以商业为中心的医疗保健对急诊科医患关系的影响

Daniel R. Martin , Kenneth V. Iserson , John C. Moskop
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引用次数: 0

摘要

医患关系一直是医疗保健的核心,无论治疗地点或患者的病情如何,这种关系仍然至关重要。医院急诊科(ED)在这种关系中发挥着重要作用,它提供获得委员会认证、接受住院医师培训的急诊医生,这些医生能够快速诊断和治疗紧急、紧急和危及生命的疾病。美国急诊科还为未参保和参保不足的病人提供了国家的安全网。随着急诊科成为价值数万亿美元的医疗保健行业的主要利润中心,急诊科面临的以商业为中心的压力对医患关系构成了重大威胁。本文描述并评估了商业强加的做法,这些做法可能会破坏急诊医生和病人之间的关系。结论:卫生系统应该努力加强急诊医生和病人之间的关系,避免破坏他们的商业行为。
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Business-centric healthcare's effects on the doctor-patient relationship in the emergency department

Background

The doctor-patient relationship has always been at the core of health care, and this relationship remains of paramount importance, regardless of treatment location or the patient's condition. The hospital emergency department (ED) plays a major role in this relationship by providing access to board-certified, residency-trained emergency physicians capable of rapid diagnosis and treatment of urgent, emergent, and life-threatening conditions. U.S. EDs also serve as the nation's safety net for the care of uninsured and underinsured patients.

Discussion

As the ED has become a major profit center in the multi-trillion-dollar health care industry, business-centric pressures on ED care pose major threats to the doctor-patient relationship. This article describes and evaluates business-imposed practices that can undermine this relationship in the ED.

Conclusions

Health systems should strive to enhance relationships between emergency physicians and their patients and to avoid business practices that undermine them.

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来源期刊
JEM reports
JEM reports Emergency Medicine
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审稿时长
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