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"The E-book Physician", 2005.
This paper reviews Michael Gerber's "The E-book Physician", which applies his E-Myth small business theories to the practice of medicine.
2,005 words (approx. 8.0 pages), 4 sources, MLA, $ 63.95
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Abstract
This paper explains that Michael Gerber in "The E-book Physician", focusing on the business of being a physician, reveals a plan for the creation and development of a radical mind set for physicians, similar to other small businesses. The author points out that Gerber believes that, for the most part, physicians are being shackled by the tyranny of the system of unprofitable and unproductive routine-juggling of their numerous patients. The book explores relevant topics of a small business, such as money, efficient and effective office administration and the management of staff and patients in a manner that promotes "The E-book Physician".
From the Paper
"One physician, C Alan Henry, MD, testifies that after reading the book 'The e-Myth Physician', he was astounded at the various changes that had taken place in his business over the period of time after the reading. He also states that he had gained new insights into his personal life as well as his professional life, and found that the mere idea of having a 'Primary Aim', and a 'Strategic Objective', and inter connecting those ideas with whatever else he happened to be doing had achieved a "seismic shift in thinking" for him. This is because, whereas earlier he had been thinking of his work as being a separate entity from what he was doing with the other parts of his life, he now realized that both were completely interrelated, and whereas earlier he had been merely wringing money from his business, regardless of who was being affected by it, he now thinks and considers carefully his 'Intentions', and lives his life with more 'Attention'."
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Physician Income and Physician Supply, 1999.
Examines why both income and supply have increased from 1977 to 1994. Discusses the impact of managed care, statistics, quality of care and specialists. Includes charts.
2,250 words (approx. 9.0 pages), 13 sources, $ 79.95
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From the Paper
"PHYSICIAN INCOME AND PHYSICIAN SUPPLY: AN ECONOMIC ANALYSIS
Abstract
This research examined why physician income has increased in the United States as physician supply has increased. This question was analyzed with data for the 1977-1994 period, as this period (1) reflected the substantial changes in both physician income and physician supply and (2) provided complete data for each of the variables prior to the time that managed care became the dominant force in health care delivery in the United States.
No anomaly was found between the actions of demand, prices, and supply in the physician care market for the 1977-1997 period and economic theory related to demand and supply when the data were considered on a disaggregated basis. The anomaly appeared ..."
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Physicians and Death, 2000.
This paper is an ethnographic study about how physicians cope with a patient's death.
4,030 words (approx. 16.1 pages), 5 sources, APA, $ 109.95
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Abstract
This paper explains that because of traditional medical training and the artificial setting of the hospital, the physician has lost his ability to perceive the patient holistically. The paper also asserts that society places an excessive amount of responsibility on the physician. The author suggests that the physicians undergo training in which both the "physician" and the "patient" are viewed as "persons" so that the physician will not be as vulnerable and dependent on professional performance and will be able to maintain an empathetic balance as a physician and a person. The paper describes the techniques the author used to conduct this ethnographic study based on an interview with a pediatric cardiologist. The paper includes details of the conversation with the physician.
Table of Contents:
Field Notes on Field Research
Introduction
Methodology
Interview
Analysis
The Family of the Patient
The Patient
Other Physicians
The Participant's Voice as a "Physician"
Discussion
Conclusion
From the Paper
"...in my interview, I preferred a contextual setting (the hospital) in order to aid the participant to envision an recollect better the instances of patient loss and family presence, and the confrontation with other physician colleagues. I discovered that my presupposition worked, yet I could not avoid the frequent interruptions by the hospital staff at the office such as nurses, other doctors and administrative personnel. This, I sensed, created a barrier between me and my participant who took long to unwind. Furthermore, aware of the participant's concern for anonymity and reservation of the investigative atmosphere, I purposefully chose to take notes rather tan conduct the interview with a tape recorder, a typical instrumental symbol of formal research."
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Financial Incentives and Physician Behavior, 2002.
A discussion on the correlation between the financial incentives that are offered to physicians by Managed Care Organizations, physician behavior and ethics.
8,662 words (approx. 34.6 pages), 15 sources, MLA, $ 182.95
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Abstract
This paper looks at the relationship between the financial incentives that are offered to physicians and their behavior and their ethics. It evaluates, through a literature review and data support, the belief that physicians are spending less time with their patients under pressure from Managed Care Organizations. It shows how because less time is being spent with the patients, the quality of care offered by the physician has gone down and how this is one of the problems with managed care.
Outline
Introduction
Background
Conflicts and Capitation
Purpose of this Research
Goals of this Research
Literature Review
Quality of Care Components
Payment Methods
Physician Behavior
Kaiser Family Study Theoretical Implications
Financial Incentives
Theoretical Implications
Ethics
Methodology
Results and Findings
Discussion
From the Paper
"There was a problem with the MCO system, however. It created a conflict of interest for many physicians. The main concern was that the quality of care was being compromised because physicians had to be careful how many tests they ordered and how many referrals they made. Because of the quota, there may have been people who needed more advanced care and didn't get it. Not all physicians minded the system, of course, because there are some people in every profession who are only out for the paycheck. The physicians that were dedicated to helping their patients, however, soon took issue with the MCO system."
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e-Health Doctor-Patient Relationship, 2008.
This paper discusses the matter of an e-health doctor-patient relationship, looking at related ethic issues.
1,400 words (approx. 5.6 pages), 7 sources, APA, $ 46.95
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Abstract
In this article, the writer notes that an e-health doctor-patient relationship is formed when communication begins. The writer maintains that online communication between doctors and patients can save time, money and be very satisfying to both parties if the process is structured well. The writer looks at issues, such as e-mail communication viewed as "treatment" and medicine practiced online by physicians who communicate via the Internet with patients. This paper discusses some ethical issues focusing on online communication and the doctor-patient relationship. The writer concludes that health care providers who provide specific or personal medical care or advice online must practice the principle of professionalism and should abide by their ethical codes of their profession just as they do for face-to-face interactions.
Outline:
Reasons Consumers/Providers use the Web for Medical Information
e-Health Ethics Organizations
Three Types of Web Sites
The Doctor Patient Relationship and e-Health
Conclusions
From the Paper
"A provider that responds to email may face ethical and legal obligation. When physicians provide telephone consultations payment does not seem to be a factor in a doctor-patient relationship, but payment of a fee for online education or advice may be seen as acceptance of a doctor-patient relationship
"An important issue for a physician to avoid is a patient claim of abandonment. There is a protocol that a physician must follow to successfully terminate the patient-doctor relationship. Abandonment is defined as the act of a physician terminating a relationship at an unreasonable time and without giving the patient the chance to find an equally qualified replacement."
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Physician Assisted Suicide, 2006.
This paper argues that physician assisted suicide should be legalized.
2,455 words (approx. 9.8 pages), 20 sources, MLA, $ 74.95
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Abstract
This paper argues that physician assisted suicide should be legalized because (1) everyone should have the right to choose how to live as well as how to die, (2) assisted suicide provides an alternative to a painful death and (3) terminally ill patients would be able to die peacefully. The author defines physician assisted suicide as a procedure in which a physician prescribes a lethal dose of a medication to a terminally ill patient, which the patient administers by her or himself without any additional assistance from the physician or any other person. The paper relates that, presently, Oregon is the only state in the United States in which physician assisted suicide is legal; however, California is currently considering whether or not it should legalize physician-assisted suicide as well.
From the Paper
"The opposing side argues that if physician assisted suicide is legalized then the major role of healing that doctors play in our society would be diminished and replaced by the role of assisting in death. However, this argument is based solely on personal opinion and is not necessarily true. The role of a physician in our society is also to help and comfort the patient. Timothy Lace, a medical student in the Texas University College of Medicine, claims that physician assisted suicide should be legal because it is a doctor's role to relieve suffering."
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E-Therapy, 2002.
Adresses the nature of e-therapy in terms of legal, ethical and practical concerns.
1,150 words (approx. 4.6 pages), 4 sources, $ 44.95
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Abstract
This paper explores the nature of "e-therapy", which is best described as an environment in which a client can acquire advice from a therapist or a consulting physician via electronic means of information translation. The most common forms of e-therapy are achieved via the Internet, where the use of email programs and chat clients facilitate communication.
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Physician Assistant Qualities, 2002.
An insight into the career of a physician's assistant.
1,142 words (approx. 4.6 pages), 3 sources, MLA, $ 39.95
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Abstract
This paper discusses the qualities and qualifications required to become a physician assistant. Physician assistants render healthcare services under the direct supervision of physicians and are formally trained to purvey diagnostic, therapeutic and preventive healthcare services. It describes the academic requirements to participate in the two year training course as well as capabilities and skills such as observation, communication, interpersonal skills and motor skills.
From the Paper
"The practice of medicine obligates Physician Assistant candidates and students to be able to form mature, sensitive, and effective relationships with patients and colleagues (rit.edu). To render high quality patient care Physician Assistant candidates and students must possess the attributes of adaptability, flexibility, and be able to function sometimes in the face of incertitude (rit.edu). The healthcare environment requires candidates and students to be able to continue to function effectively and efficiently in the face of physical and emotional stress (rit.edu). The candidates must also possess a high degree of compassion for others, the motivation to serve, integrity, and a cognizance of social values (rit.edu)."
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Managed Care and the Patient-Physician Relationship, 1997.
This paper evaluates how managed care services are changing the dynamics of the patient-physician relationship.
3,270 words (approx. 13.1 pages), 14 sources, MLA, $ 93.95
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Abstract
This paper evaluates managed care and its negative implications on the patient-physician relationship. The author views managed health care as a serious threat to the trust embodied within the traditional patient-physician relationship. It is further argued that if this trust erodes, there cannot be any assurance about the adequacy of that health care system.
A Physician's Conflicting Loyalties
Managed Care Compromises Patient Autonomy
Ethical Problems Associated with Financial Incentives to Limit Care
Solution: Preserving the Physician's Role
From the Paper
"The foundation of the physician-patient relationship is the trust embodied within. It is based on the premise that physicians are primarily dedicated toward their patients, who can expect that physicians will honorably serve them even if it means putting the physician's own health at risk. They can rely on physicians to do everything in their power to help them. (Morreim, 23) It is this trust that enables patients to communicate private information and to place their health, and indeed their lives, in the hands of their physicians. No other individual in the health care system is in a position to assume such an important responsibility, such as the one that physicians have towards their patients. It is this trust between physicians and patients which is the backbone of any successful health care system; without it, there can be no assurance about the adequacy of that system."
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Nurse-Physician Relationships, 2005.
This paper discusses research projects that have resulted in positive nurse-physician relationships.
1,935 words (approx. 7.7 pages), 3 sources, APA, $ 61.95
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Abstract
This paper explains that the relationship between physicians and registered nurses is important because it shapes the healthcare environment by increasing nurse satisfaction, decreasing nurse turnover, creating a better working environment and better patient with an emphasis on patient safety. The author points out that, when nurses and physicians establish an environment where they are collaborating and consulting, the physician views the nurse as an associate rather than a subordinate, this results in a better quality of care. The paper relates that a comprehensive healthcare project designed to assess the differences in diagnosis and treatment among nurses, general practitioners and consulting physicians, revealed that the relaxed atmosphere between the healthcare professionals created an environment in which the nurses felt comfortable making diagnosis and prescribing treatment.
Table of Contents
Introduction
Descriptions
Discussion and Conclusion
From the Paper
"The shortage of nurses places a special burden on the healthcare systems ability to retain nurses. In many cases, the work environment is a contributing factor in a nurse leaving the profession. In particular, the relationship that a registered nurse has with the physicians is critical. Registered nurses are under a great deal of stress because they are forced to work long hours and deal with difficult situations. This stress is compounded when the nurses and physicians have a bad relationship. Stress is reported as one of the leading health and safety problems that affect nursing and therefore patients."
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Physician-Assisted Suicide, 2002.
An examination the ethics surrounding euthanasia, especially with the help of the individual's personal physician.
922 words (approx. 3.7 pages), 2 sources, MLA, $ 32.95
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Abstract
In a 1997 issue of Medical Economics it was reported that the Florida Supreme Court had ruled against physician-assisted suicide in a decision overturning a trial judge?s finding, giving AIDS patient Charles E. Hall the right to die as he wished. According to the Florida court, his intention to commit suicide through medical intervention was against the state?s policy to preserve life. This paper examines the legal ethics surrounding physician-assisted euthanasia and shows that the laws of most states in America are based on the Judeo-Christian concept that suicide is a moral evil. The paper ultimately argues that suicide assisted by the patient's personal physician should be legalized.
From the Paper
"While there is a focus on the right to life, there is also what is considered to be a ?negative right? which is the right not to have bodily injury or pain inflicted on oneself. Clearly, some medical procedures are painful in and of themselves, but when even this does not provide even short-term benefit, other options should be available without repercussion, should it be necessary to function as an agent of simple compassion to alleviate the pain of living and the fear of dying. There are few as capable of doing that as an individual?s physician, who should be entrusted to the care of the body, understanding that death is truly a viable part of life, and that choices impacting self should be the exclusive right of the individual."
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The Role of a Physician Assistant, 2006.
An in-depth look at the issues surrounding the role of the physician assistant, lack of properly trained staff and hospital financial issues.
15,902 words (approx. 63.6 pages), 11 sources, MLA, $ 249.95
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Abstract
This paper takes an in-depth look at the role of the physician's assistant and how historically, they have often taken on more than what they were trained to do. The paper discusses the reasons for this as being mainly due to a lack of funding and properly trained staff. This paper reviews the reasons behind managed care difficulties and the shortage of funds, as well as the lack of training for physician assistants and the financial problems that plague hospitals. In examining these issues, it shows that the shortage of funding and the consequent shortage of physician assistants is causing difficulties that will stretch into the future and continue to cause difficulties as the population of the United States gets older and begins to require more care.
Table of Contents:
Chapter 1 - Introduction
Statement of the Problem
Purpose of the Study
Importance of the Study
Scope of the Study
Rationale of the Study
Definition of Terms
Overview of the Study
Chapter two: Review of related literature
Chapter three: Methodology
Approach
Data Gathering Method
Database of Study
Validity of Data
Originality and Limitation of Data
Summary
From the Paper
"There are ways to attract new people into the physician assistant profession, however, and this will be a great benefit for physician assistants who are already working and for the patients that they serve as well. Hospitals will also be helped by this as they will have fewer complaints and fewer problems that they must deal with (Tietze, Davis, & Kashka, 1998). However, "patient care will be one of the most important issues that will be affected by an influx of new physician assistants into the field" (Tietze, Davis, & Kashka, 1998).
The stress that most of the physician assistants face in their daily lives will be reduced greatly by a group of new physician assistants who are also able to take on patients and perform other duties. This will take some of the work off of the current physician assistants and the greater amount of physician assistants will allow for not only physician assistants that are happier but also for more time with patients who may desperately need someone to talk to. Patients will not only get more of the attention that many of them desperately need from a larger group of physician assistants, but in some cases they will also receive better treatment (Tietze, Davis, & Kashka, 1998). This is not to imply that physician assistants deliberately mistreat patients, although there have likely been instances of this in the past. However, in general physician assistants are very compassionate people who would never deliberately do anything to mistreat a patient. People under stress, no matter how calm and compassionate they normally are, sometimes say things that they should not or are more rough with an individual than they need to be simply because they are already aggravated and in a hurry based on something else that is happening to them (Tietze, Davis, & Kashka, 1998). "
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Physician-Assisted Suicide, 2004.
A review of relevant literature and the popular opinion concerning physician-assisted suicide.
2,866 words (approx. 11.5 pages), 12 sources, MLA, $ 85.95
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Abstract
This paper discusses the highly controversial topic of physician-assisted suicide. The paper examines the arguments for and against the legalization of physician-assisted suicide. The ethical concerns of euthanasia are presented and the writer's personal opinions are offered. The paper explores the way physician-assisted suicide works in Oregon, the only state that has legalized the act. Various court rulings on the topic are described in the paper.
From the Paper
"Physician assisted suicide has become a hot topic of late and many people think it is about these physicians becoming killers. This is not true, however, despite the opinions that many hold. The main problem is that many feel that physician assisted suicide will give doctors too much control over the deaths of their terminally ill patients. This is not the case, however, as physician assisted suicide will actually give the terminally ill patients more control over their death, and therefore by extension, more control over their life. Not all physicians would be able to do this in good conscience but there are some, most notably Dr. Jack Kevorkian, that feel that they are capable of this type of practice in order to help the suffering of their patients."
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Physician Assisted Suicide, 2007.
An argument that physician assisted suicide is a humane act that should be legalized.
1,268 words (approx. 5.1 pages), 6 sources, MLA, $ 43.95
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Abstract
The paper asserts that physician assisted suicide is a humane act that helps terminally ill patients bring an end to their pain and suffering by hastening their death, when all other efforts to do so have been exhausted. The paper contends that all arguments against physician assisted suicide do not carry sufficient weight to justify its continuing illegality. The paper is of the belief that changing values of human society and advances in medical science have greatly extended human life-spans, thus making it imperative that relatively benign forms of euthanasia such as patient assisted suicide may be allowed. The paper includes appended sources.
From the Paper
"The debate about Euthanasia is an ancient one but it has acquired a new relevance in recent times as advances in medical science have greatly extended human life-spans and it is now possible to sustain life for indefinite periods through artificial means. A closely related issue is whether it is ethical for physicians to assist in their patients' suicide in order to relieve their pain and suffering. Seemingly weighty arguments have been advanced both for and against the issue, but the debate still remains unresolved. A closer scrutiny of the pro and con arguments, however, reveals that the case against physician-assisted suicide does not carry sufficient weight and it is, in fact, a humane act which should be allowed in all civilized societies."
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Physician Assisted Suicide: A Personal Review From Oregon, 2000.
A look at the issues of legal, physician-assisted suicide in Oregon.
1,705 words (approx. 6.8 pages), 7 sources, MLA, $ 55.95
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Abstract
The moral issue of physician-assisted suicide is in the forefront of controversial issues being discussed amongst Oregonians today, according to this paper. Oregon?s ballot measures 16 and 51 changed the law to legalize physician-assisted suicide - the first state to have such legal rights. This paper gives an inside perspective on the many opinions that the author from Oregon tries to portray.
From the Paper
"?In November 1994, Oregonians voted on ballot measure 16, a measure which would legalize physician-assisted suicide. Under this measure, physicians would legally be able to write a prescription of lethal drugs to adults with a 6 months or less diagnosis of a terminal illness? (http://www.ortl.org/suicide/background.htm). Before this election in Oregon, pro-euthanasia groups had come together and campaigned unsuccessfully in California in 1992, and in Washington in 1991. Perhaps the reason these two states were unable to gain election was because the method of death was legal injection to be administered by the physician. ?Exit polls revealed the public?s distrust of this method, thus causing the Right to Die campaign to ?soften? the method to self-administered drugs. This tactic was better received by the public, and Measure 16 passed by a slim margin of 51% to 49%, making Oregon the first government in the world to legalize physician-assisted suicide? (http://www.org/suicide/background.htm). Thus, from the start of this election, it is easy to observe that not everyone in Oregon was or is excited about this new legalization. Such a small margin of wining was bound to give rise to controversy over the issue, and that?s exactly what resulted."
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