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Cons of gatekeeping in healthcare
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Physicians has been assigned as gatekeeper on healthcare services. A gatekeeper is defining as point of entry each time care is needed for a health problem. Gatekeeping by physician has been discussed and some agreed and disagreed into the system. The three types of argument involved in the necessity for gatekeeping includes, the patients appropriate care received by patient, budget restrain or cost containment, and justice for equal distribution of care to the public. The overusing of health care system and resources is the focus of gatekeeping. Some contested the gatekeeping role of the physicians. The individualized care an individual’s decision regarding when, how and what to receive health care were expressed as the provider and public
The concepts discussed within the article regarding medicalization and changes within the field of medicine served to be new knowledge for me as the article addressed multiple different aspects regarding the growth of medicalization from a sociological standpoint. Furthermore, the article “The Shifting Engines of Medicalization” discussed the significant changes regarding medicalization that have evolved and are evidently practiced within the contemporary society today. For instance, changes have occurred within health policies, corporatized medicine, clinical freedom, authority and sovereignty exercised by physicians has reduced as other factors began to grow that gained importance within medical care (Conrad 4). Moreover, the article emphasized
“Words Don’t Mean What They Mean” by Steven Pinker is an essay clarifies that people use vagueness and innuendo to deliver information instead of saying what they need to say directly. According to Eschholz, Rosa, and Clark (2013), Steven Pinker was born in Canada the city of Montreal in 1954. Later, Steven Pinker becomes a Professor in the Department of Psychology at Harvard University, he has also taught at Stanford and MIT. (Eschholz, Rosa, and Clark, 2013). According to Harvard university website (2017) “Words Don’t Mean What They Mean” was published in 2007. In fact, in 2007 his total publications were 15 publications in one year (Harvard University, 2017). Steven Pinker writes for publications such as the New York Times, Time and The Atlantic (Harvard University, 2017). In 1994 he published the first book that written for a general audience which is “The Language Instinct” (Harvard University, 2017). According to TED talk’s website (2017), Steven Pinker has done several TED talks videos.
Providers must act in the best interest of the patient and their basic obligation is to do no harm and work for the public’s wellbeing. A physician shall always keep in mind the obligation of preserving human life. Providers must communicate full, accurate and unbiased information so patients can make informed decisions about their health care. As a result of their recommendations, providers are responsible for generating costs in health care but do not generate the need for those expenses. Every hospital has both an ethical as well as a legal responsibility to provide care, even if the care may be uncompensated.
Doctors play a major role in society today because doctors will use medicalization to gain power to their name or to their practices and more importantly their income. Another reason why medicalization is apparent in society has also to do with MCOs. MCOs are health insurance providers that restrain costs by monitoring closely the health services given to patients. MCOs either support or oppose medicalization, depending on which tactic best protects their interests (Weitz, 2012,
Alan Goldman argues that medical paternalism is unjustified except in very rare cases. He states that disregarding patient autonomy, forcing patients to undergo procedures, and withholding important information regarding diagnoses and medical procedures is morally wrong. Goldman argues that it is more important to allow patients to have the ability to make autonomous decisions with their health and what treatment options if any they want to pursue. He argues that medical professionals must respect patient autonomy regardless of the results that may or may not be beneficial to a patient’s health. I will both offer an objection and support Goldman’s argument. I will
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
In a universal health care system, the quality of care does not match that of a managed care system because because patients do not have as much say in their health care, wait times are longer versus a managed care, the actual care maybe viewed as less optimal, and doctors may not able to handle the stress of such a system. A universal health care system adds a political side to any type of medical decision because th...
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
In his essay, “The Refutation of Medical Paternalism,” Alan Goldman discusses his argument against differentiation in the roles between physicians and patients. He says the physician may act against a patient’s will in order treat the patient in their best interest. Goldman makes his whole argument around the assumption that a person’s right to decide his or her future is the most important and fundamental right, saying, “the autonomous individual is the source of those other goods he enjoys, and so is not to be sacrificed for the sake of them.” His claim is that most people agree that they are the best judges of their own self-interest and there is an innate value in the freedom to determine their own future. On these principles, Goldman starts by discussing conditions under which paternalism may be justified.
The principle of autonomy states, that an individual’s decision must be respected in all cases, also an individual can act freely in accordance to their plan. For example, in a case where a patient and family demands to continue medical or surgical care and a physician want the patient to stop further treatment. In this case the patient’s choice will matter the most. According to the principle of autonomy it will be the patients and family choice whether to continue or discontinue treatment. The principle of beneficence which states, “one must promote good” comes into play in this case. In accordance to beneficence the patient will not benefit from the physicians responses personally. He/she will not benefit from harming her body with more surgeries. The patient will be going against the principle non-maleficence, which states that “one must cause no harm to an individual” by causing harm to herself. In this case the physician is justified in his/her actions by discontinuing medical or surgical care to the patient because it will not it her. These principles are what healthcare provider use to help and guide patients with the ...
Some patients refuse to take certain medical services, and some staff members refuse to provide certain services. In both cases, they feel that medical intervention can go too far into conflict with their religious beliefs or personal moral convictions. The hospital can not make patients take medical services, but we can control the employees. The patients will be advised to take the recommended medical service and if they refuse it will be their choice. No employee should be allowed to act upon his or her own beliefs.
The situation has made it difficult to distinguish the secondary care specialists from the primary care specialists (Shi and Douglas, 2005). The difficulties of defining primary healthcare have resulted in the need for integrated systems in an effort to align the physician’s interests with the institutional objectives. Giving physicians the right of ownership has increased the competition and pricing pressure within the industry. The fact that physicians can own surgery centers, ambulances or specialty hospitals is a threat to hospital delivery systems. The physician trend has provided few evidence of the superiority of integrated models over key factors like patient quality care and cost effectiveness. The other disadvantage is failure of vertically integrated systems to account for greater degree risk created by providing chain delivery services to a wide range of health services other than specializing in one product. According to Williams and Torrens (2008), some vertically integrated systems have established their health plans. However, financial and legal perspectives that transfer the risk to the institutional provider have affected the
This article explain how healthcare providers should treat people as individuals, not to discriminate and act as an advocate for individuals receiving care. Also, how nurses should provide individual holistic care by playing an active role in ensuring that services within the hospital or community reflect the diverse needs of every individual irrespective of their background and also highlight the purpose of the Equality Act 2010 to healthcare providers and who it protects as far as discrimination is concern.
we need to redefine how society see health care. When people go to a medical center, people try to find the person available for someone health. Of course one will want a doctor to check them out, but majority of the times, people have simple symptoms a nurse can consult. Today society should lesson the stress of work form doctors. One is by notifying people there are others profession who can consult them about their health other than doctors. For example nurses, they are the marine of medicine because they are in the front line of diagnosing patients. Plus nurses are divided into three, Registered Nurse (RN), Licensed Vocational Nurses (Lvn), register nurse assistant (RNA) and Certified Nursing Assistant (CNA). Luckily, someone does not need to go four years a medical school to become a RNA or a CNA. After, they become an RNA, it takes a couple of semester to become an LVN. Same goes to RN people behind the navy seal. The navy seal are the doctors who conduct the special missions. Other medical specialist can help reduce the work, like pharmacist. Medical stores like CVS, have consultation where someone can ask the pharmacist which medicine they should take if they are feeling such and such. Majority of times, these consultation are simple and they would inform them that the medicine is available to the public. Of course, the higher doses medicine one needs to get a doctor’s prescription but it help reduce
Health care policy targets the organization, financing, and delivery of health care services. The reason for targeting these areas is for the licensing of health care professionals and facilities, to make sure there is protection of patients’ private health information, and there are measures of quality care, mistakes, malpractice, and efforts to control of health care cost (Acuff, 2010). There are several stages that one must take when creating a policy (see figure 1). The figure below shows the critical steps in the policy process. First, the problem must be identified, once the problem is identified potential policy solutions must be formulated, then the policy is adopted, and then implemented. After the policy is in place, an evaluation of the policy has to take place (This Nation, 2013).