Commission on Accreditation of Healthcare Organizations

This website’s Quality Check feature supplies details on individual hospitals’ performance ratings from JCAHO’s accreditation reports. Internet user can view Performance Reports and compare institutions’ ratings. Includes an online guide, "Helping You Choose The Hospital For You." The guide has specific questions to ask when selecting a hospital.
 
 

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COMMUNICATING WITH YOUR DOCTOR

BOOKS

American Medical Association Guide to Talking to Your Doctor. Angela Perry, medical editor. John Wiley & Sons, Inc., 2001. (ISBN 0-471-41410-7).

A nontechnical overview on how to communicate effectively with your physician. Emphasizes the importance of the patient's role in this process. The book points out that the physician relies on the patient as the authoritative source of information on her symptoms in order to make a correct diagnosis. The book discusses how to talk on behalf of family members unable to speak for themselves. Suggests questions to ask about tests and treatments a physician recommends. There are suggested recommendations to follow when you are dissatisfied with your treatment and advice about when to obtain a second opinion. Includes a glossary and a resources section with information on advocacy organizations, health associations, and government agencies.

Don't let your HMO kill you. How to wake up your doctor, take control of your health, and make managed care work for you. Jason Theodosakis and David T. Feinberg. Routledge, 2000. (ISBN 0-415-92482-0).

A practical guide to obtaining competent medical care within the limits and frustrations of the managed care system.Two practicing physicians impart realistic advice on how to "win your doctor over to your side" rather than do battle with her.  The book includes tips on how to have a productive ten-minute office visit by communicating effectively with your doctor and how to build a partnership with your physician.

Essential Patient Handbook: Getting the Health Care You Need--From Doctors Who Know. Alan B. Ettinger and Deborah M. Weisbrot. Demos, 2004. (ISBN 1-932603-02-6).

Written by physicians who personally encountered a sudden, life-threatening illness, this detailed guide shows great understanding of a patient's feelings and concerns when dealing with physicians and the medical system. Among this patient-friendly book's strengths is its focus on helpful details: what specific questions to ask when inquiring about test results and newly prescribed medications, a routine to follow when making a phone call to your doctor's office, communicating effectively with your doctor during an appointment, and the format of a routine medical exam. Included within most chapters are forms that can be copied and completed on topics such as a child's medical history, managed care plan enrollment, questions about a new diagnosis, personal and family medical history, and history of present illness.

How to Survive Your Doctor's Care. Get the Right Diagnosis, the Right Treatment, and the Right Experts for You.  Pamela Gallin.  Washington, LifeLine Press, 2003. 234 p. (ISBN 0-89526-120-0).

An extremely compassionate, down-to-earth explanation of how to obtain the best medical care for yourself or a family member, written by a physician who vividly remembers the consequences of not asserting herself to her surgeon when she suffered complications from hand surgery. Includes discussions of the "Doctor's Eye-View of Medicine, " the invisible doctors" such as radiologists and pathologists who are essential to a patient's care, the process of selecting a physician.  Explains why every hospitalized patient needs his/her own patient advocate and why it should not be your spouse.

Intelligent patient’s guide to the doctor-patient relationship: Learning how to talk so your doctor will listen. Barbara M. Korsch. Oxford University Press, 1998.(ISBN 0-19-512657-2).

Written by a physician who has studied patient-doctor communication in depth, this compassionate book presents a balanced view of both sides of the doctor-patient relationship. After explaining the physician’s stresses, training, and needs as a means of understanding the physician’s viewpoint, the author gives specific suggestions on communicating effectively with one’s doctor.

Surviving modern medicine. How to get the best from doctors, family, and friends. Peter Clarke and Susan H. Evans. Rutgers University Press, 1998. (ISBN 0-8135-2555-1 hardcover, ISBN 0-8135-2556-X paperback)

Written by a professor and a researcher whose work focuses on preventive medicine, this guide provides realistic, in depth discussions of methods for eliciting treatment information and recommendations from your physician, and on coping with acute and chronic illnesses. Thoughtful, detailed advice on communicating with caregivers, friends, and relatives when in need of help. Includes many relevant anecdotes that illustrate book's suggestions. Extensive list of references to books and journal articles, arranged by chapter. These references highlight the research upon which the book's recommendations are based.

Working with your doctor. Getting the healthcare you deserve. Nancy Keene. O'Reilly, 1998.(ISBN 1-56592-273-5)

A comprehensive "primer for patient empowerment" that discusses finding a compatible physician, understanding the managed care system process, effectively communicating with your doctor, your rights and responsiblities as a patient, and researching the medical literature. Practical, clearly explained advice, interspersed with illustrative anecdotes.

You: The Smart Patient. An Insider's Handbook for Getting the Best Treatment. Michael F. Roizen and Mehmet C. Oz with the Joint Commission. Free Press, 2006.(ISBN 0-7432-9301-0 paperback)

Practical information on selecting a physician, preparing for surgery, safe use of medications, obtaining a second opinion, evaluating alternative therapies, and selecting health insurance. Enhanced by health history and current medication sample forms that may be copied for personal use. Written in humorous style by two physicians well-known to the public, and illustrated with many cartoons.

INTERNET WEBSITES

Talking with Your Doctor

From the National Library of Medicine's MedlinePlus consumer health website . Links to online brochures from the federal government and national health organizations on obtaining a second opinion, talking to your doctor, informed consent, being an active participant in your healthcare, and related communication topics.

Having Surgery? What You Need to Know.

A guide to specific questions to ask your physician about the risks and benefits of recommended surgery, from the website of the federal government’s Agency for Healthcare Research and Quality.

How To Talk To Your Doctor

Emphasis on the importance of building a "successful partnership with your doctor." Suggestions for preparing for a productive office visit. Questions to ask your doctor to assure that you have a clear understanding of your diagnosis, the treatment recommended, and other treatment options. On the website of the American Association of Retired Persons.
 

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COMPARING MANAGED CARE PLANS

 WEBSITES

 A Comparison of Managed Care Organizations in Connecticut. Booklet published by the State of Connecticut Insurance Department. Phone  (860)297-3862 for a copy or view on the website .

Requires Adobe Acrobat software for online viewing. Compares Connecticut insurance plans by results of surveys of quality measures such as provider turnover rate, percentage of primary care physicians who are board certified, percentage of children in the plan who received immunizations, etc.

Connecticut Office of the HealthCare Advocate

State government service to Connecticut residents with problems or complaints about their managed care insurance plan. For assistance, Connecticut residents can contact the office via e-mail or call toll free at 1-866-HMO-4446. The Advocate's office provides general information about managed care plans, the referral process, and assistance with specific appeals and grievances. The office's website includes specific suggestions on composing appeal letters and communicating with a managed care insurance company.

A Consumer Guide to Handling Disputes with Your Private or Employer Health Plan

A guide to approaching disputes with your insurance plan, published jointly by the Kaiser Foundation and Consumers Union. The seventy page report is accessible both in text format and PDF version. Adobe Acrobat software is necessary for viewing the PDF version. Introduction to the formal and informal grievance procedures. Profiles of insurance details by individual states.

How to Use Your Managed Care Plan Effectively: Questions and Answers for Families with Children

A brief overview of the intricacies of health insurance coverage and referrals from the website of the American Academy of Pediatrics, the national professional organization of pediatricians.

 National Committee for Quality Assurance

Online, interactive health plan report card from National Committee for Quality Assurance, a private, non-profit organization that evaluates the quality of managed care plans. Can compare selected plans.

Questions and Answers about Health Insurance: A Consumer Guide

A brief overview about finding an appropriate health care plan from the federal Agency for Healthcare Research and Quality.

Your Guide to Choosing Quality Health Care

An interactive guide for consumers deciding which doctors, health plans, hospitals and treatments to use. Produced by the federal government’s Agency for Healthcare Research and Quality. Specific questions to ask when rating doctors and services. Includes comparison charts to complete.
 

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UNDERSTANDING THE MEDICARE SYSTEM

 WEBSITES

 Medicare

Official website of the federal government Medicare website. Details on Medicare coverage, options for comparing health plans and hospitals, and locating Medicare participating physicians.

Medicare Choices Program

Cooperative program of the State of Connecticut and Area Agencies on Aging. Provides trained volunteer counselors to advise Medicare recipients on health insurance options, including Medicare, Medigap, HMO's, and Long Term Care Insurance. For additional information, contact your area agency on aging by calling 1-800-994-9422.

 Center for Medicare Advocacy

P.O. Box 350 Willimantic CT 06226/ 1-800-262-4414 or 860/456-7790.  Private, non-profit organization staffed by attorneys, paralegals, a nurse, information management experts, and technical assistants. Free or low cost legal advice and representation for elderly Connecticut residents who wish to appeal Medicare denials.

Medicare Rights Center

Phone 1-888-HMO-9050. National, nonprofit Medicare consumer advocacy organization. Publishes informational self-help pamphlets and booklets on Medicare-related topics. Publications may be ordered by mail, phone, or online. Full text online for booklet, "Medicare Answers," under Medicare Basics category.

MEDICARE PRESCRIPTION DRUG PLAN

Information resources for assistance in selecting a Medicare RX Prescription Drug Plan are provided by government agencies and by organizations.

The Connecticut Department of Social Services website includes links to brochures (such as "Choosing the Plan that's Right for You!") and to agencies that offer guidance (including the CHOICES program with trained counselors at 1-800-994-9422 and the federal Medicare office).

The website of the AARP, national organization for retired persons, provides an online, non-technical booklet, entitled Medicare Prescription Drug Coverage: What You Need to Know About. Free print copies, in Spanish as well as English, of this publication and the booklet, The New Medicare Prescription Drug Coverage: Extra Help for People with Limited Income, may be ordered online at the AARP website .

An even more basic, briefer explanation than the AARP publication, entitled Understanding the New Medicare Prescription Drug Plan is available on the consumer health website of the American Academy of Family Physicians.
 

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OBTAINING HEALTH INSURANCE

ASSOCIATIONS AND SERVICES

 BenefitsCheckUp

Lengthy, online questionnaire provided by the National Council on Aging for individuals 55 and older. Determines which private or government plans will help pay for prescription medications, health care, rent, and other expenses.

 Companies with Approved Individual Health Policies

Published by the Connecticut Insurance Department.

A Consumer's Guide to Getting and Keeping Health Insurance in Connecticut

Written by health care policy researchers at Georgetown University, this online consumer guide describes health insurance protections available to Connecticut residents under the federal Kennedy-Kassenbaum law and under state laws. Under "Read the Guides Online," or "Print Out a Guide," select "Connecticut."

Health Reinsurance Association

Phone 1-800-842-0004. Non-profit association consisting of all Connecticut private insurance companies and HMO’s. As the state’s high risk health insurance pool, it provides insurance to individuals who were formerly covered under a Connecticut group plan for a year or more.

  Financial Assistance

Hyperlinks to financial assistance opportunities from a variety of federal agencies and organizations. On the website of the National Library of Medicine's   MedlinePlus consumer health information website.

  Health Insurance Portability and Accountability Act (HIPAA)

Consumer-oriented fact sheet explaining the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) which became effective April 13, 2003. The act impacts privacy of patient records and other medical information.

Healthy Start Program

A community-based Medicaid program that provides free health insurance to pregnant women who meet the income eligibility requirements for the program. Provides coverage for medical and dental expenses during pregnancy and for sixty days after the end of the pregnancy. Locations throughout the state are available to access this service.

 HUSKY Plan: Healthcare for Uninsured Kids and Youth in Connecticut

Comprehensive health care insurance plan for Connecticut children up to age 19 who have no health insurance. Free or graduated cost premiums based on family size and family income. Phone 1-877-CT-HUSKY.

Partnership for Prescription Assistance

An interactive website provided cooperatively by pharmaceutical companies and community groups to help patients search for prescription drug assistance programs. Patient must type some basic information about prescription drugs currently used, income, and eligibility for other drug assistance programs.
 

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ORGANIZATIONS THAT MAY HELP


 

CHILDFIND

1-800-445-2722 Toll-free number for parents concerned about their child's development. Staffed by educational consultants from the Connecticut Parent Advocacy Center. Staff will provide parents with information and direct them to appropriate resources and agencies to assist their children.

CONNECTICUT BIRTH TO THREE SYSTEM

1-800-505-7000. Statewide referral service for infants and toddlers under three years old with "significant developmental disabilities or delays." Parents with concerns about their children's development will be helped in the evaluation process and in accessing services for their children. The program also serves children with a diagnosed medical condition. State and federally funded program. Information available in English and Spanish on the website.

Connecticut's Health Care Resource Guide

Wealth of Connecticut-focused information on locating health coverage when you are uninsured, finding assistance with prescription drug costs, home care programs for the elderly, help for those unable to afford needed eyeglasses, as well as many other health-related needs.

On the website of INFOLINE, a free state-wide 24/7 phone link to community agencies, services, and organizations. Call 211 twenty-four hours a day, throughout the year to speak with an Infoline information specialist for referrals to health and human services or for crisis intervention. Accessible to speakers of any language and by people who use a TYY phone. 211 is a program of the United Way of Connecticut, funded by the Connecticut Department of Social Services and local United Way organizations.

INFOLINE produces additional on-line directories:

Connecticut Community Resources Database

A statewide directory of Connecticut health and human services.

HIV/AIDS Prevention and Care Guide

Overview of the HIV/AIDS prevention and care programs in Connecticut and links to services.

Health Related Support Groups in Connecticut

Comprehensive listings of health related support groups in Connecticut.

GovBenefits.gov

Online guidance to a variety of federal government benefit programs. Benefits may be located by state, by federal agency, and by category. By answering a lengthy questionnaire on the website, the user can retrieve a list of links to benefits programs for which she is eligible.

Patient Advocate Foundation

A national nonprofit organization that offers help to individuals facing difficulties with insurers or employers related to their medical diagnosis. Patients or family members may use an online form to make requests for personal assistance related to insurance coverage, debts, or job retention.

Programs that help people in Connecticut. Benefits Available/Who is Eligible/Where to Go.

Annual booklet produced by Northeast Utilities and the Connecticut Association for Human Services. Overview of federal, state and local programs that provide assistance to Connecticut residents. Includes details on health programs.

Write to Northeast Utilities Community Relations, Box 270, Hartford CT 06101-8362 or contact Connecticut Association for Human Services, 110 Bartholomew Avenue, Hartford CT 06106-2232, phone (860) 951-2212. You may download  this publication from the "Publications" section of the Connecticut Association for Human Services website. Available in Spanish as well as English.

The self-help directory: a guide to Connecticut and national groups. annual. New Haven, CT. Connecticut Self-Help/Mutual Support Network.

An annual guide to local and national support groups, many health-related. Phone (203) 624-6982 for updated information.
 

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HOSPITAL CARE INFORMATION

BOOK

How to get out of the hospital alive. A guide to patient power. Sheldon P. Blau and Elaine Fantle Shimberg. Book Sales, Incorporated, 2000. 226 p. (ISBN 0-7858-1209-1)

Dr. Blau’s harrowing, role-reversing experience as a dependent patient suffering a heart attack, rather than his usual role as a physician directing care, inspired him to write this insider’s guide to hospital care. Filled with explanatory anecdotes, the book includes specifics on guarding against human error, recruiting a family member as patient advocate, understanding the roles of hospital personnel, diagnostic procedures, patients' rights. Written in easy-to-understand language.

WEBSITE

Patient's Bill of Rights

Adopted by the U. S. Advisory Commission on Consumer Protection and Quality in the Health Care Industry in 1998. Also available, in six languages, is a "plain language brochure," entitled "The Patient Care Partnership: Understanding Expectations, Rights and Responsiblities" on the American Hospital Association website.

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LONG TERM CARE OPTIONS

BOOK

Choose the right long-term care. Joseph L. Matthews. Nolo Press, 2002. Out of print. (ISBN 0-87337-824-5)

Written by an attorney, this clearly written, practical book provides an overview of effective ways to arrange home care, assisted living accomodations, and nursing home placement. Includes information on Medicaid and asset protection, estate planning, and long-term care insurance. There is a resource guide to national and state agencies.  

WEBSITES

Connecticut Partnership for Long-Term Care
A program of the State of Connecticut in cooperation with private insurance companies that sell special, long-term care insurance policies for extended care for chronic illness. These policies include Medicaid Asset Protection as an option.

 Nursing Home Checklist
Online evaluative checklist useful for comparing features of nursing homes being considered, from the website of the federal Medicare program. Checklist can be printed and completed for each nursing home visited. Some categories allow the visitor to rate and score each nursing home in specific areas such as quality of life, nutrition, and safety.

 Nursing Home Compare
Searchable Internet database of inspection records for nursing homes which receive Medicaid or Medicare funds, from the website of the federal Medicare program. Within Connecticut area of database, user can search for nursing home by name or by city.

A Shopper’s Guide to Long-Term Care Insurance

A brochure outlining types of policies, benefits covered, eligibility, dealing with inflation, policy renewal, and other decision-making factors. Includes worksheets for comparing plans. Published online by the National Association of Insurance Commissioners.

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GATHERING BACKGROUND INFORMATION ON YOUR DIAGNOSIS

 BOOKS

After any diagnosis. How to take action against your illness using the best and most current medical information available. Carol Svec. Three Rivers Press, 2001. (ISBN 0-609-80669-6).

A comprehensive, consumer-friendly book advising patients how to take pro-active, information-gathering steps after they have been diagnosed with an illness. Discusses how to see beyond the surface of a news report, how statistics are presented, how to judge information gathered from the Internet, and how to evaluate hospitals and physicians. Includes a clear explanation of Medline, the National Library of Medicine database that indexes medical journal articles.

AfterShock: What to Do When the Doctor Gives You--or Someone You Love--a Devastating Diagnosis.  Jessie Gruman. New York, Walker and Company, 2007. 276 p. (ISBN 0-8027-1502-8).

An understanding, informative guide for patients or families dealing with the shock of a life-threatening diagnosis. Written by a social psychologist and consumer advocate who has survived four serious illnesses, the book provides guidance on gathering and evaluating background information, involving friends and family, locating appropriate physicians, making arrangements with employers, managing health care expenses, and finding emotional support. The accompanying website, AfterShock , updates the appendices by providing detailed information about medical privacy, information resources, seeking a second opinion, and participating in clinical trials.

Making informed medical decisions. Where to look and how to use what you find. Nancy Oster, Lucy Thomas, Darol Joseff. O'Reilly, 2000. (ISBN 1-56592-459-2 paperback).

The three different perspectives of the authors--a physician, a medical writer, and a medical librarian--enhance the comprehensive outlook of this beginner's guide to consumer health research. The book discusses types and characteristics of information resources, planning and prioritizing research, search strategies, finding and researching clinical trials, effective communication with your doctor, and where to find support. Interspersed with informative quotes from patients and family members about their experiences.

Merck manual of medical information-home edition. Robert M. Berkow, editor in chief. Merck Research Laboratories, 2003. (0-7434-7734-0 paperback).

An authoritative, comprehensive guide to the diagnosis and treatment of diseases, written for the patient and family. Fulltext of Merck manual of medical information-home edition is available on the Internet.

Port in the Storm. How to Make a Medical Decision and Live to Tell About It. Cole A. Giller. LifeLine Press, 2004. (ISBN 0-89526-132-4 paperback).

Dr. Giller, an experienced neurosurgeon and cancer survivor, offers a six part plan to guide patients in making medical decisions. To help in identifying treatment options, the plan's first step, he describes sources of medical literature, including medical textbooks and reference books found in medical libraries. He also recommends reliable medical information websites and offers guidelines for using medical websites effectively.

Studies show. A popular guide to understanding scientific studies. John H. Fennick. Prometheus Books, 1997. (ISBN 1-57392-136-X).

A detailed explanation for the layman on the significance and statistics of research studies.

Consult the Reference Librarian at your public library for assistance in finding information about your diagnosis. If your library cannot provide the information you request, you or the librarian, if located in Connecticut, may contact Healthnet: Connecticut Consumer Health Information Network at the University of Connecticut Health Center Library for a customized information search in the medical library.

 WEBSITES

 Evaluating Health Information

A collection of articles and brochures related to finding accurate health information, from the MedlinePlus consumer health website, published by the National Library of Medicine of the National Institutes of Health.

 Healthfinder

A gateway consumer health information website produced by the federal government. A well-organized collection of selected links to databases, support groups, online publications, etc.

 MedlinePlus

A selective consumer guide to health information websites, compiled by the National Library of Medicine. Links to information on more than 700 health topics and medical conditions.

Next Steps After Your Diagnosis.

An online publication of the federal Agency for Healthcare Research and Quality, this straightforward guide suggests guidelines for making treatment decisions, and discusses resources for reliable health information.

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END OF LIFE DECISIONS

 WEBSITES

Health Care Planning Packet

Summary of Connecticut Health Care Planning Laws. Select "Living Wills." Includes forms and instructions for completing a living will and appointing a health care agent.

MedlinePlus

Links to websites of government agencies and national organizations with information on death and dying, from the National Library of Medicine's guide to consumer health. Information on advance directives and law and policy. Some references and summaries of related medical journal articles from Medline, the National Library of Medicine's online subject index to medical journal articles.

Your rights to make health care decisions. A summary of Connecticut law.

Published by the office of the Connecticut Attorney General. Booklet includes an explanation of the Connecticut law regarding advance directives and living wills. Forms for preparing a living will are included.

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PRIVACY RIGHTS

 WEBSITES

Consumer Privacy Rights and Information Gathering by Insurance Companies and HMO'S

On the Connecticut Insurance Department website. Details about the privacy law, including information on companies accessing personal health information, and how patients can correct erroneous personal information. Questions and complaints should be directed to the Consumer Affairs Division of the the Connecticut Insurance Department, phone 1-800-203-3447.

Health Privacy Project

A program of the Institute for Health Care Research and Policy at Georgetown University. Information on state and federal legislation related to patient privacy. Fact sheets with recommendations on protecting the privacy of your health information. News updates related to medical privacy issues. Links to other websites with privacy and patient advocacy information.

How Private is My Medical Information?

A fact sheet on medical records privacy published by the nonprofit Privacy Rights Clearinghouse. Answers questions such as "Who has access to my medical records?" "How can I protect the privacy of my medical records?" "How can I get access to my own medical records?"

Medical Information Bureau/MIB

Voluntary membership association of life insurance companies in the United States and Canada that maintain health information about insurance consumers seeking life, health, or disability insurance coverage.

The "Consumers" section of the MIB website includes a consumer fact sheet with the company's explanation of its information gathering process, record maintenance practices, and confidentiality policies.

"Request Your MIB Consumer File," links to a toll free phone number for contacting the company for information on your records.

My Personal Health Record

Information for patients on the website of the American Health Information Management Association. A guide to your medical record: its ownership, accessing it, documents usually included, and protecting its confidentiality.

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LONG TERM PLANNING FOR FAMILY MEMBERS WITH SPECIAL NEEDS

BOOKS

Laying community foundations for your child with a disability: How to establish relationships that will support your child after you're gone. Linda J. Stengle. Woodbine House, 1996. 217 p. (ISBN 0-933149-67-0.) Out of print.

Emphasizes the need to plan social and family continuity for your dependent child after your death. Detailed, practical, compassionate suggestions on encouraging friendships, establishing social networks, planning residential options, selecting long-term advocates and guardians.

Planning for the future. Providing a meaningful life for a child with a disability after your death. L. Mark Russell and Arnold E. Grant. Planning for the Future, Inc., 2005. 5th edition. 642 p. (ISBN 0-912891-20-3)

Written by attorneys whose practices include extensive experience working with families of children with disabilities. With its focus on the legal aspect of planning, this comprehensive book outlines how to prepare a life plan for a child's future, including residential preferences and detailed personal daily preferences that will provide continuity for the individual's future comfort. Includes sample letters of intent and living wills. Numerous hypothetical family stories highlight important details to consider in planning.

WEBSITE

PLAN of Connecticut, Inc.

Nonprofit organization that manages "trusts set up by families for the benefit of their disabled members." Trusts do not require any minimum funding level. Originally established by families of children with disabilities.
 
 

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This resource guide was compiled by Judith Kronick, Healthnet Reference Librarian. If you have suggestions for this list, please contact kronick@uchc.edu.


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Last Updated: April 16, 2008
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