Patient Provider Relationships : Patients And Health Care Providers

Maruthappu, M., Ologunde, R., Gunarajasingam, A.. (2012). Is health care a right? Health reforms in the USA and their impact upon the concept of care. Annals of Medicine & Surgery. DOI: http://dx.doi.org/10.1016/S2049-0801(13)70021-

The delivery of the U.S. healthcare system has changed drastically over the years from the inception of organized healthcare to today’s underdeveloped system. Prior to the 1920’s,

"In the past two decades or so, health care has been commercialized as never before, and professionalism in medicine seems to be giving way to entrepreneurialism," commented Arnold S. Relman, professor of medicine and social medicine at Harvard Medical School (Wekesser 66). This statement may have a great deal of bearing on reality. The tangled knot of insurers, physicians, drug companies, and hospitals that we call our health system are not as unselfish and focused on the patients' needs as people would like to think. Pharmaceutical companies are particularly ruthless, many of them spending millions of dollars per year to convince doctors to prescribe their drugs and to convince consumers that their specific brand of drug is needed in

Health Care in the United States is a vast industry that has many different types of people involved in the delivery of care. There are stakeholders that affect the daily operations of health care and they are not necessarily in a hospital setting. The Agency for Healthcare Research and Quality, AHRQ, defines a “stakeholder” as persons or groups who have a vested interest in the clinical decision and the evidence that supports that decision ("Effective health care," 2011, p. 1). These stakeholders are making decisions that impact costs, procedures, and the future of

One of the ways that the ACA focuses on a patient’s health care experiences and outcomes is to reward primary care providers who coordinate a patient’s care with specialists or other doctors. The idea behind this coordination of care is that

The new rules allow patients to participate with all aspect of their healthcare decisions. It focuses on patient’s involvement, decisions, continuous healing and patient control. The new rules are design to meet the patient’s needs. Throughout the years, physicians had more of a paternalistic view with competent patient’s healthcare choices. Even though, the physicians optimal goals is to practice non-maleficence and beneficence care, their knowledge regarding patient’s illness and care paternalistically diminish patient’s autonomy and involvement. The new rules reinforce those principles; it changes patient’s involvement, choices and preferences. It increases transparency, predict patient’s needs, continuity of care among physicians, institute evidence-based decisions and health records access.

1). People have begun to rely on prescription drugs, more today than ever before. This is one of the immediate reasons for the breakdown in the patient-doctor relationship – the evolution and rise in the development of pharmaceuticals and prescription drugs (Changing, pg 3). For instance, the Baby Boomers are recognized nationally for taking the most prescription drugs. According to my mother, patients rely primarily on prescription drugs rather than other forms of treatment because of the fast paced economy and because society as a whole has adopted a “lack of caring” attitude. “As people age, all they want are pills.”-Mother

In an attempt to understand the impact of managed care in the U.S, I look at the most commonly expressed complaints against the organization. In a survey of consumers, 60% said that managed care had not made a difference in health care cost or had actually been the cause of the increase of health care cost. Managed care has had an impact on slowing the rates of growth in the costs of two major health care producers: hospitals and physicians. Little evidence has suggested that the current reimbursement are inadequate to the care provided. The quality of care is a highly debated issue. Physicians are concerned that the quality of care in managed care organizations may reflect the loss of professional autonomy through pre-authorization procedures.

Depending on the illness and chronic conditions that the baby boomer generation will have, health care costs will rise to receive these services. The top 5 chronic conditions are hypertension, high cholesterol, diabetes, arthritis and obesity. It is the perception that gatekeeping reduces health care costs in the United States and it is a very effective strategy that exists today in most organizations. A dedicated primary care physician will take the time to spend with their patients to review their concerns and go over their basic preliminary findings such as blood pressure, weigh and personal issues as an attempt to build a relationship. Patients' satisfaction with and trust in their doctors will remain high only if the public believes the trusts are acting on their behalf, rather than making decisions in their own financial interests. In the United States, some of the harshest criticism of gatekeeping has resulted from the public's perception that medical decision making was unduly influenced by financial considerations (Forrest, 2003). Over 37 million baby boomers will experience having to manage more than one chronic condition by 2030 resulting in an annual cost of $13,000 annually (“American Hospital Association”, 2007). The forecasted costs for health care from a national perspective were $2579 in 2003 and will continue to rise 20 percent by 2030 (Martini,

Numerous debates over the years have focused on individuals, and healthcare providers, their relationship to each other, and

As Americans, we pride ourselves in our rights and freedoms. The right to express ourselves freely, the right to bear arms, and the right to pursue life, liberty, and property. However, this has created an entitlement complex in the American people, making it difficult to discern who has the right to what. One of these issues of entitlement is found in the American Health Care system and who has the right to it. Simply put, the Health Care System is the diffusion of medical and health services to the public. However, a problem arises as there is much conflict on whether or not Healthcare is a personal choice or should be provided by the government. It has been a difficult decision-making process as there are extremes on both sides of the argument.

The main historical developments that have shaped the health care delivery system in the United States. Knowledge of the history of health care is essential for understanding the main characteristics of the system as it exists today. For example, the system’s historical foundations explain why health care delivery in the United States has been resistant to national health insurance, which has been adopted by Canada and most European nations. Traditionally held American cultural beliefs and values, technological advances, social changes, economic constraints, and political

Nancyver, great post! I appreciate the information that you noted about the patient provider relationship being affected negatively. Currently, I think that they is such a big push for there to be “happy patients” that many individuals forget what this push was initially started for. I am not a huge fan of the press gainy scores, but also think that having a collaborative relationship between the provider and patient is important. We have all heard and likely experienced the issues with individuals coming to the doctors and not leaving happy because they did not get the antibiotics or other medication that he or she wanted. Some of this frustration may be coming from the fact that an individual has seen an advertisement. Often, if the provider

The U.S. health care system has evolved over the years; moreover, government involvement has increased immensely. The start of hospitals in the 1800’s gave way to the organization of healthcare which was the beginning of the healthcare industry (Williams, S.J., & Torrens, P.R., 2008). Federal and state government involvement in healthcare increased after World War II and by the 1960s people knew what Medicare, Medicaid, and individual insurance meant.

Healthcare began well over 100 years ago. According to Williams and Torrens (2008) “ the year 1850 marked the development of the first hospitals in the United States and marked the beginning of formal organization of healthcare in this country”. When considering the timeline of the healthcare industry it is important to know and understand the many developments that have driven our country to where it is now and where it will go in the future. When there was not much organization and government structure for healthcare, individuals were responsible for the wellbeing of themselves and their families. Although there were not many remedies for infections or sickness, people also did not have to worry about the financial aspect of obtaining healthcare