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Managing the soaring health care costs due to litigation and mismanagement should be a key concern to any healthcare organization. Attempting to manage those costs oftentimes will run into barriers such as government regulations that require doctors and administrators to document each and every decision made in regards to patient treatment. Due to the extra paperwork and documentation needed to fulfill these requirements, doctors, nurses and administrators are put at odds with the very system that reimburses them for their time, efforts and expenses. The system also seems to pit the doctor's against the patients instead of working towards the patient's best interest.
A recent study determined that "everyone agrees that patients should be able to find cheap, safe, and efficient care" (Avaraham, 2011, p. 8) yet doctors are still under pressure to produce billings that justify their salaries, or worse yet, they are told to see more patients for less dollars. How to address this situation is the question of the day.
This paper advocates a similar proposal to some...
A recent study provides support for the proposal by stating that such a proposal as this one is one "of the more promising proposals in Washington" (Alonso-Zaldivar, 2011). Providing a safe harbor would alleviate much of the angst being suffered by the doctors who face daunting regulations, paperwork and a work schedule that demand more and more from each physician while still cutting costs.
Doctors should be allowed the ability to determine what treatments are needed by the patient and implement those treatments as long as they are based on sound medicine and are cost effective. Initiating a course of treatment that does not present 'evidence-based judgment' should not be condoned, and the doctor should be held liable. On the other hand, patients too must take ownership of their treatments.
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References
Alonso-Zaldivar, R.; (2011) Obama starts drive for medical malpractice reforms, Stamford Advocate, accessed on November 6, 2011 at http://www.stamfordadvocate.com/news/article/Obama-starts-drive-for-medicalmalpractice-reforms-101424'4.php.
Avaraham, R.; (2011) Clinical practice guidelines: The warped incentives in the U.S. healthcare system, American Journal of Law & Medicine, Vol. 37, Issue 1, pp. 7 -- 40
Troven, A.; Mello, B.; Mello, M.M.; (2009) Incremental health care reform, Journal of American Medical Association, Vol. 301, pp. 1814-1816
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