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Essay / Research Paper Abstract
A 5 page paper. This essay discusses some of the challenges of having multiple layers of medical care, such as primary care physicians and specialists. One topic discussed is coordination and communication with survey data reported. The last part of the essay reports the medical malpractice award caps in Texas. Bibliography lists 5 sources.
Page Count:
5 pages (~225 words per page)
File: ME12_PG699330.doc
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Unformatted sample text from the term paper:
office/clinic or at the emergency room at the local hospital. For the most part, this is no longer true. Perhaps in some rural areas, a personal physician may meet the
patient in the ER or at their office but you wont find this in cities or suburbia. If you have an emergency, you will go to the emergency department
at the closest hospital. The emergency room doctors and nurses will diagnose and treat you because physicians are more and more reluctant to take emergency department calls. This is contrary
to how it used to be. Traditionally, hospitals gave physicians staff privileges in return for the physicians time serving on committees and taking emergency department calls. The privileges included using
the hospitals facilities to treat their patients (Berenson, Ginsburg & May, 2007). If the patients welfare is the most important factor, it would seem hospital personnel and physicians would collaborate
to assure the best outcome. Instead, in many areas the willingness of hospitals and physicians to collaborate and work together is decreasing (Berenson, Ginsburg & May, 2007). It has partly
to do with economics. Physicians have always been independent of hospitals. There was an exchange of services but no money exchanged between the two. Since the emergence of
managed care, hospitals have found that there is a higher margin of profit in specialized services, such as cardiology, pediatrics, surgical, and other specialized areas of medicine. Hospitals have designed
a service-line strategy for branding, marketing, and providing services. Service-line strategies emphasize specific specialty services, such as cancer or heart (Berenson, Ginsburg & May, 2007). This led some physicians to
affiliate with the hospitals while other physicians were aggressively competing with the hospitals. Physicians have become entrepreneurial setting up their own ambulatory surgical or imaging centers as sources of additional
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