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Eleventh Hour Literary Analysis

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Even though Richard McDermott and Kevin Stocks’ book, Eleventh Hour, could be excessively dramatic at times, I believe that they captured the essence of the challenges faced by hospital administration and accomplished their goals for a textbook-novel. In the preface, McDermott and Scott explain that textbook-novels are designed to help students transition from university to their professional roles, provide real-world context for topics explored, demonstrate how healthcare related issues such as ethics and cost are interrelated, introduce varying viewpoints, and develop critical thinking skills (McDermott & Scott, 2005, p. vii-viii). By telling the story of the failing and financially instable Brannan Community Hospital and the journey Wes …show more content…
Even in America, where most of the citizens are literate and have the ability to understand facts recorded in writing, people still rely on stories to help develop their points. Jesus understood this concept to be integral to our essence as humans, which is why he most often taught in parables. Mark 4:33 says “He would speak the word to them with many parables, as they were able to understand” (Holy Bible, 2004, p. 650). I believe McDermott and Scott had learned of the power of communicating information in stories sometime in their lives and that this revelation prompted them to write Eleventh …show more content…
Cost-based systems assign every service and resource a specific price with “mark-up for profit” (Yoder-Wise, 2015, p. 215). This system incentivizes healthcare workers to treat more patients at their facility. Unlike DRG reimbursement, it would be advantageous for the facility to provide services to the same person more than once. Capitation payment incentivizes healthcare workers to “accomplish more with each visit to decrease return visits” (Yoder-Wise, 2015, p. 218). Unlike DRG reimbursement, which requires admittance for diagnosis, capitation payment profit “by not admitting the patient at all” (McDermott & Scott, 2005, p.

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