Question

1. From the patient perspective:

What do patients expect from medical treatment?

What leads people to seek treatment?

How does a patient decide where to go for treatment?

2. From the doctor's perspective:

How does a physician expect to be paid?

How does a physician decide what patients to treat?

What threats exist today to a doctor's autonomy and authority?

3. From the hospital's perspective:

How would a hospital prefer to relate to physicians on its staff?

How has the relationship between hospitals and physicians changed over the past 50 years?

What impact does the dominance of the nonprofit form of a hospital has on the relationship to the physician?

What do hospitals expect from patients?

How does a hospital's duty to treat differ from the physician's?

Please include references.

Answer 1

Patient Perspective:
Patient satisfaction is a important factor in health care services..According to patient survey they need some important factor for them to get satisfied that is physically fitness,mentally fitness and engage in meaningful actrivities..But patient satisfaction not only the concept..it is a combination of perspective and values..Efficient patient satisfaction should be focused patient medical and service needed before they leaving the hospitals..Hospital providers should show point of care and personal care to satisfy the patient..
   Health care needs should be met for all patient..Because they are expecting good social care,hospital stay,finance,health education and transportation etc...Policies are intended to meet pateint's health care needs..Physician and patient communication is important for quality care..Pharmacist also play a role in patient satisfaction by problem solving,drug reaction,patient outcome with particular drug etc...
   *Intolerated chronic illness making the person worst..There is lot of internal and external factors for people to seek medical treatment..It includes cultural,social,psychological and health expectations..There is physical and mental health problem for people to seek treatment..studies showes from journal health services research there is link between physical and mental health..when the patient coming to hospital for medical treatment more than their physical issues they have problem with mental issues..
   *some countries have advanced technology and equipment in medical facilities..so there will be more accurate and proper diagnosis and quality treatment..so people going to these hospitals for this reason..Patient-physicians relationship also play a key role for patient choosing their hospitals..Patient expects the physician to listen their complaint and understand their problem..Diagnosis and treatement should be documented in the EHR..Physician by understanding their condition decision-making process should not go to the exteded level and some time for discussion..good relationship between doctor and pateint will heal their wounds soon..
2,    Mid-level practitioners get paid very low than physician visit...This service paid by public and privacy third party payers,but reimbursement may differ..Independent visits for mid level practitioner reimbursed at a lower rate,,According to policy change medicare pay 85% of mid level practitioner visits equal to physician visit..Reimbursement from medicare rules are the service from PA and NPs should be medically reasonable,they must be legally authorised..Incident to services reimbursement will be added to physicians bill,whenever patient comes physician must provide direct supervision..PA and NPs are trained to work closely with all patient care and practices..so PAs can get cost efficiently because they do many services waht physician can provide..
      Doctors and patient should work together in decision making for treatment plan..Physician must understand their needs and patient must have confidence to their physician..Physician must respect and truthful to patient before giving treatement is a medical ethics..Doctor patient relationship is facilitated by continuity of care..
   Physician Autonomy means the physician have full freedom to provide treatement for pateint by their judgement..But physician autonomy requires conditions from liberty...Affordable care Act has proviion it will expand coverage for patient and reduce financial bareiers in physician clinical practice..