DeVry University, Chicago - HSM 320 HSM320 Week 3 Discussions / HSM 320 Week 3 Discussions (answered) 2022

HSM320 Week 3 Discussions Fremgen, B. (2012). Medical Law and Ethics, 4/e For DeVry University, 4th Edition. Pearson Learning Solutions. Discussion 1 How has the physician-patient relationship changed over the past century? Are the changes good or bad for the delivery of quality healthcare? Welcome to week 3! I am enjoying our interesting discussions about healthcare and the legal and ethical aspects. This week, we are going to discuss the relationship between the physician and the patient and see how it has evolved. We know that the changes in healthcare have also lead to changes in the relationship sand the delivery of quality. How has this relationship evolved? How will healthcare reform affect this relationship? I look forward to our discussions. I agree with Joanna that the patient physician relationship is a little different now. I don't think physicians spend as much time with their patients as they were able to in the past. Also, managed care has made access to medical care more difficult. There are often referrals needed and difficulties accessing care. Also, my insurance often had me seeing nurse practitioners when I was sick rather than a physician so it was often different people providing health services to me rather than the same person. I think malpractice litigation has also played a part in breaking down trust between the patient and physician. I do agree with you. Healthcare is a business and when we have more choices we can have higher expectations. This follows the supply and demand chain that exists in most business environments. As far as technology, it certainly has helped to make interactions quicker in healthcare. My dentist uses new technology for my x-rays that gets results instantly. I have been going to the same dentist and hygienist for 3 years and they are very good as well as personable. I recommend them to everyone because aside from their excellent quality standards, they seem to take great care in getting to know their patients and communicating and building a relationship. I agree that it is important for patients to be honest and communicate with their physicians to ensure they receive proper care. In Chapter 8 of our textbook they discuss the case of Libby Zion who was brought into a large New York teaching hospital. She has flu like symptoms but showed agitated behavior also. She was restrained and given a sedative but died eight hours later. She didn’t mention to the doctors that she was on drugs. Withholding this information could have been part of the reason she died. This case resulted in changes in accountability and supervision in teaching hospitals and created mandatory rest periods and days off (Fremgen, 2012, p. 187). Fremgen, B. (2012). Medical Law and Ethics, 4/e For DeVry University, 4th Edition. Pearson Learning Solutions. My state, New York, was ranked as one of the ten worst states for patient safety in the 2010 and 2011 Health Grades Patient Safety in American Hospitals studies. We have a medical malpractice culture in New York. There are TV commercials constantly for lawyer groups looking for people injured by physicians and hospitals. In 2012, Consumer Reports started giving hospitals a patient safety score. They reported that 27 of the nation’s 50 lowest scoring hospitals were in downstate New York. The Journal of the American Medical Association, in its 2010 survey of physicians, reported that 17% (nearly 1 out of 5) of respondents said that they had S - The Marketplace to Buy and Sell your Study Material direct knowledge of an incompetent colleague over the last 3 years. To try to combat this problem, New York Presbyterian Hospital implemented a comprehensive obstetrics safety program in 2002, incorporating interdisciplinary team training, emergency drills, having a fulltime laborist, implementing electronic medical records and charting and clarifying chains of command. Because of these changes, yearly obstetric-related malprac