(Friedenberg, 2000) Each form of healthcare rationing comes with it’s own effects and consequences, whether they be positive or negative. The degree of the outcome for the patient, negative or positive, will be based upon the regulations put forth by the controlling parties. It is my opinion that if certain forms of rationing are not properly regulated then this country will experience several forms of discrimination, patient endangerment and a gross social injustice. RATIONING BY DELAY Rationing by delay is the process of delaying treatments, procedures, and testing in order to decrease costs. (Friedenberg, 2000) In my opinion rationing by delay, if it is beneficial and does not cause imminent death, is a crucial and appropriate part of cost containment.
In her essay “Organ Sales Will Save Lives”, Joanna Mackay explains how legalizing kidney sales would be beneficial in more ways than one; saving the lives of patients willing to buy kidneys, and with legal compensation, helping to end poverty in the countries of those willing to sell. In her essay, Mackay explains that even though there are nearly 350,000 people suffering from end-stage renal disease, an almost always-fatal disease, treatment options are limited exclusively to transplant and dialysis. Though effective, dialysis is an expensive and painful process, making the patient dependent on a machine for the rest of their life. Transplant, however, is far more successful; new equipment and anti-rejection treatments make it an incredibly safe and effective procedure. When a matching donor can’t be found within immediate family members, patients must wait for a kidney from deceased donors, such as old age or accident victims.
The purpose is to argue that potential organ donors should be rewarded for their generosity .In addition, Satel argues the current system of altruistic donation is yet noble, it is not the most motivating course for organ donation out of all the alternatives to save people’s lives. The author gives examples including her own organ recipient experience to illustrate how the current system can be altered and improved otherwise the only people who would volunteer to donate organs would be ones that no longer needed them, the deceased. Satel pinpoints the short comings with the current system and offers rebuttals to altruism supporters. Compensation is given for blood plasma donated at clinic. “Today we routinely assign valuation to the body.
Gaylin then argues that the more controversial uses, banking and harvesting, will fix current problems of organ donation. There is a short period of time in which an organ is available for harvesting and transplant after the donor is dead. Having a stock of vital organ donors would erase the time restrictions. There is also such a supply shortage, especially of vital organs, that banking would be hard to turn down with 10,000 people dying per year while waiting for organs (Munson,2008,463). Gaylin is justified in predicting that the wholesale salvage of useful body parts is not without
There is an increasing number of managed care organizations’ that are now emphasizing the physicians’ responsibility to oversee and control the patients access to further outside or special care needs. The reason for this is because the managed care organizations feel that hospital care and/or specialty care is too costly, and that only those who absolutely need further care should be the ones who receive it. Some feel that this method of care improves quality by necessity. They just may be right, especially when considering the skyrocketing healthcare costs along with the severe lack of healthcare coverage that is evident in the United States. The term "managed care" is used to describe a variety of techniques intended to reduce the cost of providing health benefits and improve the quality of care (Wikipedia, 2008).
Technology, when used properly, may aid a society’s development, but overall the extent of what technology may accomplish could hinder rather than progress society’s growth. Ray Bradbury conveys this message in Fahrenheit 451 with the use of specific aspects of technology unique to the story’s society. This leads to the realization by the reader that when technology is abused, its use may develop into an extremely harmful addiction. While many devices are mentioned in the book, one such example of harmful technology is the stomach pump. The stomach pump is a medical device used to replace the bad material inside of a person’s body.
For example, side effects of appropriately prescribed and administered chemotherapy are an example of adverse events not caused by error (Hoy, 2006). Medical errors should be disclosed to patients for a number of reasons. Because of their fiduciary relationship with patients, physicians have an ethical responsibility to disclose errors to them. To withhold this information undermines the public trust in medicine and damages the therapeutic relationship between physician and patient. In fact, patients may be caused additional, avoidable harm by failure to disclose because they lack information that would allow them to receive appropriate treatment should further complications arise (Hoy, 2006).
Differences c. How can we improve how we compare to others V. Poor quality of healthcare is a problem in the United States a. Lack of comprehensive quality measure b. Healthcare system harms patient too often and fails to live up to potential c. Preventable mistakes that result in death VI. How does providing data with national standards measure healthcare delivery outcomes? a. Compare preventive and chronic care b.
According to American College of Medical Quality (2010), risk management involves identifying conditions that might put patients or a healthcare organization at the danger of undesirable outcome. In addition, the practice involves putting in place measures of avoiding, preventing, and controlling the risks. Quality management in healthcare organization is useful in managing, reducing, and alleviating risks. Risk management is an essential component of making sure that patients are safe, and that the care they get does not endanger their health or wellbeing. Process improvement is a quality management concept that involves the identification of weak areas in order to come up with ways to improve processes at the medical facility.
It would be recommended that further research was performed to find out the effectiveness of the leaflets. An audit showing the effectiveness of good nutrition on wound healing would also be beneficial. Rationale During placement on a cardiovascular surgery ward I noted that there were several delayed discharges and readmissions due to poor wound healing. This clearly has implication for the patient’s own recovery and costs to the NHS. Poor nutrition has been shown to contribute to poor wound healing (Timmons, 2003) and is therefore, an aspect of patient care that needs to be addressed.