Using IT helps the healthcare service providers to communicate and transmit information about the health status of the patient but they don’t really prevent the disease from infecting the patient. Wearables and other devices can only measure few of the physiological readings and inform the same to doctor and patient but can never attend to that physiological disorder. Doctors and patients feel that a clinical visit and personal interaction is necessary and must to cure the disease. Investing huge amount of money for such a technological breakthrough isn’t something that healthcare stakeholders are convinced of. Since understanding of medical terminologies requires special skills which the doctors gain during their education and experience, sharing of medical information is another concern that doctors are skeptical about.
Doctor Accountability Doctors have been around for a long time. Similar to the change in technology, doctor’s profession has changed over time in both, positive and negative approaches . However, what stands out in a doctor’s profession accountability taken . While many ways of preventing medical errors or even patient are available, sometimes nothing can be done. It was a medical mistake, should the doctor be accountable?
A study on the interaction of the systems such as Electronic medical Record (EMR) and of Clinical information system (CIS) will not support all time in the patient satisfaction of the service provided in the hospital (Mahmudul Haque et al. 2013). There are also studies on the acceptance of the HIS from perspective of various group of person involve or end users in the HIS. Those studies found that the satisfactions among different group of users (medical secretaries, nurses and physicians) are different. The satisfaction are highest among medical secretaries follow by nurses and physicians (Laerum, Karlsen & Faxvaag 2004).
IntroductionClinical empathy is an essential element of quality care and is associated with improved patient satisfaction, adherence to treatment, and fewer malpractice complaints. It has been suggested that in contrast to models of “detached concern,” physicians who attempt to understand what their patient is feeling and communicate their concern achieve a number of valuable outcomes for their patients and for themselves . Empathy in medicine is challenging though, because doctors are dealing with the most emotionally distressing situations–illness, dying, suffering in every form–and such situations would normally make an empathic person anxious, perhaps too anxious to be helpful . This painful reality may take its toll on these individuals
However, a patient may become disappointed when a physician arrives late and spends more time during diagnosis and vice versa. Some patients wish to shorten the time to wait for the doctor, while the doctor fears to waste his time waiting for patients. (4) This aspect was discussed in an article in Lancet in 1952 which stated the problem as follows:" That a doctor 's time is more valuable than a patient 's is a view which is generally acceptable to the lay public as well as to the medical profession. Nevertheless, the doctor 's time is not infinitely valuable, and in practice some kind of balance must be struck between doctor and patient". This relationship dominated by
Individuals with insurance visits the physician office when sick but also when healthy. Should be more prone to follow up treatments and also be emotionally relief. Having insurance should promote healthier lifestyles but it is not always the case. Having medical insurance could also encourage unhealthy behavior. Because of medical care, individuals could visits the doctor office for everything, ask for unnecessary laboratories or being reluctant to have healthy habits due to medical services coverage.
The proliferation of technology and the emphasis on revenue in health care is reflected in the quality of care and compassion administered to patients. Before technology, patients who were hospitalized received twenty-four-seven bedside care. Due to the lack of advancements in medicine, most patients were at end of life and comfort was the treatment provided. A nurse or doctor had to constantly be with the patient to monitor their vitals. With our current technological advancements this is no longer the case.
Hence, in modern medicine the need to disclose and provide appropriate information to the patient is the duty of every HCP. An ethical dilemma is faced due to the increased risk over the benefit caused by disclosing the all the details to the patient. [5, 6] Considering the increased risk of disclosure it is still mandatory to reveal the necessary information. Preparing a patient for all aspects related to the medical situation is the duty of the HCP. Modern medicine gives reverence to patient autonomy and believes that an individual is capable of taking decisions for their own benefit on being provided the available options.
One disadvantage of functional team nursing is the fragmentation of care. The physical and technical aspects of care can be fulfilled, but psychological and spiritual needs can be overlooked. Patients are confused with so many different care providers per shift. These different staff members can be so busy with their assigned tasks that they may not have time to communicate with each other about the patient's progress. A modification of functional nursing was designed to improve patient satisfaction.
Nevertheless, only certain medical specialties including oncology, geriatrics, and intensive care tend to provide these stronger preparation programs regarding the end of life care. Adequate preparation for the care for a dying patient is necessary and also, recognition of death as part of the lifecycle. Although the clinicians maintain the positive attitude about caring for the ill and the dying patients, they lack the adequate education and knowledge to effectively deliver the care Thomas, Lobo, & Detering, (2017). Communications and intervention skills at the end of life care can be emphasized through improved training, discussing emotions, showing empathy in the simulated interactions with the patient and using the feedback of recorded patient interaction. Anstey et al., (2016) study suggest clear and urgent need to design the educational interventions in the effort of improving the end of life care in nursing homes.