Qualitative Research Appraisal
Mounica Soma
Texas State University
Completed in partial fulfillment of the requirements for
HA 5301: Healthcare Administration Research Methods
October, 2015
Introduction:
The article titled “Family Physicians’ Perceptions on How They Deliver Cost-Effective Care” presented a study on the effects of family physician availability on healthcare costs and outcomes. Primary care family physicians play an important role in the provision of comprehensive, integrated, accessible healthcare services that satisfy the needs of patients (WHO, 2003). A review of Starfield et al (2005) has shown that health is better in areas with more
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This article clearly identifies the objectives of the research in the abstract and the main text. The aim of the study perspicuously emphasizes the relationship between primary care physician supply and healthcare costs and outcomes. The background information delineates that the topic has been meticulously researched and aids in an appropriate formulation of study methods and …show more content…
The study uses a qualitative approach, which is considered pertinent to this type of research, as the authors are trying to highlight the perceptions of family physicians concerning cost-effective care. The research does not make use of statistics; rather, it uses participants’ responses and their subjective experiences about the topic. The participants selected for the study were family physicians affiliated with the Residency Research Network of Texas (RRNeT), and were not given any incentives for participation. “Ethnography is an interpretive, iterative, open ended emergent learning process” (Whitehead, 2005, p. 4). The authors mentioned explicitly that the data was collected in semi-structured interview format, developed by investigators using the Spradley method of ethnography, and was conducted by medical students at affiliated residencies. Interviews are considered to be the mainstay of qualitative research (Jeanfreau, 2010). The interviews were audio-recorded, de-identified and transcribed, which exemplifies that the form of data collected was reliable, and independently verifiable. Ethics in research is of prime importance. The World Health Organization states that ethical consideration should be described in a research paper (WHO, 2011). Ethical issues have been
minimizes physician referrals motivated by financial gain law created an exception- this exception allows a physician to own in office ancillary services (IOAS) • POPTS have contributed to increase annual health care costs o pro (PT Solutions, 2015) beneficial for POPT only if they are outsourcing PT practices reimbursement for PT ranges from $2000-$3000 per patient cost of equipment is low possibly more coordinated care possibly likely to choose more conservative treatment options first
Increasing costs all around the globe due to economic downfalls is making this issue even more challenging. It is vital that we have some focus on revenue, but we can’t lose focus on the costs of running a business. In health care this can be very challenging because of all the changes involved with the government, in laws regarding health care reform. “Understanding the total costs of services will allow the redeployment of resources which provide a higher payback, or will facilitate the elimination of those resources altogether.” (Hughes, 2011).
Although the US is technologically advanced and has some of the highest caliber medical professionals in the world, compared to many other industrialized countries, it has one of the lowest outcomes in regards to quality of care. Moreover, it has some of the highest overall medical costs (Panning, 2014). In the US, low quality care and high costs have resulted in fragmentation of the healthcare delivery system. Fragmentation of services often results in patient experiences that are poor, with less than desired
What is the projected demand for workers in the health care field over the next 20 years? The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse midwives who can deliver basic primary care to patients without access to primary care physicians. How does the aging of the population, health insurance reimbursement, and consumer demand impact the practice patterns of health care clinicians? A physician shortage is expected by 2020, primarily driven by the demand for physician services.
Steven Brill’s Bitter Pill: “Why Medical Bills Are Killing Us,” by Angelina Salikhbaeva Summary: Steven Brill in the article “Bitter Pill: Why Medical Bills Are Killing Us” clarifies his opinion about the costs of healthcare services in the United States. The author writes about different stories of how families become bankrupt or unable to pay the total cost of the treatment to the US hospitals and related medical facilities. According to Steven Brill’s article, the US hospitals prescribe too much health care to patients.
Discuss the ethical implications of “medical necessity” in patient care. Ethical Implications of Medical Necessity When it comes to medical necessity can often refers to the determination that is made for the insurance purposes. For example, If the patient has a condition that is chronic or terminal, the treatment could be considered medically necessary whether then the patient can afford the treatment or not. Networked doctors may face ethical dilemmas when recommending treatment or specialist referrals. When it comes to medical necessities it can be controversial, it can be the use of marijuana when there can be others that are more a moral ethical in which it can be in manage care and network providers.
The Act has effectively decreased the quality of health care as a result of its compensatory cuts to medical professionals; decreasing funding will undoubtedly destroy the quality of medical practices. Fox New’s Ali Meyer conducted a survey of medical professionals in which half agreed the Affordable Care Act has a negative impact on the medical profession, including reduced quality of
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.
I was interested in the way Bradley and Taylor points out that the most important factor to be consider is health. The author is a professor of public health and served as a hospital administrator in various hospitals, this shows that they have credibility in providing analysis of the healthcare. This book was written in 2013 so that the data contained in this book are still relevant today. Haugen, David M., and Susan Musser.
(2013). Fundamentals of Healthcare Finance (Second ed.). Chicago, IL: Health Administration Press. Gunderman, R. (2016). Hospitalists and the decline of comprehensive care.
In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives.
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.
Ethical Complexity of Distribute Justice and Rationing Medicine is a practice based on moral standards applied to clinical values and judgments, also known as medical ethics. Ethical values consists of beneficence, nonmaleficence, autonomy and justice. However, these ethical principles are affected when distributive justice and rationing of health care resources are implemented “…in a world in which need is boundless but resources are not…” (Scheunemann & White, 2011, p. 1630). The historic Hippocratic Oath described the four main principles of medical practice and established a moral conduct for clinicians. Beneficence demands that health care providers develop and maintain skills and knowledge, consider individual circumstances of all patients, and strive for the patient’s benefit.
Introduction Qualitative research are those kind of researches that an outcome is obtained without the application of statistical methods of data analysis (Strauss and Corbin, 1990 cited in Golafshani, 2003). However, the qualitative research takes a direct approach, where the researchers arrive at a conclusion through the observation of events as they occur naturally without external interferences (Golafshani, 2003). Ethical and methodological issues may arise, therefore in order to demonstrate the legitimacy of Qualitative research it is important to integrate rigour and trustworthiness. Potential ethical issues There is the need to take into consideration ethical issues that may arise from conducting qualitative researches.
Ethical Issues in Healthcare There are many ethical issues facing health care at any time and it is impossible to say definitively which is the most pressing or the most important. Health care professionals are expected to base their practice on a set of ethical principles, including truthfulness, beneficence, nonmaleficence, justice, and confidentiality. Ethical issues can arise, however, when a l professional is called upon to act in opposition to personal values or in cases where the values of patient, health care worker, and sponsoring institution conflict. The following issues are presented in no order. Neonatal Ethics Neonates are babies within their first twenty-eight days of life.