Bedside Treatment Decisions: An Evaluation of the Factors Physicians Take into Consideration When Making Complex Rationing Decisions

2020 ◽  
Vol 1 (1) ◽  
pp. 9-17
Author(s):  
Judith Trarbach ◽  
Stephan Schosser ◽  
Bodo Vogt
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Treatment Method ◽  
Treatment Decisions ◽  
Daily Basis ◽  
Final Decision ◽  
Care Providers ◽  
Additional Information ◽  
Rationing Decision ◽  
The Needy

Background: The budget limitations that are imposed on health care providers often force caregivers to become rationers, and physicians are required to select which patients receive treatments and which go without on a daily basis. This involves making highly complex decisions, and physicians are required to evaluate both relevant and irrelevant parameters to ensure the final decision is sound. Objective: This research examined which of seven parameters physicians used to make rational decisions as to which of a group of five patients in need received treatment. Method: An experiment was conducted in which the decision relevance of objective parameters and additional information about the needy, such as gender or smoking habits, were investigated. Results and conclusion: The findings indicated that physicians focus on central disease-related criteria very well and, thus, arrive at a comprehensive rationing decision, even in complex situations.

scholarly journals Feasibility and Utility of Tele-Neurorehabilitation Service in India: Experience from a Quaternary Center

2018 ◽  
Vol 09 (04) ◽  
pp. 541-544 ◽  
Author(s):  
Meeka Khanna ◽  
Guru S. Gowda ◽  
Virupaksha Irappa Bagevadi ◽  
Anupam Gupta ◽  
Karishma Kulkarni ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Neuromuscular Disorders ◽  
Cost Effective ◽  
Rehabilitation Service ◽  
Neurological Rehabilitation ◽  
Care Providers ◽  
The Mean ◽  
The Needy ◽  
Effective Health Care

ABSTRACT Background: Neurological rehabilitation service in developing countries like India is a great challenge in view of limited resources and manpower. Currently, neurological rehabilitation with a multidisciplinary team is limited to a few major cities in the country. Tele-neurorehabilitation (TNR) is considered as an alternative and innovative approach in health care. It connects the needy patients with the health-care providers with minimum inconvenience and yields cost-effective health care. Aim: The aim of this study was to study the socioclinical parameters, feasibility, and utility of TNR services in India. Methodology: A retrospective file review of TNR consultations provided through Telemedicine Center at a quaternary hospital-based research center in south India between August 2012 and January 2016. Results: A total of 37 consultations were provided to the patients belonging to four districts of Karnataka. The mean age of the patients was 34.7 (±19.5) years, 23 (62.1%) were aged between 19 and 60 years, and 31 (83.8%) were male. Thirty-one patients (83.8%) had central nervous system-related disorders such as stroke, cerebral palsy, and tubercular meningitis with sequelae or neuromuscular disorders such as Guillain–Barre Syndrome and Duchenne muscular dystrophy. Twelve patients (32.4%) were advised to consult higher centers in the vicinity, and the rest was referred to the district hospital. Conclusion: The findings suggest that TNR services are feasible, effective, and less resource intensive in delivering quality telemedicine care in India. More clinical studies are required to elucidate its full utility at different levels and in different parts of the country.

scholarly journals Implications of False Positive SARS-CoV-2 by PCR Test in the Health Care Work Force

2021 ◽  
pp. 39-42
Author(s):  
Julie Kim ◽  
Javier Romero ◽  
Amanda Frugoli ◽  
Graal Diaz ◽  
Janet Hobbs
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
False Positive ◽  
Negative Impact ◽  
Care Delivery ◽  
Work Force ◽  
Daily Basis ◽  
Care Providers ◽  
Health Care Work ◽  
New Information

The novel nature of the SARS-CoV-2 virus inherently creates a paucity of reliable and validated data. Implementing evidence-based and data-driven protocols have been exceedingly difficult. As new information is released and integrated into the complex system, the health care delivery workflow must adapt. Incorporating changes on a frequent, if not daily basis, has led to confusion, frustration and loss of confidence among clinicians across the nation. This report illustrates the negative impact that false-positive COVID-19 results can have on the health delivery workforce and the emotional implications that false-positive results cast on health care providers.

scholarly journals DEVELOPMENT AND PSYCHOMETRIC EVALUATION OF THE TOOL APTITUDE TOWARDS NURSING

2013 ◽  
Vol 03 (02) ◽  
pp. 003-012
Author(s):  
Maxie Andrade ◽  
Anice George
Keyword(s):  
Health Care ◽  
Young Adults ◽  
Health Care Providers ◽  
Psychometric Evaluation ◽  
Modern Medicine ◽  
Nursing Profession ◽  
Care Providers ◽  
Special Training ◽  
The Needy ◽  
Living Being

AbstractNursing is an attribute expected of every living being and every living being is capable of providing care to another in need. Few occasions especially the sickness, unawareness or disability call for special skills of nursing to substitute or supplement to the acute or chronic need of a living being. These skills can be acquired only through special training through a well planned curriculum. Hence in modern medicine, a group of health care providers called nurses are trained to care for the sick and the needy.Nursing profession has been the attraction for many young adults, however, this attraction has become the passion for some, while for few others, it is still an occupation. The transformation into an effective nurse demands special psychomotor abilities. The transformation is easier and can happen at a faster pace if one possesses an aptitude towards nursing. This assumption led the researcher to develop a tool to identify such able candidates for the profession of nursing. This article explores researcher's two attempts in developing the tool, which were though not fruitful, they certainly have given an impression on the complexity of the measurement of the construct of nursing and caring.

A Review on Specialization in Pharmacy—Part I

2002 ◽  
Vol 15 (3) ◽  
pp. 267-278 ◽  
Author(s):  
David L. Laven
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Medical Model ◽  
Daily Basis ◽  
Care Providers ◽  
State Management ◽  
Care Services ◽  
Disease State Management ◽  
Strong Trend ◽  
Professional Interest

Many opportunities exist for pharmacists who desire to expand their role in providing comprehensive pharmaceutical care services to patients and other health care providers whom they serve and collaborate with on a daily basis. Consequently, there is a strong trend within pharmacy to specialize in areas of professional interest. In many respects, pharmacy has turned towards the medical model in addressing its needs and providing a framework for specialization in practice. With respect to generalist and specialized practitioners and varying initiatives relative to the medical model, the concept of specialization in pharmacy has recently developed some interesting tangents when issues of certification, credentialing, disease-state management, and added-qualifications enter the discussion. In this, the first of a 2-part series (Part II in the upcoming issue) focusing on specialization in pharmacy, a review of the current initiatives by which a pharmacist can achieve specialty status will be addressed.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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