Specialization
What is a specialist?
Specialize in specific branch of medicine
What is an example of managed care?
Insurance company
Acute care
The philosophical/ American approach to healthcare delivery, where by most patients are seen for acute/ current healthcare problems, including chronic conditions- not prevention; focuses on finding the immediate issues causing the patients condition and fixing it
What does EMR stand for?
Electronic medical record
What are 2 examples of preventative medicine?
Flu shots and pap smears
What is an example of a specialist?
Cardiologist, Gastroenterologist, Nephrologist, EENT
US healthcare has shifted from a majority clinical based approach to what other type of model?
Business model
Preventative Care
Cultural and philosophical attitudes that put a premium on healthcare that is focused on long-term prophylaxis for children and adults; seeks to increase provider- patient collaboration, communication, and information exchanges.
What is another name for EMR?
EHR
What is an example of placing treatment over prevention in todays healthcare system?
Prescribing 30 pills a month over 30 years is more profitably than developing a fix to hypertension
What specific behaviors and type of communication should healthcare providers use in order to promote interpersonal communication?
Non- verbal cues, open-ended questions, and non-medical language.
How does insurance manage care?
Control amount of tests and treatments provided to patients
Capitalism
American economic driver in which the primary goal of for-profit organizations is to make a profit and the goal of nonprofit and not-for-profit institutions is to strive to generate as much income as possible
What were some problems with pen and paper medical records?
Legibility, brevity, inconsistent data, storage and retrieval issues, and timeliness
What are healthcare services focused on today?
Maximizing ways to be paid while trying to effectively treat the patient
What is a patient's perspective of a specialist?
May be intimidated by difference in education & medical knowledge. Fear of asking questions, less likely to take active role in their care/ decision, & may feel undereducated.
Which survey do they use in the ED to see patient satisfaction with hospital?
Press Ganey survey
Dialectical Tension
Two opposing forces that may be present in various roles, responsibilities, and/ or relationships
Who benefits from EMR?
Give an example of how providers maximize their profit for procedures.
Pre-op visits mandatory and separated from day of procedure
What are the consequences of specialization on the healthcare field?
It contributes to high cost in todays healthcare where more future providers are choosing to become specialists.
What is an example of a dialectical tension in today's healthcare system?
Insurance vs provider
Managed care
A healthcare procedure/ policy instituted by most health insurance companies and medicare that seeks to reduce cost and improve healthcare delivery.
What are some ways the EMR cuts off communication?
Doctors place the laptop in between them and patient, have their back towards patient while typing, spend more time on computer charting than focusing on patient
In the current healthcare culture, providers are also rewarded by being paid for every patient visit, procedure, and test not just for keeping patients well?