Suchergebnisse

In dem Beitrag wird die Arzt-Patient-Beziehung angesichts des gesundheitspolitischen Wandels und der zunehmenden Verstaatlichung ärztlicher Tätigkeit diskutiert. Zudem wird die ärztliche Tätigkeit im Gesundheitssystem verortet. Es wird deutlich, daß sie verfassungsrechtlich, arzt- und organisationsgesetzlich, leistungsberuflich und sozialorganisatorisch im bundesdeutschen Sozialstaat verankert ist. (ICA)

Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units. EPs have brought their combat experience home to civilian practice. This narrative review summarizes the history, contributions, and lessons learned by EPs during OEF-A/OIF and describes changes to daily clinical practice of EM derived from the combat environment.

Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a unique self-study guide for practitioners and trainees covering the core competency areas of professionalism, ethics, and cultural sensitivity. This novel title presents real-world dilemmas encountered across the specialties of medicine, offering guidance and relevant information to assist physicians, residents, and medical students in their decision-making. The text is divided into two parts: Foundations and Questions with Answers. The first part provides a substantive foundation of knowledge in the principles, scholarship, policy guidelines, and decision-making strategies of the modern health professions. The second part assists practitioners and trainees in preparing for the complex issues that arise each day in the settings where health professionals work and train - clinics, research centers, educational contexts, and communities. Developed by renowned leaders in a broad range of clinical fields, Professionalism and Ethics in Medicine: A Study Guide for Physicians and Physicians-in-Training is a major, invaluable contribution to the literature and an indispensable reference for clinicians at all levels.

"Patient sorting can confound estimates of the returns to physician human capital. This paper compares nearly 30,000 patients who were randomly assigned to clinical teams from one of two academic institutions. One institution is among the top medical schools in the country, while the other institution is ranked lower in the quality distribution. Patients treated by the two teams have identical observable characteristics and have access to a single set of facilities and ancillary staff. Those treated by physicians from the higher-ranked institution have 10-25% shorter and less expensive stays than patients assigned to the lower-ranked institution. Health outcomes are not related to the physician team assignment, and the estimates are precise. Procedure differences across the teams are consistent with the ability of physicians in the lower-ranked institution to substitute time and diagnostic tests for the faster judgments of physicians from the top-ranked institution"--National Bureau of Economic Research web site

Physician motivation and related incentive compensations plans are central to the design and delivery of safe, high-quality, satisfying medical care as well as advancing physician satisfaction and engagement. The underlying premise of this article is that the interests of physicians and patients as well as the community ought to be better aligned to improve clinical and population health outcomes. The Triangle of Patient Centered Compensation is presented as a model to design or redesign compensation programs that seek to achieve better alignment between physicians, patients and the community. After reading this article, practitioners will be able to adopt and adapt the model to fit with the vision, mission and strategies of their organization and academics will be able to empirically test this model and revise this model.