Tuesday, January 15, 2019
Patient and Professional Development Assignment Essay
There is goodish evidence that many of the new-made medical technologies are practised unsuitably, to aim income. What patient protections against inappropriate diagnostic and separate procedures should be considered?There is no doubt that the new diagnostic and healing(p) applied science now available has vastly expanded the scotch dimensions of medicine, in that respect is evidence that new and expensive technologies are being used inappropriately to generate income. One example of this statement would be the use of charismatic resonance imaging or MRIs. The popularity of this testing has skyrocketed and has in turn been set up to be actually profitable for hospitals and outpatient facilities. Despite the swooping popularity and booming financial salary increase this testing has been found non to have changed patient outcomes. The testing gives providers a clear look at the disease or anatomy being scanned there are no controlled comparisons of diagnostic accuracy or changes in medical or therapeutic guardianship for patients (Sultz and Young, 2011). Therefore this new and mod testing merely adds to the greet of the already terribly high buck of wellness care.Physicians now have many choices to make and many opportunities to generate income through the use of these and many more new technologies both in the office and hospital settings. The case is that medical indications for the use of much of the new technology are not precisely causing problems and susceptible solve by sparing factors. The range of acceptable options in a disposed(p) case is oft wide enough to give the provider considerable latitude in his/her choice of procedures. It is in this gray zone that economic incentives have their greatest effect on medical behavior (Relman, 2011). I do not believe that providers make decisions based on economic consideration and outcome that they would not decide former(a)wise. I believe with each of my heart that for the most part providers do things the majority of the time to do right by the patient and the pocketbook. The problem is, however, the right thing is often a matter of opinion because many tests, procedures, and operations have not yet been fully evaluated or scientifically compared with separate available mea veritables for cost effectiveness.Is it possible though pressure of financial advantage often s styles those openhearted providers or is it simply to pacify or satisfy patients? To expand on pacification or satisfaction or patients I will use my area of expertise. I have worked in the area of womens health most of my career so though I am sure there are other areas of specialty with patients such as ours I can only state from true experience that this is a very high-maintained population. This is a media savvy, device driven patient population that often wants drive-thru service. The issues I see to often are the ordering of tests, labs, procedures that may be un directed or cause great er consequence. There are high-technology screenings for every temporary cell we could possibly have on a female reproductive organ. As soon as a pre-menopausal women with heavy bleeding hears that she may have a positive result she wants a hysterectomy. Though this may be the treatment for some, it is not for all and I see way too many women loose their uterus for reasons that were much more benign than the outcome.Being in healthcare for so many years I could give example after example of new high technology that may be used inappropriately for reasons that could be generating income, but through with(p) simply for the benefit of the patient and their satisfaction. Patient satisfaction brings a self-coloured new topic of conversation to generating income. So how can we protect patients from potentially themselves or those that provide the ordering power that initiates this vicious cycle? I think first we have to mandate facilities and practices to put in determine guidelines and protocols to stop unnecessary testing that has been shown not to change the patient outcome. another(prenominal) intervention and protection to patients is that providers have to have conversations with patients honestly about what the issue is and that they do not need particular testing if asked for.They need to salve it real with patients. It is true that patient satisfaction is going to be at jeopardy and that they may want to jump providers, but providers and facilities will need to seriously look at the risk benefit of doing procedures that will not weigh up in a court of law or a court of public opinion. In spite of nursings vital importance to hospitals, nurses face excessive paperwork, managerial responsibilities, and supervision of lesser-trained assist tasks that require an inordinate amount of time spent in functions other than direct patient care. These frustrations, combined with long work hours, stagnant salaries, and other difficulties, have resulted in f ewer entrants to schools of nursing and increasing numbers of nurses release the profession. Discuss possible solutions to this growing problem.Do providers in the health care system recognize a broader social mission than addressing the needs of only those individuals who achieve access to their services? Elaborate.Relman, A. (2011). Cost control, doctors ethics, and patient care. Retrieved from http//www.issues.org/19.4/updated/relman.pdf.
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