Eliminating Scope of Practice and Licensing Laws to Improve Health Care

2003 ◽  
Vol 31 (2) ◽  
pp. 236-246 ◽  
Author(s):  
Randall G. Holcombe

Entry into the practice of medicine is heavily regulated through scope of practice and licensing laws that make it illegal for nonlicensed individuals to perform many medical services. As institutions are structured at the beginning of the twenty-first century, most regulation takes place at the state level, through state departments of health that establish criteria for performing different types of medical activities, and that restrict allowable activities for various types of health care professionals. The regulations over the activities of physicians are more uniform across states than for other health care professionals because, although the regulation is done by individual state governments, the standards for physicians are set by the National Board of Medical Examiners, a group controlled by physicians themselves. The justification for this regulation is that it produces higher quality health care. Some would make an even stronger argument that regulation is necessary because patients do not have sufficient knowledge to distinguish effective practitioners from ineffective ones.

2007 ◽  
Vol 93 (3) ◽  
pp. 13-19
Author(s):  
Randall G. Holcombe

ABSTRACT If government licensing of health care professionals were eliminated, a wide range of private sector alternatives would emerge to replace current licensing systems. Some of those systems, such as private sector regulatory agencies and brand names, could play a large role in ensuring high-quality health care, and other mechanisms, such as board certification and hospital practicing privileges, already are in place. Non-governmental mechanisms to ensure high-quality health care would work better if all government restrictions on health care professionals were eliminated.


2021 ◽  
pp. 097206342110352
Author(s):  
Shalini Srivastava ◽  
Richa Misra ◽  
Deepti Pathak ◽  
Poonam Sharma

Emotional intelligence (EI) is possibly one of the most studied psychological factors of the twenty-first century. EI is very much relevant in service industry particularly in management, academics, life sciences or psychology. The purpose of the empirical study is to test the relationship between the defined constructs of EI and job satisfaction ( JS) amongst health care professionals of Delhi NCR region of India. It further tried to understand whether gender moderates the EI and JS relationship. Structured survey was used to solicit response from 260 health care professionals comprising doctors and nurses belonging to different hospitals of Delhi NCR region. Standardised instruments were used to assess the data. Linear and moderated regression were used to test hypotheses developed. The findings suggest that EI constructs significantly impact the level of JS among health care professionals. The result of moderated regression suggested that the relationship of EI and JS is significantly moderated by gender. The construct of EI is relevant in providing high quality health care service delivery to the patients.


Author(s):  
Tanja Bratan ◽  
Malcolm Clarke ◽  
Joanna Fursse ◽  
Russell Jones

The UK’s National Health Service (NHS) is undergoing great reform. Driven by a demand for higher quality health care provision, information and communication technologies (ICT) are increasingly being used as tools to realize this change. We have investigated the use of remote patient monitoring (RPM), using wireless and broadband networks, in three community care homes between July 2003 and January 2006. The aim of the project was to determine for what conditions and in which setting the RPM was most useful and to establish an organizational and clinical infrastructure to support it. Evaluation of the project demonstrated clinical benefits such as the early detection of cardiac events, allowing prompt intervention and routine monitoring of other conditions. A change in work practices resulted in a more collaborative approach to patient management and led to an increase in communication between health care professionals from different sectors, as well as the establishment of protocols for seeking advice. Technically, the equipment largely met the users’ needs. In conclusion, the monitoring proved a useful tool for the management of chronic diseases and has great potential to contribute to the reform of the NHS.


2016 ◽  
Vol 21 (8) ◽  
pp. 2339-2346 ◽  
Author(s):  
Emília de Carvalho Coutinho ◽  
Ana Maria Anjos Rocha ◽  
Alcione Leite da Silva

Abstract Motherhood is a complex phenomenon, supplementedwith expectations about the new reality, the hopes of all going well, taking into account the expected care. In order to meet the needs of the Portuguese expectant mother, it is necessary to know what she deems essential for herself and her family, so that strategies may be developed to facilitate the transition process. This study was intended to gain insight into fulfilled and unfulfilled expectations of health care in motherhood with a group pregnant females in Portugal. This is a qualitative, exploratory and descriptive study, with 22 Portuguese women belonging to the Clusters of Health Care Centers of the districts of Viseu and Aveiro. The data was collected through semi-structured interviews and analysed using content analysis proposed by Bardin, supported by QSR NVivo 10. It was observed that fulfilled expectations surpassed those unmet, especially in terms of high quality health care and competent health care professionals. Regarding unfulfilled expectations, they mainly refer to maternity incentives, with an emphasis on the wish of greater financial familly supportfrom the government.


Author(s):  
Stephen J. Swensen ◽  
Tait D. Shanafelt

The current health care delivery system is perfectly designed to create high rates of professional burnout in physicians, nurses, advanced practice providers, and other health care professionals. In most organizations, a gap exists between the quality of care professionals aspire to deliver and the quality of care actually delivered, which creates burnout. Poor quality health care is fundamentally about waste, and leaders in the health care industry have primary accountability and responsibility for system waste. The following are five categories of waste in health care: Failures of care delivery and care coordination, overtreatment, administrative complexity, pricing failures, and fraud and abuse.


2015 ◽  
Vol 81 (4) ◽  
pp. 331-335
Author(s):  
Joseph Dubose ◽  
Curt Tribble

Dr. James Lawrence Cabell was one of the most important, farsighted, and influential surgical educators and leaders in the United States in the 19th century. He was appointed as Chair of Surgery and Physiology at the University of Virginia by Thomas Jefferson's successor as Rector of the University, James Madison, and held that Chair for over 50 years, the longest tenure of any American medical academician. He was a founding member of the American Medical Association, the American Surgical Association, and the National Board of Health. He is best remembered as an articulate, incessant, and early proponent of public health and the delivery of quality health care in the United States. His legacy and that of his protégés has continued to influence health care in this country, especially in the realm of the prevention and treatment of infectious diseases, even into the present time.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S105-S109
Author(s):  
Bianca Princeton ◽  
Preetha Santhakumar ◽  
Lavanya Prathap

Abstract Objectives Coronavirus disease is an infectious disease caused by a newly discovered coronavirus. This virus primarily spreads through droplets of saliva or discharge from the nose when an infected person coughs or sneezes. This virus was named after its shape, which takes the form of a crown with protrusions around it. The World Health Organization has recommended personal protective equipments (PPE) to doctors and health care workers attending COVID-19 patients. PPE generally includes masks, goggles, respirators, gloves, face shields, and isolation gowns. The principle aim of this study is to create awareness among dental students about the preventive measures taken by health care professionals while attending patients affected with COVID-19. Materials & Methods A questionnaire comprising 15 questions was created using an online Google forms website and was circulated among 100 dental students. The survey was conducted within a week in the months of April to May 2020. The results and observations were recorded in the form of pie charts. Results Ninety-three percent of the participants have stated that health care professionals must clean their hands often, cover their nose and mouth, and maintain safe distance from everyone in order to prevent the virus from affecting them. Sixty-three percent of the participants are familiar with the term PPE. Majority assume that health care professionals are given enough safety precautions while treating a patient with coronavirus. Conclusion Hence, to conclude, health care professionals play a vital role in improving access and quality health care for the population, and hence, they must be protected as well. Since dental students treat patients, they are vulnerable to infection as well, and must take proper safety measures.


2011 ◽  
pp. 1047-1061
Author(s):  
Tanja Bratan ◽  
Malcolm Clarke ◽  
Joanna Fursse ◽  
Russell Jones

The UK’s National Health Service (NHS) is undergoing great reform. Driven by a demand for higher quality health care provision, information and communication technologies (ICT) are increasingly being used as tools to realize this change. We have investigated the use of remote patient monitoring (RPM), using wireless and broadband networks, in three community care homes between July 2003 and January 2006. The aim of the project was to determine for what conditions and in which setting the RPM was most useful and to establish an organizational and clinical infrastructure to support it. Evaluation of the project demonstrated clinical benefits such as the early detection of cardiac events, allowing prompt intervention and routine monitoring of other conditions. A change in work practices resulted in a more collaborative approach to patient management and led to an increase in communication between health care professionals from different sectors, as well as the establishment of protocols for seeking advice. Technically, the equipment largely met the users’ needs. In conclusion, the monitoring proved a useful tool for the management of chronic diseases and has great potential to contribute to the reform of the NHS.


Sign in / Sign up

Export Citation Format

Share Document