| Papers [1-15] of 100 :: [Page 1 of 7] | | Go to page : 1 2 3 4 5 6 7 —> | Search results on "TRUST MANAGEMENT PHYSICIANS HOSPITALS": |
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Trust between Management and Physicians in Hospitals, 2005.
A look at the need for, yet lack of, trust between physicians in hospitals and hospital management.
882 words (approx. 3.5 pages), 2 sources, MLA, $ 31.95
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Abstract
This paper describes the conflict between the inherent objectives of hospital administrators and hospital physicians and how this conflict is the source of the erosion of trust between the two groups. The paper explains that the administrators' goals of conserving resources and containing hospital costs conflict with those of the doctors. It explains that the doctors' goal is to provide their patients with the highest quality care possible and that methods for dealing with this conflict have thus far been inadequate and may even compromise patient care. The paper then suggests that the best way to deal with the problem would be to hire high-quality trainers to conduct world-class, trust-engendering seminars for management and doctors, since none of the current methods for creating trust between doctors and management seem to be effective.
From the Paper
"As for administrators, their sense of trust with physicians, Succi asserts, boils down to one area ? ?cost/quality management.? When alluding to costs of providing services to patients, therein lies a very important factor in running a hospital, and there is little doubt that administrators are keenly interested in keeping costs from rising out of sight. And since hospital administrators are ?rewarded for conserving resources and containing hospital costs? and physicians are gaining credibility for offering ever-higher levels of care, Succi believes these two conflicting concepts create an erosion of trust."
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Managed Care and Physicians, 2002.
Presenting the physician's view on managed care within the health sector of the United States.
1,145 words (approx. 4.6 pages), 6 sources, MLA, $ 39.95
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Abstract
Many physicians agree that managed care is not doing the job it was originally created to do. This paper shows that, although reform efforts have not worked in the past, many doctors believe now is the time to revisit reform to combat the lack of health care access to a growing number of Americans, escalating costs, and deteriorating quality. This paper explores the evolution of managed care, and its problems and possible solutions from the viewpoint of two organizations representing the interests of physicians.
From the Paper
"In 1993, President Clinton introduced a plan for regulated health care reform in response to escalating costs and the growing ranks of the uninsured. From 1970 until the time of the reform proposal, health care spending had increased from $74.4 billion to $752 billion annually. The Clinton proposal was met with huge opposition from the ?medical industrial complex? comprised of insurance firms, pharmaceutical companies, hospital suppliers and medical device companies and from the public who had been led to believe that the plan would give the average American less choices and higher costs. After the plan was rejected, Americans turned to managed care to control health care costs, to improve the quality of care, and to preserve their choice of provider and insurance plan. By 1999, ninety-one percent of all employees with health insurance were enrolled in managed care programs ranging from Health Maintenance Organizations (HMOs) that require enrollees to select from a network of doctors, to Preferred Provider Organizations (PPOs) that provide more flexibility in doctor selection at a higher cost than HMOs."
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Physician Hospital Organization, 2003.
Discusses the PHO and managed care.
900 words (approx. 3.6 pages), 5 sources, $ 31.95
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Abstract
Examines the system of health care financing and service delivery arrangements as an alternative to managed care. Discusses PHOs as a result of restructuring the delivery of health care in the U.S. and as a response to competition and financial problems.
From the Paper
"Alexander, Vaughn and Burns (2000) define the physician-hospital organization or PHO as a legal (formal or informal) organization that bonds hospitals and attending medical providers developed for the purpose of contracting with ..."
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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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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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Hospitals As Health Care Systems, 1995.
Examines the economic and medical motivations of hospital-based managed care, examples, hospital-physician alliances, benefits and problems, systems theory and professional autonomy.
4,500 words (approx. 18.0 pages), 10 sources, $ 135.95
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From the Paper
"HOSPITALS AS HEALTH CARE SYSTEMS
Introduction
Changes in the health care system, financial responsibility shifts, technical medical advances, and medical care rationing are among the factors that are driving health care providers of all stripes toward affiliations that in turn become health care systems (Tong, 1995, p. 165). This research examines the trend toward hospitals transforming themselves into health care systems, the motivations for such transformations, the practicalities of achieving such transformations, and the implications associated with the transformation of hospitals into health care systems.
Trends and Motivations
Changes in reimbursement, medical practice, demographics and lifestyles ..."
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Changing Scope of Family Physicians, 2002.
This paper discusses the changing scope of hospital physicians.
1,650 words (approx. 6.6 pages), 10 sources, $ 62.95
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Abstract
More and more doctors are specializing in outpatient care service versus patient care in hospitals. An objective view of the entire system is looked at and described.
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Hospitals Administration, 2002.
A comparison between non-profit hospitals and profit hospitals.
1,400 words (approx. 5.6 pages), 2 sources, $ 53.95
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Abstract
A paper that compares for profit hospitals with not for profit hospitals. Included is an interview with a hospital administrator on the subject.
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Leadership Effects on Kuwaiti Hospitals, 2002.
Examines the effects of leadership on hospital performance in public and private hospitals in Kuwait.
16,628 words (approx. 66.5 pages), 66 sources, APA, $ 249.95
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Abstract
This paper describes a study focused on the question of how leadership style, as exhibited by administrators and physicians, impacts upon the performance of public and private hospitals in Kuwait. The literature indicates that when both public and private Kuwait hospitals are compared, significant differences in leadership styles (as observed via performance indicators and surveys of key actors) are identified; these leadership differentials are hypothesized to have a direct bearing upon hospital performance, specifically with regard to employee satisfaction, quality assurance and accountability, and measures of efficiency. Using a stratified 2X2 sample of key leaders (administrators and physicians), a survey instrument is administered to a total of no less than 100 such subjects in each of two hospital settings (public and private institutions). The study proceeds from the theoretical assumption that either transformational or transactional leadership styles will be identified by respondents as most closely associated with such variables as high quality of patient care, high levels of employee satisfaction and proactive, visionary leadership that is capable of motivating and inspiring staff throughout the organization. Descriptive and inferential statistics, including t-tests, are employed to assess the data generated by the study. Secondary data is included to augment the primary data obtained via the survey developed by the researcher, specifically with respect to measures of efficiency. The results, along with a comprehensive review of relevant literature, are presented in a final report.
Table of Contents:
Abstract
Introduction
Review of the Literature
Theory and Hypotheses
Methodology
Plan of Analysis
From the Paper
"Authentic leaders make transformations possible. They help others and their organization cope with change and complexity. They serve as role models, facilitators, mentors, and guides. They are self-actualizing and capable of assisting others in achieving ethics, vision, and belief in others. In other words, as Hollander and Julian (2000) have pointed out, it is the leader (who may or may not always be a designated manager or executive within an organization), who sets the basis for relationships within a group and thereby can affect outcomes. Leaders initiate structure and also affect the process that occurs within that structure. Hollander and Julian (2000) further note that leaders are those individuals with whom others identify."
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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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Pain Management, 2004.
An extensive analysis of the issue of home care and pain management for terminally ill patients.
2,647 words (approx. 10.6 pages), 40 sources, MLA, $ 79.95
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Abstract
Pain management is an issue which has come a long way in the last few decades, especially when viewed in the setting of pain management in the terminally ill population. It is widely held that many effective pain management therapies are available, yet many patients still undergo severe pain at the end of life due to a lack of knowledge surrounding the effective use of pain control methods on the part of physicians and caregivers alike. Patients and caregivers in this study are provided with pain management education, both on what is to be expected and what can be done. Patients and caregivers are surveyed both before and after the education and the level of pain management is assessed to see if greater knowledge surrounding therapeutics and expected outcomes can improve patients' subjective perception of pain control and ultimately terminally ill patient comfort.
From the Paper
"In the last forty years, amazing progress has been made in the management of patients at the end of life. Patients who are at the end of life often rely on caregivers for support, both emotionally and literally, surrounding concerns about the process of dying. Caregivers are often left to make decisions on how to manage panoply of symptoms including things like breathlessness, physical and mental incapacity, and most of all the effective management of physical pain. The last four decades have shown the medical profession much about how to address these issues with appropriate palliative management, yet often times these issues are not adequately addressed by the caregiver, either because of lack of knowledge or lack of resources. When these issues remain unattended, they often lead to increased anxiety, depression and physical and mental stress, both for the ill patient and for the home care giver. What is the best practical approach to the management of pain in the home care of terminally ill patients? How can these patients be adequately assessed for current and future palliative needs? How are medications chosen? How is an adequate dose determined? And how can the home caregiver ensure all these criteria are met, and the patient made as comfortable as possible."
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Leadership In Kuwaiti Hospitals, 2002.
Examines the effects of leadership on hospital performance in
public and private hospitals in Kuwait.
5,874 words (approx. 23.5 pages), 16 sources, MLA, $ 140.95
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Abstract
This study examines the impact of leadership styles on the performance of public and private hospitals in Kuwait. Critical to this purpose is the association between leadership and performance measures. Performance measures examined include quality of care, employee satisfaction and employee perception of leadership efficacy. The study addresses the following questions - Do different styles of leadership have different impacts on quality in both public and private hospitals in Kuwait? Do different styles of leadership have different impacts on employee satisfaction in both public and private hospitals in Kuwait? Is there a relationship between leadership style and performance?
From the Paper
"This dissertation prospectus presents an overview of a projected study focused on the question of how leadership style, as exhibited by administrators and physicians, impacts upon the performance of public and private hospitals in Kuwait. The literature suggests that when both public and private Kuwait hospitals are compared, significant differences in leadership styles (as observed via performance indicators and surveys of key actors) are identified; these leadership differentials are hypothesized to have a direct bearing upon hospital performance, specifically with regard to employee satisfaction, quality assurance and accountability, and measures of efficiency. Using a stratified 2X2 sample of key leaders (administrators and physicians), a survey instrument developed by the researcher will be administered to a total of no less than 25 such subjects in each of two hospital settings (public and private institutions). Descriptive and inferential statistics, including t-tests, will be employed to assess the data generated by the study. Secondary data will be included to augment the primary data obtained via the survey developed by the researcher, specifically with respect to measures of efficiency. The results, along with a comprehensive review of relevant literature, will be presented in a final report."
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Wired Hospitals & the Use of IT, 2006.
A look at how information technology is used in a hospital and other medical facilities.
1,967 words (approx. 7.9 pages), 9 sources, MLA, $ 62.95
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Abstract
This paper discusses the benefits of utilizing information technology in a hospital. According to the paper, a hospital that is using IT, is known as 'wired'. The paper then takes a look at a hospital that is considered to be one of the 100 most wired hospitals.
Outline:
Introduction
Positive Impacts of being "100's Most Wired Hospital"
On Medical Errors
On Public Trust
Negative Impacts of being "100's Most Wired Hospital"
On Administrators' and Medical Practitioners' Compliance
On Hospitals' Finance Performance
Conclusion
From the Paper
"The said hospital has been using information technology to make a difference in patient and nurse safety. Hand-held personal computers for paperless charting, omnicell technology for medication dispensing, Vocera for communication among employees, wireless portable telemetry to monitor heart of the patients on 3 campuses from a centralized location and nurses' station and identity badges that allows the employees easy admission to selected within the hospital premises as well as the ability to charge meals or items in the cafeteria, gift shop or pharmacy are just some of the technologically integrated system in the said hospital. The public (such as the patients) and the medical professionals working in and out of this kind of hospital have already felt the impact of being with the "100's Most Wired Hospital."
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Hospitals in the U.S., 2003.
A review of the development of hospitals in the United states.
920 words (approx. 3.7 pages), 5 sources, APA, $ 31.95
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Abstract
This paper reviews the history of hospitals in the U.S. The paper examines historic societal responses -- both individual and governmental -- to public health needs. The paper then discusses the role of public policy in addressing these needs. The paper traces the evolution of health care from specialized hospitals to integrated delivery systems. The paper concludes by reviewing the growth of managed care in the U.S. and its impact on hospitalization and hospital policy.
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Pain Management in War Torn America, 2008.
A discussion of pain management in war torn America as described in the movie "Fear and Loathing in Las Vegas."
763 words (approx. 3.1 pages), 5 sources, MLA, $ 27.95
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Abstract
The paper discusses the concept that pain ridden Americans are taking the idea of pain management into their own hands. More specifically, the paper discusses the movie "Fear and Loathing in Las Vegas" and hos the movie demonstrates that if the American legal system and physicians would provide better healthcare in the area of pain management, many people suffering from pain would not be abusing illegal drugs.
From the Paper
"Terry Gilliam's movie "Fear and Loathing in Las Vegas" deals with this bioethical issue of how a war torn country was coping with its pain. Throughout the movie, the audience is constantly bombarded with images and scenes of war. Clips from newsreels of Vietnam show up on the television and background radio noise. While driving to Las Vegas, a woman on the radio speaks about soldier's dying from illegal drug overdose. The circus they attend while in Vegas is likened to "what the whole hip world would be doing on a Saturday night if the Nazis had won the war. This was the sixth Reich," (Gilliam 1998). On one scene, Dr. Gonzo screams out "I just got back from Vietnam," (Gilliam 1998) while throwing up outside of a car, antagonizing a couple next to them in a taxi. Due to lack of physician orientated help, many soldiers and Americans turned to illegal substances. Dr. Gonzo and Hunter S. Thompson view these illegal substances as their "medication." They medicate themselves throughout the movie to ease the pain cause by the war and of failing to obtain the American Dream, "Learn to enjoy loosing."
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