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exam 2 (6) - Monday Nov 5 2007 Med Sociology Lec 7 Class 17...

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Monday Nov. 5, 2007 Med Sociology Lec 7 Class 17 – Nurses, physicians, assistants, pharmacists, midwives C. Very little data on patient health outcomes Mortality rates Post-surgery complication rates Total cost D. some new data on patient mortality for hospitals E. why isn’t outcome data routinely made public? 1. Public has given docs a “labor-market shelter” 2. Docs control info given to patient hard to get a tally of total cost cicu – coronary intensive care units – they really do help if get there w/in first 10 min after heart attack patient mix – severity of illness not taken into account for mortality rate you want the mort rates statistically corrected med ppl argue lay ppl cant understand patient mix, don’t want to know the truth, want docs to make decisions for us VI. Potential for conflict btw doc and patient A. conflicts worse for patients w/ low edu, affects compliance elaborated code – full sentences (docs) vs. restricted code - fragments (bums, family members) social distance determines how ez itll be to communicate VII. increasing demands for accountability by third parties who pay the bills A. Insurance companies Sometimes don’t approve for care to stop abuse/overuse B. Govt health progs (medciare/aid) C. Businesses who buy med care for employees D.
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