Site Archives Hospitals

Helping Patients Face Death, She Fought to Live


[nytimes] By the time she was 38, Dr. Desiree Pardi had become a leading practitioner in palliative care, one of the fastest-growing fields in medicine, counseling terminally ill patients on their choices.

She preached the gentle gospel of her profession, persuading patients to confront their illnesses and get their affairs in order and, above all, ensuring [...]

A plan for Haiti: Haiti’s government cannot rebuild country. A temporary authority is needed [Economist]


[Economist] MORE than a week after the earth convulsed beneath it, Haiti has still to plumb the depths of suffering and want. The numbers are still only more-or-less informed guesses, but their magnitude is grim: perhaps 200,000 killed, 250,000 more injured and some 3m in desperate need of help. The generosity of the world’s response [...]

Health Care Spending Increases for Middle-age Americans


Total health care expenses for Americans age 45 to 64 in 2006 ($370 billion) were about double the inflation-adjusted total for 1996 ($187 billion), according to the latest News and Numbers from the Agency for Healthcare Research and Quality. AHRQ’s study covers all Americans age 45 to 64 other than those residing in nursing homes [...]

How do doctors really feel about surrogate decision making?


[EurekaAlert] A growing number of hospitalized adults are incapable of making their own health decisions, but little research has explored how doctors feel about making medical decisions with a patient’s surrogate decision maker.
A study published in the September 2009 issue of the Journal of General Internal Medicine found that one in five doctors are not [...]

Hospital Savings: Salaries for Doctors, Not Fees


COOPERSTOWN, N.Y. — Visiting the Cleveland Clinic this week,President Obama held up that well-known hospital as a model for the rest of the country. But for most of the nation’s nearly 6,000hospitals, copying the Cleveland Clinic would be like asking the Durham Bulls, a minor league team, to copy the New York Yankees.

Articles in this series are analyzing [...]

Deportation Dilemmas Deepen For U.S. Hospitals


[NPR] In a widely watched case in Florida this week, a jury ruled that a hospital acted “reasonably” when it sent an undocumented immigrant who had no health insurance back to his native Guatemala. The case highlights a rare but growing problem, and it could affect how hospitals treat such patients in the future.
The case [...]

Bioethics For the Aging – Doctors revise care standards


[Monterey Herald] At 82, retired engineer Leonard Thompson is out to show he still has a few good years left. Years? What’s this bunk about mere years, sonny? More like decades. Why the heck not?
Thompson, after all, exercises body and mind daily, even developing his own workout program for seniors that emphasizes stretching, deep breathing, [...]

Bioethicists are worth their weight in gold


The below BBC article highlights the increasingly prominent and beneficial role of the hospital ethicist, albeit for interesting reasons. It focuses more on how ethics improves the bottom line and prevents lawsuits than on how it improves the quality of care.  There is no specific mention that ethics and quality care are inseparable, but there is a connection [...]

Stillbirths, Infant Deaths Lead to Anxiety, Guilt Among Obstetricians


Newswise — Nearly one in 10 obstetricians in a new study has considered giving up obstetric practice because of the emotional toll of stillbirths and infant deaths.
Three-quarters of the 804 obstetricians who responded to a survey by researchers at the University of Michigan Health System reported that the experience took a large emotional toll on [...]

Clinical Ethicists’ Perspectives on Organizational Ethics in Healthcare Organizations (study)


The University of Toronto Joint Centre for Bioethics’ published a study on “Clinical Ethicists’ Perspectives on Organizational Ethics in Healthcare Organizations” highlighting four major organizational issues of concern:

Resource allocation
Moral distress and organizational moral climate
Conflicts of interest 
Clinical issues with a significant organizational dimension 

The study concluded that “the extent to which ‘clinical ethics’ cases were embedded with an organizational [...]