...system in early 2014, some with complex medical conditions that require the attention of primary care and specialty physicians (DeNavas-Walt, Proctor, & Smith, 2013). Despite this expected growth, this country is facing a physician shortage due to population growth, aging, and insurance expansion. The short supply has led to increased demand for physician services regardless of specialty or primary practice. According to some estimates, there will be a shortage of 91,500 physicians by 2020 with an increase in this figure to 130,600 by 2025 (AAMC, 2012). The projected shortage is equally distributed among primary care and specialties such as general surgery, cardiology, and oncology. This paper will discuss the physician shortage, describe two economic tools, and evaluate the physician shortage issue using the selected economic tools. Physician Shortage The future supply of physicians will not be able to keep up with demand for health care services. According to the Census Bureau, the population of Americans over 65 years of age will more than double between 2012 and 2060, from 43.1 million to 92.0 million (2012). It is a fact that this segment of the population has more complex health needs and utilizes health care services more readily than any other group. Though the physician workforce shows some marginal growth, with a projected increase in physicians of 7% in the next ten years, it is still not enough to satisfy demand (AAMC, 2012). Older patients require more time...
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...ECON545: Project 1—Microeconomic Analysis Intro From a Microeconomic Analysis perspective this paper is designed to outline the current demand and supply associated with physicians in today’s economy and prospective future demand. Based on a microanalysis approach we will look at the current supply and demand for physicians, cost of production determinant, price elasticity of demand and the gains or losses from picking this profession. Demand Determinants Currently there are 691, 400 Physicians employed through the United States; however by 2022 the demand for the profession will increase by over 18% (numbers will vary based on origin of information) (Howard, 2013) (Occupational, n.d.) Current factors for the future demand of physicians include demographics and population needs. Aging and population growth are projected to account for 81% of the change in demand between 2010 and 2020. In the future the population will age and the number of people suffering from chronic diseases will increase. This will cause a demand for primary services (Projecting, 2013). A major part of the future demand of physicians is attributed to the Affordable Care Act, which will expand the number of citizens covered by insurance. The increase will also be attributed to the increase in preventative services and primary care these individuals will be able to receive. Technological and medical advances will also affect demand due to improving survival from illnesses and chronic diseases...
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...seize experience. The vast field of medicine is a rapidly and continually evolving. Health care’s immeasurable complexity and vital importance, paired with advances in medical procedures, increased awareness of the importance of interprofessionalism has provided me with the greater sense of knowledge and value. Additionally, the advancement of electronic medical record systems has also spark awareness to importance of the physician assistant field. This has prompted me to work as a Medical Scribe. As a Medical Scribe I am granted the opportunity to expand my knowledge by developing close relationships physicians, nurses and other health professions, physician assistants. Additionally, becoming proficient with the technology of medicine's future working side by side with providers has given me a distinct advantage over my contemporaries....
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...Case Analysis: The Greater Harm Ikuko Lubow RN submitted to Debra Bennett-Woods, EdD, in partial fulfillment of HCE 430R C71 Applied Ethics in Health Care Regis University July 30, 2016 Introduction This is a case of Mr. Clark, frail 79 year-old male who was brought to emergency department (ED) when his neighbor found him unconscious in diabetic coma. Mr. Clark has end-stage pancreatic cancer which he has been treated at VA hospital. Mr. Clark has stated he would like to seek treatment as long as possible and declined palliative care from VA and its physician. According to Cancer Research UK, advanced stage of pancreatic cancer, such as the one Mr. Clark has, survival rate is two to six month(Cancer Research UK, 2015). When Mr. Clark was brought to ED, he also had heart failure and his kidneys are not functioning properly. There are no financial situations available but considering his age, Mr. Clark is eligible for Medicare for his medical needs. The only existing family Mr. Clark has is an estranged sister in California. Mr. Clark’s primary care giver has been her neighbor, Sonja for 20 years. Mr. Clark has been seeing in the VA hospital in metropolitan for over 25 years and he refused to find primary care physician in his area. The VA would not accept Mr. Clark’s transfer...
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...indications of an industrialization process taking place within our current healthcare system. Three problems associated with “Industrializing Structure for Delivery” are: separation of labor, standardization of roles and responsibilities and deskilling of labor (Rastegar, 2004, p. 79). The practice of medicine is becoming more and more specialized. Physician duties that were previously identified and carried out by them are now delegated to nonphysician clinicians or nurses with less training and less education as the physician (Rees, 2008, p. 392). The utilization of Physician Assistants, Nurse Practitioners and hospitalists are examples of the separation and division of physician labor. Rastegar (2008) argues that patients with complicated illnesses requiring various healthcare settings may feel as if they are “a product on an assembly line” (p. 82). A proponent of this fragmentation of patient care is the effort to replace physicians with a lower cost and more malleable labor force. Historically, a physician had a lot of independence and autonomy in the way they practice medicine resulting in varying practice patterns from physician to physician. This progressed into the evaluation and standardization of their work in the form of guidelines being developed (Woolf, 1990, p. 1812). The purposes of these guidelines are to create and propagate a standard of care. This presents a problem for both the...
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...the most part, EHRs improve communication by doing away with handwriting errors, reduce time pulling charts, and enable multiple staff to simultaneously work on the same patient chart. [7] The EHR also has a remarkable potential to improve quality of care through CPOE and further, aids in the measuring quality and performance data.[6] Studies, however, have shown mixed results regarding medical errors and adverse events with the use of CPOE.[6] 3.2.1 RESEARCH Prior to EHRs, information about quality and performance was obtained by examining insurance claims. There are several limitations to obtaining information through insurance claims such as incomplete sampling methods and the complexity of assigning attribution of specific care to physicians.[21]...
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...Importance of Physician-Patient Communication By: Evan Peters HCA 301 Introduction to Healthcare Organizations Spring 2015 Jackson State University College of Public Service School of Health Sciences Department of Health Policy and Management Communication between a physician and patient is a popular subject matter in the Healthcare industry. A good, healthy relationship between physicians and patients is extremely important and extremely necessary. According to a consensus statement on physician and patient communication, “effective communication between doctor and patient is a central clinical function that cannot be delegated.” There is no evidence that communicating well with patients will make an enormous difference on any healthcare outcome. The purpose of this consensus is to evaluate the effects of various styles of communication on patient health and to identify the characteristics of excellent communication. These various studies reviewed were conducted in a numerous amount of clinical settings. Their different findings benefit physicians all over the world. For years, people generally thought that physician-patient communication was sufficient and was not a big deal. More recently, however, studies have proven this point to be extremely false. Numerous complaints arising from patients from breakdowns in physician-patient communication have been made to licensing bodies, and headlines declaring an “urgent need for MDs to relate better to patients”...
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...the shortage of primary care physicians. The nurse practitioner can provide much of the same services as primary care physicians. These include diagnosing and treating acute and chronic conditions, order, perform, and interpret diagnostic tests, and developing treatment plans. A nurse practitioner joining a primary care practice would be able to be implemented within six months. The nurse practitioner would cost the practice at least $60,000 less than hiring a primary care physician, without lower quality of care for the current and potential patients of the practice. By adding a nurse practitioner position in the practice would lower overhead costs and show a breakeven in as little as six months of their joining the practice. A profit would be seen in as little as one year of joining the practice. The Project With the American healthcare system in major change due to healthcare reform and the increasing shortage of primary care physicians. Nurse practitioners are the answer to handle these challenges in a cost effective manner, while providing high quality care that equals that of a physician. There will be millions of newly insured in the near future, along with retiring primary care physicians and only 2% of graduating physicians choosing primary care in the United States. Nurse practitioners are able to step in immediately and provide quality care, where it will take years to educate enough primary care physicians to even help with the shortage...
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... Malpractice is when the improper or negligent treatment of a patient, as by a physician, resulting in injury, damage, or loss of life. Physicians have insurance for this in case an incident occurs. Physicians follow a code that states do no harm but sometimes harm occurs due to their negligence to underlined issues. If underlined issues dealing with your diagnosis is not checked out then it can lead to further injuries and even death. Medical malpractice can cost a facility or hospital millions even billions of dollars each year. Medical malpractice not only will cost money but it can also hurt a hospital or facility reputation for treatment for patients. Medical malpractice cases require stringent and comprehensive clinical review, and hospitals always employ medical experts to review their cases. The clinical issues are always analyzed, but often overlooked is the evaluation of the corporate responsibilities of the hospital involved in the matter. It is becoming increasingly likely that the hospital will be included in the claim as plaintiff attorneys are very aware that courts are finding corporate negligence as a factor in many claims, and more and more states are recognizing corporate negligence as a contributing issue (Steinberg, Becker Hospital 2012). Dr. Steinberg states “As a consultant and expert witness, I see many cases that could be avoided with some thoughtful review and analysis. Typically, the cases I review are either related to the hospital not following...
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...Alejandro Bahena ECON 545 – 10388 Business Economics Microeconomics Analysis September 21, 2014 Introduction The demand for physicians and health care services in the United States is determine by the quantity the public is willing to pay for the lowest price in order to benefit from their services. Several factors affect the demand for physicians. The needs and size of the population, economic hardships and the high prices they are faced to pay. The technological constrains related to the practicality of the demands from consumers. The last demand of health care physicians depends on the relation between the demand and supply current conditions in the market of service. Past projections show that the continuous shortage of supply and demand for physicians will continue to influence the policies and programs related to the health care systems. Because completing medical school and creating a new structure for physicians is time consuming, the USA needs to predict the needs of the physicians in advance. The shortage of physicians was the leading cause for the creation of new medical school in the country. . The important factors which will estimate the future demand of the physicians depends on 800,000 present physicians, millions of nurses and other health care workers, about 300 million patients, hundreds of health plans, thousands of health care facilities, thousands of employers in the industry, thousands of legislators and policy makers, and other factors such economic...
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...communicate with their physician. A patients’ fear and intimidation of their physician can prevent them from being forthcoming about their symptoms and lifestyle behaviors. In addition, the lack of effective listening that the physician possesses can also limit the patients’ ability to express their needs. Effective communication is imperative to the health outcomes of the patient and this paper will look at how the communication style of the patient’s physician can affect those outcomes. Do Doctors’ Communication Skills Affect Patient Health? Healthcare is always in the news. You cannot turn on your television or pick up a newspaper without seeing something about healthcare. One of the main topics of discussion is the quality of healthcare that patients are receiving from their physicians. However, quality is not solely based on the knowledge of the patient’s physician; it can be also based on the ability of the patient to effectively communicate with their physician. Patients complain that they cannot effectively talk with their physicians because they are either intimidated or they do not feel their physician actually listens to what they say. Thus, do doctors’ communication skills affect the patient’s health outcome? The articles used for this paper reflected the possible answers to this question. ‘Physician Sociality Communication and Its Effect on Patient Satisfaction’ by Chas D. Koermer and Meghan Kilbane discusses how a patients’ physicians communication style...
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...Nonlapan Burimsittichai Ungkana Lukkanavej Econ545: Project 1 – Microeconomic Analysis January, 26, 2015 Introduction In the previous years we have been experiencing a shortage on the supply of physicians, issue that according to the projections will not be changing any time soon. Given this situation we could probably already answer the question and risk to say that it is a good idea economy-wise to become a doctor, seeing that at least for the next 10 years the supply will not be anywhere close to satisfy the demand. There’s many factors that affect this increase in demand such as aging of population, the Baby Boomers that want to remain active and look for and use more healthcare as well as the next generations after them. It is also important to mention that an increase on productivity of healthcare could reduce the gap between demand of supply, but after many years and different attempts almost nothing has been achieved, since healthcare has become more and more complex. Here is a little extract from AAMC website talking about the issue of physicians shortage of supply: The number of federally funded residency training positions was capped by Congress in 1997 by the Balanced Budget Act. The 26,000 residency positions available for first year trainees will not be enough to provide training for the students graduating from medical school as early as 2016. In addition, Medicare support of graduate medical education (GME) includes paying its share of the costs of training...
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...using comparative data to examine and measure the processes within an organization” (Schneider, 1998). Gapenski defines benchmarking as “the comparison of performance factors, such as financial ratios, of one business against those of similar businesses and industry averages” (Gapenski, 2012). Benchmarking is often called by its alias, comparative analysis. Benchmarking in the industry “enables you to compare details of financial, operational, and clinical performance to similar peer group data” (Cimasi, 2008). Financial Benchmarking Financial benchmarking is just one of many types of benchmarking. It is done in an effort to perform an assessment of an organizations competitiveness and productivity. According to Jack Partridge, vice president of the Chi Systems division of Superior Consulting, “Innovative solutions used utilized by other organizations serve as building blocks for new approaches and may, in fact, result in a new and improved solution. IT is a classic approach to not reinventing the wheel” (Schneider, 1997). Healthcare organizations that ignore the benefits of routine operation performance and financial analysis put themselves at risk of poor performance and ultimately, even failure. Article by Cimasi In the article, Financial Benchmarking Research and its Application to Healthcare Valuation by Robert James Cimasi, he discusses the factors that predict the success or failure of a healthcare enterprise. In addition to discussion of factors affecting success...
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...Management of Diabetes in Adults Age 65 and Older: An Evolving Concept Analysis Yaounde Ross University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, RN, MN, DNP June 4, 2012 Management of Diabetes in Adults Age 65 and Older: An Evolving Concept Analysis Managing chronic illnesses like diabetes is becoming progressively essential in high-risk groups. The concept of managing diabetes in persons 65 and older, carry much responsibility by those who provide care and those receiving care. With marvel surrounding the first set of baby boomers who turned age 65 in January of 2011; it became evident that this country would embark upon its greatest challenge yet in managing the care of older adults. With this in mind, the management of chronic illnesses like diabetes and its associated complications is expected to become even more complex and difficult, with the realization that much is to be considered in preparation to care for this age group. In this analysis using the term management, as it relates to the older adult, implies direct guidance to treatment that is both accessible and practical. Review of Literature To better understand management of diabetes as a concept in adults age 65 and older, a review of disciplines is necessary to offer clarity in obtaining a greater sense of knowledge of the burden this disease places on the patient. In examining this concept...
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...Business Intelligence is becoming more constituent within an organizational structure; however, creating a successful strategy demands data volumes and a exponentially grow in an organization. As an organization demands increase so does the strategy to meet long-term and short-term visions and needs because they are an organizations foundation. Business intelligence is a formal structure that is staffed through internals from the IT and leaders. It helps define an organizations tasks, responsibilities, roles, and procedures. It helps promote an effective business by processing and supporting the organizations strategy. In this paper, I will discuss the Resort and Clinic case. The paper will discuss what was learned from the both cases. I will provide the appropriate citing that will present the reason or reasons as to why I drew my conclusion. In addition, my citing will establish counterarguments that will support my conclusion. Lessons Learned In reference to the Clinic and Resort cases they both had disconnected systems within their organizations; however both organizations can increase their costs of operation by implementing an innovative and a highly recognized business data system. Although popular and highly recognized business data systems are not considered to be the best solutions for businesses by their leadership, they are possible solutions. The inefficiency of services and the lack of continuity in business process were because of the disconnected...
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