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Delivery >or= Accessibility ( The United States Healthcare System (A…
Delivery >or= Accessibility
The United States Healthcare System
Providers (2)
The shortage of primary care physicians.
The system has been changing with an increase of DO medical schools.
What about residencies slots? Have they increased?
Increase of student debt?
Insurance coverage (2)
There is a plethora of options for all levels of economic status.
How easy is it to get covered, especially if you cannot afford it?
A lack of discipline of health care delivery (1).
Expensive
Uncoordinated
Disintegrated
Healthcare agencies and regulators are all just in it form themselves; they all have their own agenda. The main goal and mission has diminished.
The Patient Perspective
Physician-patient relationship
Deliberative (10)
Patients should be open to change based on their respect and trust to their physician.
The physician should be open minded and have a friend and teacher like relationship with their patient.
Mutual respect (14)
Effective communication - patient should not have to speak to multiple people and jump through loops to get answers.
Patient education - patient should always be provided with legitimate educational material to their diagnosis/treatment plan.
Time of the patient at clinic/hospital should be equally respected compared to patients punctuality to appointment.
Quality Improvement in Health Care
Patient-Centered Care (9)
Focus on the needs and expectations of the community.
We shouldn't just focus on the disease; be holistic.
Quality and equality work hand in hand (8).
With improvement of healthcare, the improvement of insurance plays into effect so all can have accessibility.
System improvement (9)
People evolve and so should health care.
A sense of safety and comfort should be present.
Distributive Justice & The Common Good
Egalitarian (4)
All people deserve equal health healthcare.
Those who are burdened with a disease get priority.
Taylors distributive justice (15)
Equality versus Fairness.
Human goodness.
Freedom (4)
Structure shouldn't jeopardize the way one lives.
People shouldn't be limited and restricted for the sake of strict capacities.
Complementary, Alternative, & Integrative Medicine
Adequate research for alternative forms of medicine (7).
Understanding why these different forms of non traditional treatments work and how they work.
Cost effectiveness (7)
Complementary medicine - 53 to 63 percent less expensive.
Awareness and education (7)
Traditions and culture - understanding where and why these different treatments were made.
The effectiveness of different forms of physical and mental treatments.
Cultural & Theological Diversity
Spirituality (11)
Love for your brother what you love for yourself. Offer a service in which is welcoming to all people.
Ethnocentrism (10)
We shouldn't view the work in a ethnocentrism perspective.
Our approach to people/patients is crucial in that we are open minded (holistic).
Mindfulness in Medicine
Mindfulness in practice (5)
Quality of care - treating patients the way you expect for yourself or a loved one to be treated.
Quality of caring - connect with your patients and show them that you care.
Resilience - treat every case as if it was your first. Take care of yourself and don't burn out.
Connecting with a patient
Compassion - apply that empathy and resonate with a patients suffering
Empathize - be able to understand and relate with the patient. Attempt to connect with them.
Safety in Health Care
Regulators (6) - regulates all for fair, safe, and quality care.
Providers
Consumers - served by the provider.
Suppliers - supply the provider.
Payers - finance the provider.
Human factors (9)
Removal of steps to make process and job more efficient.
Standardization
Bioethics
Our body, our right? (13)
Abortions? How should we perceive it and should patient get the right to do as they wish? Is this a subjective matter?
Point of viability - rules of life are set for the right of the fetus.
Roe vs Wade - the restriction of the state laws to completely abolish abortions.
Physician assisted suicide legalized worldwide; avenues are opening for people to make their own choices
Genetic testing (13)
Invasion of privacy by these large genetic testing companies?
The oppurtunity to educate your self and see what your future health may hold for you.
The History of Medicine
Medical ideology (3)
Doctor-patient encounter shifted from a one-way street to a two-way street.
Your class in society should not be considered.
Public health bureaucracy (3)
Survey - Social issues with medical ramification were repeatedly investigated by surveys
Surveillance - Intrusion of the state into public issues.
Significance - Surveying became the duty of all doctors.