Phycisain Patient Relations And The Health Care System

Katz states, “the conviction that physicians should decide what is best for their patients, and, therefore, that the authority and power to do so should remain bested in them, continued to have deep hold on the practices of the medical profession “(214).

With the statement, “warmth, sympathy, and understanding may outweigh the surgeon 's knife or the chemist 's drug” physicians are given the responsibility to step down from their systematic ways of scientific thinking and make decisions on the level of human kind. The modern oath also provides for the necessary address of issues in liability in relation with a physicians judgment. This is predominately done by promoting the uniting of colleagues and defending a physicians right to be unsure in a world of so many unknowns. This acceptance and appreciation is essential for fostering a comradely among physicians that challenges each to think independently, dispute their own peers and still be conducive of making advancements.

“The only appropriate and realistic model of the Dr.‐patient relationship is paternalism. Doctors are the medical experts; most patients have little, if any, reliable medical knowledge; implicit trust in one’s physician is essential to the healing process; and doctors have the responsibility for our health and therefore have the duty to make all the important medical decisions.” Critically assess that claim.

Over the span of half a century, the medical profession has witnessed a catastrophic shift in the patient-physician relationship. As the manufacturing of new pharmaceuticals and the number of patients under a physician’s care continue to rise, doctor’s are finding it difficult to employ the time-honored principles listed within the Hippocratic Oath. This oath, written in 430 BC by the Greek Physician, Hippocrates, was the first document to state the responsibilities of a physician to his patient (vadscorner, pg 2). Hippocrates believed that it was the physician’s duty, as a healer, to treat the patient infected with the disease to the best of his ability, and not to treat the disease

Patients seek medical attention for preventative measures, as well as, diagnostic measures. Patients must have a trusting rapport with their collaborative medical team, as the nurses and the doctors are the people who they trust their lives with. Patients do not always present to hospitals, urgent cares, walk-in clinics, or even doctor’s offices only when they are sick; patients visit to ensure their good health will continue, treatment regimens are of benefit, changes that may be needed in regimen. When someone thinks of a patient they may think of some of these characteristics: illness, disease, hospital, medications, health, and prevention.

But the patients are the ones to go in there and say something is wrong but there is actually nothing wrong with them. Some doctors do not care enough to see if what the patient was complaining about was true. Some patients will do anything to get the prescription drugs that they need. In the rest of this paper i will describe both sides the doctors and the patients.

In the United States, state laws dictate the abilities and skills medical professional would need to perform in a medical professional’s scope of practice and sets the legal boundaries in which they can work within. Due to an increasing influx of patient care that is needed due to the Affordable Care Act, the scope of practice boundaries are being crossed, which in turn has turned many legislative heads but not in a positive light. Since the issues in medical errors are being brought to the fore front it has become controversial and now legislature is asking the states to look into restructuring the scope of practices in all areas the medical industry. Without restructuring patient care will continue to be poor or inadequate and litigation will continue to rise due to poor patient care, incorrect testing, ineffective specimen collection, missed diagnosis, and poor supervision and communication. Death related cases due to medical errors are the 5th largest in the United States which makes it the 5th leading cause of death in the United States. Many medical errors are actually billed and paid for by insurance companies and the physician receives payment for the errors. The United States spends billions on litigation per year and therefore restructuring the medical industry could save the United States millions of dollars per year and make for a safer over all environment for everyone.

Over the last several years, the issue of physician performance has been increasingly brought to the forefront. This is because of decreases in quality and a number of doctors are facing disciplinary action. Yet, many patients and insurance companies may not be fully aware of these problems. When this happens, there is the possibility that the underlying quality of care will decrease (based upon the procedures they are using). This is a major development that is the harming patient's the ability to make objective decisions about what physicians they should be utilizing. (Preidt, 2010)

97). The constraints being imposed by McDonaldization is not only apparent in private medical clinics but also is evident in the rise of managerialismin the public health care system( Clarke, Gerwitz, & McLaughlin, 2000; Clarke & Newman, 1997; Exworthy & Halford, 1999; Germov, 2002; Rhodes, 1991). Deprofessionalization refers to public skepticism to medical authority prompted by such things as medical fraud and negligence (Daniel, 1998; Gabe et al., 1994; Rosenthal, Mulcahy, & LLoyd-Bostock, 1999). It is claimed that medicine is also being deprofessionalized by the public’s increased knowledge and demand for participatory health care (Gabe et al., 1994; Germov, 2002) and by increasing public interest in alternative and complementary therapies (Easthope, 2002; Eisenberg et al., 1998; Ernst & White, 2000; MacLennan, Wilson, & Taylor, 1996; Zolman & Vickers, 1999).

no point should the patient feel judged by the professional. This article would be useful for all

From the healthcare providers view, the quality of healthcare treatment is also very important. The healthcare ogranizations make their revenue from this very treatments that they provide to their patients. Because of that, the

In the administration of medical services in the United States law and regulation now control much of professional life. (p. 586)

A positive physician-patient relationships are important in receiving effective medical care. According to a physician survey, "managed care has a negative impact on physician-patient relationships" (Feldman, Novack, & Gracely, 1998). Most respondents indicated spending less time with their patients as a result of increased productivity under managed care. The health care reform focus on reducing costs which put more pressure on physicians. The physicians must continue to see patients, in order to maintain their income. If the perceptions are correct, many patients have less role in making decisions under the managed care, since patient' participation is related to office visits and relationship with physicians (Feldman, Novack, & Gracely,

Beware! Brothers and sisters, it is greed that drive the few to side with the wolf. It is this greed you need to be aware of, as this is the one and only reason for their split to the wolf pack. God! Why must you bring this circumstance into our relationship between our own protectors and us! God help us sheep! The sheepdogs were never supposed to side with those of malpractice and negligence. Now you have brought greed into our well established relationship and led more sheepdogs away from us. Who is going to truly protect us now? God, help bring back more of our well educated sheepdogs for the sake of our patients! Too many are ill at the time, and we can’t afford to waste time with those that don’t truly care for the well-being for us sheep!

The article " Factors Affecting Medical Service Quality", by Ali Mohammad MOSADEGHRAD seeks to address the main factors that affecting the delivery of quality medical service from Iranian physician toward patients in order to gain patient satisfaction. The research study focus on better understanding of factors affecting medical service quality and the outcome that will lead to better strategies in quality assurance for future medical service. Patient and physician continually being mention in this study as both of them playing the main role in medical setting. Other factors also being mention in this study, and most of it leading to job satisfaction among physician. Thus, the patient can received better service quality in medical as following the concept of the healthcare service quality which focus on patient satisfaction as well as satisfies the provider.