To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.
orks Cited
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
Donovan, Jenny L., and Blake, David R. (2002). Patient non-compliance:…...
mlaWorks Cited
Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:
Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).
Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care
Units. Journal of General Internal Medicine, 16(5), 283-289.
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses develop a…...
mlaReferences
Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press
Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley
Starr, P. (1984) the Social Transformation of American Medicine.
New York: Basic Books
Healthcare Administration
isk Involved in Poor Chart Documentation: An Overview in Total Quality Management
Poor chart documentation in the behavioral health field is a concern for risk management and a critical area for total quality improvement. Poor chart documentation can lead to an audit by accrediting bodies and in severe circumstances lead to discharge. There are many legal ramifications associated with poor chart documentation. This paper will highlight the importance of poor chart documentation, the consequences of poor documentation, and suggest possible tools for resolving documentation errors. The best tool for eliminating chart documentation risk is developing a risk management system appropriate to the health care setting.
Poor chart documentation costs behavioral health providers thousands of dollars in malpractice costs every year. Errors related to chart documentation can be severe; a patient can suffer an untimely death for example. In fact, statistical evidence suggests that each year thousands of patients die or are…...
mlaReferences:
Aron, DC. & Headrick, L.A. (2002). Educating physicians prepared to improve care and safety is no accident: It requires a systematic approach. Quality and Safety in Health Care, 11, 168-173.
Burke, M., Boal, J., & Mitchell, R. (2004). Communicating for better care. American Journal of Nursing. 104(12), 40-47.
American Society of Healthcare Risk Management, American Hospital Association. (2004). The
growing role of the patient safety officer: Implications for risk manager. Chicago: American Hospital Association.
The information contained in Health ars is of tremendous benefit to all readers. e need to take more control over our own health, especially given the rising cost of health care insurance and the exorbitant prices of doctor and hospital bills. Preventing problems depends largely on paying attention to our genetic history: finding out what problems our mothers, fathers, and grandparents and adapting our lifestyle accordingly. Reading Day's book also encourages readers to learn more about common problems and possible solutions that involve diet and lifestyle changes. Taking responsibility for our health is one of the main themes in Health ars. Readers should take heed of what Day believes to be a crisis in modern medicine: the inability or unwillingness to practice common sense prevention.
I would recommend Health ars highly for several reasons. First, I believe that the health care crisis might be one of the most important problems in…...
mlaWorks Cited
Day, Phillip. Health Wars. Credence, 2001.
While promoting and encouraging diversity in hiring and advancement policies and actions is a definite area of concern for health care managers and executives, and this necessarily has an effect on the diversity of care ultimately offered to patients, this latter issue should be dealt with between physicians and patients themselves as much as possible (IDHM 2010). Manager involvement in this issue should consist of a broader appraisal of the physician's attitude towards cultural diversity in the patients seen by the physician; it could be that the efficacy and quality of care being provided by this doctor is diminished by a lack of cultural understanding. Developing a full plan of care for the individual patient in question, however, is not something that a manager at the health care organization should become involved in directly.
The ethical provision of healthcare includes meeting each individual patient on their own terms, applying their…...
mlaReferences
ACHE. (2010). Amercian College of Healthcare Executives. Accessed 4 August 2010. http://www.ache.org/
IDHM. (2010). Institute for Diversity in Health Management. Accessed 4 August 2010. http://www.diversityconnection.org/
In the case of pill mills, participating physicians and pharmacists bill insurance companies or Medicare for prescription drugs, allowing participating beneficiaries to resell those drugs to criminal middlemen. The pharmacy then repurchases the drugs at a lower cost. According to the USGAO, any misuse of beneficiary identification information is a felony.
Criminals may also steal beneficiary information by creating drop boxes. The drop box scheme involves establishing a phony health care company in order to obtain insurance or Medicare payments. Like the drop box scheme, the pill mill scheme, and the rent-a-patient scheme, third-party billing also involves felony acts. Illegally obtaining beneficiary identification numbers, a criminal can use third-party billing agents to receive insurance payouts. The third-party billing company may not even be aware of the scheme. In other cases, the third-party billing company is a part of the scheme, defrauding by tacking on fraudulent claims to legitimate ones and…...
mlaReferences
Cornell University Law School. "Health Care Fraud." Retrieved Aug 7, 2008 from http://topics.law.cornell.edu/wex/healthcare_fraud
United States General Accounting Office (USGAO). "Health Care Fraud." Retrieved Aug 7, 2008 from http://209.85.215.104/search?q=cache:NcKXTYWPgDEJ:www.gao.gov/new.items/os00015t.pdf+health+care+fraud&hl=en&ct=clnk&cd=5&gl=us&client=firefox-a
d).
The health care industry is heavily regulated and has several special risk areas that need to be looked out for. An effective compliance program is necessary in order to mitigate these risks. In addition to the challenges that are associated with taking care of patients, health care providers are subject to huge and sometimes intricate sets of rules that govern the coverage and reimbursement of medical services. Because federal and state sponsored health care programs play such a big role in paying for health care, compliance with these rules are necessary in order to avoid penalties that can occur. These penalties can include such things as recoupment of improper payments, along with sanctions imposed by Medicare and Medicaid against health care businesses that engage in abuse or fraudulent practices (Corporate esponsibility and Corporate Compliance: A esource for Health Care Boards of Directors, (n.d.).
A good health care administrator will define and…...
mlaReferences
Corporate Responsibility and Corporate Compliance: A Resource for Health Care Boards of Directors. (n.d.) Retrieved April 3, 2009, from Office of the Inspector General Web site:
http://oig.hhs.gov/fraud/docs/complianceguidance/040203CorpRespRsceGuide.pdf
Health Administration. (n.d.). Retrieved April 3, 2009, from Web site:
Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.
One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).
In health care, as in all aspects of life, communication is…...
mlaBibliography
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland and the impact of the lack of financial resources. The…...
mlaPotter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
Shuttling the results from an outside provider, because the health insurance agency will only reimburse outside screening, forces the patient to wait and possibly incurs more costs, if the delays in obtaining diagnostic information worsen the patient's condition. This can ultimately result in more prolonged treatment. Many patients may also be put at risk because of the logistics of being transported to outpatient facilities for essential screening and rehabilitative services, while they are still convalescing.
Being able to conduct all necessary tests in-house results in great efficiency, swifter screening, and improves coordination between the different providers involved in the case. Our hospital has extensive resources for patients, and can provide a wide range of treatment options, particularly in its specializations of cardiac and orthopedic care. And improvements in technology that are keeping extremely sick patients alive for longer periods of time also mean that, quite often, patients require attention from…...
mlaReferences
Mertens, Maggie. (2010, October 4). More Medicaid payment for some doctors. But will it last?
Shots. NPR Blog. Retrieved November 24, 2010 at http://www.npr.org/blogs/health/2010/04/will_medicaid_payment_follow_u.html
Cost analysis methods, 2011, U.S. National Library of Medicine). This will give a picture of the efficacy of the drug, its financial costs, its impact upon society, and impact upon the patient. When a drug is new, data must first be accrued on the drug itself before it can be compared with similar treatments.
What type of economic evaluation should be used when comparing outcomes and costs of two diabetes therapies that affect both the severity of the disease and the survival rate? Why?
A cost-benefit analysis should be used. In this instance, the two therapies do not produce equivalent outcomes. This means a cost-minimization analysis that presumes equivalency cannot be used. The study's designers are not only interested in the costs of the treatment, but also the impact upon patient health, so cost-utility and cost-effectiveness analysis is not appropriate. Only a cost-benefit analysis provides non-quantitative information on the benefits to…...
mlaReferences
HTA 101: IV. Cost analysis methods. (2011). U.S. National Library of Medicine.
Retrieved June 27, 2011 at http://www.nlm.nih.gov/nichsr/hta101/ta10106.html
As to the availability of safe and clean water supplies, and safe waste disposal facilities, Native Peoples are again on the short end of the stick. About twelve percent of Native People do not have adequate supplies of fresh drinking water and dependable waste facilities while only one percent of the general American population do not have those needed facilities (Indian Health Services).
The U.S. Commission on Civil rights reports that the rates Native Americans are dying resulting from diabetes, alcoholism, suicide, unintentional injuries and other health conditions is "shocking" (www.USCCR.gov). Going back to the arrival of the Europeans on the North American Continent, many diseases were brought to the Native Peoples which were "far more lethal than any weapon in the European arsenal" so anyone even preliminarily examining the health care history of Native Peoples can clearly see that this dilemma has been a plague for Indians (www.USCCR.gov). The infectious…...
mlaWorks Cited
Centers for Disease Control and Prevention. (2009). Health of American Indian or Alaska Native Population. Retrieved April 14, 2009, from http://www.cdc.gov/nchs/faststats/indfacts.htm .
Indian Health Services. (2006). Facts on Indian Health Disparities. Retrieved April 14,
2009, from http://www.americanindianhealth.nim.nih.gov.
United States Commission on Civil Rights. (2004). Broken Promises: Evaluating the Native American Health Care System. Retrieved April 15, 2009, from http://www.usccr.gov/pubs/nahealth/nabroken.pdf .
Patient portals, electronic medical records, and personal monitoring devices are three of the most revolutionary technologies in the healthcare sector. Each of these technologies presents patients with the potential to empower themselves, taking control of their own healthcare outcomes, and taking part in their overall healthcare goals. These technologies also streamline healthcare administration and minimize medication and billing errors. However, each of these technologies is also constrained by a range of issues related to accessibility, with potent socioeconomic class disparities evident. Security and standardization of healthcare technologies are also proving problematic. Patient portals, electronic medical records, and personal monitoring devices are all technologies that have the potential to radically improve the quality of healthcare and patient outcomes, as well as improve overall patient experiences. Because of their abundant benefits, these technologies need to be embraced and promoted through effective public health policies. Otherwise, disparities will continue to threaten to exacerbate…...
Health Promotion and Preventative Care Plan
The purpose of this paper is provide information about the process of conducting a health assessment and a care plan based on the findings of the several assessments that were conducted for the benefit of the patient. The paper will describe the health history consisting of a review of systems, and will provide information about the assessment and its relevance to the plan of care developed for the patient.
The patient (CM) is a 24-year-old single black female who was born in the Democratic epublic of Congo (DC) and arrived in the United States three years ago to pursue an education. CM lives at home with her siblings, nieces and nephews, and her parents who just moved to the U.S. five months ago from the DC. CM works in retail and has been working extra shifts in order to help with the expenses of her extended…...
mlaReferences
Gulanick, M. (2012). Knowledge deficit: Patient teaching, health education. Elsevier Publishing.
Jarvis, C. (2012). Physical examination and health assessment (6th ed.). St. Louis, MO: Elsevier.
A Model Healthcare Delivery System
Introduction
The healthcare delivery system also referred to in short as the HCDS is the most effective system that works for most healthcare organizations in all countries with fair, effective and efficient distribution of resources. It is a fast growing service that demands attention from various quarters and domains. At the optimal level, the service program presents relief and hope to the individual, and the general population. The system offers a balanced quality care service through efficiency and fairness. HCDS varies across the world but its focus is constantly on enhancing healthcare access, quality of service and coverage. The success of the program is dependent on the availability of certain basic resources (Kumar & Bano, 2017, p. 1).
HCDS is how the society has responded to the health determinants. The idea of a healthcare system contemplates involving the people that are likely to be served by such a…...
In order to determine whether there should be more financial support given to physicians who practice primary care, we have to first determine some facts about primary care physicians, their costs, their salaries, and other financial factors. While the average annual salary of a primary care physician varies by state, the average appears to be from $130k a year to around $220k a year. This breaks down to around $75 to $120 an hour.
At first glance, that salary seem very comfortable and may leave people wondering if financial support for the position is warranted. However, in reality....
Nursing Theory and Practice
The Impact of Nursing Theories on Patient Outcomes
The Role of Critical Thinking in Nursing Practice
Ethical Decision-Making in Nursing: Frameworks and Case Studies
Interdisciplinary Collaboration and its Implications for Nursing Care
Innovations in Nursing Education: Exploring Future Trends
Nursing Research and Evidence-Based Practice
The Importance of Nursing Research for Improving Patient Care
Conducting Nursing Research: Research Designs, Methods, and Analysis
Translating Research Findings into Clinical Practice: Challenges and Strategies
The Role of Technology in Nursing Research and Evidence-Based Practice
Evaluation of Nursing Interventions: Methods and Impact
Nursing Management and Leadership
The Transformational Leader in Nursing: Inspiring and....
Health Information System (HIS)
A Health Information System (HIS) is a comprehensive, integrated information system designed to manage, store, and process health-related data and information. It provides a platform for the collection, analysis, and dissemination of patient health information, facilitating efficient and effective healthcare delivery.
Components of a Health Information System
A comprehensive HIS typically consists of the following components:
Electronic Health Record (EHR): A digital repository of patient health information, including medical history, medications, allergies, vital signs, diagnostic test results, and treatment plans.
Patient Management System: A module for scheduling appointments, managing patient demographics, and tracking insurance coverage.
Clinical Decision Support Tools:....
Health records can be utilized for research and data analysis in a variety of ways beyond their primary use in patient care. Some examples include:
1. Epidemiological studies: Health records can be used to study patterns of disease prevalence and incidence in a population, aiding in the identification of risk factors and informing public health interventions.
2. Outcomes research: Health records can be used to evaluate the effectiveness of different treatments and interventions, helping to improve clinical practice and patient outcomes.
3. Comparative effectiveness research: Health records can be used to compare the effectiveness of different treatments or interventions in real-world settings, providing....
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