Managing and consequences of physician to patient ratio in health care organizations

Managing and consequences of physician to patient ratio in health care organizations PDF Author: Kim Wong
Publisher: GRIN Verlag
ISBN: 3656823839
Category : Medical
Languages : en
Pages : 46

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Book Description
Master's Thesis from the year 2012 in the subject Health - Public Health, grade: 2,5, University of Cologne, language: English, abstract: Imbalance between demand for and supply of physicians is an issue regularly addressed by the media, researchers and policy makers. It has been widely spread in many countries for years. Healthcare organizations in both of developed and developing countries have all experienced from that. Physician to patient ratio is one of the important normative population based indicators to measure this imbalance. It equals to the entire number of physicians in a healthcare organization dividing its patient volume within a certain period (e.g., a year). The quotient is often standardized in form of X (number of physicians) per 1,000 patients, or in form of ''1:X'' in order to express the amount of patients (X) that under one physician's management clearly. In comparison with other measurements, this kind of indicators are less complicated and easier to comprehend. An imbalance between physician demand and supply in a healthcare organization could be explicitly identified and quantified by comparing its actual physician to patient ratio with a ''gold standard''. Unfortunately, a wide-range suitable gold standard of physician to patient ratio does not exist. Therefore, healthcare organizations must make great efforts to find their own gold standards. The physician to patient ratio could be easily confounded with the patient to physician ratio which represents the number of physicians, who oversee one patient within his or her entire hospital stay. In an ideal model for patient care is ''1:1'' the target patient to physician ratio to aim at. But in reality, this ratio is not easy to realize. In this paper, merely the physician to patient ratio is under discussion. Imbalance between demand for and supply of physicians could bring inappropriate physician to patient ratio to healthcare organizations. It is one of the major threats to healthcare organizations, as it might have consequences such as lower quality of healthcare services, closure of hospital's ward, increasing wait time, reducing number of staff beds, under-utilization of physicians or higher medical costs. Managing the physician to patient ratio is not only a key to predict these risks but also the hope for turning the imbalance situations into balance ones. [...]

Managing and consequences of physician to patient ratio in health care organizations

Managing and consequences of physician to patient ratio in health care organizations PDF Author: Kim Wong
Publisher: GRIN Verlag
ISBN: 3656823839
Category : Medical
Languages : en
Pages : 46

Get Book Here

Book Description
Master's Thesis from the year 2012 in the subject Health - Public Health, grade: 2,5, University of Cologne, language: English, abstract: Imbalance between demand for and supply of physicians is an issue regularly addressed by the media, researchers and policy makers. It has been widely spread in many countries for years. Healthcare organizations in both of developed and developing countries have all experienced from that. Physician to patient ratio is one of the important normative population based indicators to measure this imbalance. It equals to the entire number of physicians in a healthcare organization dividing its patient volume within a certain period (e.g., a year). The quotient is often standardized in form of X (number of physicians) per 1,000 patients, or in form of ''1:X'' in order to express the amount of patients (X) that under one physician's management clearly. In comparison with other measurements, this kind of indicators are less complicated and easier to comprehend. An imbalance between physician demand and supply in a healthcare organization could be explicitly identified and quantified by comparing its actual physician to patient ratio with a ''gold standard''. Unfortunately, a wide-range suitable gold standard of physician to patient ratio does not exist. Therefore, healthcare organizations must make great efforts to find their own gold standards. The physician to patient ratio could be easily confounded with the patient to physician ratio which represents the number of physicians, who oversee one patient within his or her entire hospital stay. In an ideal model for patient care is ''1:1'' the target patient to physician ratio to aim at. But in reality, this ratio is not easy to realize. In this paper, merely the physician to patient ratio is under discussion. Imbalance between demand for and supply of physicians could bring inappropriate physician to patient ratio to healthcare organizations. It is one of the major threats to healthcare organizations, as it might have consequences such as lower quality of healthcare services, closure of hospital's ward, increasing wait time, reducing number of staff beds, under-utilization of physicians or higher medical costs. Managing the physician to patient ratio is not only a key to predict these risks but also the hope for turning the imbalance situations into balance ones. [...]

Taking Action Against Clinician Burnout

Taking Action Against Clinician Burnout PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309495474
Category : Medical
Languages : en
Pages : 335

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Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.

Patient Safety and Quality

Patient Safety and Quality PDF Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592

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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

For-Profit Enterprise in Health Care

For-Profit Enterprise in Health Care PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309036437
Category : Medical
Languages : en
Pages : 580

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Book Description
"[This book is] the most authoritative assessment of the advantages and disadvantages of recent trends toward the commercialization of health care," says Robert Pear of The New York Times. This major study by the Institute of Medicine examines virtually all aspects of for-profit health care in the United States, including the quality and availability of health care, the cost of medical care, access to financial capital, implications for education and research, and the fiduciary role of the physician. In addition to the report, the book contains 15 papers by experts in the field of for-profit health care covering a broad range of topicsâ€"from trends in the growth of major investor-owned hospital companies to the ethical issues in for-profit health care. "The report makes a lasting contribution to the health policy literature." â€"Journal of Health Politics, Policy and Law.

The Nation's Physician Workforce

The Nation's Physician Workforce PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175895
Category : Medical
Languages : en
Pages : 121

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Book Description
Enormous changes are occurring in the organization and financing of the U.S. health care systemâ€"rapid changes that are being driven by market forces rather than by government initiatives. Although it is difficult to predict what they system will look like once it begins to stabilize, the changes will affect all components of the health care workforce, and the numbers and types of health care professionals that will be needed in the futureâ€"as well as the roles they will fillâ€"will surely be much different than they were in the past. Despite numerous studies in the past 15 years showing that we might have more doctors than we need, the number of physicians in residency training continues to grow. At the same time, there is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is evidence that the demand for physician services will decrease as a result of growth of managed care. All of this is taking place at a time when, coincident with the result of failure of comprehensive health care reform, there is no coordinated and widely accepted physician workforce policy in the United States. The present study examines the following three questions: (1) Is there a physician policy in the United States? (2) If there a surplus, what is its likely impact on the cost, quality, and access to health care and on the efficient use of human resources? (3) What realistic steps can be taken to deal with a physician surplus? December

Nursing Staff in Hospitals and Nursing Homes

Nursing Staff in Hospitals and Nursing Homes PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175704
Category : Medical
Languages : en
Pages : 558

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Book Description
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.

The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536

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Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Keeping Patients Safe

Keeping Patients Safe PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309187362
Category : Medical
Languages : en
Pages : 485

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Book Description
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy PDF Author: Mark W. Friedberg
Publisher: Rand Corporation
ISBN: 0833082205
Category : Medical
Languages : en
Pages : 149

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Book Description
This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264805907
Category :
Languages : en
Pages : 447

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Book Description
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.