November 26th, 2011 by Dinah Miller, M.D. in Opinion
Tags: Breach, Communication, Confidentiality, Consensual Relationship, Dilemmas, Ethics, Inappropriate behavior, Integrity, Licensing Board, Morals, Psychiatry, Psychology, Psychotherapist, Treatment
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I’ve been asked several ‘ethical dilemmas’ in the past few weeks. I’m putting them up on Shrink Rap, but please don’t get hung up on the details. These aren’t my patients, but the details of the stories are being distorted to disguise those involved. The question, in both cases, boils down to: Should the mental health professional report the patient to his professional board?
In the first case, a psychiatrist is treating a nurse who is behaving badly. The nurse is stealing controlled substances from the hospital and giving them to friends who ‘need’ them. She doesn’t intend to stop, and her contact with the psychiatrist was only for an appointment or two before she ended treatment. Should the psychiatrist contact the state’s nursing board? Is he even allowed to?
In the second case, Read more »
*This blog post was originally published at Shrink Rap*
November 26th, 2011 by Jessie Gruman, Ph.D. in Health Policy, Opinion
Tags: ACP, American College Of Physicians, Co-pays, Cost, Deductibles, GE, health care, Insurance Premiums, Jessie Gruman, LinkedIn, Price Transparency, Prices, Robert Wood Johnson Foundation
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A couple of weeks ago, I was asked to speak as a patient about “consumers and cost information” while being videotaped for use in the annual meeting of the Aligning Forces for Quality initiative funded by the Robert Wood Johnson Foundation.
RWJF Video - This Costs How Much?
I admire the aims of this initiative – “to lift the overall quality of health care in targeted communities, reduce racial and ethnic disparities and provide models for national reform” – and I think it has taught us some valuable lessons about what it takes to make even slight course corrections in the trajectory of the huge aircraft carrier that is health care.
Plus, I have listened to hundreds of people talk about their experiences with the rising price of health care: who thinks about it when and why, what individuals do to cut back on the expense, where they have been successful and where not. I’ve heard lots of stories, most of them involving Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
November 25th, 2011 by Bryan Vartabedian, M.D. in Opinion
Tags: Campaign, Communication, Discussion, End Of Life, Engage With Grace, Experience, Heartbreaking, Involvement, Journey, Thanksgiving
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This is my 3rd year participating in The Engage with Grace Blog Rally. Engage With Grace is a movement designed to help advance the conversation about the end-of-life experience. It began with a simple idea: Create a tool to get people talking. Their tool is a slide with five questions designed to initiate dialog about our end-of-life preferences. I originally heard about Engage with Grace from Paul Levy and he’s at it again this year.
This campaign has forced me to Read more »
*This blog post was originally published at 33 Charts*
November 25th, 2011 by GruntDoc in Health Policy, Opinion
Tags: Arizona, Co-pays, Elderly, Experiment, HIPAA, Hospital, Insurance, Mayo Clinic, Medicare, Money, Policy, Wall Street Journal
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Update: this happened 2 years ago. So, I wrote this thinking it was a new development, but it isn’t. Anyone know how this experiment has played out?
I’ve wondered for years if hospital organizations (and big organized clinics) had done the math on whether they could do without Medicare, and apparently Mayo has. More after the quote
President Obama last year praised the Mayo Clinic as a “classic example” of how a health-care provider can offer “better outcomes” at lower cost. Then what should Americans think about the famous Minnesota medical center’s decision to take fewer Medicare patients?
Specifically, Mayo said last week it will no longer accept Medicare patients at one of its primary care clinics in Arizona. Mayo said the decision is part of a two-year pilot program to determine if it should also drop Medicare patients at other facilities in Arizona, Florida and Minnesota, which serve more than 500,000 seniors.
Mayo says it lost Read more »
*This blog post was originally published at GruntDoc*
November 24th, 2011 by AndrewSchorr in Opinion
Tags: Alana Welm, Cancer Survivor, Clinical Trials, Giving Thanks, Happy Thanksgiving, Hunstman Cancer Institute, Medical Progress, Patients, Power, Volunteer
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First, to our U.S. visitors – Happy Thanksgiving! To our friends around the world, we send all the best to you too!
This tends to be a time of reflection so I am heavy into that right now. First, as a 15-year-leukemia survivor, I am thankful every day I can live a full life. And, as the founder of Patient Power, I am thankful to you for visiting our site, listening to and watching our programs, and for telling us that, for the most part, we are making a positive difference in your life or that of a loved one as you seek better health. Quite frankly, I am thrilled when I read the comments you make in our surveys and your feedback propels all of us to do more. Read more »
*This blog post was originally published at Andrew's Blog*
I’ve been asked several ‘ethical dilemmas’ in the past few weeks. I’m putting them up on Shrink Rap, but please don’t get hung up on the details. These aren’t my patients, but the details of the stories are being distorted to disguise those involved. The question, in both cases, boils down to: Should the mental health professional report the patient to his professional board?
