Many people do not even know a majority of the medical problems they face do not require hospitalization because there are two main types of health care, outpatient and inpatient, and that they can be vastly different in terms of care received for an individual. Outpatient means that the patient does not need to check themselves in to a facility or hospital and in many cases with modern day hospice and in-home doctorial and nursing services may never even need to visit a facility altogether for simple and routine procedures. If a problem is more severe a person may schedule to see a specialist in the field they have medical issues in, outside of hospitals once again, to receive the medical information they need on their problem. Inpatient care …show more content…
One of the best ways to evaluate the level and quality of care given is by measuring constructive time spent with the patient, and when we look closely at the two we see that outpatient specialists and caregivers can spent an enormous amount of time with their patients compared to inpatient practices. From more patients to see in a day, to the need for lengthy explanations for more uncommon ailments, to the limitations of seeing someone under a time constraint, there are many opportunities for inpatient care to come up short of an individual’s needs in a visit simply due to time. This can lead to advising the wrong course of treatment for the client, booking a person who works every day for every other day infusions when there is a single monthly option for infusion that would be better suited to the person’s life, or giving someone the wrong diagnoses altogether when a practitioner who was more communicative with the patient with the extensive time spent together in an outpatient facility would have acted differently based on their knowledge gained from time with their …show more content…
Individuals in outpatient care interact more with their primary physicians, without the constraints of him or her rushing through a visit for lack of time. Outpatient physicians can pace themselves in an exam to be certain a patient understands what is going on with them medically, what their specific treatment options are and which one is right for them. Combined with outpatient cares ability to give overall better care with this extra time and information about patients, which leads to better diagnoses and better chances of recovery, outpatient outmatches inpatient minute for minute and dollar for dollar as a healthcare
I often ask myself, “Can I handle it?” I learned from other doctors that in order to provide the best care, a physician must be able to detach himself or herself from the patient; they say it would be better for both the doctor and the patient. But, with that kind of thinking, the doctor is not fully giving himself to the patient. So, is it right to not fully give oneself to care for the patient? Learning from Patrick Dismuke and those who loved him, it seemed that the hospital was able to care for him best by loving him. Nurse Kay, Patrick’s favorite nurse, not only answered his late night calls, but enjoyed talking with him. This always calmed Patrick down before and/or after surgery. Dr. Aceves was always optimistic and hopeful for the future of Patrick’s health, never giving up on him by pushing for surgery. He did this because he knew Patrick all 16 years and was emotionally attached to the boy, even though Patrick did not feel the same way. Thus, though I can understand that a physician must put a wall between himself or herself and the patient, there should still be a strong connection in which they would do anything for the patient’s comfort and
Nurses help patients with their physical needs with details, explain the complex steps of medical treatment, communicate with doctors to share patients’ health conditions and proper treatments, and give emotional support to patients in stressful situations. There are certain limitations that nurses have in decision makings because doctors obtain the most power in patients’ medical clinics. However, nurses are more friendly, helpful, and suffering for patients. Lastly, experienced nurses can make a better choice for the patients over young and un-experience
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
In the healthcare system many times patients are just patients and appointments are just appointments. The outlook on the patients and appointments all depends on the area of practice and the health professional themselves. Working in the emergency department, the nurses and doctors there typically do not see the same patient more than once and if they do the chance of them remembering them is slim to none just for the simple fact of the pace of the department. When it comes down to Physicians in the hospital setting, the care is not just quick and done. Great patient to healthcare professional relationships are formed and for some it may feel as if they are taking a “journey”(209) with their patients as they receive their medical care. This essay will be based off the book Medicine in Translation: Journeys with My Patients by Danielle Ofri, in which Ofri herself gives us the stories of the journeys she went on with several of her patients. Patients are more than just an appointment to some people, and when it comes to Ofri she tends to treat her patients as if they are her own family.
As if Medicare’s declining reimbursements was not a big enough deterrent to lengthier, more satisfying higher-quality visits, Medicare’s reimbursement system actually outright punishes doctors for spending more time with patients. As the length of visit increases, Medicare reimburses physicians marginally less. For example, in the D.C. metro area, Medicare reimburses physicians $47.53 for a 10-minute follow up visit (CPT 99212), but only $154.76 for a comparable 40-minute visit (CPT 99215). Financially, doctors are better off taking care of four established patients in a 40-minute block as opposed to seeing one patient for 40 minutes. This puts additional pressure on physicians to see more patients in less time, with job satisfaction
Allowing the patients to choose the scheduled time of when to make an appointment with the physician makes them feel welcome. The flexibility is increased significantly; besides, the fact is a personal commitment makes them feel the need to see the doctors for treatments. The clinics may also consider moving hospitals closer to their patients. Alternatively they may opt to have mobile clinics when they have the highest patient turn out and take treatment to those who feel they may otherwise not be able to afford treatment (Humphries & Eddy, 2000). Reminders also helps to increase the attendance rate since patients may fail to attend due to finances and busy schedules (Phipps, 2003).
The healthcare world has simply grown too large, too quickly and, as a result, has forgotten the reason behind which it stands: the patient. Continuity of care is in dire need of repair and without effective communication and coordination of care, the problem will not be corrected.
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
Outpatient care is the setting the I have the most experience in working in. However, I was still able to learn something new during the panel. I learned about the type of patients that I expect to see in this setting mostly is back pain, shoulder pain, and knee pain. In the next 5 years I see myself working in an outpatient setting. I do not think I will like fast pace evniroment of acute care. I;m also worried about the physical demands of a SNF . Outpaitent care requires the least amount of lifting , compared to toher physical therpay settings. The slower pace evniroment of outpatient care,is the type of evironemnt I enjoy working in the most based on previous experience. The shoulder have been my favorite joint to work on in the time
Primary care clinics are essential in society for people who need urgent care right away or need a place where they know will be the customer service is going to excellent. Care facilities have to make sure they are to provide the patients with excellent care and services or be able to refer them to a place where their issue can be handled. When the opportunity comes for improvement, care facilities should find it essential to listen to their patients to make sure they’re being taken care of in the proper way and the care being given isn’t different from people who have insurance and from those who don’t.
Due to the populations current issues with insufficient healthcare coverage, or complete lack of, many patients resort to the ED as primary access and diagnosis thus delaying treatment even further.As a result, emergency departments are providing treatment for medical, surgical, critical, and psychological emergencies. These extended wait times lead to a deterioration of patient health, discounting of the patients chief complaints with the intention of acting more efficiently, and inadvertently, occasionally, causing the spread of communicable diseases. Emergency rooms by definition are 24-hour care access to healthcare, however they are losing the fairness and impartiality to provide equal service to all patients stemming from outrageous wait
Patients with chronic diseases do not receive established and operative treatments to help them successfully manage their condition. These complications are aggravated by an absence of organization of care for patients with chronic diseases. Nevertheless, the fundamental disintegration of the health care system is not unexpected given that health care providers do not have the imbursement support or other tools they need to interconnect and work together successfully to improve patient care (Brennan et al., 2009; Renders et al., 200;).
Just like everything else in life, there are pros and cons to inpatient and outpatient services. All of this, boil down to the need of the patient and how well the provider treating the patient is seeking can be granted without any risk to the patient’s life. To identify and describe an inpatient setting is to understand what these all mean. Wikipedia states “Inpatient care is the patients who condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma.” While the Outpatient setting is also known as ambulatory care, these are instant that describes medical care or
Hospitals, long term care facilities, and mental health all serve as healthcare arenas serving the population in various ways. The hospital provides the most critical type of care, for the seriously ill. Hospitals originally served the poor and ill, but over time with the progression of technology and medical service specialties, they have grown to become healthcare meccas with many outlets. Over the past 30 years the degree of rigor of clinical practice and the scope of scientific knowledge has escalated greatly, and the hospital has become a center of high standards, scientific applications, and advanced technological capability (Williams & Torrens, 2008). The increasing shift of services to an ambulatory care arena facilitated by technological advancement itself has left the hospital with an evermore complex base of patient care, higher acuity, and higher costs (Williams & Torrens, 2008). Markets have changed, pricing pressures have increased, and consumer and payer expectations have evolved for hospitals, changes are constant in the medical arena, and hospitals are no exception.
Hospitals play an important role in the health care system (Hospitals, n.d.). They are health care institutions that have an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week. Hospitals offer a varying range of acute, convalescent and terminal care using diagnostic and curative services in response to acute and chronic conditions arising from diseases as well as injuries and genetic anomalies. In doing so they generate essential information for research, education and management. Traditionally oriented on individual care, hospitals are increasingly forging closer links with other parts of the health sector and communities in an effort