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Physicians or other healthcare professionals occasionally try to impede ethical discussions for a variety of reasons.
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In light of multiple recent studies linking feeding tubes in patients with advanced dementia with numerous treatment burdens and complications, the American Geriatrics Society released an updated position statement in July 2014 on this practice.
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Bundled payments aim to contain healthcare costs, but some say this new payment model has the potential to incentivize undertreatment.
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"Throughout our health care system, VA patients and staff face difficult and potentially life-altering decisions every day whether it be in clinics, in cubicles, or in council meetings. In the day-to-day business of health care, uncertainty or conflicts about values that is, ethical concerns inevitably arise." IntegratedEthics: Improving Ethics Quality in Health Care (U.S. Department of Veterans Affairs monograph)
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The IntegratedEthics program developed by the Department of Veterans Affairs (VA) for its facilities, which comprise the largest health care system in the United States, has drawn interest and attention both domestically and internationally.
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Even with the driven culture of modern medicine, one study published recently in the Journal of Medical Ethics found that 73% of 338 respondents said that they usually discuss their mistakes with their colleagues.
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"Increasingly, physicians and managed care organizations are being held accountable for quality of care based on the processes and outcomes of medical care and patient satisfaction. Yet high-quality care delivery involves more than good technical quality and acceptable customer service it also means upholding high ethical standards."
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In a new study, for which Nancy Kass, ScD, of the Johns Hopkins Berman Institute of Bioethics is the lead author, she and others outline their vision of an ethical response to a severe influenza pandemic: Keep society functioning.
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Criminal or administrative charges and sanctions for prescribing opioid analgesics are rare, according to a recent study.1 In addition, there appears to be little objective basis for concern that pain specialists have been "singled out" for prosecution or administrative sanctioning for such offenses, the study found.
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The National Hospice and Palliative Care Organization (NHPCO) in Alexandria, VA, has received funding from the Department of Veterans Affairs (VA) to launch a program improving access to quality hospice and palliative care to veterans, with a specific focus on reaching homeless veterans and those living in rural areas.
