...Question 1: Health care today combines both technical and personal aspects of care. Describe how you envision the balance of technology and compassion in physician-patient relationships? - How does a physician's interaction with a computer interfere with the interaction between the physician and the patient? -conscious of how to orient the computer In the room to maintain patient comfort while using computer - hoping to curb medical error -doctors and nurses can be focused on the screen and not the patient -have devices for medical reasons, then use them inappropriately - both part of the problem and part of the solution for safer health care -doctors rely on technology instead of using monitoring skills; avoid looking at history, do a scan instead -age-old concerns; technology is only newest tools -Today’s “dehumanization” worry centers on documenting patient information on a computer -less busy work, more patient time -EHR should support the...
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...about the importance of the physician-patient and hospital-patient relationships. The relationships of the physician –patient and hospital-patient are both extremely important and equally impact the health of the patient as well as the success of the hospital and physician. The physician-patient relationship is the center of health care due to the fact that one of the main aspects of a patient’s care is his/her discussion with the physician. In the past, patients had to rely solely on the directions and information provided by the physician in order to make important health care decisions. Patients were also limited in their access to health care facilities as well as hospitals. In today’s society this is not the case because most patients have the ability to seek second opinions, research alternate conditions/treatments, as well as rate physician care/hospital services through social media on the internet. A cancer patient in TN may travel to TX to receive treatment from a specific specialist and/or a highly recommended facility. Since the dynamics of the physician-patient and hospital-patient has changed, the relationship has changed but its importance has not. Therefore, it is essential that both the physician and the hospital facility itself have a good rapport with the patient in an effort to continuously build the relationship. A poor relationship between the patient and the hospital and/or physician could compromise the ability of the patient to trust the physician’s assessment...
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...newspaper regarding patient privacy is the ability to email your physician. While technology is constantly growing every day to ability to email your physician is more convenient and getting direct results is more convenient then awaiting his phone call but is this always the most ethical decision to make? Hackers breaks into computer systems each and every day even though the fire walls are built to reduce or eliminate occurrences that happen due to the growing technology this isn’t always the best decision. This issue goes hand and hand with the ability to have patient records stored electronically while this is currently present in most hospitals the issue that occur is that anyone have access to the patient records within and outside the hospitals and numerous of other locations. The ability to share patient’s records to other hospitals via online has decreased the patient privacy dramatically. I am going to get into the issue and its impact on the population it affects most. I’m going to get into different viewpoints arguments or facts that are used in the article to support the proposed solution. I’m going to get into some of the ethical and legal issues reported for my administrative issue. I’m also going to explain the managerial responsibilities related to administrative ethical issues. And lastly I am going to identify any propose solutions to this current administrative issue. The issue of being able to get medical advice from your physician via email has been a...
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...The relationship between a physicians their patient could be governed by four distinct models in which the degree of autonomy varies. The case of Don Cowart brought up this issue into light knowing what the patient, Don Cowart, had gone through. Don Cowart was a pilot at the U.S. Air Force Reserve who had an accident that lead burning over 65% of his skin and the loss of vision, proper use of hands, and his ears even after several medical interventions. The accident was due to gas leak which filled the whole area surrounding them with propane gas and when they turned the ignition it was a massive fire. In that accident, his father was accompanying him but did not make it out alive. When a stranger rushed in to help, his first request was to hand him a gun so Don could kill commit suicide. He did not see a value for life in his current impairments. The stranger refused and had called for an ambulance. When Don arrived to the hospital, he requested not to get medical...
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...Do Doctors’ Communication Skills Affect Patient Health? Margarita Michalsky Montana State University Exploring Communications Studies 200 [ April 19, 2014 ] Dr. Daniel D. Gross Abstract One of the biggest complaints that a patient has is their inability to effectively 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...
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...Clearly, this patient has no idea how bad her illness really is. Not only does she have the doctor lying to her, but she also has two daughters who are in on it all too. Her primary nurse, must decide if she will go along with them as she was asked to do, or if she will go against them and possibly lose her job. We also must decide if lying to the patient is morally justified. After just going through a painful divorce, one could say that it is in the best interest of the patient to not know how serious her illness is. With her not knowing the truth it may have been what was best for her mental health, which means the lies her justified. That would mean that the medical staff handled the situation to the best of their ability. However, one...
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...ground and increasing in popularity. Patients are opting to either pay in cash for services rendered or pre-pay a monthly or annual fee for more personalized services and 24/7 access to their physician. Both physicians and patients are driving much of the growth attributed to concierge medicine (Spooner, 2007). Many physicians are dissatisfied with their reimbursement contracts and heavy patient loads that limit the amount of time spent with their patients. Patients feel that the level of quality of care provided by traditional medicine is declining and are increasingly dissatisfied with impersonal care, long waits for appointments, short duration of appointments and the greater use of mid-level practitioners (Spooner, 2007). Despite the growing trend of concierge medicine, simply opening up an office will not guarantee success. There are many variables to be considered when deciding to form a concierge practice, including market competition, customer demand, ensuring value, continuity of care as well as financial, staff and ethical considerations. Competition exists in every industry and the concierge care industry is no different. Certainly, being the first concierge practice in the area to market more personalized services will be an advantage. The risk of losing existing patients looking for a higher level of service to other concierge practices in the vicinity significantly decreases (Specialdocs, 2014). However, as more physicians begin to provide concierge services...
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...Based on my interactions with patients, thus far, I realized that many patients must overcome challenges, such as language barriers or socioeconomic status, to obtain personalized care that addresses their needs. Therefore, I strive to be a physician that advocates for my patients and empowers them to take control over their own health by providing accessible education, developing trust, and forming meaningful relationships. I observed this type of doctor-patient relationship in elementary school in my first job, my grandma’s translator at her doctor’s appointments. Our first visit was nerve-racking due to my concern of not translating properly. When the doctor came in with a friendly smile, my nervousness faded. With his patience and respect...
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...Paper Managed Care has affected the doctor-patient relationship in many ways. For one thing, it has limited the choices patients have about which doctors they see. This has led to some tensions between doctors and patients. Another thing that has created some resentment is that many doctors have had no choice but to participate with HMOs and have had to settle for lower fees as a result. Providers are being held to higher standards, more closely monitored, and are restricted in the care they can give their patients due to coverage rules. This can cause hard feelings on the part of the patient. Before managed care, the doctors were very independent and patient care was based entirely upon the physician's judgment. Since the advent of managed care, this is no longer the case. The medical industry is now extremely regulated and in many cases the relationship between doctor and patient has taken a backseat to rules and regulations. Of course, these changes are not all bad. Having a limited choice of physicians can be annoying but it also helps keep the overall cost of care lower. In addition, it means that patients do not switch doctors as often and therefore have the chance to develop long term relationships with their providers. However, this change also means that the average doctor sees far more patients in one day than doctors did before managed care. This can lead to rushed visits and lack of personal attention to patient needs. It is not pleasant to visit a doctor who...
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...Organizational Design HCS/514 November 13, 2012 Introduction This paper will examine the internal and external factors that have had an effect on shaping and defining an organization that I previously worked for. It will also examine how the need for additional accountability has affected the behavior of the organization. One of internals factors that has affected on our organization was communication. Since we were a small company (one physician and four employees), good communication was key. We had to keep relationships open and strong. We depended on our monthly meetings, training literature and the reviewing of policies to keep us current on issues and to ensure we were all on the same page. When you "provide sufficient instructions to your subordinates, you enable them to do their jobs effectively" (Baldwin, 2012). It was also helpful during the meeting for the physician to periodically review the overall goals of the company. This would help to keep us focused on the important things, which sometimes could be forgotten in the daily rush of performing our jobs. We appreciated being filled in on changes and current events in the health care industry and having the chance to voice our opinions. We seemed to stay happier and more upbeat when we were communicating well and being considerate toward one another's needs and opinions. It was important to treat each other with respect and let each other have their turn to discuss...
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...Physician assisted suicide has been a controversial topic in this country for many years. Some believe that people who are sick and dying should have the legal right to end their life with the help of a physician. There are many terminal cancer patients who are so sick they will not have a chance to live the rest of their life so they choose the route of physician assisted suicide. They choose it because it is an easy pain free way to end their life. Although people may say physician assisted suicide is unethical, physician assisted suicide is ethical because it is a person's individual choice whether they want to live or die and it reduces suffering. There have been many cases and statewide issues that have dealt with physician assisted suicide. The state of California and Washington denied the idea of physician assisted suicide. In the early 1990’s California and Washington rejected the votes that would have allowed Physician assisted suicide to be legal. Physician assisted suicide is a state issue. Physician assisted suicide was a problem in states...
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...Although I believe that patient non-compliance burdens the health care provider, “terminating the physician-patient relationship is a drastic step and should be undertaken prudently” (Petersons, 2014, p.2). Today, non-compliance is becoming a growing concern for all health care providers, ethically, morally, and financially. I did not find any reference to non-compliance mentioned while reviewing the classic version or the modern version of the Hippocratic Oath (MedicineNet, 2016). The Hippocratic Oath must be sworn by every physician and compliance to the oath is expected. With that being said, I understand that physicians cannot continue to treat a patient if the treatment plan is not productive. I believe that every effort should be made to help Cora...
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...Connecting with Patients J. Scott Joslyn, PharmD, MBA ABSTRACT Electronically connecting with patients is a challenging frontier at which technical hurdles are probably exceeded by political, legal, and other barriers. The rise of consumerism, however, compels a response focused more on revenue and strategic advantage than on pure cost savings. Among the difficulties faced by providers is choosing among various models of connectivity and component function. Emerging models include “freefloating” personal medical records largely independent of the office-based physician, systems with compatible and intertwined physician and consumer relationships using an application services provider office practice system, and systems that connect patients and providers through e-mail, office triage, prescription refills, scheduling, and so on. This article discusses these and other combinations of technology that significantly overcome the barriers involved and that may be woven together to provide solutions uniquely suited to various competitive situations. KEYWORDS • Consumerism • Patient-provider relationship • Data ownership • Application service providers • Time and cost savings The Internet has created both opportunities and threats that providers of all stripes must eventually confront to remain viable businesses in the new economy. Although business-to-business (B2B) innovations offer great hope in reducing costs and providing other efficiencies, electronically connecting with patients is a particularly...
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...physician rPOLICY 32 Physician Self-Referral The referral of patients to an additional individual provider or institution for any services in which the referring physician has a financial interest may constitute “self-referral.” Physicians who make referrals to professional practitioners or health care entities or facilities in which they have financial interest must provide full disclosure of that interest to patients, allowing them to make informed decisions. In addition, patients should be given a list of effective alternative resources, if any, that are reasonably available, informed that they have the option to use one of the alternative resources, and assured that they will not be treated differently by the physician if they choose an alternative provider or entity. Physicians should make referrals to providers based only on the needs of the patient and the medical standard of care in order to provide quality health care to their patients. References: Stark 42-USC-1395nn 42 C.F.R. 411.350 et seq. Stark 42-USC-1320a-7b 42 C.F.R. 1001.951 American Medical Association Council on Long Range Planning and Development in cooperation with the Council on Constitution and Bylaws, and the Council on Ethical and Judicial Affairs. Policy Compendium. Chicago: American Medical Association, 1999, E-8.00, 106-111. Code of Medical Ethics, Current Opinions and Annotations, Council on Ethical and Judicial Affairs, American Medical Association: 95, 108-112. The Physician Ownership and Referral...
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...HMOs HMOs provide several benefits to both physicians and patients alike; however, both Staff Model HMOs and Group Model HMOs offer different types of benefits for both. Group Model HMOs are centered around multi-specialty medical groups that focus on the performance of the group as a whole; they tend to be a bit less structured than the Staff Model HMOs. Many Group Model HMOs have ties to hospitals in the areas in which they practice, but are legally independent of those hospitals. New physicians to group practices must sign a Non-Compete Clause to prevent stealing of patients and often face an entry barrier due to the reverence given to senior members of the HMO. Staff Model HMOs are health systems that employ physicians directly; either through direct recruitment or the purchase of a pre-existing practice. Staff models are comprehensive health systems that include hospitals and several other correlated healthcare organizations. Healthcare is provided in HMO-owned facilities by HMO-employed physicians. There is a high degree of control over the care that is delivered; often stressing quality and efficiency. Physicians would be attracted to Group Model HMOs because of strength in numbers; the focus on the performance of the group as a whole creates unity among the members of the group. Individual physicians also have the ability to control their income based on their productivity. As a senior member of a group HMO, a physicians would be able to reap the benefits of putting...
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