Carolyn Clancy, MD
by Carolyn Clancy, MD
01.17.2011
Use a Health Advocate
Why it's a wise option
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A health advocate is a family member, trusted coworker or a hired professional who can speak up for you.
Imagine that your doctor just gave you a serious diagnosis or told you she was concerned about the results of your medical test. You might understandably become scared.

Listening carefully to your doctor and asking questions about a diagnosis or test results can help you get better care. But here’s the problem: Just when you should be paying close attention to what your doctor is saying, you may be stunned by the news you just received. That’s when having a health or patient advocate can help.

A health advocate is a family member, friend, trusted coworker, or a hired professional who can ask questions, write down information, and speak up for you so you can better understand your illness and get the care and resources you need.

Research shows that quality health care means taking an active role in decisions about your care. If you’re facing a difficult medical decision, it’s a good idea to bring someone with you who can help you take an active role in your care when you’re not fully up to it.

As a doctor and a patient, I’ve seen how valuable it is to have “another set of ears and eyes” in the exam room. Having an advocate at medical appointments or during a hospital stay can ensure that you get the information you need to manage your health.

Who makes a good health advocate? Someone who is calm, pays attention to details, and can ask questions and state information clearly.

If possible, choose someone who knows you well. Be clear about what kind of help you need and what worries you. It’s helpful to give your advocate details of your medical history. For example, you may want to discuss the tests you’ve had, list medicines you take, and provide contact information for other family members and your durable power of attorney.

If your advocate doesn’t know you well, make sure to let him or her know if your hearing or vision is limited. He or she can alert your medical team to speak clearly and to read instructions aloud if they are not available in large type.

If you can’t locate an advocate before an important medical or hospital visit, you can find a professional, often a nurse or doctor, to serve this role. You can also ask your local hospital staff to recommend a patient advocate. In fact, some hospitals and nursing homes employ advocates who work on patients’ behalf at no charge.

Health advocates can

  • Ask questions or voice concerns for you
  • Compile or update your medicine list
  • Remember your medication regimen and help you follow treatment instructions, including asking questions about your follow-up care
  • Help arrange transportation
  • Research treatment options, procedures, doctors, and hospitals
  • File paperwork or assist with insurance matters
  • Ask the “what’s next” questions, such as, “If this test is negative what does it mean? If it’s positive, will more tests be needed?”
01/17/2011
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