Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts
Thursday, May 17, 2012
media: Doctor-bashing’s not the cure for health-care costs
......the government has gone to war against the doctors again.....
"Politicians and bureaucrats are always attracted to simple ways to control health-care spending. In the early 1990s, they decided the best way to control spending was to cut down on doctors. This brilliant idea resulted in a doctor shortage that has taken the past decade to fix......
Tuesday, March 27, 2012
Doctors Have Feelings, Too - NYTimes.com
Doctors Have Feelings, Too - NYTimes.com
".....Last month, an article in the journal Health Affairs made headlines in
the news media — “Physicians Are Not Always Open or Honest with
Patients.” A vast majority of the nearly 2,000 doctors surveyed agreed
that physicians should be fully open and honest in all their
communications with patients, as the Charter on Medical Professionalism
requires, but more than one in 10 had specifically told a patient
something that was not true within the past year. Almost one in five had
not revealed a medical error. More than half had framed a prognosis in a
more positive light than was warranted.
The authors expressed concern that doctors were not fully living up to
the charter; patients worried that they couldn’t trust what their
doctors said. I also found the data disturbing, but for different
reasons. I don’t think that doctors are generally a dishonest bunch.
Yes, there are a few utter miscreants out there, and many more who could
use a tune-up on their communication skills. But I suspect that the
dishonesty that is being uncovered in a study such as this — and
frankly, I was amazed that the number of less-than-truthful instances
was so low — reveals more about the diagnosis of being human than
anything else.
When Julia walked out of our hospital without full knowledge of her
prognosis, I had been derelict in my duty as her physician. I was fully
aware that my job was to have “open and honest” communication with her,
in a “patient centered” manner. But I couldn’t. I couldn’t bring myself
to tell this young mother that she was going to die........"
Tuesday, February 07, 2012
open access: Impact of remuneration and organizational factors on completing preventive manoeuvres in primary care practices
Blogger's Note: note patient numbers per physician; study limitations
~~~~~~~~~~~~
"Primary care providers are increasingly interested in ensuring that preventive health care be part of their work routines.1 This reorientation fits with the evidence that recommendations from family practitioners increase substantially the likelihood of patients undergoing preventive manoeuvres,2 whereas the lack of such recommendations has been linked with patient noncompliance.3,4
Studies evaluating adherence to recommended preventive care suggest that the most pervasive barriers rest with the organization of the health care system and the practice itself, such as the absence of external financial incentives for the work done and the lack of a reminder system in the office.3,5–9
Countries attempting to reform their delivery of primary care and improve the delivery of preventive services have often directed their efforts in finding alternatives to the traditional fee-for-service model, in which providers receive payment for each service provided......."Tuesday, January 24, 2012
(U.S.) Medscape: Feds Target Roles of PAs and Nurses for Comparative Research
Clinicians, patients, healthcare organizations, and the general public can weigh in on the proposed agenda and research priorities of PCORI at the agency's Web site or at its National Patient and Stakeholder Dialogue meeting, set for February 27 in Washington, DC. More information about the meeting is available at the PCORI Web site.
Tuesday, January 17, 2012
Controversies in Oncologist-Patient Communication: A Nuanced Approach to Autonomy, Culture, and Paternalism - Cancer Network
"....Several aspects of communication between oncologists and their patients remain contentious:
• Autonomy: To what degree must physicians observe the principle of full disclosure in order to ensure true autonomy and informed decision making on the part of the patient?
• Culture: In caring for patients from different cultures, how should the physician respond to requests of family members who claim that in their culture decision making should be left to the family rather than to the patient?
• Paternalism: How does one balance the need for information with the concern that some patients may be harmed by physicians' honoring requests for either too much or too little information? When should the physician invoke the “therapeutic privilege” of paternalistically overriding a patient request or not seeking the patient's opinion?...."
Wednesday, August 24, 2011
Friday, July 29, 2011
Monday, July 25, 2011
Monday, March 21, 2011
Limited free speech for docs | Columnists | Comment | Calgary Sun
Comments
Sandi Pniauskas
March 20th 2011, 10:16pm
"I see no mention of the Institute for Patient Safety and their role in these issues. Aside from selected physicians (the few) who choose to speak up publicly, it's rather a continuing sad situation in Canada. For those who do speak up, healthcare professionals, patients and the public, we seem to ostracize those individuals who have the tenacity to persevere in truth telling and simply trying to do the best possible under often terrible circumstances. More so, where is the peer process in this aside from political fence sitting. There is definitely a need for both federal and provincial ombudsman positions 'with teeth'- to correct these ongoing errors of judgment."
Wednesday, March 16, 2011
Alberta health board CEO lobbies doctors for patients' help
"....But more doctors are coming forward to discuss how the system hasn't let them speak freely because they face intimidation and punishment, says Independent legislative member Raj Sherman......."cont'd
Read more: http://www.edmontonjournal.com/Alberta+health+board+lobbies+doctors+patients+help/4452643/story.html#ixzz1GoiC9B2m
Thursday, March 10, 2011
Doctor and Patient - When Doctors Make Mistakes - NYTimes.com
Note: forwarded from patient safety community, sad situation/s really
Saturday, February 26, 2011
Friday, October 08, 2010
free full access: Health care providers (doctors and nurses) underestimate symptom intensities of cancer patients
Note: plain english format (easy to read) "The differences between patient and provider assessments can be caused by providers not being able to exactly interpret the patients' symptoms or that different instruments are used for patients and health care providers. Agreement on rating of symptoms was associated with demographic- and disease-related factors. Clinicians involved in care for patients with cancer should be aware of the potential factors associated with a risk of symptom underestimation."
Thursday, October 07, 2010
abstract: “When patients and families feel abandoned”
Conclusions
These strategies can help us maintain healing relationships with our patients by maintaining their trust, confidence, and satisfaction. Cultivating relational aspects of medical practice requires an interchange and takes time. Experienced doctors know this and continue to do so because being present and staying with the patient during difficult times is a pillar of moral and ethical training and a fundamental attribute of a good physician.
Monday, September 06, 2010
Sunday, August 15, 2010
Friday, August 13, 2010
Monday, August 09, 2010
UK media article: Patient safety at risk from eurosceptics (re: hours of work)
blogger's note: while the patient safety communities typically reflect on airline safety/rules, it is always interesting to observe that no, if any, references are made to the transportation industry (as a whole) and in particular the fatigue issues. Many studies have been done on fatigue/commercial vehicle safety hours of work issues. In addition, studies have been done not only on fatigue but also on the effects of alcholism (impairment/performance).
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