Question

1what are the factors that contributes to tension that usually exist among medical staff , board of trustees and adminitration

2what are the benefits of the leapfrog group surney results in making a medical care choices.

3What are the advantages and disadvantages of physicians establishing diagnostic and treatment centers and specialty hospitals from a [atient perspectives

References.

Answer 1

1. what are the factors that contribute to the tension that usually exist among medical staff, the board of trustees and administration

• The differences in the age, qualification, and services of the medical staff.
• Poor environmental condition creates conflict over the medical staff, administrators, and board of trustees.
• medical staff issue failed to raise by the board of trustees.
• Bias in the selection process of medical staff.
• Differences in the cultural patterns and clash between the medical staff, board of trustee, and administration.
• Competitive challenges between the staff members.

2. what are the benefits of the leapfrog group survey results in making medical care choices.

• It helps to improve the hospital quality and safety.
• It improves the maternity care and reduces the high-risk delivery.
• It increases the performance of the physician and reduces the medication error.
• It controls the hospital acquired infection rate.
• It improves the staffing pattern of the people.

3. What are the advantages and disadvantages of physicians establishing diagnostic and treatment centers and specialty hospitals from a patient perspectives

Advantages of Physician established treatment centers.

• Physician treatment center provides increased access to health care services.
• There is a continuity of care and a strong relationship with the patient.
• It is more focused on preventive services and screening of health condition.
• Low cost compared to specialty hospitals.

Disadvantages of physician established treatment center:

• Not focused on the specific area due lack of knowledge and new technology. e.g obstetric care.
• The reimbursement rate is low.
• Treatment of chronic condition is highly questionable.
• It takes a long time to treat the condition.

Advantages of specialty hospitals:

• Expertise in treating of a particular disease condition.
• Treatment will provide immediate relief.
• Treatment will take a short period of time.

Disadvantages of specialty hospital:

• The cost is too high.
• No continuity of care.
• Requires in-depth knowledge.

References:

1. Leapfrog Group, “The Leapfrog Group Member Survey Highlights and Results” (Internal Member Survey, August 2003). Google Scholar

2. http://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-primary-care-policy-center/Publications_PDFs/2007_IJHS_Macinko.pdf