Site Archives Hospitals

Boutique Medicine Draws Mixed Reactions From Doctors – Expensive Service Lauded By Patients For Individualized Care: Bioethics & Quality Healthcare


When I train doctors to deliver ‘person-centered’ healthcare, concierge practices are not exactly what I had in mind. NBC’s article highlights potential disparities in resource allocation and access resulting from the use of boutique medicine. –
Concierge practice — also known as boutique medicine — is a new a model of medical service emphasizing easy access, [...]

Hospitals Increasingly Reviewing Patients’ Personal Financial Information To Gauge Ability To Pay


A “growing number” of U.S. hospitals are accessing patients’ personal financial information to help determine how likely patients are to pay their medical bills, the Wall Street Journal reports. According to the Journal, some hospitals look at patients’ credit reports — which provide information on available lines of credit, debt and payment histories — while [...]

Medicare won’t pay hospitals for errors


It’s a new way to push for patient safety: Don’t pay hospitals when they commit certain errors. Medicare will start hitting hospitals where it hurts in October, and other insurers are hot on the trail.
That has the nation’s hospitals exploring innovative programs to prevent injury and infection: Hand-washing spies. Surgical sponges that sound an alarm [...]

Hurricane doctor suspended for 6 months-Dying patient received muscle-paralyzing drug


The state Board of Medicine has suspended a Hurricane doctor for six months after he gave a dying patient a muscle-paralyzing drug as part of “end of life” care.
Dr. Sean DiCristofaro will start serving his suspension Friday. DiCristofaro told the medical board he administered the drug after the patient was gasping for breath and his [...]

Families chafe at physicians’ power to give up life support: End-of-life care, physician autonomy & bioethics


Nonnie Hawkins remembers standing beside her daughter’s hospital bed, steeling herself for a final goodbye.
She turned to physicians at DeKalb Medical Center, who minutes earlier had disconnected a machine that was breathing for 18-year-old Tara Bottoms-Hawkins. Hawkins thought her daughter was in a coma, as she had been for four months. But doctors said the [...]

Errors take a toll on doctors too: Mistakes that harm patients are hard on healthcare workers too


A survey of more than 3,000 doctors, reported in the August 2007 Joint Commission Journal on Quality and Patient Safety, found that doctors lost confidence, were anxious about future errors and had trouble sleeping and reduced job satisfaction when they had been involved in a medical error. Only 10% said they thought their institution provided [...]

Willing, but waiting: Hospital ethics committees


An informative article from the AMA regarding Bioethics consultation services and why many doctors hesitate to ask for ethics help:  
Since their rise more than three decades ago, hospital ethics committees have sought to help physicians, patients and their families resolve ethical disagreements and navigate the treacherous terrain that so often accompanies medical care at the [...]

Mother stopped her son’s cancer treatment: He’s suffered too much already


Watching her tend her ill son, there is no doubting the love Clare Ginns feels for her ten-year-old son Joshua. “Are you comfy?” she asks as she gently props up her boy with pillows on the sofa. “Now, let’s give you your lunch,” she says. She even manages to handle the pumping of liquidised food [...]

China to rank and pay doctors according to their ethics


China’s Ministry of Health and Chinese Medicine Administration have jointly issued a regulation that aims to set up an evaluation system to tally the medical ethics of doctors in various hospitals and other health care providers in the country.
There are three components in the evaluation regime: self-assessment, departmental assessment and institutional assessment. A filing system [...]

Peter Singer on medical futility, right to die, and prolongation of life ethics


Turning health workers into torturers: Last week, a judge reserved his decision and continued a temporary injunction to keep Samuel Golubchuk, an 84-year-old man with brain damage and multi-organ failure, hooked up to a ventilator and other life-support in a Winnipeg intensive-care unit. Mr. Golubchuk’s doctors want to stop the ventilator, believing it to be [...]