Toward a Typology of Confidentiality Breaches in Health Care Communication: An Ethic of Care Analysis of Provider Practices and Patient Perceptions

2004 ◽  
Vol 16 (2) ◽  
pp. 231-251 ◽  
Author(s):  
Maria Brann ◽  
Marifran Mattson
2020 ◽  
Vol 86 (2) ◽  
pp. 140-145
Author(s):  
Shoshana Levi ◽  
Emily Alberto ◽  
Dakota Urban ◽  
Nicholas Petrelli ◽  
Gregory Tiesi

Perception of physician reimbursement for surgical procedures is not well studied. The few existing studies illustrate that patients believe compensation to be higher than in reality. These studies focus on patient perceptions and have not assessed health-care workers’ views. Our study examined health-care workers’ perception of reimbursement for complex surgical oncology procedures. An anonymous online survey was distributed to employees at our cancer center with descriptions and illustrations of three oncology procedures—hepatectomy, gastrectomy, and pancreaticoduodenectomy. Participants estimated the Medicare fee and gave their perceived value of each procedure. Participants recorded their perception of surgeon compensation overall, both before and after revealing the Medicare fee schedule. Most of the 113 participants were physicians (33.6%) and nurses (28.3%). When blinded to the Medicare fee schedules, most felt that reimbursements were too low for all procedures (60–64%) and that surgeons were overall undercompensated (57%). Value predictions for each procedure were discordant from actual Medicare fee schedules, with overestimates up to 374 per cent. After revealing the Medicare fee schedules, 55 per cent of respondents felt that surgeons were undercompensated. Even among health-care workers, a large discrepancy exists between perceived and actual reimbursement. Revealing actual reimbursements did not alter perception on overall surgeon compensation.


AAOHN Journal ◽  
2009 ◽  
Vol 57 (9) ◽  
pp. 374-380 ◽  
Author(s):  
Hasanat Alamgir ◽  
Olivia Wei Li ◽  
Erin Gorman ◽  
Catherine Fast ◽  
Shicheng Yu ◽  
...  

Ceiling lifts have been introduced into health care settings to reduce manual patient lifting and thus occupational injuries. Although growing evidence supports the effectiveness of ceiling lifts, a paucity of research links indicators, such as quality of patient care or patient perceptions, to the use of these transfer devices. This study explored the relationship between ceiling lift coverage rates and measures of patient care quality (e.g., incidence of facility-acquired pressure ulcers, falls, urinary infections, urinary incontinence, and assaults [patient to staff] in acute and long-term care facilities), as well as patient perceptions of satisfaction with care received while using ceiling lifts in a complex care facility. Qualitative semi-structured interviews were used to generate data. A significant inverse relationship was found between pressure ulcer rates and ceiling lift coverage; however, this effect was attenuated by year. No significant relationships existed between ceiling lift coverage and patient outcome indicators after adding the “year” variable to the model. Patients generally approved of the use of ceiling lifts and recognized many of the benefits. Ceiling lifts are not detrimental to the quality of care received by patients, and patients prefer being transferred by ceiling lifts. The relationship between ceiling lift coverage and pressure ulcer rates warrants further investigation.


2003 ◽  
Vol 46 (6) ◽  
pp. 79-84 ◽  
Author(s):  
E. Vance Wilson

2004 ◽  
Vol 54 (3) ◽  
pp. 299-306 ◽  
Author(s):  
Sally E. Thorne ◽  
Susan R. Harris ◽  
Karen Mahoney ◽  
Andrea Con ◽  
Liza McGuinness

2009 ◽  
pp. 5-14
Author(s):  
Marinella Sommaruga ◽  
Paola Gremigni ◽  
Porta Paola Della

- This study is aimed at investigating outpatients' and clients' experience of communication with a group of employees of a hospital in the North of Italy. Participants in the study were 328 patients/users who were asked to report their communicative experience with 20 hospital employees using the Health Care Communication Questionnaire (HCCQ). Employees were 40% administrative, 60% ambulatory nurses and technicians, and 82% females. The comparison between employees on scores obtained showed significant differences in two of the four factors of the questionnaire (Lack of hostility and Non verbal immediacy). Furthermore, the female employees have been perceived by patients as less hostile then men. Female patients/users felt to be more respected then males, but this difference was linked to age, as among males the feeling of being respected decreased with age. Finally, it was possible to observe the scores obtained by each hospital employee in the HCCQ factors, to detect which of the four communicative behaviours has been evaluated by the users as less appropriate. This seems useful for planning personalized training.Key words: communication, patients, hospital personnel.Parole chiave: comunicazione, pazienti, personale ospedaliero


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