Hospital Management
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Fee-for-Service, Value-Based Payment Models Pose Different Ethical Concerns
Physical therapists are facing some ethical dilemmas over reimbursements for quantity over quality, according to the authors of a recent study.
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Limited Exposure to End-of-Life Care for Pediatric Residents
Ethicists can approach these cases with the awareness that from a learner perspective, these situations are rare and often one of the most challenging and memorable experiences of pediatric trainees.
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Survey: More Difficult for Oncologists to Predict Minority Parents’ Decision-Making
Minority parents may feel less well-supported by clinicians in their decisions.
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Palliative Care Widely Misunderstood by Patients and Professionals
In one study, 60% of adults self-reported as knowledgeable about palliative care have at least one misperception. In another similar study, researchers found that 70% of respondents had never heard of palliative care. Perhaps most concerning, a third study revealed 55% of caregivers have never heard of palliative care.
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Policies Ensure Ethical Care for Marginalized, At-Risk, Unrepresented Patients
Adults who have lost (or perhaps never had) decision-making capacity and do not have either an advance directive or an identifiable, capable, and willing surrogate may be the most vulnerable patients.
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Overly Aggressive Collection Risks Violating Several Ethical Principles
To ensure ethical care, transparency and shared decision-making is needed across all aspects of patient care interactions, including billing and collections.
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Ethics Involved as Proposed Hospital ‘Conscience’ Policies Examined Closer
"We are apparently entering the age of religious exemptions for all manner of hard-to-understand positions." -
Program Directors Want More Ethics Education, Limited Resources Constrain Goals
The desire for more ethics training is not unique to plastic surgery. Researchers also administered the survey to program directors in anesthesiology, pediatrics, and general surgery, with similar findings.
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Patient Watches Solve Safety Issue With Better Use of Resources
Hospitals often struggle with the need to provide close watch over a potentially dangerous patient without relying on skilled nurses or security officers who are needed elsewhere. Some hospitals are finding that a “patient watch” program is the right solution.
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Clinicians Need the Right Tools to Care for Older Patients With Cognitive Deficits
As the U.S. population ages, hospital providers are confronting the complicated challenge of meeting the needs of more patients with dementia, delirium, and other cognitive deficits. To get ahead of this demographic trend, some health systems have developed initiatives aimed at equipping their workforce with the knowledge and tools to recognize and manage this population better while also offering a more compassionate and welcoming face to patients and families.