Unformatted text preview: You’re now irritated and treat physician badly who then
reciprocates -- may lead to escalation of conflict. Meanwhile the health care professional must: Extract what is and is not important. Difficulties may be distorted/masked by OTC
medications and home remedies.
medications The structure of the health care delivery
system may affect patient-physician
interaction. Use to pay on visit-by-visit basis. You visit,
then receive a bill, and then pay in full out of
pocket. Now, more than 103 million people receive
their health care through a pre-paid financing
and delivery system called HMOs.
and Health Maintenance Organizations (HMO) Employer or employee pays an agreed upon
monthly rate and the employee is then entitled
to use services at no additional or greatly
reduced Called managed care.
Called managed In some cases HMOs have their own staff,
from which enrollees seek treatment.
from In preferred provider organizations (PPOs), a
network of affiliated practioners have agreed
to charge pre-established rates for particular
Enrollees must choose from these
practitioners. The changing structure of health care delivery
has contributed to dissatisfaction with health
services altering the nature of patient-provider
interactions. Often works on referral basis, so physician
who sees patient first determines what’s wrong
and then recommends spets to follow up.
and Referrals desirable since physicians paid based
on how many people they see.
on Providers income no longer affected by how
pleased the patient is with the service, so
provider may not be as concerned about
patient Physician is concerned with what colleagues
think because they want more referrals.
think So more incentive to offer higher quality
technical care but not as much incentive for
high quality emotional care.
high Some pressure by HMO to cut costs by
avoiding expensive tests and shorten hospital
stays. Related to lowered quality of care. Quality of care may also suffer since physician
is encouraged to see as many patients as
possible. Long waits, shorter visits. Same happens with each referral. Due to research showing lowered patient
satisfaction, some HMOs are taking steps to
reduce wait times, provide more personal
choices in physicians, etc.
choices Other changes in the health care system affect
patient-provider There is increased emphasis on holistic health care.
holistic Idea that health is a positive state to be actively
achieved and not just the absence of disease.
achieved Incorporates Eastern medicine and nontraditional
therapies. Emphasizes psychological as well as the
medical. Holistic gives more responsibility to patients. Emphasizes health education, self-healing and
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- Fall '11
- Health care provider, treatment regimens