HANFORD DOWNWINDERS INFORMATION SITE

Working with Health Care Providers

 
HERE YOU'LL FIND...

Finding a Primary Care Provider

Thinking Aboout Practical Concerns

Important Considerations in Choosing a Provider

Communicating Effectively with Your New Provider

Related Materials Available

This information sheet offers suggestions that can help you in your search for a physician, naturopath or other type of health care provider. It also provides tips for building a more effective relationship with your provider.

A primary goal of the Hanford Health Information Network is to increase the number of health care providers who are knowledgeable about Hanford and radiation health effects and who are empathetic towards those who were or may have been exposed. The Network offers a self-study guide for health care professionals.

FINDING A PRIMARY CARE PROVIDER

Finding a provider who is right for you is an important decision. The following tips can help you in this process. Also see HHIN's Complementary Medicine publication.

Initially, it's important to find a primary care provider who can coordinate your care. Your needs will be best served by one provider who is aware of your health history, medications, and past treatment, including what has worked and what has not. Primary care providers can also help you keep down medical costs by recommending appropriate specialists only. Primary care providers are often called general practitioners (GPs) and can be either a physician, osteopath, naturopath, nurse practitioner or physician's assistant. Physicians and osteopaths who are considered primary care providers usually specialize in family medicine or internal medicine.

To find a primary care provider, start by asking friends and family. Tell them about the type of provider you are looking for and the particular things that are important to you, such as someone who is knowledgeable about downwinder concerns.

After tapping your own network, you may wish to call on some of the following resources to help you find the type of provider you want who is in your area.

Physician

Call your state Academy of Family Physicians for a list of licensed family physicians. The American Academy of Family Physicians (1-800-274-2237) can provide the phone number of the state organization. Or check with your state or county medical society.

Osteopathic Physician

Call your state or county osteopathic association. The American Osteopathic Association (1-800-621-1773) publishes a national directory of osteopathic physicians and specialists. The American Academy of Osteopathy (317-879-1881) can refer you to osteopathic physicians in your state.

Nurse Practitioner

Call the American Academy of Nurse Practitioners (512-442-4262) for a referral in your state.

Naturopath

Contact the American Association of Naturopathic Physicians to request a national referral directory and a brochure about naturopathic medicine. Order by sending $5.00 to AANP, 601 Valley Street, Suite 105, Seattle, WA 98109.

Chiropractor

Call your state chiropractic association. Or contact the American Chiropractic Association (1-800-986-4636) for a list of chiropractors in your area.

THINKING ABOUT PRACTICAL CONCERNS

To find out about the provider's availability and affordability, call the office and ask for the following information:

  1. Where does the provider have offices and what are the office hours? (Make sure both are convenient for you.)
  2. Who covers for this provider on his/her days off?
  3. Is someone on-call after office hours?
  4. Can the provider be easily reached in an emergency?
  5. Is he/she affiliated with a hospital? Which one and where is it located?
  6. Does this provider accept payment from your current health insurance plan?
  7. If your health insurance plan has a "preferred provider" list, is the provider on that list?
  8. Does the provider's office bill the insurance company directly or do you need to pay up front and send in the claim forms yourself?
  9. What does the provider charge for a routine office visit? Is there a charge for telephone consultations?

IMPORTANT CONSIDERATIONS IN CHOOSING A PROVIDER

It's important to know that the provider you have selected is competent, convenient and affordable. It is equally important that you be able to establish a good working relationship with him/her. To determine whether a provider is right for you, listen carefully to how the provider responds when you discuss your health concerns. Consider the following:

  1. Is this provider someone you feel comfortable talking to?
  2. Does this provider seem to take you and your concerns seriously?
  3. If you bring up health concerns related to the releases from Hanford, how does this provider respond?
  4. Does this provider use words you understand when explaining medical information?
  5. Will this provider include you in helping to solve problems?
Keep in mind that you don't need to continue with a provider with whom you cannot develop a good relationship or whose judgment you question.

COMMUNICATING EFFECTIVELY WITH YOUR NEW PROVIDER

Once you have a health care provider with whom you feel comfortable, it's important that you be able to communicate effectively with him/her.

Be prepared and ask questions

Write down your questions and a list of your symptoms before you get to the office. During the visit or right after, write down the answers so you can remember what was said. If you don't understand something, ask your provider to explain it to you. If you are unhappy about a particular treatment or diagnosis, tell your provider about your concerns.

You can take a spouse, partner, friend or relative with you into the examining room. Sometimes another person can help you remember what to ask and what the provider told you.

Help your provider help you

Bring your past medical records with you to your first appointment or let the provider know where he/she can obtain them. Tell your provider about all medications you are currently taking including vitamins, aspirin, birth control pills or any herbal medications. Certain drugs can interact with each other and cause health problems, so your provider needs to know what you are already taking. He/she should also know if you smoke or use alcohol or other drugs.

You can also help your provider by bringing information about Hanford's radioactive releases to his or her attention. You can take with you to your appointment HHIN's Health Bulletin.

Don't be afraid to ask your provider to explain why he/she is ordering specific tests and how much they cost. Encourage your provider to involve you in making decisions about the tests that are ordered as well as any treatments he/she prescribes.

Use the phone effectively

Make sure you know what you want to say before you call. This will help keep your phone call short and to the point. If the health care provider is with a patient, you may ask to speak with a nurse. Often the nurse can handle routine calls. He/she can give the information to your provider and call you back with a response. For example, a refill for a medication can be called in to the pharmacy by a nurse.

If you feel that you still would like to speak directly to your provider, say so. Give the nurse a number where you can be reached after hours. Providers will often make an effort to reach a patient at home if they are unable to call you during office hours. (There may be a charge for a telephone consultation.) Be aware that you may be asked to schedule an appointment if your needs cannot be met over the phone.

Be your own advocate

Educate yourself about your condition or medical problem. Often there are many things you can do on your own to manage a chronic illness. 

Libraries can also be quite helpful. Depending on where you live you might be able to use a university library or hospital library. They will often have better resources on medical issues than a public library.

Discuss what you have learned with your health care provider and work with him/her to develop a treatment plan that will work best for you. Remember, if you have doubts about your diagnosis or recommended treatment, you can always seek a second or third opinion.

RELATED MATERIALS

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