There is a noticeable gap in the supply for patients and demand for health care providers. Collaborating with fellow physician assistants, researching new ideas and focusing on new strategies for care in areas can help close this gap. Through my experiences, I have noted the need for support in patient care, and thus arises the question of should there be a requirement to enter the health care system through a gatekeeper. The overwhelming distance seen in the lack of professionals able to meet the demands of growing number of patients, eliminates the possibility of receiving adequate care. Overcrowded halls, overflowing rooms does not help balance the requirement for sufficient support. Helping assess patients’ best treatment options would be a driving force when evaluating the pros and cons. …show more content…
This may in the long run cut out unnecessary cost for the patients and lead to a diagnosis at an earlier time. With a patient having routine visits to their PCP this allows for a relationship to be built between provider and patient. Having trust in your provider is often an important quality when receiving care. Having a PCP, or gatekeeper, would allow them to follow up with health care maintenance and ensure patient compliance is followed. Especially in the world we live in currently, many health care words such as “Obama Care” and “Affordable care act” can be overwhelming and confusing for any patient. Having this so called gatekeeper can be viewed as a having a protector to your health care needs. Someone who can help navigate through the complex health care system we live in today. If for instance, a patient needs specialized care, it can be the gatekeeper who warrant an appropriate specialty consultation. However, having to go through an initial screener, is that delaying treatment for the
Such criteria include fair an equal access through primary and preventative care, 24/7 medical advice, maintain hospital admitting privileges, and a refer or authorize service. Along with this, they are also suggesting the use of evidence-based medicine and the use of case management
The issue is that it is very difficult to assess the overall competence and voluntariness of a patient. CMA mandates that the protection of physicians is a must; and any change in law must legally protect those physicians who choose to participate from criminal, civil, and disciplinary proceedings. No physician should feel compelled to participate, and patients are free to transfer to another hospital if a physician denies a patients
It is the most influential source of insight for PA’s practicing in MI. Its purpose is to “encourage its members to abide by the AAPA code of ethical conduct”, “serve as a public information center with respect to its members, health professions, governments agencies, and the general public”, and “ represent its members in matters of legislation in order to maintain and further develop the practice of the profession” 2. Since the mid 1970s, MAPA has been an important advocator for its members and has not only worked on the improvement of working environments for physician assistants but is also involved in politicizing for enhancements in the scope of practice as well as raising a voice on actions that may impose a threat on the Physician Assistant occupation. At the turn of the century, the ‘Barriers to PA Practice’ list was created by MAPA in order to “overturn all of the antiquated laws disallowing PAs to practice in aspects of care or allowing negative interpretation by administrators of health plans and State agencies” 3. Since this list was created, many new public acts have been passed allowing physician assistants in Michigan to gain more independence. Some important advancements that occurred during this time included MAPA’s involvement in overturning office supervision guidelines insurances such as Blue Cross Blue Shield of Michigan imposed on physician assistants as well as overturning the insurances refusal to pay surgical PAs, Public Act 281 which allowed referrals from physician assistant to a physical therapist, and Public Acts 124-126 which approved Physician Assistants to be added to a “list of professionals able to form professional corporations (PC) and professional limited liability corporations (PLLC) and clarifies that physicians and
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Growing up, I have had my fair share of medical encounters, and was even on state insurance for most of my life. This meant that exceptional care was not always in reach, as I had to visit overflowing medical facilities and was unable to choose the better treatment options due to finances. Due to this, I advocate for my patient’s daily at work by calling insurances and working out the logistics of getting them the care they need, or helping them find resources if we hit a dead-end. Putting their care first, each and every day, has helped me advocate for patients of all populations.
Physician assistants, functioning as individuals from doctor coordinated groups, now take
“The services that physician assistants provide may include diagnostic evaluations, therapeutic remediation, surgical assistance, and pharmaceutical prescription.” (Physician Assistant Career). “In general practices, physician assistants are likely to see patients in need of physical examinations, psychological assessments, laboratory testing, surgical consultations, or infectious disease diagnoses. In more specialized clinics, physician assistants may provide all of these services, along with services that are unique to that medical specialty. For example, an oncology doctor is more likely to require physician assistants to possess proficiency in cancer diagnostic tools, cancer treatments, and laboratory studies.”
One thing I love about the role of a physician assistant (PA) is how they have the opportunity to focus on spending time with each patient and allowing that to impact their practice. This is one of the reasons I aspire to work in primary care; I strive to build relationships with my patients in which I can help implement healthy lifestyle choices for them and their families. For me, patient interaction is not a mundane task I ever want to overlook; it is every reason I wanted to get into medicine in the first place and I will one day be a better provider because of the things I have learned first hand in the
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
1. To make sure the care and treatment can continue to be given safely no matter which staff are on duty, 24 hours a day, seven days a week 2. To record the care that has been given to the patient/client 3. To make sure there is an accurate record to be used as ‘evidence’ when there is a complaint from a patient/client about the
Even though patients and medical assistant have a special bound there are boundaries that have to be observed. The medical assistant fulfills the rules and maintains a professional, friendly, simple and respectful
For centuries nations have looked for ways to meet military, and public health needs, as well as providing care to rural and underserved areas where physicians did not exist. The coming about of the physician assistant brought with it a way to solve some of these problems in a more immediate way. Originally these men and women’s experience on the battle field had prepared them to work in an
Patients are our priority and when there is any complaint from their side, it should be handled and sorted
They must ensure that they are providing adequate services to patients and at the same time ensuring that insurance companies are getting paid (Saint Joseph’s University, 2011, Para 6). Along with that they must secure that they are getting paid. Furthermore, physician moral and ethics are challenged as well; Thus, causing them to rethink how they take on their responsibilities as a medical care provider by trying to keep patients best interest, insurance companies interest and their own interests. This conflict with trying to meet the needs of several different stakeholders causes strain on the physician because they must walk fine line to please each. While trying to please a specific stakeholder another holder could be compromised.
Gatekeeping in terms of the healthcare sector has been debated throughout the years on whether the process has resulted in the contribution to the improvement of healthcare of a population. The term, gatekeeping is defined as the general public having to go through ‘doors’ in the health care system. This means that referral is required from primary care sectors such as General Practitioners (GP) being the first point of contact, in order to have authorised access to receive secondary and/or tertiary care sector service, these services include specialists such as dermatologists, cardiologist and oncologist. The idea of gatekeeping was originally developed to control the amount of money that is spent on healthcare and as a response to the shortage