scholarly journals Conflicts of Interest in Medical Practice and Their Costs to the Nation's Health and Health Care System

2014 ◽  
Vol 92 (2) ◽  
pp. 195-198 ◽  
Author(s):  
CATHERINE D. DeANGELIS
2016 ◽  
Vol 7 (4) ◽  
Author(s):  
Vu Phan Hoang Nguyen ◽  
Albert Wertheimer

Medication adherence is one of the major factors that determine an outcome of a treatment. Despite the effort of healthcare providers to improve the adherence rate, it still remains a serious issue in our health care system today. Many patients do not take their medications as directed or just simply do not want to fill or refill their prescriptions. A small survey performed by pharmacy students at Temple School of Pharmacy showed that there is a significant number of patients did not pick up their medications. Cardiovascular medications are the most common non-picked up drugs. There are various reasons that patients use to justify for this non-adherence behavior. However, they are unaware that their actions create a tremendous negative effect not only on the treatment itself but also on the entire health care system. The consequences include expensive therapies, inaccurate research data, and poor treatment outcomes. Many solutions have been utilized to solve this problem, but it is still the major problem for healthcare providers to keep in mind when planning a drug regimen. Although many people believed that pharmacists are responsible for solving this problem, it should be a multidisciplinary effort of all healthcare providers to improve the medication adherence. Conflict of Interest We declare no conflicts of interest or financial interests that the authors or members of their immediate families have in any product or service discussed in the manuscript, including grants (pending or received), employment, gifts, stock holdings or options, honoraria, consultancies, expert testimony, patents and royalties.   Type: Student Project


1980 ◽  
Vol 08 (03) ◽  
pp. 221-229 ◽  
Author(s):  
Margaret M. Lock

The Japanese health care system is frequently criticized within Japan for the over prescription of medication. This problem is analyzed by examining the modern medical system as a cultural construct. Attitudes towards medication derived from the traditional East Asian medical system are delineated and their reinforcement through other cultural institutions is discussed. The implications of the persistence of these attitudes for contemporary medical practice is presented.


Author(s):  
Pavlo Volodymyrovych Herasymenko ◽  
Olena Volodymyrivna Herasymenko

Urgency of the research. The relevance of adherence to the principles of medical ethics in the analysis of complaints is determined by the complexity of decision-making during an examination of inconsistencies in medical practice, which mandatory element is interference in a person’s inner world. Target setting. The structure of complaints about activities of health professionals is quite complex. A decision after a complaint is not always in favor of a complainant. At the same time, inconsistencies in medical practice due to a fault of a medical institution have significant consequences: organizational, financial, image. Therefore, improvement and proper application of principles of medical ethics in complain handling is important at all stages of medical care. Actual scientific researches and issues analysis. The article mentions works of scientists and medical practitioners, summarizes the body of knowledge on the issues of adherence to medical ethics during medical intervention and possible complaints. Uninvestigated parts of general matters defining. At the present stage of development, the national health care system is in a state of radical change. The shares of the public, communal and private sectors are significantly redistributed. Their structure and development trends are changing dynamically. The volatility of the current national health care system requires better study and coverage, in order to share experiences and implement best practices in ethical patient management. The research objective of the publication is to expand scientific and practical knowledge and skills about the harmonious integration of the principles of medical ethics in modern Ukrainian medicine. The statement of basic materials. Variants of complaints from dissatisfied patients, ethical principles of the approach to their consideration, stages and features of complaint analysis, the role of each of the medical staff during such examinations are considered. Conclusions. The publication discusses the practical experience of applying the principles of medical ethics and deontology in the work of a private medical institution in the analysis of complaints. The main elements of an ethical approach to diagnostics, consideration and resolution of a complaint. The conditions and processes that accompany communication with the complainant are described. Variants of approaches to solving problems for the personnel of clinics and finalizing the elimination of the identified inconsistencies are proposed.


2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.


2007 ◽  
Vol 38 (1) ◽  
pp. 18
Author(s):  
KEVIN GRUMBACH ◽  
ROBERT MOFFIT

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